Report on Sterlitamak Zemsky Hospital

1903 ◽  
Vol 3 (9-10) ◽  
pp. 437-454
Author(s):  
M. I. Ladygin
Keyword(s):  
Infectious Disease ◽  
General Ward ◽  
The Other ◽  
Operating Theatre ◽  
Operating Theatres

The Sterlitamak Zemsky Hospital has 34 beds and in the year under review it had four rooms: an infectious disease room, one for women, and two for men, the smaller of which was intended for clean operated patients, while the other was for purulent and therapeutic patients (the rooms were painted with oil paint); women after the surgeries were transferred to the general ward. The two operating theatres were clean and pusy; they were adjacent, painted with oil paint; in the case of pus, the two operating theatres were carefully fumigated with formalin, followed by soap washout and Sulema 1 : 1000. The rooms and the operating theatre were ventilated in the windows.

Fire in operating theatres: DaSH-ing to the rescue

2018 ◽  
Vol 28 (7-8) ◽  
pp. 188-193
Author(s):  
Liam Wilson ◽  
Omer Farooq
Keyword(s):  
Patient Care ◽  
Fire Safety ◽  
Training Session ◽  
Operating Theatre ◽  
In Situ Simulation ◽  
Safe Patient Care ◽  
Team Interactions ◽  
Operating Theatres ◽  
Theatre Staff ◽  
Safety Officer

Operating theatres are dynamic environments that require multi professional team interactions. Effective team working is essential for efficient delivery of safe patient care. A fire in the operating theatre is a rare but potentially life threatening event for both patients and staff. A rapid and cohesive response from theatre and allied staff including porters, fire safety officer etc is paramount. We delivered a training session that utilised in situ simulation (simulation in workplace). After conducting needs analysis, learning objectives were agreed. After thorough planning, the date and location of the training session were identified. Contingency plans were put in place to ensure that patient care was not compromised at any point. To ensure success, checklists for faculty were devised and adhered to. A medium fidelity manikin with live monitoring was used. The first part of the scenario involved management of a surgical emergency by theatre staff. The second part involved management of a fire in the operating theatre while an emergency procedure was being undertaken. To achieve maximum learning potential, debriefing was provided immediately after each part of the scenario. A fire safety officer was present as a content expert. Latent errors (hidden errors in the workplace, staff knowledge etc) were identified. Malfunctioning of theatre floor windows and staff unawareness about the location of an evacuation site were some of the identified latent errors. Thorough feedback to address these issues was provided to the participants on the day. A detailed report of the training session was given to the relevant departments. This resulted in the equipment faults being rectified. The training session was a very positive experience and helped not only in improving participants’ knowledge, behaviour and confidence but also it made system and environment better equipped.

Pharmacogenetics: Its Place in Medicine and Biology

1992 ◽  
Vol 5 (6) ◽  
pp. 312-316 ◽  
Author(s):  
Werner Kalow
Keyword(s):  
Infectious Disease ◽  
Drug Toxicity ◽  
Rare Variants ◽  
The Other ◽  
New Drugs ◽  
Case Histories ◽  
High Incidence ◽  
New Knowledge ◽  
Toxic Exposures ◽  
Technical Advances

A young science serves its purpose if it leads not only to new knowledge, but to new insights and concepts. This article opens with examples to illustrate some former thinking that the introduction of pharmacogenetic has overcome. Pharmacogenetic case histories from discovery to the present illustrate the interlocking of observations, technical advances, and changing concepts. There are striking biological similarities between pharmacogenetics and those inborn factors that cause resistance to infectious disease: Both represent person-to-person variations that may help the survival of populations, one when facing massive toxic exposures, the other when facing plagues and epidemics. Thus pharmacogenetics represents a biologically necessary variability of the defenses against chemical intruders, and this includes drugs. While this variability is desirable, drug toxicity occurring on the basis of this variability must be avoided. The most successful defendants against toxicity due to polymorphic (ie, high incidence) variants should be the designers of new drugs. The only defender concerned with rare variants can be the attentive clinician.

