scholarly journals Simulation Modeling and Practice of Inpatient Emergency Department in COVID-19 Pandemic

2021 ◽  
pp. 37-43
Author(s):  
V.M. Teplov ◽  
◽  
S.S. Aleksanin ◽  
E.A. Tsebrovskaya ◽  
A.A. Lebedeva ◽  
...  
Keyword(s):  
Emergency Department ◽  
Simulation Modeling ◽  
Daily Basis ◽  
Positive Role ◽  
Number Of Patients ◽  
Correct Calculation ◽  
Coronavirus Infection ◽  
Inpatient Department ◽  
Hospital Center

The article presents the experience of using simulation modeling to optimize inpatient emergency department as an admission unit of a hospital — Center for treatment of patients with new coronavirus infection COVID-19. It was noted that the inpatient emergency department effectively performed the functions of the inpatient department of the Center for treatment of patients with new COVID-19 coronavirus infection for a total of more than 7 months. A correct calculation of staffing and a competent use of the department “zones” ensured efficient and rapid reception of patients during both “waves” of the pandemic. The model also proved positive role of such departments with a large number of patients in a multimillion metropolis needed to be hospitalized on a daily basis.

scholarly journals COVID-19 as a concomitant diagnosis and the emergencies behind COVID-19 mask – a real challenge that requires a multidisciplinary view of the patient

Pharmacia ◽  
2021 ◽  
Vol 68 (3) ◽  
pp. 603-606
Author(s):  
Petar Yordanov Atanasov ◽  
Maria Georgieva Moneva-Sakelarieva ◽  
Yozlem Ali Kobakova ◽  
Stefka Achkova Ivanova ◽  
Danka Petrova Obreshkova ◽  
...  
Keyword(s):  
United States ◽  
Emergency Department ◽  
Distress Syndrome ◽  
The United States ◽  
Global Pandemic ◽  
Number Of Patients ◽  
Severe Respiratory Infection ◽  
Coronavirus Infection ◽  
The Moment ◽  
Real Challenge

The etiological cause of Coronavirus infection, which has captured the attention of almost the whole world at the moment, is SARS-CoV2. The clinical picture of coronavirus infection varies from asymptomatic to severe respiratory infection with manifestations of respiratory failure, the development of respiratory distress syndrome and even death. Already in the first months of the coronavirus pandemic in the United States there was a serious decline in the number of patients seeking medical care in the Emergency Department (49.3%) compared to 2019. There is evidence of increased mortality during the pandemic, which causality cannot be directly or associated with coronavirus infection. Even in the context of a global pandemic, we must not forget all other diagnoses and conditions that exist as comorbidity, and emergency care must be provided without delay and delay.

scholarly journals The role of surgeons during the COVID-19 pandemic: The experience of the Surgery Clinic of the Clinical Hospital Center 'Zemun'

2021 ◽  
Vol 2 (3) ◽  
pp. 228-235
Author(s):  
Dragoš Stojanović ◽  
Nebojša Mitrović ◽  
Dejan Stevanović ◽  
Damir Jašarović ◽  
Srđan Milina ◽  
...  
Keyword(s):  
Healthcare System ◽  
Surgical Procedures ◽  
Vascular Diseases ◽  
Hospital Treatment ◽  
Clinical Hospital ◽  
Number Of Patients ◽  
Study Results ◽  
The Republic ◽  
Hospital Center

Introduction: In December 2019, the existence of a new type of disease, caused by SARS coronavirus 2 (SARS-CoV-2), was discovered in the city of Wuhan, the Republic of China. The disease itself is characterized by a large number of patients with moderate and severe clinical presentation, who require hospital treatment. The organization of the healthcare system of Serbia, during the aforementioned pandemic, has required the engagement of all doctors, regardless of their specialty, in the treatment of patients with COVID-19. Surgeons of all branches, from the Surgery Clinic of the Clinical Hospital Center Zemun, were directly engaged in the treatment of both primary manifestations of the virus and the numerous surgical complications arising in the wake of this disease, but also in the treatment of primary acute surgical diseases in COVID-19-positive patients. Aim: The aim of this paper is to present the functioning of the Surgery Clinic of CHC Zemun, in the conditions of the COVID-19 pandemic, as well as to present the types and results of surgical procedures performed in patients with the COVID-19 infection. Methods: This study was conceived as a retrospective study and was conducted in the period between February 2020 and April 2021, in patients who had undergone emergency surgery and in whom the COVID-19 infection had previously been verified. A total of 232 patients surgically treated at the level of the entire Surgery Clinic of the CHC Zemun participated in the study. Results: Chest drainage, due to the development of pneumothorax, accounted for a quarter of all surgical procedures performed, while, in 53.85% of cases, surgical treatment was undertaken due to acute abdomen of various etiology, and in 21.15% of cases, due to vascular diseases. Conclusion: The COVID-19 pandemic is, in itself, a major challenge for the entire healthcare system. The role of the surgeon is significant, both in organization and in direct treatment, which is additionally complicated by the uniqueness of the entire situation and the severity of the disease itself. In addition to their involvement in the treatment of the COVID-19 infection itself, surgeons were, in a large number of cases, engaged in their primary activity in health care, i.e., in the treatment of surgical diseases and complications of COVID-19, performing demanding surgical procedures in very difficult and unique conditions.

