scholarly journals A Review of COVID-19 Initial Response Systems and A Proposal to Adjust the Operation of Residential treatment centers

2021 ◽  
Vol 5 (1) ◽  
pp. e13
Author(s):  
Jisook Choi ◽  
Hyeki Park ◽  
Soomin Kim ◽  
Areum Kim ◽  
Choon-Seon Park
Keyword(s):  
Home Care ◽  
Residential Treatment ◽  
Medical Personnel ◽  
Initial Response ◽  
Vaccination Rate ◽  
Expert Advice ◽  
Residential Treatment Centers ◽  
Response System ◽  
Systematic Response ◽  
Epidemiological Characteristics

Objective: The COVID-19 pandemic has caused a periodic shortage of quarantine beds, medical personnel, and medical equipment in South Korea. Asthe pandemic is expected to continue, a need existsto readjust the capacities of residentialtreatment centersfor asymptomatic ormild cases. Thisstudy aimed to identify howother countriestreat asymptomatic or have mild COVID-19 patients, and suggest a effective operation plan of residential treatment centers.Methods: A literature review was conducted to examine how policies on asymptomatic or mild COVID-19 cases have changed at different phases of the pandemic in different countries. A reviewwas also conducted on the epidemiological characteristics of Korean patients, including clinicalstatus and treatment period, and public opinion on residential treatment centers. A plan to improve how residential treatment centers operate during the pandemic was derived based on expert advice, and discussion within the research team.Results: Home care is being recommended for asymptomatic or mild cases of COVID-19 in many countries. In Korea, despite the increase in the number of newly confirmed cases, fatality rate of COVID-19 shows a decreasing and vaccination rate an increasing trend. Three-fourths of the public recognized that home care may be more appropriate for asymptomatic or mild cases. Assuch,we recommend a reduction in length ofstay in residential treatment centers, from 10 to 3 or 5 days, and ensuring patient’s participation in decision‒making of hospitalization.Conclusions: A need existsto prepare a systematic response system, including patient education, virtual treatment and transfersystem in orderto shorten patients’ admission period in residential treatment centers and expand home care. A functioning emergency response system should also be prepared concurrently.

scholarly journals Bloodstream Infections Caused by Extended-Spectrum-β-Lactamase-Producing Klebsiella pneumoniae: Risk Factors, Molecular Epidemiology, and Clinical Outcome

2006 ◽  
Vol 50 (2) ◽  
pp. 498-504 ◽  
Author(s):  
Mario Tumbarello ◽  
Teresa Spanu ◽  
Maurizio Sanguinetti ◽  
Rita Citton ◽  
Eva Montuori ◽  
...  
Keyword(s):  
Risk Factors ◽  
Klebsiella Pneumoniae ◽  
Treatment Failure ◽  
Bloodstream Infections ◽  
Initial Response ◽  
Infected Group ◽  
Retrospective Case ◽  
Extended Spectrum ◽  
Epidemiological Characteristics ◽  
Length Of Hospitalization

ABSTRACT Bloodstream infections caused by extended-spectrum-β-lactamase (ESBL)-producing Klebsiella pneumoniae isolates are a major concern for clinicians, since they markedly increase the rates of treatment failure and death. One hundred forty-seven patients with K. pneumoniae bloodstream infections were identified over a 5-year period (January 1999 to December 2003). The production of ESBLs in bloodstream isolates was evaluated by molecular methods. A retrospective case-case-control study was conducted to identify risk factors for the isolation of ESBL-producing K. pneumoniae or non-ESBL-producing K. pneumoniae isolates in blood cultures. Forty-eight cases infected with ESBL-producing K. pneumoniae isolates and 99 cases infected with non-ESBL-producing K. pneumoniae isolates were compared to controls. Risk factors for isolation of ESBL-producing K. pneumoniae isolates were exposure to antibiotic therapy (odds ratio [OR], 11.81; 95% confidence interval [CI], 2.72 to 51.08), age (OR, 1.14; 95% CI, 1.08 to 1.21), and length of hospitalization (OR, 1.10; 95% CI, 1.04 to 1.16). Independent determinants for isolation of non-ESBL-producing K. pneumoniae were previous urinary tract infection (OR, 8.50; 95% CI, 3.69 to 19.54) and length of hospitalization (OR, 1.07; 95% CI, 1.04 to 1.10). When the initial response was assessed at 72 h after antimicrobial therapy, the treatment failure rate for the ESBL-producing K. pneumoniae-infected group was almost twice as high as that of the non-ESBL-producing K. pneumoniae-infected group (31% versus 17%; OR, 2.19; 95% CI, 0.98 to 4.89). The 21-day mortality rate for all patients was 37% (54 of 147); it was 52% (25 of 48) for patients with ESBL-producing K. pneumoniae bloodstream infections and 29% (29 of 99) for patients with non-ESBL-producing K. pneumoniae bloodstream infections (OR, 2.62; 95% CI, 1.28 to 5.35). In summary, this investigation identifies epidemiological characteristics that distinguish ESBL-producing K. pneumoniae infections from non-ESBL-producing K. pneumoniae ESBL bloodstream infections.

From Adoption to Residential Treatment Centers

2018 ◽  
Vol 21 (3) ◽  
pp. 182-200
Author(s):  
Kim Brown ◽  
Catherine A. LaBrenz ◽  
Rowena Fong
Keyword(s):  
Residential Treatment ◽  
Residential Treatment Centers

An exploration of youth physically restrained in mental health residential treatment centers

2020 ◽  
Vol 110 ◽  
pp. 104826
Author(s):  
Michael T. Braun ◽  
Nicole B. Adams ◽  
Courtney E. O'Grady ◽  
Deserai L. Miller ◽  
Jonathan Bystrynski
Keyword(s):  
Mental Health ◽  
Residential Treatment ◽  
Residential Treatment Centers

Motivating Gifted, Defiant, and Unconvinced Students to Succeed at The John Dewey Academy

2006 ◽  
Vol 8 (1) ◽  
pp. 7-16 ◽  
Author(s):  
Thomas E. Bratter ◽  
Carole J. Bratter ◽  
Nancy L. Coiner ◽  
Danielle S. Kaufman ◽  
Kenneth M. Steiner
Keyword(s):  
Secondary Education ◽  
Residential Treatment ◽  
John Dewey ◽  
Residential Treatment Centers ◽  
Intensive Instruction ◽  
Guiding Principles ◽  
Traditional Approaches ◽  
Positive Results

The John Dewey Academy (JDA) provides intensive instruction for bright troubled and troublesome teens who need residential treatment. In its 20-year history, all graduates have attended colleges of quality, and more than 70% complete at least their secondary education. This article describes the primary guiding principles that have produced positive results unrivaled by other special purpose schools and residential treatment centers for adolescents who are not amenable to traditional approaches.

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