Study of the influence of the design features of a modular hospital building on the observance of the temperature regime necessary for the comfortable accommodation of patients and the work of medical personnel

2021 ◽  
pp. 66-75
Author(s):  
Maxim Olegovich Kirichenko ◽  
Vladislav Alekseevich Komarov
Keyword(s):  
Temperature Regime ◽  
Energy Efficient ◽  
Medical Staff ◽  
Modular Design ◽  
Medical Personnel ◽  
Design Features ◽  
Hospital Beds ◽  
Hospital Building ◽  
Ventilation Systems

The article discusses the features of the influence of the design features of the modular hospital building on the observance of the temperature regime necessary for the comfortable work of medical personnel and the placement of patients. The author concludes that Modular Design can provide an energy efficient and convenient solution to the urgent need for additional hospital beds. However, evidence from this study suggests that better ventilation systems are needed if such buildings are to provide a safe and comfortable summer environment for patients and medical staff.

scholarly journals Integrated management is effective in the prevention and control of COVID-19 in the blood purification center: joint efforts from multiple departments

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Jinmei Yin ◽  
Jun Yin ◽  
Zhiwu Tian ◽  
Peiqiu Li ◽  
Xiaoqiu Chen
Keyword(s):  
Medical Staff ◽  
Prevention And Control ◽  
Integrated Management ◽  
Medical Personnel ◽  
Blood Purification ◽  
Medical Department ◽  
Effective Prevention ◽  
Dialysis Center ◽  
Education Of Patients ◽  
And Control

Abstract Background During the outbreak of new coronavirus pneumonia, many hospitals in China became the designated hospitals for the treatment of new coronavirus pneumonia. The goal was to develop rapid and effective prevention and control methods for blood purification centers. Research design and methods The medical department, hospital department, nursing department, and blood purification center jointly set up a multi-department integrated COVID-19 prevention and control management team to manage the blood purification center. The efforts included the establishment of the continuous renal replacement therapy (CRRT) team for COVID-19, the integrated training and assessment of medical personnel, the integrated education of patients and their families, and the integrated management of the workflow of the hemodialysis room. Results No infected persons, including medical staff, patients, and their families, have been found in the dialysis center. After multi-departmental integrated training, the theoretical performance of medical staff in our dialysis center has increased from 82.36 ± 8.10 to 95.29 ± 4.95 (p < 0.05), and the unqualified rate dropped from 23.21 to 1.78% (p < 0.05). In addition, the three operational skills evaluation scores have also been significantly improved, from 86.00 ± 4.02, 88.01 ± 6.20, 92.01 ± 2.46 to 95.90 ± 0.30, 97.21 ± 0.87, 96.00 ± 1.00 (p < 0.01), and the passing rate from 80.36 to 100% (p < 0.05). Conclusion Medical staff’s knowledge of novel coronavirus pneumonia prevention and control can be improved by multi-sectoral integrated management, and CRRT treatment of COVID-19 patients is effective.

Using Baseline Data to Address the Lack of Hospital Beds during Mass-Casualty Incidents

2008 ◽  
Vol 23 (4) ◽  
pp. 377-379 ◽  
Author(s):  
Hysham Hadef ◽  
Jean-Claude Bartier ◽  
Herve Delplancq ◽  
Jean-Pierre Dupeyron
Keyword(s):  
Medical Personnel ◽  
Mass Casualty ◽  
Baseline Data ◽  
Mass Casualty Incidents ◽  
Free Access ◽  
Data Systems ◽  
Hospital Beds ◽  
Access Information ◽  
Data Program ◽  
Information Database

