scholarly journals Preparedness and Response to the COVID-19 Emergency: Experience from the Teaching Hospital of Pisa, Italy

2020 ◽  
Vol 17 (20) ◽  
pp. 7376
Author(s):  
Angelo Baggiani ◽  
Silvia Briani ◽  
Grazia Luchini ◽  
Mauro Giraldi ◽  
Carlo Milli ◽  
...  
Keyword(s):  
Case Report ◽  
Teaching Hospital ◽  
Healthcare Workers ◽  
Task Force ◽  
Progressive Increase ◽  
The Other ◽  
Set Up

In Italy, the coronavirus disease 2019 (COVID-19) emergency took hold in Lombardy and Veneto at the end of February 2020 and spread unevenly among the other regions in the following weeks. In Tuscany, the progressive increase of hospitalized COVID-19 patients required the set-up of a regional task force to prepare for and effectively respond to the emergency. In this case report, we aim to describe the key elements that have been identified and implemented in our center, a 1082-bed hospital located in the Pisa district, to rapidly respond to the COVID-19 outbreak in order to guarantee safety of patients and healthcare workers.

scholarly journals Covid-19 vaccine management (Comirnaty and mrna-1273 Moderna) in a teaching hospital in Italy: a short report on the vaccination campaign

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Francesca Papini ◽  
Niccolò Grassi ◽  
Giovanni Guglielmi ◽  
Vittorio Gattini ◽  
Lucia Rago ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Healthcare Workers ◽  
Task Force ◽  
Vaccination Campaign ◽  
Second Phase ◽  
Short Report ◽  
Administrative Staff ◽  
Safety Measures ◽  
Post Vaccination ◽  
Immunization Campaign

Abstract Objectives In this article, we aim to share our experience in the hospital reorganization made to conduct the SARS-CoV-2 vaccination campaign, based on the principles of flexibility and adaptability. Study design A descriptive study. Methods The data concerning the organization of the vaccination campaign were taken from the operative protocol developed by the hospital dedicated task force, composed by experts in hygiene, public health, occupational medicine, pharmacists, nurses, hospital quality, and disaster managers. Data about the numbers of vaccine administered daily were collected by the Innovation and Development Operative Unit database. Results Vaccinations against COVID-19 started across the EU on the 27th of December 2020. The first phase of the vaccination campaign carried out in our hospital was directed to healthcare workers immunization including medical residents, social care operators, administrative staff and technicians, students of medicine, and health professions trainees. The second phase was enlarged to the coverage of extremely fragile subjects. Thanks to the massive employment of healthcare workers and the establishment of dynamic pathways, it was possible to achieve short turnaround times and a large number of doses administered daily, with peaks of 870 vaccines per day. From the 27th of December up to the 14th of March a total of 26,341 doses of Pfizer have been administered. 13,584 were first doses and 12,757 were second doses. From the 4th to the 14th of March, 296 first doses of Moderna were dispensed. It was necessary to implement adequate spaces and areas adopting anti-contagion safety measures: waiting area for subjects to be vaccinated, working rooms for the dilution of the vaccine and the storage of the material, vaccination rooms, post-vaccination observation areas, room for observation, and treatment of any adverse reactions, with an emergency cart available in each working area. Conclusions The teaching hospital of Pisa faced the beginning of the immunization campaign readjusting its spaces, planning an adequate hospital vaccination area and providing an organization plan to ensure the achievement of the targets of the campaign. This represented a challenge due to limited vaccine doses supplied and the multisectoral teams of professionals to coordinate in the shortest time and the safest way possible. The organizational model adopted proved to be adequate and therefore exploited also for the second phase aimed to extremely fragile subjects.

scholarly journals Digitalisation and COVID-19: The Perfect Storm

2020 ◽  
Vol 5 (3) ◽  
pp. 1-23 ◽  
Author(s):  
Denis Horgan ◽  
Joanne Hackett ◽  
C. Benedikt Westphalen ◽  
Dipak Kalra ◽  
Etienne Richer ◽  
...  
Keyword(s):  
Infectious Disease ◽  
19Th Century ◽  
Healthcare Workers ◽  
Task Force ◽  
High Potential ◽  
The Other ◽  
Human Race ◽  
Rescue Mission ◽  
Fine Tune ◽  
Perfect Storm

“A ship in the harbour is safe, but that is not what ships are built for,” observed that sage 19th century philosopher William Shedd. In other words, technology of high potential is of little value if the potential is not exploited. As the shape of 2020 is increasingly defined by the coronavirus pandemic, digitalisation is like a ship loaded with technology that has a huge capacity for transforming mankind’s combat against infectious disease. But it is still moored safely in harbour. Instead of sailing bravely into battle, it remains at the dockside, cowering from the storm beyond the breakwaters. Engineers and fitters constantly fine-tune it, and its officers and deckhands perfect their operating procedures, but that promise is unfulfilled, restrained by the hesitancy and indecision of officialdom. Out there, the seas of the pandemic are turbulent and uncharted, and it is impossible to know in advance everything of the other dangers that may lurk beyond those cloudy horizons. However, the more noble course is for orders to be given to complete the preparations, to cast off and set sail, and to join other vessels crewed by valiant healthcare workers and tireless researchers, already deeply engaged in a rescue mission for the whole of the human race. It is the destiny of digitalisation to navigate those oceans alongside other members of that task force, and the hour of destiny has arrived. This article focuses on the potential enablers and recommendation to maximise learnings during the era of COVID-19.

