Experience in establishing a high-risk biocontainment facility in response to COVID-19 pandemic under resource constrain settings

2021 ◽  
pp. 45-50
Author(s):  
SM Rashed Ul Islam ◽  
Tahmina Akther ◽  
Sharmin Sultana ◽  
Paroma Deb ◽  
Asish Kumar Ghosh ◽  
...  
Keyword(s):  
Health Care Systems ◽  
Causative Organism ◽  
Steady Increase ◽  
Quality Performance ◽  
Resource Limited ◽  
Acceptable Quality ◽  
Care Systems ◽  
Group 3 ◽  
Set Up ◽  
Collaborative Efforts

The health care systems in resource limited countries are facing major challenges in dealing with Coronavirus disease (COVID-19). In Bangladesh, a steady increase in the number of COVID-19 cases since its first report on March 8, 2020, has led to an increased demand for COVID-19 detection facilities throughout the country. The detection of severe acute respiratory syndrome (SARS-CoV-2), the causative organism of COVID-19 and a highly infectious group 3(three) organism, requires a high biocontainment laboratory with a certain standard prerequisite infrastructure. This study describes the necessary steps for establishing and running a COVID-19 laboratory under resource constraint settings. Our experience indicates that, with collaborative efforts, funding, and technical support from locally available expertise, it is feasible to set up an optimally functional biocontainment facility with an acceptable quality performance despite several short comings. BSMMU J 2021; 14 (COVID -19 Supplement): 45-50

scholarly journals COVID-19 PCR Test Performance for Samples Stored at Ambient Temperature

2020 ◽  
Author(s):  
Nihat Bugra Agaoglu ◽  
Jale Yıldız ◽  
Ozlem Akgun Dogan ◽  
Gizem Alkurt ◽  
Betsi Kose ◽  
...  
Keyword(s):  
Ambient Temperature ◽  
Test Performance ◽  
Negative Impact ◽  
Health Care Systems ◽  
Cold Chain ◽  
Resource Limited ◽  
Short Period ◽  
Care Systems ◽  
New Type ◽  
Coronavirus Infection

ABSTRACTBackgroundThe new type of Coronavirus infection had become a pandemic in a very short period since it was first seen in Wuhan. The outbreak had a negative impact on all health care systems throughout the world and overwhelmed the diagnostic laboratories as well. During the pandemic, handling patient specimens in accordance with the universal guidelines was troublesome as WHO, CDC and ECDC required cold chain compliance during transporting and storing the swap samples.Materials and methodsIn this study, we tested diagnostic performance of RT-PCR on 30 swab samples stored at ambient temperature and compared them with the samples stored at +4°C.ResultsOur results revealed that all the samples stored at ambient temperature remain PCR positive for at least five days. We did not see any false negativity.ConclusionIn conclusion, we report that transferring and storing of nasopharyngeal/oropharyngeal samples at ambient temperature could be possible in the resource-limited conditions like pandemic.

scholarly journals Haemophilia: Its Types and Prevalence in Pakistan

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Kiran Fatima ◽  
Rabeea Irfan ◽  
Laraib Azmat
Keyword(s):  
Health Care ◽  
Research Study ◽  
Health Care Systems ◽  
Age Groups ◽  
Health Resources ◽  
Bleeding Disorder ◽  
Care Systems ◽  
Limited Health ◽  
And Gender ◽  
Set Up

Background: Haemophilia; classified by the inefficacy of blood to clot appropriately, is a genetic bleeding disorder. As a developing country, Pakistan has limited health resources and very little awareness of hemophilia among its people. Objectives: This research study is designed to identify the prevalence of the disease and to report the types of haemophilia common in Pakistan in order to propose suitable treatments for the prevention and cure of the disease. Methodology: A survey questionnaire was designed and executed by the group members. Data was collected from registered Haemophilia Centers in Pakistan. Number of reported cases based on types of haemophilia, age groups, and gender were identified separately. Results: It was evaluated that Pakistan continues to have a growing number of hemophilia cases at an alarming rate. The research study also showed how there is a lack of affordable and proper health care in the country, due to which several cases go unreported and untreated. Conclusion: For the containment of this bleeding disorder, time for taking proper action is passing. Proper health care systems should be set up which are accessible to the majority of the population. Awareness programs should be designed and people should be encouraged for regular laboratory tests to prevent late diagnosis.

scholarly journals The Administrative Data Research Network’s National Citizen’s Panel – A step towards bridging public concerns about research using administrative data.

