scholarly journals COVID-19 Intelligence-Driven Operational Response Platform: Experience of a Large Tertiary Multihospital System in the Middle East

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2283
Author(s):  
Osama A. Alswailem ◽  
Bashar K. Horanieh ◽  
Arwa AlAbbad ◽  
Sarab AlMuhaideb ◽  
Abdulkarim AlMuhanna ◽  
...  
Keyword(s):  
Case Report ◽  
Middle East ◽  
Digital Health ◽  
Rapid Development ◽  
Healthcare Systems ◽  
High Quality ◽  
Chain Management ◽  
Hospital Operations ◽  
Multihospital Systems ◽  
User Centric

The COVID-19 pandemic has resulted in global disruptions within healthcare systems, leading to quick dynamic fluctuations in hospital operations and supply chain management. During the early months of the pandemic, tertiary multihospital systems were highly viewed as the go-to hospitals for handling these rapid healthcare challenges caused by the rapidly increasing number of COVID-19 cases. Yet, this pandemic has created an urgent need for coordinated mechanisms to alleviate increasing pressures on these large multihospital systems and ensure services remain high-quality, accessible, and sustainable. Digital health solutions have been identified as promising approaches to address these challenges. This case report describes results for developing multidisciplinary visualizations to support digital health operations in one of the largest tertiary multihospital systems in the Middle East. The report concludes with some lessons and insights learned from the rapid development and delivery of this user-centric COVID-19 multihospital operations intelligent platform.

Contextualising Digital Health Contributions to Fighting the COVID-19 Pandemic

2020 ◽  
Vol 8 ◽  
Author(s):  
Anthony Maeder ◽  
Niranjan Bidargaddi ◽  
Patricia Williams
Keyword(s):  
Public Perception ◽  
Digital Health ◽  
Rapid Development ◽  
Grey Literature ◽  
Healthcare Systems ◽  
Technical Aspects ◽  
Health Innovations ◽  
Public Media ◽  
Biomedical Technologies ◽  
Delivery Practices

The COVID-19 pandemic has catalysed numerous changes worldwide in healthcare systems and service delivery practices, many relying on biomedical technologies including digital health. The rapid development and widespread adoption of these changes has led to many being reported on extensively in grey literature and public media, but not yet in the conventional scientific peer reviewed literature. In particular, digital health contributions have received much attention but the main topics of reporting have been prominent public perception issues, with technical aspects being largely ignored. This perspective paper therefore responds to the need for a systematic contextualisation framework to describe digital health contributions to the current COVID-19 pandemic situation.  The framework recommends four focus areas or “dimensions” for contextual settings: clinical processes, health system, stakeholder and technology.  Two examples are used to motivate these dimensions:  mobile phone tracking, and telehealth consultations. It is suggested that use of the framework in presenting digital health innovations more broadly and in context using these example cases, will convey a more informative understanding of the nature of such contributions now and in the post-COVID-19 period.

scholarly journals Rapid Deployment of an Algorithm to Triage Dental Emergencies During COVID-19 Pandemic

2021 ◽  
Author(s):  
Sharon C Perelman ◽  
Steven Erde ◽  
Lynda Torre ◽  
Tunaidi Ansari
Keyword(s):  
Rapid Development ◽  
The United States ◽  
Healthcare Systems ◽  
Patient Needs ◽  
Columbia University ◽  
Dental Infection ◽  
Screening Algorithm ◽  
Rapid Deployment ◽  
Medical Infrastructure ◽  
Insight Into

Abstract COVID-19 quickly immobilized healthcare systems in the United States during the early stages of the outbreak. While much of the ensuing response focused on supporting the medical infrastructure, Columbia University College of Dental Medicine pursued a solution to triage and safely treat patients with dental emergencies amidst the pandemic. Considering rapidly changing guidelines from governing bodies, dental infection control protocols and our clinical faculty's expertise, we modeled, built, and implemented a screening algorithm, which provides decision support as well as insight into COVID-19 status and clinical comorbidities, within a newly integrated Electronic Health Record (EHR). Once operationalized, we analyzed the data and outcomes of its utilization and found that it had effectively guided providers in triaging patient needs in a standardized methodology. This article describes the algorithm's rapid development to assist faculty providers in identifying patients with the most urgent needs, thus prioritizing treatment of dental emergencies during the pandemic.