AbstractThe management of victims during mass-casualty incidents (MCIs) is improving. In many countries, physicians and paramedics are well-trained to manage these incidents. A problem that has been encountered during MCIs is the lack of adequate numbers of hospital beds to accommodate the injured. In Europe, hospitals are crowded. One solution for the lack of beds is the creation of baseline data systems that could be consulted by medical personnel in all European countries. A MCI never has occurred in northeastern Europe, but such an event remains a possibility. This paper describes how the use of SAGEC 67, a free-access, information database concerning the availability of beds should help the participating countries, initially France, Germany, and Switzerland, respond to a MCI by dispatching each patient to an appropriate hospital and informing their families and physicians using their own language.Baseline data for more than 20 countries, and for hospitals, especially those in Germany, Switzerland, and France, were collected. Information about the number of beds and their availability hour-by-hour was included. In the case of MCIs, the baseline data program is opened and automatically connects to all of the countries. In case of a necessary hospital evacuation, the required beds immediately are occupied in one of these three countries.Questions and conversations among medical staff or family members can be accomplished between hospitals through computer, secured-line chatting that automatically translates into appropriate language.During the patient evacuation phase of a MCI, respondents acknowledged that a combination of local, state, and private resources and international cooperation eventually would be needed to meet the demand. Patient evacuation is optimized through the use of SAGEC 67, a free baseline database.

scholarly journals Management of Rhegmatogenous Retinal Detachment during COVID-19 Pandemic

2021 ◽  
Vol 1 (1) ◽  
pp. 77-79
Author(s):  
Adel G. AlAkeely ◽  
Abeer Habeeb
Keyword(s):  
Retinal Detachment ◽  
Conventional Treatment ◽  
Rhegmatogenous Retinal Detachment ◽  
Medical Personnel ◽  
Good Alternative ◽  
Pneumatic Retinopexy ◽  
Visual Outcomes ◽  
Hospital Beds

Patients with primary Rhuegmatougenous Retinal detachment during COVID-19 pandemic were more likely to present late, have macula involving disease secondary and to show poor visual outcomes. Pneumatic Retinopexy (PR) is a procedure that eliminates the need for admission and limits the duration of contact with patients. Hence, more feasible during periods of shortage in hospital beds and medical personnel in the pandemic. In our experience, we successfully performed pneumatic retinopexy on two confirmed COVID-19 cases with favourable visual outcomes. We would recommend retina surgeons be familiar with such procedure as it may be a good alternative to conventional treatment while minimizing the risk of transmitting COVID-19.

Interventi psicoterapici nei dipartimenti di salute mentale di Napoli: un'indagine sulle scelte e sulla qualificazione degli operatori

1993 ◽  
Vol 2 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Massimo Morlino ◽  
Giuseppe Martucci ◽  
Davide Amendola ◽  
Giovanni Muscettola
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Medical Staff ◽  
Professional Training ◽  
Large City ◽  
Public Mental Health ◽  
Medical Personnel ◽  
Diagnostic Categories ◽  
Public Mental Health Services

SummaryObjective - To survey and analyse the extent of utilization of «Non Pharmacological Interventions» (NPI) in the public mental health services of a large city. Setting - Inteview of the entire medical staff employed in 1991 in 10 Departments of Mental Health in the urban area of Naples, Italy. Main measures - A «ad hoc» questionnaire was prepared to gather informations on prevalence of use on NPI in different therapeutic settings, the selected technique according to the different diagnostic categories and the degree of professional training of the interviewed medical personnel. Result - The NPI, as the only treatment, was preferred by the large majority (86%) of the medical staff. The patients treated with NPI was double in outpatient than in inpatient. Although the medical staff did not use the same diagnostic criteria (ICD-9, DSM-III, others) anxiety (49%) and personality disorders (14,3%) were the diagnostic categories most commonly selected for NPI. At the time of the survey 24% of the patients were treated with psychotherapy. Support psychoterapy, psychoanalysis, family therapy were the most frequently employed. The support psychotherapy was mainly used in treatment of schizophrenia. Near to 50% of the medical staff reported a combined use of up to five different NPI. By and large choice of NPI was found dependent on the type of training and inversly correlated with the degree of seniority. Conclusions - The data obteined from the present survey show the large use and variability in NPI employed in public mental health services. The analysis of psycotherapy used suggests a different approach between public and private sector.

