Revamping the Ophthalmic Clinical Practice during Pandemic Covid 19; A Potential New Normal

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Nausheen Hayat ◽  
Saad Jaan Sarhandi ◽  
Alyscia Cheema
Keyword(s):  
Clinical Practice ◽  
Pediatric Patients ◽  
House Officer ◽  
Outpatient Clinics ◽  
Administrative Staff ◽  
Staff Members ◽  
Department Staff ◽  
Precautionary Measures ◽  
Spread Of Infection ◽  
Pcr Test

This paper discusses how COVID-19 affected ophthalmology practices at JPMC and the measures taken to minimize the spread of infection among doctors, nurses, administrative staff, and patients. Staff members and doctors were divided into groups consisting of a consultant, two trainees, a house-officer and eight paramedics. Out of the eight paramedics, three were posted in theatre, two inwards and the remaining in outpatient clinics. These measures helped us in the restoration of our services quickly. All elective surgeries were cancelled. In the ward, social distancing was observed. No one was allowed inside the ward without thermal scanning. Only one attendant was allowed with pediatric patients and all the adults, including patient were required to wear masks. Before admitting patients to the ward, a negative COVID-19 PCR test was compulsory. These precautionary measures helped to reduce the spread of coronavirus among the department staff.

Reflection on Learner-Led Study Abroad Events in a SAC from Three Perspectives: A Learner, an Administrative Staff Member, and an Advisor

Relay Journal ◽  
2020 ◽  
pp. 66-79
Author(s):  
Mizuki Shibata ◽  
Chihiro Hayashi ◽  
Yuri Imamura
Keyword(s):  
Study Abroad ◽  
Language Learning ◽  
Support System ◽  
Staff Member ◽  
Administrative Staff ◽  
Multiple Reflections ◽  
Learning Space ◽  
Japanese University ◽  
Staff Members

This paper reports on a case study of learner-led study-abroad events in the language learning space at a Japanese University. We present multiple reflections on the events from different perspectives: the event organizer (student), an administrative staff member, and a learning advisor working at the center. We also introduce the support system that a group of administrative staff members and learning advisors are in charge of helping learners to hold their events. Moreover, throughout our reflections, several factors that made the learner-led study-abroad events sustainable and successful are demonstrated.

viewpoint TIME TO RESTART: PROTOCOL OF RESUMPTION OF ACTIVITIES OF A DERMATOLOGICAL CLINIC OF A LEVEL II HOSPITAL IN THE COVID-19 ERA. (Preprint)

2020 ◽  
Author(s):  
Federico Diotallevi ◽  
Anna Campanati ◽  
Giulia Radi ◽  
Oriana Simonetti ◽  
Emanuela Martina ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
World Health ◽  
New Wave ◽  
Staff Members ◽  
Level Ii ◽  
The World ◽  
Health Organization ◽  
Spread Of Infection ◽  
Hospital Wards ◽  
Medical And Healthcare

UNSTRUCTURED Two months have passed since the World Health Organization (WHO) declared the pandemic of the Coronavirus Disease 19 (COVID-19), caused by the SARS CoV-2 virus, on March 11, 2020. Medical and healthcare workers have continued to be on the frontline to defeat this disease, however, continual changes are being made to their working habits which are proving to be difficult. Since the beginning of the pandemic, a major reorganisation of all hospital wards, including dermatological wards, has been carried out in order to make medical and nursing staff available in COVID wards and to prevent the spread of infection. These strategies, which were also adopted in our clinic, proved to be effective, as no staff members or patients were infected by the virus. Now, thanks to the global decrease in SARS-CovV2 infections, it is necessary to make dermatological wards accessible to patients again, but it is also essential to adopt specific protocols to avoid a new wave of infections.

scholarly journals An analysis of infection control of varicella-zoster virus infections in Addenbrooke's Hospital Cambridge over a 5-year period, 1987–92

1996 ◽  
Vol 117 (1) ◽  
pp. 165-171 ◽  
Author(s):  
T. G. Wreghitt ◽  
J. Whipp ◽  
C. Redpath ◽  
W. Hollingworth
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Prospective Study ◽  
Varicella Zoster Virus ◽  
Virus Infections ◽  
Patient Case ◽  
Varicella Zoster ◽  
Staff Members ◽  
Spread Of Infection ◽  
The Cost