scholarly journals Mantle of Teacher Educators in the Inculcation of Values among Prospective Teachers

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. M. Ramakrishna Reddy
Keyword(s):  
Prospective Teachers ◽  
Teacher Educators ◽  
Teacher Educator ◽  
Great Part ◽  
Daily Basis ◽  
Positive Role ◽  
Life Education ◽  
Computer Literate ◽  
The Right

The hall mark of the ancient Indian Education was that moral precepts and values formed an integral part of the curriculum of the day. The legacy has been passed down from one generation to another and even today dealing with values and moral issues and inculcating the same in the student community is recognized as an integral part of teachers’ roles. In the context of the changing social and cultural milieu, both in India and abroad, there is a crying need to imbue the younger generation with the right kind of value system so that they can handle the formidable challenges which they face on daily basis along with the rigors of life. Education has both an enormous and a defining role to play in the social, intellectual and political transformation of the society. Effective teaching practices in imparting value education have ranges from storytelling, exhibitions, skits, one act play and group discussions to various other formats. In the era of information and communicating technology, it can be hard to get a grip on the evolving roles of teachers and comprehend the duties of the teachers precisely. It seems as if the role of teachers has grown many fold; they are now expected to be tech-savvy, computer literate and acquire mastery over the cutting edge technologies pertaining to education. To inculcate values among the prospective teachers, the teacher educators, first and foremost, should be made to acquire the necessary attitude, knowledge and skills so that they can discharge their functions seamlessly and to the benefit of the prospective teachers. The role of the educators has become both challenging and rewarding, in terms of inculcating the right set of values among the learners. The proper assimilation of these values by the prospective teachers to a great part depends on the teacher educator and a teacher educator can do this through his positive role and prescribed means. Teacher educators must thoroughly comprehend what values are and their precise role in promoting multicultural values education. This paper, keeping in view the imperativeness of value inculcation in prospective teachers, focuses on the issue of teachers’ training in relation to value education, the necessary changes that are to be brought about in the pre-service teachers education so that they will enable the inculcation of the pertinent values among the prospective teachers for the betterment of the next generation education.

scholarly journals Cardiac Involvement in COVID-19

Kardiologiia ◽  
2021 ◽  
Vol 61 (4) ◽  
pp. 15-23
Author(s):  
A. B. Sugraliyev
Keyword(s):  
Viral Entry ◽  
Cardiac Involvement ◽  
Viral Disease ◽  
The Novel ◽  
Angiotensin Converting Enzyme 2 ◽  
Number Of Patients ◽  
Coronavirus Infection ◽  
Novel Coronavirus ◽  
Inflammatory Syndrome

The novel coronavirus infection, COVID-19, is a highly contagious viral disease associated with acute, severe respiratory syndrome, which is based on the development of pronounced thrombo-inflammatory syndrome. As the number of patients with COVID-19 increased, heart damage has been reported, especially in patients with severe and critical COVID-19. This review describes the role of angiotensin-converting enzyme 2 receptor in the regulation of viral entry, the variety of damages to the heart and coronary arteries, and the importance of arterial hypertension and of the use of renin-angiotensin-aldosterone system inhibitors in the prognosis of patients with COVID-19.

scholarly journals Statistical predictors of hazardous medical waste generation rates in a 40-bed general hospital