System for the Measurement of Efficiency of Heat Recuperation in Ventilation Systems in Energy Efficient Buildings

2014 ◽  
Vol 223 ◽  
pp. 308-315 ◽  
Author(s):  
Stanisław Kozioł ◽  
Andrzej Zbrowski
Keyword(s):  
Thermal Comfort ◽  
Energy Efficient ◽  
National Research Institute ◽  
Sustainable Technologies ◽  
Energy Efficient Buildings ◽  
Cost Of Energy ◽  
Heat Recuperation ◽  
The Cost ◽  
Precise Assessment ◽  
Ventilation Systems

The system developed at the Institute for Sustainable Technologies – National Research Institute is intended for heat recuperation efficiency tests for recuperators used in ventilation systems in modern, passive buildings. It allows a complex and precise assessment of the efficiency of recuperators, directly influencing the cost of energy used to provide thermal comfort inside a building.

scholarly journals Problems of medical staff protection in the context of armed conflict in Ukraine

Social Law ◽  
2019 ◽  
pp. 94-98
Author(s):  
G. Gabrelyan
Keyword(s):  
Medical Staff ◽  
Armed Conflict ◽  
Criminal Responsibility ◽  
Medical Personnel ◽  
Armed Conflicts ◽  
International Humanitarian Law ◽  
Humanitarian Law ◽  
Medical Facilities ◽  
Staff Protection ◽  
International Character

It has been proved that since the beginning of Russian aggression in the east of Ukraine the problems of international humanitarian law, in particular the protection of medical personnel in the context of armed conflict, have become particularly relevant. It is determined that, through its peaceful policy, Ukraine is not ready for armed aggression. The provisions of international normative legal acts regulating the protection of medical personnel and medical facilities during armed conflicts of international and international character are examined. The basics of implementation of the provisions of international humanitarian law by national legislation and peculiarities of criminal responsibility for violations and crimes against physicians in the area of ​​armed conflict are investigated.

scholarly journals Multidimensional Diagnosis of Occupational Pressure Perception for The Medical Staff of an Intensive Care Unit (ICU)

2017 ◽  
Vol 23 (2) ◽  
pp. 238-244
Author(s):  
Elena-Luminița Bouleanu ◽  
Adrian Tudor Brate
Keyword(s):  
Intensive Care ◽  
Individual Differences ◽  
Occupational Stress ◽  
Medical Staff ◽  
Medical Personnel ◽  
Personality Factors ◽  
Self Evaluation ◽  
Evaluation Of Performance ◽  
Pressure Stress ◽  
And Control

AbstractIntensive Care Units (ICU) medical staff is frequently subject of great amount of psychological and physical occupational pressure. There are three main sources of pressure: professional responsability for the medical act, organizational requirements and interpersonal/intrapersonal relationships. Materials and method: The paper presents a study on the multidimensional diagnosis of occupational pressure/stress perception of the medical staff of an ICU (N=34). The romanian form of Pressure Management Indicator (PMI) [1][2][3][7] was applied to all participants. The instrument is designed for multidimensional evaluation of occupational stress. The objective was to identify specific indicators of occupational pressure and formulate predictions regarding the different variables. Results and conclusions: Data analysis showed, for example, that Influence and Control (as personality factors/individual differences) are good predictors for the resilience level in the studied ICU medical staff. We can conclude that individual differences regarding personality factors are the main variables that significantely influence the occupational stress coping for ICU medical staff. The PMI-RO diagnosed profile, resulted for the ICU medical staff showed many differences comparing with general population, including sources of pressure, coping strategies, personality factors, organisational satisfaction and self evaluation of performance. Further implications of the study and intervention strategies for medical personnel in ICU are discussed.

scholarly journals LATENT HEAT ENERGY STORAGE DEVICE AS А PART OF THE VENTILATION SYSTEM OF INDIVIDUAL HOUSE

2017 ◽  
Vol 1 (48) ◽  
pp. 238-243
Author(s):  
B. A. Kutnyi ◽  
B. R. Novakh
Keyword(s):  
Energy Efficient ◽  
Heat Storage ◽  
Ventilation System ◽  
Heat Energy ◽  
Storage Device ◽  
Energy Prices ◽  
Air Ventilation ◽  
Seasonal Heat ◽  
Quantity Of Heat ◽  
Ventilation Systems

