Forum Panelist 2: MODA: Protecting Malaysia’s Frontliners, One Stitch at a Time

Author(s):  
Melinda Looi

When COVID-19 brought on the MCO or Movement Control Order in March 2020, it was an unprecedented & uncertain time for Malaysians. As the battle to treat infections began, the issue of personal protective equipment (PPE) arose. Shortage of availability, high cost, suitability of materials were the challenges faced by our medical frontliners and to which MODA decided to step up to fill the gap.MODA is a Non-Profit Organization (NPO) whose members comprise local fashion designers as well as persons & companies involved in Malaysia’s fashion industry. Thus, began a mission to raise funds, procure suitable locally produced material, mobilize manpower from designers with staff & facilities to produce PPE, to individual volunteers who cut, sew, packed & transported completed PPE to hospitals throughout the country.However, while this initiative addressed Malaysia’s needs currently, it is a short-term solution. In this article, we wish to not only share MODA’s experience in producing PPE but look ahead towards a solution for the future. Reusable PPE that will reduce the massive amount of waste, suitable materials that can be produced locally and is suitable for our climate, a PPE bank and storage facilities so that we are better prepared should another pandemic arise. Together let us learn from this experience and face the future better prepared as a nation!International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S7

2020 ◽  
Vol 64 (8) ◽  
pp. 775-777
Author(s):  
David Rempel

Abstract Many academics and researchers have responded to the COVID-19 pandemic by forming on-line national and international collaborative groups to rapidly investigate issues of prevention and treatment. This commentary describes the spontaneous formation of an international team of 115 researchers who summarized the literature on safe methods for decontaminating N95 filtering facepiece respirators in response to the supply crisis. The summary reports and fact sheets on the (www.n95decon.org) website have had more than 200 000 unique visits and the organization’s webinars have reached health care professionals from more than 50 countries. The team is extending its mission to cover other personal protective equipment. The success of these collaborations may alter how scientific questions are tackled in the future.


2020 ◽  
Vol 148 (9-10) ◽  
pp. 590-593
Author(s):  
Gordana Krljanac ◽  
Maja Stefanovic ◽  
Zorica Mladenovic ◽  
Marina Deljanin-Ilic ◽  
Aleksandra Janicijevic ◽  
...  

Introduction/Objective. The purpose of the current Echocardiographic Society of Serbia (ECHOS) survey was to assess echocardiography practice in Serbia during the Coronavirus disease 2019 (COVID-19) pandemic. Methods. An online survey consisting of 12 questions about the usa of echocardiography, the availability of portable ultrasound devices and personal protective equipment (PPE) was sent to all ECHOS members. Results. Overall, 126 ECHOS members (43%) answered the survey. One-third of respondents (36%) were physicians from specialized COVID-19 centers. During the pandemic, indications for echocardiographic examination were restricted in both COVID-19 and non-COVID-19 centers. In COVID-19 centers, 41% of respondents performed lung ultrasound to each patient versus 26% in non-COVID-19 centers. Transesophageal echocardiography was not performed in suspected or confirmed COVID-19 cases in any center. Portable ultrasound devices were available to 66% of respondents from COVID-19 versus 44% of respondents from non-COVID-19 centers (p = 0.018). The respondents reported regular use of PPE, regardless of the patient?s COVID-19 status and found their personal knowledge about protective measures and use of PPE satisfactory. Conclusion. During the COVID-19 pandemic in Serbia, indications for echocardiography were restricted to clinical scenarios in which the results of examination were expected to alter patient management. In both COVID-19 and non-COVID-19 centers, the use of PPE was in line with national and international recommendations. A wider availability of portable ultrasound devices and application of lung ultrasound could improve patient management in similar situations in the future.


2020 ◽  
Vol 6 (3) ◽  
pp. 63-66
Author(s):  
Feni Betriana ◽  
Tetsuya Tanioka ◽  
Rozzano Locsin ◽  
Hema Malini ◽  
Devia Putri Lenggogeni

Healthcare robots are used in Indonesia and other countries to combat COVID-19 pandemic. This article was aimed to describe a perspective about healthcare robots, and to recommend ways for Indonesian nurses to engage with healthcare robots during the COVID-19 pandemic. One view hindering healthcare robot appreciation as partners of nurses is its threat to their practice. However, with the current environment of COVID-19 ‘frontline’ situations, increasing infections of patients with SARS COV2, limited personal protective equipment, and the fastidious nature of maintaining social distancing and mask-wearing, it may be best to view healthcare robots as significant partners to facilitate safety, and ease the demands of nursing care activities in order to safeguard human lives while enhancing human well-being. Educating healthcare practitioners about healthcare robot programming and assurance of its safe and secure use can advance robot appreciation as partners in healthcare. These goals, challenges, and recommendations can provide Indonesian nurses some pathways-to-readiness towards a partnership involving healthcare robots, particularly during this COVID-19 pandemic, and in the future.


