scholarly journals Impact of COVID-19 Related Lockdown on the Frequency of Acute and Oncological Surgeries—Lessons Learned From an Austrian University Hospital

2021 ◽  
Vol 9 ◽  
Author(s):  
Julia Abram ◽  
Lukas Gasteiger ◽  
Gabriel Putzer ◽  
Patrick Spraider ◽  
Simon Mathis ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Lessons Learned ◽  
University Hospital ◽  
Level Of Care ◽  
Dramatic Decrease ◽  
Screening Programs ◽  
Care Facilities ◽  
Medical University ◽  
Hospital Capacities

Innsbruck Medical University Hospital, Austria, provides the highest level of care for a region of approximately 1.8 million people. During the early COVID-19 outbreak in spring 2020 surgical activity was drastically reduced with the prime goal of preserving hospital capacities, especially intensive care beds. We conducted a retrospective analysis of surgical activities performed at Innsbruck Medical University Hospital during the lockdown period from March 15 to April 14, 2020 and compared these activities to the same period during the previous 5 years. Total surgical activity was reduced by 65.4% compared to the same period during the previous 5 years (p < 0.001); elective surgeries were reduced by 88.7%, acute surgeries by 35.3% and oncological surgeries by 47.8% compared to the previous 5 years (all p < 0.001). This dramatic decrease in acute and oncological surgeries can most likely be ascribed to the fact that many patients avoided health care facilities because of the strict stay-at-home policy and/or the fear of contracting SARS-CoV-2 in the hospital. In view of future waves, the population should be encouraged to seek medical help for acute symptoms and to attend cancer screening programs.

Medical Surge Capacity in Atlanta-Area Hospitals in Response to Tanker Truck Chemical Releases

2015 ◽  
Vol 9 (6) ◽  
pp. 681-689 ◽  
Author(s):  
Curtis Harris ◽  
William Bell ◽  
Edward Rollor ◽  
Tawny Waltz ◽  
Pam Blackwell ◽  
...  
Keyword(s):  
Health Care ◽  
Terrorist Attack ◽  
Community Response ◽  
Health Care Facilities ◽  
Lessons Learned ◽  
Toluene Diisocyanate ◽  
Surge Capacity ◽  
Incident Command ◽  
Care Facilities ◽  
Tanker Truck

ABSTRACTObjectiveWe designed and conducted a regional full-scale exercise in 2007 to test the ability of Atlanta-area hospitals and community partners to respond to a terrorist attack involving the coordinated release of 2 dangerous chemicals (toluene diisocyanate and parathion) that were being transported through the area by tanker truck.MethodsThe exercise was designed to facilitate the activation of hospital emergency response plans and to test applicable triage, decontamination, and communications protocols. Plume modeling was conducted by using the Defense Threat Reduction Agency’s (DTRA) Hazard Prediction and Assessment Capability (HPAC) V4 program. The scenario went through multiple iterations as exercise planners sought to reduce total injuries to a manageable, but stressful, level for Atlanta’s health care infrastructure.ResultsAtlanta-area hospitals rapidly performed multiple casualty triage and were able to take in a surge of victims from the simulated attack. However, health care facilities were reticent to push the perceived manageable numbers of victims, and scenarios were modified significantly to lower the magnitude of the simulated attack. Additional coordination with community response partners and incident command training is recommended. Security at health care facilities and decontamination of arriving victims are two areas that will require continued review.ConclusionAtlanta-area hospitals participated in an innovative regional exercise that pushed facilities beyond traditional scopes of practice and brought together numerous health care community response partners. Using lessons learned from this exercise coupled with subsequent real-world events and training exercises, participants have significantly enhanced preparedness levels and increased the metropolitan region’s medical surge capacity in the case of a multiple casualty disaster. (Disaster Med Public Health Preparedness. 2015;9:681–689)

scholarly journals Cyber Security: Lessons Learned From Cyber-Attacks on Hospitals in the COVID-19 Pandemic

2021 ◽  
Vol 15 (2) ◽  
pp. 301-341
Author(s):  
Jan Kolouch ◽  
Tomáš Zahradnický ◽  
Adam Kučínský
Keyword(s):  
Health Care ◽  
Cyber Security ◽  
Cyber Attacks ◽  
Health Care Facilities ◽  
Lessons Learned ◽  
Regulatory Requirements ◽  
Medical Facilities ◽  
Care Facilities

The article deals with the issue of cyber security, specifically the security of medical facilities. The introduction summarizes and briefly analyzes the cyber attacks demonstrated on Czech health care facilities in the period from 12/2019 to 1/2021, together with the procedures adopted by the responsible authorities. The article also newly presents the current regulatory requirements for cyber security of hospitals. In the context of past attacks and based on analyzes of attacks, current legislation and events, the article will provide an opinion on whether the requirements for cyber security of hospitals are set sufficiently or whether this area should be revised. At the same time, measures will be recommended to strengthen the cyber security of hospitals.

scholarly journals Hospital Readiness for COVID-19: The Scenario from India with Suggestions for the World

2020 ◽  
Vol 7 (1) ◽  
pp. 33-36
Author(s):  
Mandalam Seshadri ◽  
T Jacob John
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Lessons Learned ◽  
Disease Spread ◽  
Care Facilities ◽  
The World ◽  
Hospital Readiness

Lessons learned from Italy regarding hospitals and health care facilities as important sources of disease spread for COVID-19, and ways to mitigate this in India and other countries.  

scholarly journals Egyptian patients’/guardians’ experiences and perception about clinical informed consent and its purpose: Cross sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252996
Author(s):  
Ammal M. Metwally ◽  
Hala A. Amer ◽  
Hend I. Salama ◽  
Safaa I. Abd El Hady ◽  
Raefa R. Alam ◽  
...  
Keyword(s):  
Health Care ◽  
Informed Consent ◽  
Information Disclosure ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
University Hospital ◽  
Medical Community ◽  
Cross Sectional ◽  
Egyptian Patients ◽  
Care Facilities

Background Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients’/guardians’ experiences about IC and their expectations about its practices’ purposes in general and according to the type of the healthcare facility. Methods Self-administered questionnaire was carried out for 1092 participants who had undergone or were scheduled to a procedure requiring an IC at three studied types for Egyptian health care facilities. Ten statements were ranked twice by the participants to reflect their perception of IC purpose as per what is currently practiced and what they believe should be practiced. Results IC implementation varies significantly (p<0.05) across the health care facilities in Egypt. The percentage of its implementation at the non-governmental facilities, governmental facilities, and university hospital was 85.9%, 77.8%, and 63.8 respectively. The first three ranked purposes of the current IC practices were: “Helping patient/guardian decide (64.9%)”, “Documenting patient’s/guardian’s decision (59.3%)”, and “Having shared decision (57.3%)”. The perceived purposes of IC to be practiced were: “Informing the patient/guardian (68.4%)”, “Making sure patient/guardian understand (65.3%)” and “Documenting patients/guardians decisions (65.1%)”. “Being a meaningless routine” was reported by the majority to be ranked as a low purpose for IC current and preferred practices. Conclusion The practice of IC is common within the Egyptian medical community. Participants believe that information disclosure “Making sure patients understand” has to help in IC decision making and its main purpose. However, unfortunately, this is not perceived as a current purpose of IC. There was consensus agreement that documenting the patient’s/guardian’s decision and informing the patient/guardian are perceived as both important current and preferred purposes for IC practices.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.

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