Infections of the Aorta: Case Report and Review of Treatment

Vascular ◽  
2005 ◽  
Vol 13 (4) ◽  
pp. 252-256 ◽  
Author(s):  
Shannon Lehner ◽  
Catherine Wittgen
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Ct Scan ◽  
Rapid Development ◽  
Compression Fracture ◽  
Lower Lobe ◽  
Computed Tomographic ◽  
Emergent Operation ◽  
Surgical Options

Radiographic documentation of the rapid development of an aortic infection has not previously been reported. We report the case of a 68-year-old woman who presented with back pain. A computed tomographic(CT) scan documented a nondisplaced L1 compression fracture as well as an atherosclerotic but nonaneurysmal aorta. Two weeks after discharge, she developed left lower lobe pneumonia and was readmitted. A second CT scan was obtained because of continuous complaints of back pain. A contained rupture of the visceral aorta was now clearly visible. Emergent operation successfully repaired her aorta. The microorganisms responsible for aortic infection have changed since the widespread use of antibiotics. Patterns of aortic involvement have also evolved. The difficulty in making these diagnoses, the role of current antibiotic therapy, and the surgical options for these infections will be discussed.

A case report of a rapid development of fetal anasarca in a canine pregnancy at term

2021 ◽  
Author(s):  
Giulia Siena ◽  
Michela Corrò ◽  
Claudia Zanardello ◽  
Greta Foiani ◽  
Stefano Romagnoli ◽  
...  
Keyword(s):  
Case Report ◽  
Rapid Development

Rectovaginal extragastrointestinal stromal tumour (EGIST): an additional entity to be considered in the differential diagnosis of tumours of the rectovaginal septum

2021 ◽  
Vol 14 (3) ◽  
pp. e237669
Author(s):  
Susan Addley ◽  
Moiad Alazzam ◽  
Catherine Johnson ◽  
Hooman Soleymani majd
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
High Risk ◽  
Kinase Inhibitor ◽  
Correct Diagnosis ◽  
Rectovaginal Septum ◽  
Gastrointestinal Stromal Tumours ◽  
Diagnostic Challenge ◽  
High Quality ◽  
Primary Surgery

Gastrointestinal stromal tumours (GISTs) are rare - and rectovaginal extragastrointestinal stromal tumours (RV-EGISTs) even rarer. We share a case of RV-EGIST, complemented by high-quality radiological and surgical images. A review of current literature pertaining to RV-EGIST is also included. Our case report highlights the diagnostic challenge presented by extragastrointestinal stromal tumours. Differentiated from overlapping pathologies only by targeted application of immunohistopathology and cytogenetics, the inclusion of RV-EGIST in the differential diagnosis of a rectovaginal tumour is essential to making this correct diagnosis. Primary surgery is the treatment of choice for RV-EGIST if complete cytoreduction can be achieved, combined with adjuvant tyrosine kinase inhibitor (TKI) therapy for those with high-risk features to further reduce rates of future recurrence.

Investigating Intraoperative and Intraprofessional Handoffs in Anesthesia

2018 ◽  
Vol 62 (1) ◽  
pp. 469-473
Author(s):  
Katherina Jurewicz ◽  
Myrtede Alfred ◽  
David M. Neyens ◽  
Ken Catchpole ◽  
Anjali Joseph ◽  
...  
Keyword(s):  
International Organizations ◽  
Medical Errors ◽  
Maintenance Phase ◽  
Healthcare Systems ◽  
Surgical Team ◽  
High Quality ◽  
Effective Strategies ◽  
Surgical Case ◽  
Anesthesia Providers ◽  
Contextual Elements