Energy efficient ventilation systems allow to minimize the heat energy consumption for heating supply air, which is very relevant in the context of rising energy prices. It is dealt with the variant of the installation seasonal phase-change heat storage device in the system of ventilation with recuperation of heat energy. Preliminary engineering calculations were perfomed and the quantity of heat storage material (water) necessary for the operation of the ventilation system was determined. The diagrams of change the temperature of the air at the output from the accumulator and distribution of water and ice during the heating period were given. In the article the calculation of seasonal heat storage device on the basis of the water in the supply air ventilation systems are considered , which allows to minimize costs of thermal energy for heating  the outside air before it enters to the premises of the house. It is proved that in modern economy conditions development the energy-efficient ventilation system is a promising direction of research and implementations.

scholarly journals The Role of Medical Staff in Shaping the Nutrition Habits in Patients with Autoimmunization Thyroid Diseases in Poland.

2021 ◽  
Author(s):  
Ewa Czubek ◽  
Piotr Romaniuk ◽  
Klaudia Alcer ◽  
Mirjana Varjacic
Keyword(s):  
Thyroid Disease ◽  
Medical Staff ◽  
Autoimmune Thyroid Disease ◽  
Eating Behaviour ◽  
Medical Personnel ◽  
Well Being ◽  
Thyroid Diseases ◽  
Autoimmune Thyroid Diseases ◽  
Autoimmune Thyroid

Abstract Background: Autoimmune thyroid diseases are the most common diseases in humans. Their pathogenesis is complex. Patients are searching for ways of coping with them condition, including diet modifications. The aim of this study was to assess the role of medical personnel in shaping eating habits in patients with autoimmune thyroid disease based on experiences declared by patients. Methods: There were 208 people that took part in the study, of which 205 were qualified for final analysis. The results showed that patients most often choose online sources, while medical personnel rank second as the source of information on dietary recommendations.Results: People with thyroid disease are statistically more likely to use dietitian advice than people without thyroid disease. The highest percentage of respondents decided to modify their nutrition due to their own initiative. In addition, patients with autoimmune thyroid disease are statistically more likely to consider changing their diet to improve their well-being. The connection between the source of advice and modification of eating behaviour was also noted.Conclusion: Thanks to the joint effort of medical staff, patients can receive reliable knowledge about their disease, treatment and nutrition adapted to their needs.Trial registration: approved by the Bioethics Committee of Medical University of Silesia in Katowice (opinion no.: PCN/0022/KB1/80/2).

scholarly journals The impact of SARS-CoV-2 pandemic on medical personnel

2020 ◽  
Author(s):  
Joanna Kufel-Grabowska ◽  
Mikolaj Bartoszkiewicz ◽  
Maria Litwiniuk
Keyword(s):  
Medical Staff ◽  
Working Hours ◽  
Medical Personnel ◽  
Healthcare Systems ◽  
Medical Professionals ◽  
Personal Health ◽  
Hand Disinfection ◽  
Economic Sectors ◽  
Source Of Infection ◽  
The Impact

Introduction: The development of the SARS-CoV-2 pandemic has been causing changes globally in economic sectors and healthcare systems. Aim: The purpose of the survey we proposed, was to collect information provided directly by medical professionals during the first weeks of the SARS-CoV-2 virus epidemic about how the facilities in which they work. Material and methods: An anonymous survey was addressed to all medical staff and made available on the Internet for a period of 10 days. The research group consisted of 284 people. Results and discussion: Most (97.6%) of health care units have introduced changes in the way they function in connection with a pandemic, and almost every employee was informed about it (94.7%). In most centres, frequent hand disinfection (86.6%) and the wearing of face masks (60.2%) were recommended. Changes in working hours have been introduced in 60.6% cases, and nature of work has changed for 62.0% of respondents. Most respondents are afraid that they may be a source of infection for their relatives (81.3%), whilst almost half are afraid for their personal health (49.3%) and that of their colleagues (54.2%). For the vast majority of respondents, the use of disinfectants has been recommended (94.0%), the wearing of gloves (93.0%), and for 79.9% to wear protective masks. Conclusions: In a survey of medical staff, most people have been experiencing increased stress due to the current coronavirus pandemic. The greatest concern among medics is the possibility of transmitting the SARS-CoV-2 virus to their relatives and colleagues. According to respondents, the current pandemic will have an impact on how the healthcare system will change in Poland.

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