Alternating operating theatre utilization is not associated with differences in clinical or economic outcome measures in primary elective knee arthroplasty

2019 ◽  
Vol 101-B (9) ◽  
pp. 1081-1086 ◽  
Author(s):  
William S. Murphy ◽  
Samantha Harris ◽  
Vartan Pahalyants ◽  
Mark M. Zaki ◽  
Ben Lin ◽  
...  
Keyword(s):  
New England ◽  
Knee Arthroplasty ◽  
Operating Time ◽  
Skin Incision ◽  
Operating Theatre ◽  
Patient Specific ◽  
Data Set ◽  
Skilled Nursing ◽  
Operating Theatres ◽  
Total Knee

Aims The practice of alternating operating theatres has long been used to reduce surgeon idle time between cases. However, concerns have been raised as to the safety of this practice. We assessed the payments and outcomes of total knee arthroplasty (TKA) performed during overlapping and nonoverlapping days, also comparing the total number of the surgeon’s cases and the total time spent in the operating theatre per day. Materials and Methods A retrospective analysis was performed on the Centers for Medicare & Medicaid Services (CMS) Limited Data Set (LDS) on all primary elective TKAs performed at the New England Baptist Hospital between January 2013 and June 2016. Using theatre records, episodes were categorized into days where a surgeon performed overlapping and nonoverlapping lists. Clinical outcomes, economic outcomes, and demographic factors were calculated. A regression model controlling for the patient-specific factors was used to compare groups. Total orthopaedic cases and aggregate time spent operating (time between skin incision and closure) were also compared. Results A total of 3633 TKAs were performed (1782 on nonoverlapping days; 1851 on overlapping days). There were no differences between the two groups for length of inpatient stay, payments, mortality, emergency room visits, or readmission during the 90-day postoperative period. The overlapping group had 0.74 fewer skilled nursing days (95% confidence interval (CI) -0.26 to -1.22; p < 0.01), and 0.66 more home health visits (95% CI 0.14 to 1.18; p = 0.01) than the nonoverlapping group. On overlapping days, surgeons performed more cases per day (5.01 vs 3.76; p < 0.001) and spent more time operating (484.55 minutes vs 357.17 minutes; p < 0.001) than on nonoverlapping days. Conclusion The study shows that the practice of alternating operating theatres for TKA has no adverse effect on the clinical outcome or economic utilization variables measured. Furthermore, there is opportunity to increase productivity with alternating theatres as surgeons with overlapping cases perform more cases and spend more time operating per day. Cite this article: Bone Joint J 2019;101-B:1081–1086.

Time to make surgery greener: waste reduction in the operating theatre

2020 ◽  
Vol 26 (8) ◽  
pp. 1-3
Author(s):  
George Winter
Keyword(s):  
Environmental Impact ◽  
Waste Reduction ◽  
Operating Theatre ◽  
Operating Theatres

Sustainability persists as a key issue in all aspects of society, with increasing urgency. George Winter discusses the environmental impact of operating theatres and the initiatives being implemented to reduce surgical waste output.

The epidemiology of gynaecologic health: contemporary opportunities and challenges

2020 ◽  
pp. jech-2019-213149
Author(s):  
Sarah R Hoffman ◽  
Leslie V Farland ◽  
Kemi M Doll ◽  
Wanda K Nicholson ◽  
Maya A Wright ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Uterine Fibroids ◽  
The Other ◽  
Occupational Epidemiology ◽  
Critical Area ◽  
Reproductive Outcomes ◽  
Human Welfare ◽  
Epidemiologic Research ◽  
Reproductive Epidemiology ◽  
Advance Knowledge

The field of reproductive epidemiology has primarily focused on reproductive outcomes and gynaecologic cancers. The study of non-cancerous, gynaecologic conditions (eg, uterine fibroids, endometriosis) has not received serious treatment in existing epidemiology textbooks and reproductive epidemiology curricula. Further, these conditions do not neatly fit into the other common subdisciplines within epidemiology (eg, infectious disease, cardiovascular, injury and occupational epidemiology and so on). In this commentary, we identify and illustrate three critical challenges to advancing the epidemiologic research of non-cancerous, gynaecologic conditions. With greater investment and a patient-centred approach, epidemiology can advance knowledge about this critical area of human welfare.