2013 ◽  
Vol 13 (2) ◽  
pp. 170-175
Keyword(s):  
Emergency Department ◽  
General Hospital ◽  
Daily Basis ◽  
Statistical Test ◽  
Medical Waste ◽  
Waste Generation ◽  
Pathology Laboratory ◽  
Number Of Patients ◽  
Waste Generation Rate ◽  
Linear Correlations

Objective of the work was to investigate correlations among hazardous medical waste generation rates and various hospital parameters in 2 departments and a clinic of a 40-bed Hellenic general hospital (Hospital of Ikaria). Medical waste was recorded at the bio-pathology lab, the pathology clinic and the emergency department 4 times daily during a 42 sampling day period (from December 2008 to May 2009). The hospital parameters recorded on a daily basis were the number of examinees, the number of patients that occupied beds and the number of tests performed daily at the clinical bio-pathology laboratory. The dependent variable was the medical waste generation rate (kg day-1) in all cases. Statistically significant linear correlations were established in all departments; the strongest correlation (R2≈0.75) was calculated at the clinical bio-pathology laboratory and the weakest (R2=0.30) at the emergency department. An analysis of variance (Tukey’s t-test) and a nonparametric statistical test revealed that medical waste generation rates from the clinical biopathology laboratory were statistically lower in the weekends compared to weekdays. In addition, medical waste amounts generated by the pathology clinic were statistically lower during December and January compared to February and April.

scholarly journals The effect of the Covid-19 pandemic on patient visits to the emergency department and hospitalizations in medical wards in an Israeli medical center

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Yael Frenkel Nir ◽  
Yuval Levy ◽  
Amit Gutkind ◽  
Ehud Grossman
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Medical Center ◽  
Hospital Data ◽  
Complex Patients ◽  
Israeli Population ◽  
Number Of Patients ◽  
Tertiary Center ◽  
Medical Wards

Abstract Background The Covid-19 pandemic began in Israel on February 2020. Between February and October 2020, 2 periods of lockdown were imposed on Israeli population. Objective To assess the effect of the Covid-19 pandemic on visits to the emergency department (ED) and on hospitalizations in medical wards in Israel’s Chaim Sheba Medical Center, and to compare the effect during the first and second lockdowns. Methods Data regarding the number of visits of non-Covid-19 patients to the ED and the number of admissions to the medical wards, were extracted from the computerized system of the hospital. Data were analyzed for patients' characteristics, length of stay in the medical wards, in hospital mortality and the rate of 7 and 30 days re-hospitalization, and compared to the same period during 2019. Results Total visits to the Sheba ED during March-October decreased by 18.5%. The most dramatic decrease occurred during the first lockdown. The number of patients admitted to the Sheba medical wards decreased by 28% (P < 0.05). The length of stay decreased from 3.69 days during 2019 to 3.42 days during 2020 (P < 0.01). The most pronounced decrease in the length of stay was observed during the second month of the first lockdown. During the pandemic, hospitalized patients at Sheba were older and were less likely to be males. The in-hospital absolute non-COVID mortality decreased from 913 to 858 respectively. Conclusions The Covid-19 crisis emphasizes the role of medical wards in the care of complex patients. Medical wards in Israel were at the frontline of Israel's battle against this pandemic, while continuing to treat very complex non-Covid patients. To avoid burnout of the medical staff who treat very intensively complex patients, we believe these wards should be strengthen with specialists having expertise in treating these patients. Due to our insights, the Sheba medical Center is now redesigning the concept of how intensive care beds should be managed in a big tertiary center.

scholarly journals THE USE OF SIMULATION MODELING TO OPTIMIZE THE OPERATION OF AN INPATIENT EMERGENCY DEPARTMENT IN A MULTIDISCIPLINARY HOSPITAL IN THE CONTEXT OF RE-PROFILING A MEDICAL INSTITUTION TO RECEIVE PATIENTS WITH A NEW CORONAVIRUS INFECTION

2021 ◽  
Vol 21 (4) ◽  
pp. 11-16
Author(s):  
V. M. Teplov ◽  
E. A. Tsebrovskaya ◽  
S. S. Komedev ◽  
V. V. Kolomoitsev ◽  
E. A. Karpova ◽  
...  
Keyword(s):  
Emergency Department ◽  
Simulation Modeling ◽  
Medical Institution ◽  
Practical Application ◽  
Coronavirus Infection ◽  
To Receive

This article presents the experience of the practical application of simulation modeling on the example of a model of an inpatient emergency department in working with a new coronavirus infection.

