scholarly journals Adaptability and Resilience of Academic Radiation Oncology Personnel and Procedures during Covid-19 Pandemic

2021 ◽  
Author(s):  
Indra J Das ◽  
John A J Kalapurakal ◽  
Jonathan B Strauss ◽  
Brian R Zawislak ◽  
Mahesh Gopalakrishnan ◽  
...  
Keyword(s):  
Public Health ◽  
Radiation Oncology ◽  
Quality Patient Care ◽  
Level Of Satisfaction ◽  
Tumor Boards ◽  
Risk Patients ◽  
Survey Results ◽  
Questionnaire Surveys ◽  
Virtual Platform ◽  
The Impact

Background: A comprehensive response to the unprecedented SARS-CoV-2 (COVID-19) chal-lenges for public health and its impact on radiation oncology patients and personnel for resilience and adaptability is presented. Methods: The general recommendations included working remote-ly when feasible, implementation of screening/safety and personal protective equipment (PPE) guidelines, social distancing, regular cleaning of treatment environment, and testing for high-risk patients/procedures. All teaching conferences, tumor boards, and weekly chart rounds were con-ducted using a virtual platform. Additionally, specific recommendations were given to each sec-tion to ensure proper patient treatments. The impact of these measures, especially adaptability and resilience, were evaluated through specific questionnaire surveys. Results: These comprehen-sive COVID-19 related measures resulted in most staff expressing a consistent level of satisfaction in regards to personal safety, maintaining a safe work environment, continuing quality patient care and continuing educational activities during the pandemic. There was a significant reduction in patient treatments and on-site patient visits with an appeciable increase in the number of tele-medicine e-visits. Conclusions: Survey results demonstrated substantial adaptability and resili-ence, including in the rapid recovery of departmental activities during the reactivation phase. In the event of a future public health emergency, the measures implemented may be adopted with good outcomes by radiation oncology departments across the globe.

scholarly journals Adaptability and Resilience of Academic Radiation Oncology Personnel and Procedures during COVID-19 Pandemic

2021 ◽  
Vol 18 (10) ◽  
pp. 5095
Author(s):  
Indra J. Das ◽  
John A. Kalapurakal ◽  
Jonathan B. Strauss ◽  
Brian R. Zawislak ◽  
Mahesh Gopalakrishnan ◽  
...  
Keyword(s):  
Public Health ◽  
Radiation Oncology ◽  
Quality Patient Care ◽  
Level Of Satisfaction ◽  
Appreciable Increase ◽  
Tumor Boards ◽  
Risk Patients ◽  
Questionnaire Surveys ◽  
Virtual Platform ◽  
The Impact

Background: A comprehensive response to the unprecedented SARS-CoV-2 (COVID-19) challenges for public health and its impact on radiation oncology patients and personnel for resilience and adaptability is presented. Methods: The general recommendations included working remotely when feasible, implementation of screening/safety and personal protective equipment (PPE) guidelines, social distancing, regular cleaning of treatment environment, and testing for high-risk patients/procedures. All teaching conferences, tumor boards, and weekly chart rounds were conducted using a virtual platform. Additionally, specific recommendations were given to each section to ensure proper patient treatments. The impact of these measures, especially adaptability and resilience, were evaluated through specific questionnaire surveys. Results: These comprehensive COVID-19-related measures resulted in most staff expressing a consistent level of satisfaction in regard to personal safety, maintaining a safe work environment, continuing quality patient care, and continuing educational activities during the pandemic. There was a significant reduction in patient treatments and on-site patient visits with an appreciable increase in the number of telemedicine e-visits. Conclusions: Survey results demonstrated substantial adaptability and resilience, including in the rapid recovery of departmental activities during the reactivation phase. In the event of a future public health emergency, the measures implemented may be adopted with good outcomes by radiation oncology departments across the globe.

scholarly journals Stroke in Patients with Diabetes: Is It Time to Expand Public Health Priority to Encompass High-Risk Patients with Increased Insulin Resistance?