Customising the length of the Montgomery T-tube whilst retaining a bevelled edge

2015 ◽  
Vol 129 (3) ◽  
pp. 273-275 ◽  
Author(s):  
A Gan ◽  
V Varadarajan ◽  
M P Rothera
Keyword(s):  
Operating Theatre ◽  
Airway Anatomy ◽  
T Tube ◽  
Novel Technique ◽  
Operating Theatres ◽  
Basic Equipment

AbstractBackground:The Montgomery T-tube is used in a number of conditions that require safe tracheal stenting. Specific lengths of T-tube limbs are occasionally needed in patients with complex airway anatomy or differing neck proportions; this requires customisation of the T-tube limbs. This is done either by pre-ordering customised T-tubes from the manufacturer (which needs to be planned ahead of time) or using a tube cutter in the operating theatre. However, the latter does not provide a ‘factory like’ bevelled edge when shortened, which increases the risk of mucosal trauma and granulation formation.Objective:This paper reports a novel technique for customising the length of existing Montgomery T-tubes, with preservation of the bevelled edges. This technique can be easily performed with basic equipment available in operating theatres.

scholarly journals Sentiment Contagion Based on the Modified SOSa-SPSa Model

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Zhijie Song ◽  
Rui Shi ◽  
Jie Jia ◽  
Jian Wang
Keyword(s):  
Infectious Disease ◽  
The Other ◽  
Spontaneous Generation ◽  
Simulation Results ◽  
Contagion Process

Sentiment contagion is similar to an infectious disease that spreads in a crowd. In this study, we extend the proposed SOSa-SPSa model (susceptible-optimistic-susceptible and susceptible-pessimistic-susceptible) by considering the interaction between optimists and pessimists. Simulation results show that our model is reasonable and can better explain the entire contagion process by considering three groups of people. The recovery speed of pessimists has an obvious regulative effect on the number of pessimists and the possibility of optimists coming in contact with pessimists to be infected as pessimism plays a greater role than that of reverting to susceptibility. The number of pessimists is positively related to the possibility that optimists come in contact with pessimists to become pessimistic but is negatively related to the possibility of the other way around. When the speed of spontaneous generation is slow, the number of pessimists sharply increases. However, the increase is not so apparent when the speed of spontaneous generation reaches a certain number.

scholarly journals Transfer areas and clean zones in operating suites

1969 ◽  
Vol 67 (3) ◽  
pp. 417-425 ◽  
Author(s):  
G. A. J. Ayliffe ◽  
J. R. Babb ◽  
B. J. Collins ◽  
E. J. L. Lowbury
Keyword(s):  
Staphylococcus Aureus ◽  
Bacterial Contamination ◽  
Operating Theatre ◽  
Significant Difference ◽  
High Street ◽  
Operating Theatres ◽  
The Mean ◽  
Operating Suite ◽  
Total Bacteria