scholarly journals A Review on the Contribution of Emergency Department Simulation Studies in Reducing Wait Time

2020 ◽  
pp. 599-623
Author(s):  
Basmah Almoaber ◽  
Daniel Amyot
Keyword(s):  
Emergency Department ◽  
Literature Review ◽  
Simulation Modeling ◽  
Wait Time ◽  
Urgent Care ◽  
Wait Times ◽  
Simulation Studies ◽  
Patient Wait Time ◽  
Hospital Emergency Departments

Background: Because of the important role of hospital emergency departments (EDs) in providing urgent care, EDs face a constantly large demand that often results in long wait times. Objective: To review and analyze the existing literature in ED simulation modeling and its contribution in reducing patient wait time. Methods: A literature review was conducted on simulation modeling in EDs. Results: A total of 41 articles have met the inclusion criteria. The papers were categorized based on their motivations, modeling techniques, data collection processes, patient classification, recommendations, and implementation statuses. Real impact is seldom measured; only four papers (~10%) have reported the implementation of their recommended changes in the real world. Conclusion: The reported implementations contributed significantly to wait time reduction, but the proportion of simulation studies that are implemented is too low to conclude causality. Researchers should budget resources to implement their simulation recommendations in order to measure their impact on patient wait time.

Analysis of Deliberate Self-Wrist-Cutting Episodes Presenting to the Emergency Department

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Jin Kim ◽  
Han Joon Kim ◽  
Soo Hyun Kim ◽  
Sang Hoon Oh ◽  
Kyu Nam Park
Keyword(s):  
Emergency Department ◽  
Medical Records ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Interview ◽  
Clinical Variables ◽  
Completed Suicide ◽  
Number Of Patients ◽  
Group A ◽  
Efficacy Of Treatment

Abstract. Background: Previous suicide attempts increase the risk of a completed suicide. However, a large proportion of patients with deliberate self-wrist cutting (DSWC) are often discharged without undergoing a psychiatric interview. Aims: The aims of this study were to investigate the differences in the characteristics and outcomes of patients with DSWC and those with deliberate self-poisoning (DSP) episodes. The results of this study may be used to improve the efficacy of treatment for DSWC patients. Method: We retrospectively reviewed the medical records of 598 patients with DSWC and DSP who were treated at the emergency department of Seoul Saint Mary's Hospital between 2008 and 2013. We assessed sociodemographic information, clinical variables, the reasons for the suicide attempts, and the severity of the suicide attempts. Results: A total of 141 (23.6%) patients were included in the DSWC group, and 457 (76.4%) were included in the DSP group. A significantly greater number of patients in the DSWC group had previously attempted suicide (p = .014). A total of 63 patients (44.7%) in the DSWC group and 409 patients (89.5%) in the DSP group underwent psychiatric interviews. Conclusion: More DSWC patients had previously attempted suicide, but fewer of them underwent psychiatric interviews compared with the DSP patients.

Are Three Items Sufficient to Measure Sense of Coherence?

2018 ◽  
Vol 34 (4) ◽  
pp. 229-237 ◽  
Author(s):  
Francesca Chiesi ◽  
Andrea Bonacchi ◽  
Caterina Primi ◽  
Alessandro Toccafondi ◽  
Guido Miccinesi
Keyword(s):  
Sense Of Coherence ◽  
Convergent Validity ◽  
Clinical Sample ◽  
Clinical Samples ◽  
Depression Symptoms ◽  
Time Saving ◽  
Positive Role ◽  
Patients With Cancer ◽  
Measure Sense

Abstract. The present study aimed at evaluating if the three-item sense of coherence (SOC) scale developed by Lundberg and Nystrom Peck (1995) can be effectively used for research purpose in both nonclinical and clinical samples. To provide evidence that it represents adequately the measured construct we tested its validity in a nonclinical (N = 658) and clinical sample (N = 764 patients with cancer). Results obtained in the nonclinical sample attested a positive relation of SOC – as measured by the three-item SOC scale – with Antonovsky’s 13-item and 29-item SOC scales (convergent validity), and with dispositional optimism, sense of mastery, anxiety, and depression symptoms (concurrent validity). Results obtained in the clinical sample confirmed the criterion validity of the scale attesting the positive role of SOC – as measured by the three-item SOC scale – on the person’s capacity to respond to illness and treatment. The current study provides evidence that the three-item SOC scale is a valid, low-loading, and time-saving instrument for research purposes on large sample.

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