EMJ Diabetes ◽  
2021 ◽  
pp. 84-91
Author(s):  
Sian Alexandra Bradley ◽  
Francis Muttamthottil Varghese ◽  
Bindu Menon ◽  
Man Mohan Mehndiratta ◽  
Sonu Menachem Maimonides Bhaskar
Keyword(s):  
Public Health ◽  
Insulin Resistance ◽  
Cardiovascular Disease ◽  
High Risk ◽  
Disease Burden ◽  
Population Level ◽  
Targeted Interventions ◽  
High Risk Patients ◽  
Risk Patients ◽  
The Impact

Diabetes and stroke, with an interlinking aetiology, contribute to a growing cardiovascular disease burden and mortality around the world. Given the disproportionate prevalence and the burden of these conditions in the developing world, as well as the high risk of both Type 2 diabetes and cardiovascular disease carried by patients with metabolic syndrome, public health strategies are vital to mitigate the impact. Systematic approaches towards identifying undiagnosed patients in the community and building health systems around those targeted interventions have been implemented. However, growing evidence indicates potential for approaches to capture high-risk patients, such as those who suffer from pre-diabetes or increased insulin resistance, to provide early and optimal treatments, which could translate to population-level benefits, including reduced prevalence, disability, and disease burden.

Early versus late patient discussions in multidisciplinary tumor boards: Quality time for quality care.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13539-e13539
Author(s):  
Sharif Ahmed ◽  
Greg Kubicek
Keyword(s):  
Patient Care ◽  
Median Time ◽  
Quality Care ◽  
Median Number ◽  
Quality Patient Care ◽  
Number Of Patients ◽  
Tumor Boards ◽  
Nurse Navigator ◽  
The Impact ◽  
Disease Specific

e13539 Background: Multi-disciplinary tumor boards (MTB) are a way to generate quality patient care by allowing different specialties to provide insight into patient care. While the vast majority of hospital systems have MTB there are several aspects of how to run the most efficient MTB. The aim of this study was to determine if there was a difference in patients presented early versus late in MTB. Methods: At our institution we have disease specific weekly MTB. Patients are added to MTB based on order they are received (physicians or APN will send patient name to the disease specific nurse navigator). We recorded the time devoted to each patient and the number of providers that gave a comment or suggestion per patient. The time and number of comments were compared for patients presented at the start of MTB versus towards the end of MTB. Unpaired T test was used to compare time and comments. Results: We analyzed a total of 25 MTBs which corresponded to 241 patients. The median number of patients discussed per MTB was 9 (range 5 to 16). The median time spent per patient was 5.21 minutes and the median number of providers providing comments was 3 (range 1 to 9) with an average of 3.2. When analyzed by the first 8 patients versus the remainder, the median time spent was 6.1 minutes on the first 1-8 patients and 3.4 for > 8 (P < 0.0001). The mean number of comments was 3.4 for the first 1-8 patients and 2.4 for > 8 (P < 0.0001). Conclusions: We found that patients discussed towards the end of weekly MTB had less amount of time per devoted per patient and less discussion (as measured by number of providers supplying comments and suggestions). While the impact on long-term patient care is unclear we feel that this data is important in helping to ensure productive MTB discussions and avoid any arbitrary factor for reduced multidisciplinary insight. MTB should be cognitive of this time and attention biases.

Use of the Internet to connect radiation oncologists and medical oncologists with disease site-specific experts: 3-year outcomes of chartrounds.com.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 241-241 ◽  
Author(s):  
Patricia H. Hardenbergh ◽  
Brigitta Gehl ◽  
Kimberly Anne Lyons-Mitchell
Keyword(s):  
Radiation Oncology ◽  
Cancer Care ◽  
Medical Oncology ◽  
Tumor Board ◽  
Site Specific ◽  
Radiation Oncologists ◽  
Medical Oncologists ◽  
Tumor Boards ◽  
Disease Site ◽  
The Impact