SummaryThis prospective study analyses infections with varicella-zoster virus (VZV) in Addenbrooke's Hospital, Cambridge during 1987–92 and examines the spread of infection. In total, 93 patients and staff experienced VZV infection. Twenty-one patients had varicella and 49 experienced zoster. None of 101 patients and 1 of 625 staff members in contact with varicella cases acquired infection. By contrast, 2 of 227 patients, and 5 of 1039 staff in contact with zoster cases acquired varicella. One out of 28 (3·6%) VZV antibody-negative patients and staff in contact with varicella acquired infection, compared with 5 out of 29 (17·2%) VZV antibody-negative patients and staff in contact with zoster. Thus, zoster was found to be a more frequent cause of nosocomial infection than varicella. Fourteen members of staff had VZV infection during the study period. One of 99 patients and none of 389 staff members in contact with these cases developed varicella. The cost of dealing with infection control for VZV infections in our hospital is estimated to be £714 per patient case and a total of £13204 per year.

scholarly journals Management of a pediatric burn center during the covid-19 pandemic

2021 ◽  
Author(s):  
Ahmet Erturk ◽  
Sabri Demir ◽  
Can İhsan Oztorun ◽  
Elif Emel Erten ◽  
Dogus Guney ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Total Body Surface Area ◽  
Center Staff ◽  
Staff Members ◽  
Burn Center ◽  
History Of ◽  
Group 2 ◽  
Travel Abroad ◽  
Pcr Test ◽  
Group 1

Abstract The aim of this study was to evaluate the results of an algorithm that was created to prevent coronavirus disease-2019 (COVID-19) transmission during the management of children with burns in a tertiary pediatric burn center. Children admitted to the burn center between May 2020 and November 2020 were prospectively evaluated for cause, burn depth, total body surface area (TBSA), length of stay, symptoms suggesting COVID-19, suspicious contact history, history of travel abroad, and COVID-19 polymerase chain reaction (PCR) test results. Patients were divided into two groups: unsuspected (Group 1) and suspected (Group 2), depending on any history of suspicious contact, travel abroad, and/or presence of symptoms. A total of 101 patients were enrolled in the study, which included 59 boys (58.4%) and 42 girls (41.6%). Group 1 included 79 (78.2%) patients, and Group 2 consisted of 22 (21.8%) patients. The most common cause of the burns was scald injuries (74.2%). The mean age, TBSA, and length of stay were 4.5 years, 12.0%, and 13.2 days, respectively. Four patients (3.9%) had a positive PCR test (two patients in each group). Comparing groups, males were more commonly found in Group 2 (p=0.042), but no differences were found for the other variables. No patients or burn center staff members developed COVID-19 during the course of hospitalization. In conclusion, every child should be tested for COVID-19 upon admission to a burn unit, and a modified algorithm should be constructed for the handling and management of pediatric burn patients.

scholarly journals Transmission of COVID-19 in Public and Private Schools in Benghazi, Libya: 13th -28th February 2021

2021 ◽  
pp. 32-37
Author(s):  
Naeima Houssein ◽  
Alsalihin Majeed ◽  
Emad Amkhatirha ◽  
Abdelghffar F. Abdelghffar ◽  
Asma Abubakr Mustafa ◽  
...  
Keyword(s):  
Private Schools ◽  
Viral Antigen ◽  
School Setting ◽  
Nasopharyngeal Swab ◽  
Eastern Region ◽  
Antigen Test ◽  
Prevention Measures ◽  
Public And Private ◽  
Staff Members ◽  
Pcr Test

The aim of the present study was to provide a national estimate for transmission of COVID-19 Cases in public and private schools in Benghazi city in the Eastern region of Libya. A multistage procedure was followed to obtain a representative sample of students and teaching staffs at randomly selected schools across the Eastern region of Libya. The resultant sample consisted of 101 schools, 808 students, and 202 staff members. Data were collected on age, sex, class, and symptoms of COVID19. Rapid antigen test was performed as a diagnostic test for SARS-CoV-2 to detect the presence of a viral antigen. Specimen was taken from the upper nasopharyngeal swab. Out of 808 students tested, 5 specimens were positive. Every positive rapid antigen test was further confirmed by PCR test.  All Specimens taken from staff members were negative. This survey highlights epidemiological concern on COVID-19 among students and staff members in school setting in Benghazi. Implementation and compliance with prevention measures are crucial.

scholarly journals Anesthetic Agents in Pediatric Patients, A Comprehensive Review of Pharmacological Considerations in Clinical Practice