Handoffs occur frequently in healthcare systems, and miscommunications and critical omissions within handoffs have been linked to serious medical errors. Handoff quality is a priority of patient safety initiatives across several international organizations. The majority of previous research in handoffs have focused on postoperative handoffs; yet, there is a need to specifically investigate intraoperative handoffs, especially within individual professions or subspecialties. Each subspecialty within a surgical team may approach handoffs differently. The anesthesia team is especially unique as they take a team-based approach to patient care where multiple anesthesia providers may be involved in one surgical case. We describe an observational study of intraoperative and intraprofessional handoffs in anesthesia. Temporary and permanent handoffs were investigated as well as the contextual elements that influenced handoff procedures. In a sample of 35 video recorded surgeries, a total of 16 handoffs were identified for the maintenance phase of surgery. These handoffs ranged between 33 seconds and 7.42 minutes in duration. Our study revealed variability in intraoperative handoffs during the maintenance phase of anesthesia and emphasizes that intraoperative and intraprofessional handoffs warrant more in-depth examination in order to develop effective strategies or tools for high quality handoffs in anesthesia.

scholarly journals Unusually rapid development of a lateral neck mass: Diagnosis and treatment of a branchial cleft cyst. A case report

2017 ◽  
Vol 41 ◽  
pp. 383-386 ◽  
Author(s):  
Gabriele Bocchialini ◽  
Anna Bozzola ◽  
Francesco Daleffe ◽  
Luca Ferrari ◽  
Andrea Castellani
Keyword(s):  
Case Report ◽  
Rapid Development ◽  
Neck Mass ◽  
Diagnosis And Treatment ◽  
Lateral Neck ◽  
Branchial Cleft Cyst ◽  
Branchial Cleft

scholarly journals A Clonorchis Sinensis in the Gallbladder: A Rare Case in Kuwait

2021 ◽  
Vol 6 (1) ◽  
pp. 5-7
Author(s):  
Ahmad E. Al-Mulla ◽  
◽  
Fawazia Ashkanani ◽  
Ali Al-Tabeekh ◽  
Raghad Al-Huzaim ◽  
...  
Keyword(s):  
Case Report ◽  
Middle East ◽  
Rare Case ◽  
Liver Fluke ◽  
Clonorchis Sinensis ◽  
Far East ◽  
Foodborne Pathogen ◽  
Biliary System ◽  
Old Chinese

Clonorchis Sinensis is an important foodborne pathogen. It is actively transmitted in far-East countries and Asia, especially in China. It enters the biliary system via ingestion of infected cysts. It is exceedingly rare to encounter such a presentation in the Middle East, particular in Kuwait. The presence of liver fluke in the biliary system may lead to adverse complications. We are presenting a case report describing quite an unusual gallbladder finding in a 55-year-old Chinese lady.

scholarly journals LeafGo: Leaf to Genome, a quick workflow to produce high-quality De novo genomes with Third Generation Sequencing technology

2021 ◽  
Author(s):  
Patrick Driguez ◽  
Salim Bougouffa ◽  
Karen Carty ◽  
Alexander Putra ◽  
Kamel Jabbari ◽  
...  
Keyword(s):  
De Novo ◽  
Rapid Development ◽  
Plant Genome ◽  
Plant Genomics ◽  
High Quality ◽  
High Molecular Weight Dna ◽  
Tissue Samples ◽  
Sequencing Technologies ◽  
The Cost ◽  
New Generation

AbstractRecent years have witnessed a rapid development of sequencing technologies. Fundamental differences and limitations among various platforms impact the time, the cost and the accuracy for sequencing whole genomes. Here we designed a complete de novo plant genome generation workflow that starts from plant tissue samples and produces high-quality draft genomes with relatively modest laboratory and bioinformatic resources within seven days. To optimize our workflow we selected different species of plants which were used to extract high molecular weight DNA, to make PacBio and ONT libraries for sequencing with the Sequel I, Sequel II and GridION platforms. We assembled high-quality draft genomes of two different Eucalyptus species E. rudis, and E. camaldulensis to chromosome level without using additional scaffolding technologies. For the rapid production of de novo genome assembly of plant species we showed that our DNA extraction protocol followed by PacBio high fidelity sequencing, and assembly with new generation assemblers such as hifiasm produce excellent results. Our findings will be a valuable benchmark for groups planning wet- and dry-lab plant genomics research and for high throughput plant genomics initiatives.

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