241 Background: The purpose of this project is to improve the quality of cancer care by connecting disease site-specific experts with community oncologists through web-based technology. Methods: Chartrounds.com is a conferencing web-site developed to allow community oncologists to present real cases to disease site specialists in oncology on a scheduled basis. Chartrounds was developed initially for radiation oncologists and subsequently has expanded to include multidisciplinary tumor boards and medical oncology specific sessions. Presently 43 disease site expert oncologists including surgeons, medical oncologists and radiation oncologists from 38 academic institutions in the US host sessions. Feedback reports following the completion of each session were designed to assess the impact of the project. Results: Since its inception in December 2010, 43 disease site-specialists have lead 366 sessions, connecting 3,793 participating oncologists from all 50 US states and 24 countries.Broken down by specialty, 348 radiation oncology sessions have linked 3,632 participants, 14 medical oncology specific and multidisciplinary tumor board sessions have included 161 participants. On a 5 point Likert scale with 5 representing the greatest possible impact, the mean response to feedback questions is as follows: session quality: 4.7 for radiation oncology, 4.6 for multidisciplinary; time used effectively: 4.6 for radiation oncology, 4.5 for multidisciplinary; discussions relevant to daily practice: 4.6 for radiation oncology, 4.6 for multidisciplinary; session is likely to result in a change of practice: 4.0 for radiation oncology, 4.0 for multidisciplinary. Chartrounds sessions qualify for 1 CME credit and is approved for a practice quality improvement project by the American Board of Radiology. Conclusions: Chartrounds.com is impacting oncology practices which results in changes in community practice. Future directions of this project include providing chartrounds sessions for oncology nurses and providing a library of video recorded archived sessions. This work has been funded by the Improving Cancer Care Grant of the ASCO Conquer Cancer Foundation.

scholarly journals Satisfaction of patients with physicians and nurses

2005 ◽  
Vol 13 (3-4) ◽  
pp. 136-139
Author(s):  
Branislava Jovanovic
Keyword(s):  
Public Health ◽  
Healthcare Professionals ◽  
Eligible Patient ◽  
Satisfaction Survey ◽  
Survey Questionnaire ◽  
Patient Centered ◽  
Patients Satisfaction ◽  
Level Of Satisfaction ◽  
Survey Results ◽  
The Republic

BACKGROUND: The patients? satisfaction survey provides data on patients? experiences of healthcare professionals at the Institute of Oncology Sremska Kamenica. This feedback provides us with valuable information where to focus improvement efforts. The main objective in this study was to explore level of satisfaction of patients with physicians and nurses and to provide information of patients? expectation of healthcare professionals. METHODS: The data were collected from the patients of four different hospital departments using a Survey Questionnaire designed by the Institute of Public Health of Serbia and Ministry of Health of the Republic of Serbia. Eight items regarding physicians and nurses were selected from this questionnaire. Sample was every eligible patient discharged from the Institute of Oncology Sremska Kamenica, from 1 to 5 November 2004 (n = 65). RESULTS: The findings confirm positive feedback of the most surveyed patients with healthcare professionals. However, the results showed different level of satisfaction of patients with physicians and nurses. CONCLUSION: The survey results showed that patients had mostly positive level of satisfaction with physicians and nurses; these results can be used to prioritize patient-centered improvements in healthcare in our Institute.

scholarly journals THE EFFECTS OF DOG-ASSISTED THERAPY ON CHILDREN AND ADOLESCENTS WITH PHYSICAL AND INTELLECTUAL DISABILITIES

2019 ◽  
Vol 28 (28) ◽  
pp. 23-32
Author(s):  
Aleksandra Cieślak ◽  
Joanna Nawrocka-Rohnka ◽  
Magdalena Sobieska
Keyword(s):  
Intellectual Disabilities ◽  
Motor Development ◽  
Positive Impact ◽  
Persons With Disabilities ◽  
Level Of Satisfaction ◽  
Fitness Tests ◽  
Survey Results ◽  
Manual Skills ◽  
High Level ◽  
The Impact

Introduction Dog-assisted therapy is a method that facilitates rehabilitation and therapy of persons with disabilities. Therapy sessions are attended by a patient, a therapist, and a trainer with a dog specially selected and trained for this purpose. Aim The aim of the study is to evaluate the impact of a dog’s presence on the therapy, and consequently on the motor development of children with physical and intellectual disabilities. Material and methods This study was conducted during a period from January 2014 to May 2014. We enrolled 25 children with various disorders. The subjects were students of “Always Together” Private Elementary and Middle School in Poznań. The majority of the children have been diagnosed with cerebral palsy or meningomyelocele. Three tests were used for the assessment of the results of the therapy: The EUROFIT Special Test, an original Manual Skills Test, and a Satisfaction Survey. Results The results show significant improvement both in the EUROFIT and the manual skills tests accompanied by a high level of satisfaction. The results were not affected by the severity of intellectual disability, sex, or the type of the disorder. Conclusions The presence of a specially trained and selected dog had a positive impact on the results of physical fitness tests achieved by children with disabilities