2020 ◽  
Vol 8 (4) ◽  
Author(s):  
Alan Kaye ◽  
George Jeha ◽  
Jordan Renschler ◽  
Mitchell Fuller ◽  
Alex Pham ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pediatric Patients ◽  
Comprehensive Review ◽  
Anesthetic Agents

scholarly journals Human resources department in crisis: A case of a university in South Africa

2014 ◽  
Vol 10 (3) ◽  
pp. 19-27
Author(s):  
Bethuel Sibongiseni Ngcamu
Keyword(s):  
Higher Education ◽  
South Africa ◽  
Human Resources ◽  
Higher Education Institutions ◽  
The Body ◽  
Staff Members ◽  
Management Interventions ◽  
Department Staff ◽  
University Leaders ◽  
Depth Interviews

Human Resources (HR) departments in previously disadvantaged higher education institutions (HEI) in South Africa have contributed to the crisis that has led them to be governed by appointed Administrators assigned by the Ministry of Higher Education and Training. The malfunctioning of HR departments persists even in the post-Administrator’s era, with a prevalence of personal, interpersonal and operational challenges. This study aimed at interrogating challenges faced by the HR Department of the university concerned post the appointed Administrator era and its negative effects. This study adopted a qualitative research approach whereby in-depth interviews were conducted with a sample of 10 HR Department staff members. Focus group discussions were also carried out with 20 academic and non-academic university leaders. Further data was also collected through ethnographic observation and secondary data was also used. The non-probability purposive sampling was used for qualitative analysis and NVivo was used for organizing and analyzing data gleaned from the in-depth interviews. The study findings consistently revealed unclear roles and responsibilities, outmoded recruitment and selection processes and poor interpersonal relations amongst the HR department staff members as some of the challenges that still persist post the Administrator’s era, all of which have contributed to the paralysis of organizational culture. University leaders can use the study findings as a tool to devise and implement radical change management interventions aiming at re-engineering HR departments that are operating abnormally, as well as for designing a responsive HR Strategic Architect. This study will contribute to the body of knowledge in the HR fraternity as there is a dearth of published studies on the internal challenges faces by HR Departments (both interpersonal and operational), which have the potential to hamper smooth operations of higher education institutions.

scholarly journals Clinical Practice Guideline for Systemic Antifungal Prophylaxis in Pediatric Patients With Cancer and Hematopoietic Stem-Cell Transplantation Recipients

2020 ◽  
Vol 38 (27) ◽  
pp. 3205-3216
Author(s):  
Thomas Lehrnbecher ◽  
Brian T. Fisher ◽  
Bob Phillips ◽  
Melissa Beauchemin ◽  
Fabianne Carlesse ◽  
...  
Keyword(s):  
Systematic Review ◽  
Stem Cell ◽  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Pediatric Patients ◽  
Antifungal Prophylaxis ◽  
Hematopoietic Stem ◽  
Strong Recommendation ◽  
Patients With Cancer

PURPOSE To develop a clinical practice guideline for systemic antifungal prophylaxis in pediatric patients with cancer and hematopoietic stem-cell transplantation (HSCT) recipients. METHODS Recommendations were developed by an international multidisciplinary panel that included a patient advocate. We conducted a systematic review of systemic antifungal prophylaxis in children and adults with cancer and HSCT recipients. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to make strong or weak recommendations and to classify level of evidence as high, moderate, low, or very low. The panel considered directness of the data to pediatric patients. RESULTS There were 68 randomized trials included in the systematic review, of which 6 (9%) were conducted in a solely pediatric population. Strong recommendations were made to administer systemic antifungal prophylaxis to children and adolescents receiving treatment of acute myeloid leukemia, to those undergoing allogeneic HSCT pre-engraftment, and to those receiving systemic immunosuppression for graft-versus-host disease treatment. A strong recommendation was made to administer a mold-active agent with an echinocandin or a mold-active azole when systemic antifungal prophylaxis is warranted. For children younger than 13 years of age, an echinocandin, voriconazole, or itraconazole is suggested. Posaconazole may also be used in those age 13 years or older. A strong recommendation against routine administration of amphotericin as systemic antifungal prophylaxis was made. CONCLUSION We developed a clinical practice guideline for systemic antifungal prophylaxis administration in pediatric patients with cancer and HSCT recipients. Implementation and assessment of guideline-concordant rates and impacts are important future steps.

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