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Judith Knight
Keyword(s):  
Administrative Data ◽  
Social Research ◽  
Health Care Systems ◽  
Research Network ◽  
Public Confidence ◽  
Care Systems ◽  
Set Up ◽  
The Uk ◽  
Public Views ◽  
Public Concerns

ABSTRACT BackgroundThe content of administrative records are both confidential and personal, therefore the use of administrative data for research purposes is rightly and naturally of concern to us all. It is highly likely that unless public concerns can be understood, met and public confidence and support gained, that the role of research using administrative data cannot develop further. AimsAs a member of the general public you may well ask, how will this research help me? The Network enables researchers across the UK to gain access to linked de-identified administrative data to benefit society i.e. research that could change health care systems, improve the distribution of funds to needier areas or has the potential to reduce crime. MethodTo extend the Network’s reach, the Administrative Data Research Network (ADRN) in addition to a breadth of communications and public engagement activities across the UK is developing a UK National Citizens Panel (CP). The panel will provide a representation of public views on potential changes to Network policy, procedures, governance and service provision issues. The CP will also assist with testing our public facing communications, e.g. events, website and materials. ResultsThis paper would like to present the ADRN's case and scope for a Citizens Panel, the model adopted and its progress to date. Funded by the Economic & Social Research Council, the ADRN, set up as part of the UK Government’s Big Data initiative, is a UK-wide partnership between universities, government bodies, national statistics authorities and the wider research community.www.adrn.ac.uk.

Cardiopulmonary Resuscitation in Resource-limited Health Systems–Considerations for Training and Delivery

2014 ◽  
Vol 30 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Jason Friesen ◽  
Dean Patterson ◽  
Kevin Munjal
Keyword(s):  
Health Care ◽  
Cardiopulmonary Resuscitation ◽  
Health Systems ◽  
General Public ◽  
Health Care Systems ◽  
Effective Intervention ◽  
Resource Limited ◽  
Care Systems ◽  
Limited Health ◽  
Cpr Training

AbstractIn the past 50 years, cardiopulmonary resuscitation (CPR) has gained widespread recognition as a life-saving skill that can be taught successfully to the general public. Cardiopulmonary resuscitation can be considered a cost-effective intervention that requires minimal classroom training and low-cost equipment and supplies; it is commonly taught throughout much of the developed world. But, the simplicity of CPR training and its access for the general public may be misleading, as outcomes for patients in cardiopulmonary arrest are poor and survival is dependent upon a comprehensive “chain-of-survival,” which is something not achieved easily in resource-limited health care settings. In addition to the significant financial and physical resources needed to both train and develop basic CPR capabilities within a community, there is a range of ethical questions that should also be considered. This report describes some of the financial and ethical challenges that might result from CPR training in low- and middle-income countries (LMICs). It is determined that for many health care systems, CPR training may have financial and ethically-deleterious, unintended consequences. Evidence shows Basic Life Support (BLS) skills training in a community is an effective intervention to improve public health. But, health care systems with limited resources should include CPR training only after considering the full implications of that intervention.FriesenJ, PattersonD, MunjalK. Cardiopulmonary resuscitation in resource-limited health systems–considerations for training and delivery. Prehosp Disaster Med. 2015;30(1):1-5.

scholarly journals Indian Paradigm of Orthopedic Care in Post-COVID-19 Era

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Madhan Jeyaraman ◽  
Sathish Muthu ◽  
Ashok Shyam
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Emergency Services ◽  
Surgical Intervention ◽  
Health Care Systems ◽  
Future Perspectives ◽  
Resource Limited ◽  
Care Systems ◽  
Orthopedic Care ◽  
Populous Country

Introduction: COVID-19 pandemic caused by the newly emerged strain of coronavirus (SARS-CoV-2) has had phenomenally casted its impact on the health-care systems globally. The rampant spread of contagiosity has challenged the solidarity of the medical fraternity of the developed and developing world. The rising turmoil enforces to trudge with stoicism and expresses the need for planning because of subjugating the prevailing conditions with judicial channelization of available resources. In many developed and developing countries, the resources such as appropriate equipment as well as personnel have been extended to combat the pandemic substantially. At the same time, the populous country such as India has taken a stand to cancel electively planned orthopedic surgeries. However, under the issued guidelines of apex authorities, trauma and emergency services had have been in continuity with a reorganized manner. Hereby, we discuss the present shift in paradigm in the field of orthopedics with an interplay of regenerative orthopedics and telemedicine and its pivotal role against the odds of the COVID-19 pandemic. Besides, we see over the future perspectives and challenges in the purview of resorting to an effective clinical practice in orthopedics specialty. Albeit these guidelines expound strategies to manage trauma and orthopedic cases amidst pandemics but the subsequent post-COVID-19 phase warrants explicable vision and planning. Indeed, resuming elective orthopedics surgical intervention in post-phase of pandemic shall definitively be a task invoking fundamental planning, especially in a resource-limited background. With the rollout of vaccines in the country, the scenario is in favor of returning to normalcy with evaluation for COVID-19 being added to the list of routine medical and surgical screening profiles. Keywords: COVID-19, SARS-CoV-2, pandemic, India, orthopedics.

