scholarly journals Self-swabbing in coronavirus pandemic- A game changer which can be introduced in field

2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 309-310
Author(s):  
Satheesh Kumar Bhandary ◽  
Rajeshwary Aroor ◽  
Vadisha Bhat ◽  
Mark Jittu V ◽  
Sreesan P

COVID-19, the disease caused by the novel coronavirus, SARS-CoV-2, is a highly contagious infection known to spread rapidly, leading to severe consequences and disasters. Health care workers are at higher risk of getting the infection, during the process of diagnosis and treatment of patients with the disease. Worldwide, a lot of health care workers have lost their lives because of COVID-19 infection. Managing the COVID- 19 caseload is a real challenge to the health care system. For the diagnosis of COVID-19, both nasopharyngeal and oropharyngeal swabs are obtained to detect viral RNA. (1). A nasopharyngeal swab is more sensitive due to higher viral load in nasal secretions than oral secretions, which is similar to that of Influenza (2). Taking nasopharyngeal swab is a real challenge to the health care workers and also is uncomfortable for the patient. It also exposes the health care workers to aerosols. Moreover, the scarcity of personal protective equipment (PPE) is a real burden to the health care system.

2013 ◽  
Vol 15 (1) ◽  
Author(s):  
Liezel Cilliers ◽  
Stephen V. Flowerday

Background: E-health has been identified as an integral part of the future of South African public healthcare. Telemedicine was first introduced in South Africa in 1997 and since then the cost of running the Telemedicine projects has increased substantially. Despite these efforts to introduce the system, only 34% of the Telemedicine sites in South Africa are functional at present.Objectives: Literature has suggested that one of the barriers to the successful implementation of health information systems is the user acceptance by health care workers of systems such as Telemedicine. This study investigated the user acceptance of Telemedicine in the public health care system in the Eastern Cape Province, making use of the Unified Theory of the Use and Acceptance of Technology.Method: The study employed a quantitative survey approach. A questionnaire was developed making use of existing literature and was distributed to various clinics around the province where Telemedicine has been implemented. Statistics were produced making use of Statistical Package for the Social Sciences (SPSS).Results: In general, the health care workers did understand the value and benefit of health information systems to improve the effectiveness and efficiency of the health care system. The barriers to the effective implementation of a health information system include the lack of knowledge and the lack of awareness regarding the Telemedicine system. This in turn means that the user is apprehensive when making use of the system thus contributing to less frequent usage.Conclusion: Health care workers do acknowledge that information systems can help to increase the effectiveness of the health care system. In general, the acceptance of Telemedicine in the Eastern Cape Department of Health is positive, but in order to integrate it into standard work practices, more must be done with regards to the promotion and education of telemedicine.


2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.


2020 ◽  
Vol 32 (5) ◽  
pp. 286-291
Author(s):  
Jalila Jefferson-Bullock

The COVID-19 pandemic has opened our eyes to the myriad vulnerabilities in the prison health care system. We need only record the number of pandemic-related deaths of federal inmates to grasp that the prison health care system is profoundly ill-equipped to handle the needs of inmates during a public health crisis. Currently, prisoner infection rates outpace those of the general, unincarcerated population by more than 150%, and prisoners are dying four times as often as prison staff who test positive. Results are far worse for elderly inmates. While COVID-19 afflicts people of all health profiles, its grip on the elderly is the most arresting. Though some effort has been exerted, federal prison officials fail to adequately protect the rights of the imprisoned elderly. It cannot be ignored that prison officials owe basic duties of care to the incarcerated, chief among them, the responsibility to provide adequate health care. However, prisons, by their very nature, are unable to care for an old and ailing population. This glaring deficiency is rendered indisputable by the novel coronavirus pandemic. For this reason, vulnerable inmates, especially the elderly, should be released to home confinement forthwith. Anything less is profoundly inhumane and represents a colossal miscarriage of justice.


2020 ◽  
Vol 57 ◽  
pp. 14-16
Author(s):  
Nabil A. Al-zoubi ◽  
Basil R. Obeidat ◽  
Mohammad A. Al-Ghazo ◽  
Wail A. Hayajneh ◽  
Abdelkarim H. Alomari ◽  
...  

JAMA ◽  
2020 ◽  
Vol 324 (7) ◽  
pp. 703 ◽  
Author(s):  
Xiaowen Wang ◽  
Enrico G. Ferro ◽  
Guohai Zhou ◽  
Dean Hashimoto ◽  
Deepak L. Bhatt

2004 ◽  
Vol 11 (3) ◽  
pp. 189-190
Author(s):  
Dennis Bowie

While governments share the major responsibility for providing health care in this country, they cannot do it alone. Health care workers and patients need to be involved to develop the best system. We, as physicians, must provide agencies with the science behind the best medicine and methods to care for patients. In addition, we have a responsibility to advocate for changes to give our patients the best service. This needs to be done in partnership with individuals using the health care system, who too often are not consulted. We must insist that our health care system be studied with rigorous scientific methods to ensure that the correct answers are obtained. After all, that is what we are trained to do.


2012 ◽  
Vol 195-196 ◽  
pp. 1102-1105
Author(s):  
Qi Wang ◽  
Pei Yuan Guo

This paper proposes an approach of Family-Embedded-Health-Care-System base on ARM core processor, mainly for the elderly in a community, but also applys to all residents in the community. The system consists of households composed of client and community health posts. Be connected via Internet or GPRS, it is very practical. To meet the daily needs of health monitoring, and also facilitate community health care workers to grasp the residents health status in the community instantly, so they can service better for the residents. When it is necessary, the physician could accessed the communitys computer serve system through Internet to got a patients daily health record as a diagnostic aid information. This system provided a route for remote medical services came into the ordinary families.


Author(s):  
Živa Rant ◽  
Drago Rudel

Many telemedicine services exist in Slovenia. In time of an epidemic covid-19 become increasingly important. We are introducing results of research on extent of the telemedicine services in Slovene health care in this article. We identified fifteen solutions, already used in practice or in pilot projects. We classify them in three groups: telemonitoring, connection of patients with a physician or health worker and cooperation of physicians or health workers, that are on different locations physically. For every solution we gathered key metadata. We gathered and analysed also opinions of research participants about challenges at the telemedicine services in Slovenia. We classified them into challenges about funding, health care system and health care workers. Telemedicine is urgency and future in health care also in Slovenia. It is important, that we introduce contemporary technology and existent solutions appropriately in practice, so we create a new service usually.


Sign in / Sign up

Export Citation Format

Share Document