DAMPAK PENGELOLAAN SAMPAH PADA KESEHATAN MASYARAKAT DI TPA

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Emilda Emilda
Keyword(s):  
Public Health ◽  
Hand Hygiene ◽  
Waste Management ◽  
Qualitative Data ◽  
Water Storage ◽  
Health Impact ◽  
Clean Water ◽  
The People ◽  
Clean Environment ◽  
The Impact

The limitations of waste management in the Cipayung Landfill (TPA) causing a buildup of garbage up to more than 30 meters. This condition has a health impact on people in Cipayung Village. This study aims to analyze the impact of waste management at Cipayung Landfill on public health in Cipayung Village, Depok City. The research is descriptive qualitative. Data obtained by purposive sampling. Data was collected by interviews, observation and documentation. Based on interviews with 30 respondents, it was found that the most common diseases were diarrhea, then other types of stomach ailments, subsequent itching on the skin and coughing. This is presumably because the environmental conditions in the form of unhealthy air and water and clean and healthy living behaviors (PHBS) have not become the habit of the people. The results indicated that there were no respondents who had implemented all of these criteria. In general respondents have implemented  3 criteria, namely maintaining hair hygiene, maintaining skin cleanliness, and maintaining hand hygiene. While maintaining clean water storage is the most often overlooked behavior. To minimize this health impact, improvements in waste management in Cipayung landfill are needed along with continuous socialization and education to develop PHBS habits and the importance of maintaining a clean environment.

Exploring the World Trade Organisation's Trade and Environment/Public Health Jurisprudence as a Model for Incorporating a Trade–Labour Linkage into the Organisation's Multilateral Trade Regime: Should African Countries Accept a Policy Shift?

2017 ◽  
Vol 25 (1) ◽  
pp. 47-65
Author(s):  
Tapiwa V. Warikandwa ◽  
Patrick C. Osode
Keyword(s):  
Public Health ◽  
Developing Countries ◽  
World Trade ◽  
African Countries ◽  
Trade Regime ◽  
Multilateral Trade ◽  
Appellate Body ◽  
The World ◽  
Labour Standards ◽  
The Impact

The incorporation of a trade-labour (standards) linkage into the multilateral trade regime of the World Trade Organisation (WTO) has been persistently opposed by developing countries, including those in Africa, on the grounds that it has the potential to weaken their competitive advantage. For that reason, low levels of compliance with core labour standards have been viewed as acceptable by African countries. However, with the impact of WTO agreements growing increasingly broader and deeper for the weaker and vulnerable economies of developing countries, the jurisprudence developed by the WTO Panels and Appellate Body regarding a trade-environment/public health linkage has the potential to address the concerns of developing countries regarding the potential negative effects of a trade-labour linkage. This article argues that the pertinent WTO Panel and Appellate Body decisions could advance the prospects of establishing a linkage of global trade participation to labour standards without any harm befalling developing countries.

Factors Influencing Academic Stress on Students of University of Economics and Business - Vietnam National University

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Nham Phong Tuan ◽  
Nguyen Ngoc Quy ◽  
Nguyen Thi Thanh Huyen ◽  
Hong Tra My ◽  
Tran Nhu Phu
Keyword(s):  
Academic Stress ◽  
Stress Factors ◽  
Negative Effects ◽  
Cross Sectional ◽  
Stress Scale ◽  
Perceptions And Attitudes ◽  
National University ◽  
Questionnaire Surveys ◽  
The University ◽  
The Impact

The objective of this study is to investigate the impact of seven factors causing academic stress on students of University of Economics and Business - Vietnam National University: Lack of leisure time, Academic performance, Fear of failure, Academic overload, Finances, Competition between students, Relationships with university faculty. Based on the results of a practical survey of 185 students who are attending any courses at the University of Economics and Business - Vietnam National University, the study assesses the impact of stress factors on students. The thesis focuses on clarifying the concept of "stress" and the stress level of students, while pointing out its negative effects on students. This study includes two cross-sectional questionnaire surveys. The first survey uses a set of 16 questions to assess students’ perceptions and attitudes based on an instrument to measure academic stress - Educational Stress Scale for Adolescents (ESSA). The second survey aims to test internal consistency, the robustness of the previously established 7-factor structure. Henceforth, the model was brought back and used qualitatively, combined with Cronbach’s Alpha measurement test and EFA discovery factor analysis. This study was conducted from October 2019 to December 2019. From these practical analyzes, several proposals were made for the society, the school and the students themselves.

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