scholarly journals AN ACTION PLAN TO FACE THE CHALLENGE OF DEMENTIA: INTERNATIONAL STATEMENT ON DEMENTIA FROM IAP FOR HEALTH

2018 ◽  
pp. 1-6
Author(s):  
H. Chertkow
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Public Awareness ◽  
Action Plan ◽  
International Committee ◽  
Systems Research ◽  
Reduction Strategies ◽  
Dementia Research ◽  
Care Systems ◽  
Set Up

An international committee set up through the IAP for Health met to develop an action plan for dementia. Comprehensive international and national initiatives should move forward with calls for action that include increased public awareness regarding brain health and dementia, support for a broad range of dementia research objectives, and investment in national health care systems to ensure timely competent person-centred care for individuals with dementia. The elements of such action plans should include: 1) Development of national plans including assessment of relevant lifecourse risk and protective factors; 2) Increased investments in national research programs on dementia with approximately 1% of the national annual cost of the disease invested; 3) Allocating funds to support a broad range of biomedical, clinical, and health service and systems research; 4) Institution of risk reduction strategies; 5) Building the required trained workforce (health care workers, teachers, and others) to deal with the dementia crisis; 6) Ensuring that it is possible to live well with dementia; and 7) Ensuring that all have access to prevention programs, care, and supportive living environments.

scholarly journals Using Telemedicine for Providing Supportive and Palliative Care Patients with Advanced Cancer during the COVID?19 Pandemic in Ukraine

2021 ◽  
Vol 3 (5) ◽  
pp. 01-03
Author(s):  
Hojouj Mohammad I M
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Health Care Systems ◽  
Symptom Control ◽  
Care Program ◽  
Patient Navigator ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Patient Reported ◽  
Care Systems

COVID‐19 has overwhelmed the capacity of health care systems, limiting access to supportive and palliative care for patients with advanced cancer. Telemedicine has emerged as a tool to provide care continuity to patients while limiting the risk of contagion. However, implementing telemedicine in resource‐limited settings is challenging. We report the results of a multidisciplinary patient‐navigator‐led telemedicine supportive care program in Dnipro City. One‐hundred sixty‐five telemedicine interventions were provided to 50 patients (median age 67, 47% female). A quarter of the patients had less than or equal to elementary school education, and 18% lived in a rural area. The most common interventions were psychological care (30%), pain and symptom control (27%), and nutritional counseling (10%). Half of the interventions were provided by video conferencing. The most common patient‐reported barrier was limited experience using communication technology. Our results demonstrate the feasibility of providing supportive and palliative care interventions using telemedicine in resource‐limited settings.

scholarly journals Patients with Advanced Cancer during the COVID‐19 Pandemic in Ukraine

2022 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Hojouj Mohammad
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Health Care Systems ◽  
Symptom Control ◽  
Care Program ◽  
Patient Navigator ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Patient Reported ◽  
Care Systems

COVID‐19 has overwhelmed the capacity of health care systems, limiting access to supportive and palliative care for patients with advanced cancer. Telemedicine has emerged as a tool to provide care continuity to patients while limiting the risk of contagion. However, implementing telemedicine in resource‐limited settings is challenging. We report the results of a multidisciplinary patient‐navigator‐led telemedicine supportive care program in Dnipro City. One‐hundred sixty‐five telemedicine interventions were provided to 77 patients (median age 67, 47% female). A quarter of the patients had less than or equal to elementary school education, and 18% lived in a rural area. The most common interventions were psychological care (30%), pain and symptom control (27%), and nutritional counseling (10%). Half of the interventions were provided by video conferencing. The most common patient‐reported barrier was limited experience using communication technology. Our results demonstrate the feasibility of providing supportive and palliative care interventions using telemedicine in resource‐limited settings.

Emergency Medicine Systems Advancement through Community-based Development

2014 ◽  
Vol 29 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Martha M. Bloem ◽  
Christina M. Bloem ◽  
Juliana Rosentsveyg ◽  
Bonnie Arquilla
Keyword(s):  
Emergency Medicine ◽  
Local Community ◽  
Health Care Systems ◽  
Medical Systems ◽  
Publication Type ◽  
Community Based ◽  
Resource Limited ◽  
Care Systems ◽  
Emergency Medical Systems

AbstractHumanitarian health programs frequently focus on immediate relief and are supply side oriented or donor driven. More emphasis should be placed on long-term development projects that engage local community leaders to ensure sustainable change in health care systems. With the Emergency Medicine Educational Exchange (EMEDEX) International Rescue, Recover, Rebuild initiative in Northeast Haiti as a model, this paper discusses the opportunities and challenges in using community-based development to establish emergency medical systems in resource-limited settings.BloemMM, BloemCM, RosentsveygJ, ArquillaB. Emergency medicine systems advancement through community-based development. Prehosp Disaster Med. 2014;29(1):1-5.

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