2018 ◽  
Vol 9 (2) ◽  
pp. 191
Author(s):  
Mustika Ayu Raharyaningsih ◽  
R Azizah

Formaldehyde is a chemical substance that has volatile and short-term effect characteristics, which can cause eye irritation. Exposure to formaldehyde in low levels can cause irritation to human eyes. The purpose of this research was to study the production process, air formaldehyde levels and eye irritation at Wood Adhesive Factory workers in Surabaya. This study was an observational study with cross sectional design and analyzed descriptively. The variables studied were levels of formaldehyde in the air and eye irritation of workers. Results showed that the average levels of formaldehyde in three areas of production (formalin, liquid adhesive, and powder adhesive production) was 0.2102 ppm and 12.5% of respondents experiencing eye irritation had age between 26-35 years, working period less than 10 years, length of work 7 hours per day, not wearing personal protective equipment safety glasses (spectacles) and had a habit of smoking. The factory had provided personal protective equipment safety glasses (spectacles), but 37.5% of the respondents did not wear personal protective equipment when they were working. Hence strict supervision regarding the use of personal protective equipment is needed, especially safety glasses (spectacles) so that workers are more obedient in wearing personal protective equipment and eye irritation to workers can be avoided.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Karstan Luchini ◽  
Shelly N. B. Sloan ◽  
Ryan Mauro ◽  
Aspram Sargsyan ◽  
Aundrea Newman ◽  
...  

Abstract Background The emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic during the fall of 2019 and into the spring of 2020 has led to an increased demand of disposable N95 respirators and other types of personal protective equipment (PPE) as a way to prevent virus spread and help ensure the safety of healthcare workers. The sudden demand led to rapid modification, development, and dissemination of 3D printed PPE. The goal of this study was to determine the inherent sterility and re-sterilizing ability of 3D printed PPE in order to provide sterile equipment to the healthcare field and the general public. Methods Samples of polylactic acid (PLA), thermoplastic polyurethane (TPU) (infill-based designs) and polypropylene (single-wall hollow design) were 3D printed. Samples were inoculated with E. coli for 24 h and then sanitized using various chemical solutions or heat-based methods. The samples were then incubated for 24- or 72-h in sterile LB medium at 37°C, and bacterial growth was measured by optical density at 600nm. Statistical analysis was conducted using GraphPad Prism v8.2.1. Results Significant bacterial growth was observed in all PLA and TPU based samples following re-sterilization, regardless of the methods used when compared to controls (p < 0.05). The single-walled hollow polypropylene design was not only sterile following printing, but was also able to undergo re-sanitization following bacterial inoculation, with no significant bacterial growth (p > 0.05) observed regardless of sanitization method used. Conclusion The cost effectiveness, ease of sanitization, and reusability of 3D printed PPE, using our novel single-walled polypropylene design can help meet increased demands of PPE for healthcare workers and the general public that are needed to help decrease the viral transmission of the coronavirus disease of 2019 (COVID-19) pandemic. 3D printing also has the potential to lead to the creation and production of other sterile material items for the healthcare industry in the future. The ability to re-sterilize 3D printed PPE, as our design shows, would also contribute less to the increase in biomedical waste (BMW) being experienced by COVID-19.


2018 ◽  
Vol 44 (4) ◽  
pp. 270-280 ◽  
Author(s):  
Carla Tsampiras

Celebration, frustration, contestation and imagination all manifest themselves when examining the evolution of the field of Medical and Health Humanities (MHH) at the University of Cape Town (UCT). That this field has been growing at the same time as access to, inclusion in, and social justice issues linked to higher education have come under the spotlight has the potential to shape how we think and plan for the future of the field. Doing this will require treks up hills, journeys through difficult histories and dynamic dances in-between disciplines.This article examines MHH at UCT broadly, referring to projects and programmes that are underway primarily in the humanities and health sciences faculties. From this overview, the article specifically examines the curricula changes introduced in the Faculty of Health Sciences inspired by MHH and the author’s interest in historical consciousness. It describes current points of intervention in physiotherapy and MBChB undergraduate curricula; and through short-term special study modules that have allowed those interested in MHH to explore relationships between health and healing and art, music, writing, yoga, PhotoVoice, drama, drawing and complex histories.It discusses some of the challenges of introducing humanities teaching into health sciences curricula; and some of the tensions that result from the meeting of divergent epistemologies and pedagogies. The article considers if, and how, MHH might engage with social (in)justice, and inclusions and exclusions and potentially offer a balm to soothe the bruising effects of oppressive histories and a hegemonically hierarchical present.


2020 ◽  
Vol 66 (6) ◽  
pp. 812-817 ◽  
Author(s):  
Maria M. C. Carrascosa ◽  
Tercio de Campos ◽  
Jéssica E. Sampaio ◽  
Rafaella R. F. Souza ◽  
Vitória L. Ribeiro ◽  
...  