Duration of Time on Shift Before Accidental Blood or Body Fluid Exposure for Housestaff, Nurses, and Technicians

2007 ◽  
Vol 28 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Judith Green-McKenzie ◽  
Frances S. Shofer
Keyword(s):  
Shift Work ◽  
Teaching Hospital ◽  
Nursing Staff ◽  
Body Fluid ◽  
Healthcare Workers ◽  
Descriptive Study ◽  
The Other ◽  
Urban Teaching

Background.Shift work has been found to be associated with an increased rate of errors and accidents among healthcare workers (HCWs), but the effect of shift work on accidental blood and body fluid exposure sustained by HCWs has not been well characterized.Objectives.To determine the duration of time on shift before accidental blood and body fluid exposure in housestaff, nurses, and technicians and the proportion of housestaff who sustain a blood and body fluid exposure after 12 hours on duty.Methods.This retrospective, descriptive study was conducted during a 24-month period at a large urban teaching hospital. Participants were HCWs who sustained an accidental blood and body fluid exposure.Results.Housestaff were on duty significantly longer than both nursing staff (P = .02) and technicians (P < .0001) before accidental blood and body fluid exposure. Half of the blood and body fluid exposures sustained by housestaff occurred after being on duty 8 hours or more, and 24% were sustained after being on duty 12 hours or more. Of all HCWs, 3% reported an accidental blood and body fluid exposure, with specific rates of 7.9% among nurses, 9.4% among housestaff, and 3% among phlebotomists.Conclusions.Housestaff were significantly more likely to have longer duration of time on shift before blood and body fluid exposure than were the other groups. Almost one-quarter of accidental blood and body fluid exposures to housestaff were incurred after they had been on duty for 12 hours or more. Housestaff sustained a higher rate of accidental blood and body fluid exposures than did nursing staff and technicians.

Ranitidine Induced Thrombocytopenia: A Case report

2016 ◽  
Vol 2 (1) ◽  
pp. 60-61
Author(s):  
Kanad Deepak ◽  
Nishant Verma ◽  
Umesh Kumar ◽  
Megha Garg
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Joint Pain ◽  
The Other ◽  
Critically Ill Patient ◽  
Drug Related Problems ◽  
H2 Receptor Antagonist ◽  
Set Up ◽  
Time Of Admission

Ranitidine is H2 receptor antagonist. In some critically ill patient it induces thrombocytopenia, which is a rare drug related problems arise during treatment in intensive care unit (ICU) set up. We are going to present a case of 18 year old boy, which had fever and joint pain at the time of admission. Intravenous ceftriaxone, Paracetamol and Ranitidine was administered. Repeated lab investigations showed decrease in WBC and Platelet counts. After excluding the other causes, it was concluded that Ranitidine was the cause of thrombocytopenia.

scholarly journals Anesthesia Management in Cesarean Section for Close Contact Parturient with COVID-19 Patient: A Case Report

2021 ◽  
Vol 9 (6) ◽  
Author(s):  
Yeon Ji Roh ◽  
Ki Young Shin ◽  
Jangho Bae ◽  
Seongsik Kang
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Healthcare Workers ◽  
Close Contact ◽  
Elective Caesarean Section ◽  
Challenging Problem ◽  
Anesthesia Management ◽  
Set Up ◽  
Test Result

During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak, which produced a disease that had been termed COVID-19, safely treating patients that have contracted COVID-19 has become a very challenging problem for both patients and healthcare workers alike. The case we will be dealing with concerns a surgery of a full-term parturient who tested negative for COVID-19 at the time of surgery but had been living with a husband who contracted COVID-19. The parturient was taken up for an elective caesarean section under spinal anesthesia in an isolated operating room. It is necessary to consider how to manage the patient who was a close contact even if their COVID-19 test result is negative and how to set up the protocols to protect healthcare workers themselves in such situation. Keywords ---- (COVID-19, Caesarean section, Parturient, Spinal anesthesia)

Doctrine and Dialectic in Plato’s Dialogues

2018 ◽  
Author(s):  
Rachana Kamtekar
Keyword(s):  
Methodological Approach ◽  
The Other ◽  
Set Up

Chapter 1 lays out the methodological approach employed throughout the book, which is to pay attention to the dialectical dependence of what the main speaker in the dialogue says on the intellectual problem(s) set up in the dialogue both by himself and the other speakers. To illustrate, Chapter 1 describes Socrates’ use of the method of hypotheses from the Meno and Phaedo to answer questions that go beyond his claims to knowledge in the Republic.