SUMMARYThe value of clean zones and of transfer areas in operating suites was assessed by comparisons of the amounts of contamination on floors, trolleys and footwear in suites with and without a clean zone and a transfer area; counts of Clostridium welchii were used as an index of bacterial contamination introduced into the aseptic zone from outside.The mean counts of Cl. welchii on contact plates from the wheels of trolleys used to convey patients from wards to the operating suite (67·9 ± 7·68 per plate) were significantly higher than those from theatre trolleys (i.e. those used only inside a theatre suite provided with a transfer area) (3·13 ± 0·47 per plate); mean counts of total bacteria were only slightly lower on the wheels of theatre trolleys than on those of hospital trolleys. Other surfaces of hospital trolleys showed counts similar to those found on theatre trolleys.Contact plates from floors showed significantly lower counts of Cl. welchii in the aseptic zone and the clean zone than in the hospital corridor, the protective zone and (when present) the transfer area.The mean counts per 100 cm2 of Cl. welchii were approximately the same on the floor of a theatre with a clean zone and a transfer area (0·83) as in one with a clean zone but no transfer area (0·5). Counts of total bacteria were higher in the latter. A suite with no clean zone or transfer area showed a higher mean count of Cl. welchii on contact plates from the aseptic zone (operating theatre) (20·5 ± 12·33 per 100 cm2). These higher levels of contamination were due to sporadic high counts of Cl. welchii found near the door of the theatre with no clean zone; in another theatre with no clean zone the level of Cl. welchii on the floor was not higher than that in the theatres with clean zones.Theatres with plenum ventilation had lower mean counts of airborne Cl. welchii than those ventilated by windows: there was no significant difference in the levels of Cl. welchii on the floors of theatres with the two forms of ventilation.On sampling with contact plates, theatre footwear yielded fewer total organisms, Staphylococcus aureus and Cl. welchii than outdoor shoes removed before entering the clean zone.The hygienic value of transfer areas and clean zones is discussed. Bacteriological support could not be obtained for the former, but the latter appeared to contribute something to the cleanliness of the theatre by preventing heavy sporadic contamination.We wish to thank Mr M. Wilkins for valuable assistance, the staff of the operating theatres for their co-operation and Alne Engineering Limited, 57 High Street, Henley-in-Arden, Solihull, for supplying disposable contact plates.

scholarly journals Applications of Mathematics to Medical Problems

1925 ◽  
Vol 44 ◽  
pp. 98-130 ◽  
Author(s):  
A. G. M'Kendrick
Keyword(s):  
Infectious Disease ◽  
Point Of View ◽  
The Other ◽  
Human Beings ◽  
Medical Sciences ◽  
Medical Problems ◽  
Human Community

In the majority of the processes with which one is concerned in the study of the medical sciences, one has to deal with assemblages of individuals, be they living or be they dead, which become affected according to some characteristic. They may meet and exchange ideas, the meeting may result in the transference of some infectious disease, and so forth. The life of each individual consists of a train of such incidents, one following the other. From another point of view each member of the human community consists of an assemblage of cells. These cells react and interact amongst each other, and each individual lives a life which may be again considered as a succession of events, one following the other. If one thinks of these individuals, be they human beings or be they cells, as moving in all sorts of dimensions, reversibly or irreversibly, continuously or discontinuously, by unit stages or per saltum, then the method of their movement becomes a study in kinetics, and can be approached by the methods ordinarily adopted in the study of such systems.

scholarly journals Success for Big Infectious Disease Reimbursement Policy in China

2019 ◽  
Vol 1 (4) ◽  
pp. 16-24
Author(s):  
Kun-xi Nie ◽  
Chan Wang
Keyword(s):  
Infectious Disease ◽  
Infectious Diseases ◽  
Evolution Model ◽  
The Other ◽  
Reimbursement Policy ◽  
Other Hand

Big infectious diseases do harm to the whole society and it is highly crucial to control them on time. China has successful experience of launching reimbursement policy to control big infectious diseases, Severe Acute Respiratory Syndromes (SARS), efficiently. By evolution model, this article illustrates the efficiency of big infectious disease reimbursement policy in China. On one hand, the number of infected persons decreases under big infectious disease reimbursement policy in China. On the other hand, the total expenditures to cure also under control. In summary, big infectious disease reimbursement policy in China can support as an efficient example to cope with big infectious diseases.

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