Hospitals and the Covid19 pandemic: challenges and opportunities for transformation

Short, medium and long term changes made in hospitals for delivery of care, teaching and training, and research during the crisis arising from the SARS-CoV-2 pandemic are analyzed. The transformation has implications both for patients with covid19 and for patients free of the disease but who require urgent, semi-urgent or scheduled care for medium or high complexity conditions.

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The Pediatric Convalescence Hospital

PEDIATRICS ◽

10.1542/peds.44.4.617 ◽

1969 ◽

Vol 44 (4) ◽

pp. 617-618

Author(s):

M. Harry Jennison

Keyword(s):

Unique Role ◽

Complex Needs ◽

Hospital Facility ◽

Childhood And Youth ◽

Training And Research ◽

Historical Origin ◽

Inpatient And Outpatient Care ◽

And Training

I was delighted to read Dr. Frederic Burke excellent analysis of the important and unique role of the specialized children hospital designed to meet the complex needs of long-term childhood illness (PEDIATRICS, 43:879, 1969). We operate a similar intermediate-care children hospital facility at Stanford, having a parallel historical origin which has now evolved into a comprehensive program providing inpatient and outpatient care, teaching and training, and research in the chronic diseases of childhood and youth.

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LARGE SCALE IMPACTS OF JETTIES AND TRAINING WALLS - EXPERIENCE ON THE AUSTRALIAN EAST COAST

Coastal Engineering Proceedings ◽

10.9753/icce.v36v.structures.2 ◽

2020 ◽

pp. 2

Author(s):

Angus Gordon ◽

Lex Nielsen

Keyword(s):

Large Scale ◽

East Coast ◽

Flood Mitigation ◽

Rainfall Runoff ◽

Littoral Drift ◽

Adverse Impacts ◽

Long Term Changes ◽

And Training ◽

Eastern Seaboard

Entrance jetties and training walls have instigated fundamental perturbations to coastal and estuary processes at several locations on the Australian eastern seaboard inducing long term changes to foreshore alignments, tidal current velocities, tidal plane elevations and marine ecologies with significant consequences, some having been realised only recently. This paper presents examples of long-term impacts of entrance jetties and training walls on coastal and estuary processes, gleaned from experience on the NSW coast. Jetties constructed at estuary entrances have the potential to alter fundamental coastal and estuary processes inducing changes that evidence indicates may take centuries to resolve. While many beneficial and adverse impacts of jetty construction have been known for many years, such as the improvements to navigation and flood mitigation from rainfall runoff and the interruption to littoral drift transport causing down-drift erosion, some impacts of jetties and training walls have not been well understood.Recorded Presentation from the vICCE (YouTube Link): https://www.youtube.com/watch?v=ARF55RPCPbA&feature=youtu.be

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National Income Estimates for the United States Prior to 1870

The Journal of Economic History ◽

10.1017/s0022050700055145 ◽

1952 ◽

Vol 12 (2) ◽

pp. 115-130 ◽

Cited By ~ 4

Author(s):

Simon Kuznets

Keyword(s):

United States ◽

National Income ◽

The United States ◽

Long Term Changes ◽

Made In

The analysis summarized below was made in an attempt to study long-term changes in the level and composition of national income in the United States. For reasons that will become dear, this attempt had to be limited to measures for years since 1870; but before this decision was reached, I had to scrutinize and reject the current and rather widely used estimates for the years prior to 1870. The notes below summarize the results of this scrutiny and may be of interest to other workers in the field.

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Long-term Changes in the Size and Collagen Content of Scars in the Skin of Rats

Development ◽

10.1242/dev.5.2.171 ◽

1957 ◽

Vol 5 (2) ◽

pp. 171-183

Author(s):

M. Abercrombie ◽

D. W. James

Keyword(s):

Granulation Tissue ◽

Collagen Content ◽

Dorsal Skin ◽

Repair Tissue ◽

Long Term Changes ◽

Wet Weight ◽

Minimal Area ◽

Made In ◽

Do So

A Previous paper (Abercrombie, Flint, & James, 1954) described the early changes in size and collagen content of the granulation tissue and subsequent scar that fill a small wound made in the dorsal skin of a rat. The observations were carried up to the 25th day after wounding. It was found that by about the 10th day the wound had contracted down to a minimal area and wet weight, and that it remained at or near this minimum during the remaining 15 days of observation. The collagen content of the repair tissue increased during the phase of contraction and continued to do so in the completely contracted wound. In the present paper we describe the later evolution of the scar up to 300 days after wounding. The reduced area and wet weight reached by 10 days have proved to be merely temporary minima.

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Lessons Learned: Career Challenges in Training the Next Generation of Interdisciplinary Health Scientists

Pedagogy in Health Promotion ◽

10.1177/2373379916680365 ◽

2016 ◽

Vol 3 (4) ◽

pp. 234-238

Author(s):

Jennifer M. Reingle Gonzalez

Keyword(s):

Professional Training ◽

Training And Development ◽

Lessons Learned ◽

Early Career ◽

Training And Research ◽

Short And Long Term ◽

And Training ◽

Society Today

Interdisciplinary science, defined by the National Academies as “a mode of research by teams of individuals that integrates information, data, techniques, tools, perspectives, concepts, and/or theories from two or more disciplines . . . to advance fundamental understanding or to solve problems whose solutions are beyond the scope of a single discipline,” has come to the forefront as necessary to solve the complex social problems, such as obesity, violence, and addiction, facing our society today. Interdisciplinary training and research is a novel idea in theory, although execution is inconsistent. Because there are no structured curricula, professional training and development occur differently for every emerging scientist. My goal in writing this article is to continue the dialogue to improve the consistency and quality of interdisciplinary research and training for future cohorts of health scientists. The purpose of this article is to describe challenges I encountered, including short- and long-term practical approaches for career development from the perspective of an early career, interdisciplinary researcher.

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