SUMMARY OBJECTIVE Assess the impact of COVID-19 on medical students’ internships in public and private institutions in Brasil, in addition to estimating the quality of the measures taken by their respective Universities in the face of the problem and the availability of personal protective equipment (PPE). METHODS A descriptive cross-sectional quantitative analysis study carried out with 317 students undergoing medical internship from March 31, 2020, to April 12, 2020. The survey was conducted through an online questionnaire using the SurveyMonkey tool with 20 questions. Interns from the fourth to the sixth year of medical schools in the country were randomly included in the study through a survey sent by Whatsapp application. Statistical analysis was performed using the Chi-Square, considering p <0.05 as significant. RESULTS Four main topics were identified in the research: student demographic data; how classes and courses are being taught; the use and ease of access to personal protective equipment and the students’ fears and perspectives for the future. CONCLUSION The study clarified that although half of the students still have some degree of content and, in their majority, they are satisfied, there is still a lot of difficulty in obtaining personal protective equipment, which prevents students from returning safely to their internships.


2020 ◽  
Vol 3 (3) ◽  
pp. p102
Author(s):  
Christine M. Silverstein

This retrospective analysis, based on facts derived from contemporary news media, videos, and journal articles, scrutinizes a White House televised ceremony that celebrated National Nurses Day on May 6, 2020 during the COVID-19 pandemic and the #MeToo movement. On the surface, it appears that nurses were honored by the President, but a deeper look beneath reveals otherwise. This historian explores two pivotal moments during the ceremony that changed the focus from a celebration to a campaign event, which occurred when a female nurse practitioner stepped out of line to posit that personal protective equipment was “sporadic” and President Trump’s reaction to it. Although counterintuitive, queries arise as to whether the Commander-in-Chief celebrated professional nursing or denigrated it, as nurses kowtowed to authoritarian rule and unwittingly abandoned the time-honored principles of facts, science, and caring in professional nursing extant since its inception. Retrospectively, documents from archives are examined and the biographies of two transformational leaders, Hildegard Peplau and Florence Nightingale. These questions are asked: In 2020 how would they uphold their high standards and teachings today that set the stage for the evolution of professional nursing? What role would therapeutic interpersonal interactions of caring in nursing play in the 21st century?


2020 ◽  
pp. 144078332096052
Author(s):  
David Inglis

Social scientists have begun to offer varied diagnoses of why Brexit has happened, and what its consequences have been and will likely be. This article does so by drawing upon Elias-inspired notions of longer-term de-civilizing processes, shorter-term de-civilizing spurts, and short-term de-civilizing offensives. Brexit is conceived of as involving a set of interlocking phenomena and tendencies which are de-civilizing in nature, and therefore de-cosmopolit(an)izing too. Diverse empirical phenomena in the UK are made sense of through the unifying conceptual apparatus of ‘de-civilization’, allowing analysis to start to relate them to each other systematically. The article also uses this sociological approach to look ahead tentatively to what the post-Brexit socio-political landscape may look like in the future.


2020 ◽  
Vol 8 ◽  
Author(s):  
Brian Godman ◽  
Mainul Haque ◽  
Salequl Islam ◽  
Samiul Iqbal ◽  
Umme Laila Urmi ◽  
...  

Background: Countries have introduced a variety of measures to prevent and treat COVID-19 with medicines and personal protective equipment (PPE), with some countries adopting preventative strategies earlier than others. However, there has been considerable controversy surrounding some treatments. This includes hydroxychloroquine where the initial hype and misinformation lead to shortages, price rises and suicides. Price rises and shortages have also been seen for PPE. Such activities can have catastrophic effects on patients where there are high co-payment levels and issues of affordability. Consequently, there is a need to investigate this further.Objective: Assess changes in the availability, utilization and prices of relevant medicines and PPE during the pandemic among a range of Asian countries.Our approach: Narrative literature review combined with interviews among community pharmacists to assess changes in consumption, prices and shortages of medicines and PPE from the beginning of March 2020 until end of May 2020. In addition, suggestions on ways to reduce misinformation.Results: 308 pharmacists took part from five Asian countries. There was an appreciable increase in the utilization of antimicrobials in Pakistan (in over 88% of pharmacies), with lower increases or no change in Bangladesh, India, Malaysia and Vietnam. Encouragingly, there was increased use of vitamins/immune boosters and PPE across the countries, as well as limited price rises for antimicrobials in India, Malaysia and Vietnam, although greater price rises seen for analgesics and vitamin C/immune boosters. Appreciable price increases were also seen for PPE across some countries.Conclusion: Encouraging to see increases in utilization of vitamins/immune boosters and PPE. However, increases in the utilization and prices of antimicrobials is a concern that needs addressing alongside misinformation and any unintended consequences from the pandemic. Community pharmacists can play a key role in providing evidence-based advice, helping to moderate prices, as well as helping address some of the unintended consequences of the pandemic.


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