scholarly journals Preparation of alcohol-based handrub in COVID-19 Alsatian cluster

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Elodie Di-Falco ◽  
Johan Bourbon ◽  
Isalyne Sbaffe ◽  
Jean-Daniel Kaiser
Keyword(s):  
Critical Period ◽  
Hospital Management ◽  
Management Team ◽  
The Other ◽  
Packaging Materials ◽  
Local Production ◽  
Technical Grade ◽  
Hand Sanitizer ◽  
Set Up ◽  
Real Challenge

AbstractAlsace, in particular Haut-Rhin, is one of the main clusters of COVID-19 in France. There has been a shortage of essential supplies in the area, especially alcohol-based hand sanitizer. In this context, and in accordance with the decree dated March 6, 2020, our hospital management team asked us to start local production of alcohol-based handrub. This was a real challenge: In one week, we had to implement the production of handrub to meet the needs of a 1,400-bed hospital. The production had to comply with the French preparation guidelines and take place on specific premises, with qualified and calibrated equipment, by qualified staff, under the supervision of a pharmacist. The other big challenge we faced was the supply of pharmaceutical raw and packaging materials. During this particular critical period, all suppliers were out of stock. Here, we describe the organizational set-up and the decisions made, e. g., to use technical-grade ethanol before the publication of the decrees dated March 13 and March 23, 2020.

scholarly journals Russell Body Typhlitis: A Case Report and Literature Review

2021 ◽  
pp. 106689692110082
Author(s):  
Sarah Al-Rawaf ◽  
Salem Alowami ◽  
Robert Riddell ◽  
Asghar Naqvi
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Light Chain ◽  
Plasma Cells ◽  
Gastrointestinal Disease ◽  
English Literature ◽  
The Other ◽  
Tubulovillous Adenoma ◽  
Inflammatory Polyp ◽  
Intracytoplasmic Inclusions

Russell bodies are accumulation of immunoglobulin in plasma cells forming intracytoplasmic inclusions. Russell body colitis is rare with only 3 cases described in the English literature up to date. We report a 78-year-old male with cirrhosis showing prominent cecal infiltration of Russell body containing plasma cells. Plasma cells showed no nuclear atypia or mitoses, and no evidence of light chain restriction. In this article, we report a fourth case of Russell body colitis, that is unique in being localized to the cecum in contrast to the other 3, 1 of which was in an inflammatory polyp in the sigmoid colon, 1 in a rectal tubulovillous adenoma and 1 as part of diffuse gastrointestinal disease. This is therefore the first report of localized Russell body typhlitis, occurring in a cirrhotic patient in whom an adjacent erosion was likely nonsteroidal anti-inflammatory drug-associated, a combination that may have facilitated the formation of Russell bodies.

scholarly journals Tai Chi and workplace wellness for health care workers: a systematic review

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Dorelli ◽  
R A Cocchiara ◽  
G Gholamalishahi ◽  
W Longo ◽  
E Musumeci ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Observational Study ◽  
Methodological Quality ◽  
Healthcare Workers ◽  
Tai Chi ◽  
Work Related Stress ◽  
Work Related ◽  
Positive Effects ◽  
Related Stress

Abstract Background Several studies show positive effects of new non-medical therapies known as complementary and alternative medicines, such as the discipline of tai chi. As healthcare professions are among the most vulnerable for work-related stress, this systematic review aims to investigate the relationship between tai chi practice and wellness of healthcare workers. Methods Cinahl, Scopus, Web of Science and PubMed were searched in September 2019. Full-text articles, written in English and published after 1995, were recruited if they focused on positive effects of tai chi on the psychophysical wellbeing of healthcare workers, in comparison with alternative techniques (such as yoga or traditional care). Outcomes were reduced work-related stress, better physical and psychological function, improvement in attention and/or productivity; no restrictions about study design were applied. Quality assessment was performed with the Newcastle-Ottawa Scale on cohort/cross-sectional studies, the Jadad scale for randomized clinical trial, AMSTAR for systematic reviews and CASE REPORT scale for case study. Results 6/111 papers were included: 3 clinical trials, 1 observational study, 1 systematic review and 1 case report. The methodological quality was of medium level. 2/3 trials found a significant increase in individuals' wellbeing and improvements in stress levels and nursing staff’s motivation in their work. In the observational study tai chi was a prevalent mind-body practice to reduce stress. The systematic review suggested that tai chi could be a useful tool to reduce stress-related chronic pain. In case report the effectiveness was observed in medical students. Conclusions This study highlights the full potential and possible benefits derived from tai chi but its application to improve health professionals' wellbeing is still limited, and the absence of a standardized intervention impacts on the methodological quality and reduces the robustness of the retrieved evidence. Key messages Tai chi can improve many pathological conditions and reduce work-related stress. Further research is needed to gain robust evidence of its efficacy for wellbeing of healthcare workers.

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