Hospital solution for COVID-19 isolation facility

2021 ◽  
Vol 16 (1) ◽  
pp. 35-41
Author(s):  
Gidon Berger, MD ◽  
Netanel A. Horowitz, MD ◽  
Yael Shachor-Meyouhas, MD ◽  
Vardit Gepstein, MD ◽  
Khetam Hussein, MD ◽  
...  
Keyword(s):  
Large Scale ◽  
Medical Center ◽  
Medical Personnel ◽  
Lessons Learned ◽  
Medical Standards ◽  
Israeli Government ◽  
Clinical Scenarios ◽  
Maximum Protection ◽  
Set Up ◽  
Isolation Facility

Objective: In response to the coronavirus disease 2019 (COVID-19) pandemic, the Israeli government strategy initially focused on containment. The Ministry of Health mandated isolation of COVID-19 patients in hospitals and instructed healthcare institutions to make necessary arrangements. As the second Israeli hospital to establish a COVID-19 department, this article describes our experience in its rapid establishment, while maintaining normal medical center activities.Setting: Establishing the COVID-19 department involved planning, set-up, and implementations phases, each one based on knowledge available regarding the pandemic and established medical standards for isolation and protection of patients and staff. Wherever possible, new innovative technologies were utilized to provide maximum protection for both patients and staff, together with special online training that was developed for medical teams.Results: A COVID-19 department was successfully established on the hospital campus, remote from other ongoing patient activities. A novel methodology of disease-adapted medicine was implemented successfully among the department's medical staff, who underwent training tailored to expected clinical scenarios. The COVID-19 department is receiving patients, with no contamination of medical personnel to date. A recent survey of COVID-19 patients revealed a very high patient satisfaction rate.Conclusion: Based on the experience described herein and lessons learned, the hospital is preparing for a potential large-scale COVID-19 wave, aimed at full readiness through utilization of a fortified underground emergency hospital to treat up to 900 COVID-19 patients, and establishment of versatile in-hospital infrastructure for quick conversion from standard conditions to COVID-19 appropriate conditions.

scholarly journals Oral Care that Supports Healthy Lives as a Case Study of the Kumamoto Earthquake

2021 ◽  
pp. 211-217
Author(s):  
Michikazu Hiramatsu ◽  
Hideto Ohta
Keyword(s):  
Large Scale ◽  
Oral Care ◽  
Medical Personnel ◽  
The Elderly ◽  
Lessons Learned ◽  
Dental Hygienist ◽  
Medical Activity ◽  
Kumamoto Earthquake ◽  
Effective Health Care

AbstractImmediately after the Great Hanshin-Awaji Earthquake in 1995 and the Great East Japan Earthquake in 2011, pneumonia outbreak among the elderly increased the rate of fatalities. What caused this? To use lessons learned during the large-scale disaster, specialists concerned with the field of dentistry began to take action using new perspectives. Consequently, they noticed the importance of giving care to the entire oral cavity as well as the teeth. Based on reports from a dentist and a dental hygienist who tackled the oral care of the Kumamoto Earthquake victims in 2016, their methods of effective health care following a disaster is presented in this paper. We also propose a preventative medical activity that can be conducted sustainably for anyone, not just medical personnel.

scholarly journals (A29) Effect of Institutional Education and Exercise Programs on Knowledge, Views, and Compliance during Unusual Biological Events

2011 ◽  
Vol 26 (S1) ◽  
pp. s8-s9
Author(s):  
O. Benin-goren ◽  
E. Miller ◽  
I. Dallal ◽  
J. Abu Hanna
Keyword(s):  
Health System ◽  
Emergency Preparedness ◽  
Large Scale ◽  
Medical Center ◽  
Medical Knowledge ◽  
Medical Personnel ◽  
Family Status ◽  
Educational Tools ◽  
National Response ◽  
Self Learning

BackgroundUnusual biological events (UBEs) pose a distinct challenge for emergency preparedness. Not only are these events rare and difficult to detect, but they also pose clear hazards for both medical personnel and their families. Distinct skills include identifying UBEs and activating institutional and national response. Staff attendance and confidence in the health system play a vital role in effective management of UBEs. The Israeli Ministry of health conducts yearly drills on the personal, institutional, and national response to UBEs.AimThe aim of this study was to evaluate the effect of various educational tools and personnel characteristics on personnel skills, views, and compliance to participate in the management of UBEs.MethodsAs part of the preparations for an institutional drill in the Tel Aviv Medical Center, several educational methods were employed. These included e-mail notifications, computer-based self learning, publication of an institutional protocol, tabletop drills, personal briefings, and finally, a large scale exercise. Questionnaires regarding personnel characteristics, participation in pre-drill education, personal views, compliance, and familiarity of institutional protocols and selected diseases were distributed.ResultsAge, family status, and years of experience had no significant influence on personal views. Confidence in the health system increased with experience. Intensity of training had significant positive effect on personal confidence and compliance to attend work during a UBE, however it did not appear to significantly influence personal views or medical knowledge.ConclusionsComprehensive education and exercise of personnel is beneficial effect in terms of personal confidence and work attendance during UBEs. Specific educational tools, such as self-learning software, increase proficiency.

scholarly journals Resilient Smart Gardens—Exploration of a Blueprint

2018 ◽  
Vol 10 (8) ◽  
pp. 2654
Author(s):  
Birgit Penzenstadler ◽  
Jayden Khakurel ◽  
Carl Plojo ◽  
Marinela Sanchez ◽  
Ruben Marin ◽  
...  
Keyword(s):  
Internet Of Things ◽  
Water Conservation ◽  
Large Scale ◽  
Lessons Learned ◽  
Safe Space ◽  
Small Scale ◽  
Resource Limitations ◽  
Team Project ◽  
Set Up ◽  
Student Team

In an effort to become more resilient and contribute to saving water and other resources, people become more interested in growing their own food, but do not have sufficient gardening experience and education on conserving water. Previous work has attempted to develop resilient smart gardens that support the user in automated watering using simple embedded boards. However, none of these solutions proved to be scalable nor are they easy to replicate for people at home. We set up a student team project that created a safe space for exploring this multidisciplinary domain. We developed a smart resilient garden kit with Internet-of-Things devices that is easy to rebuild and scale. We use a small-scale board and a number of sensors connected to a planter. In this paper, we report on a prototypical implementation for multidisciplinary smart garden projects, our experiences with self-guided implementation and reflection meetings, and our lessons learned. By learning about water conservation using automation on a small scale, students develop a sense for engineering solutions regarding resource limitations early on. By extending such small projects, they can prepare for developing large-scale solutions for those challenges.

utseus as a Successful Case of a Sino-French Approach to Engineering Education

2015 ◽  
Vol 4 (2) ◽  
pp. 207-233
Author(s):  
Cornelia Marin ◽  
MonZen Tzen
Keyword(s):  
Language Learning ◽  
Large Scale ◽  
Industrial Relations ◽  
Foreign Language Learning ◽  
Lessons Learned ◽  
Successful Case ◽  
Student Cohorts ◽  
Recent Developments ◽  
Foreign Education ◽  
Set Up

It is the aim of the paper to reflect on the lessons learned after ten years of existence of the Sino-French School for Engineering at Shanghai University (utseus), as well as on perspectives for an evolution related to recent developments in the French Higher Education landscape. The authors present background, rationale, modalities and perspectives for this venture set up by three French universities of technology in China by drawing parallels with other well-established Sino-foreign operations. It is shown that the combination of transnational and international approaches allow for transferring and adapting a foreign education model on a large scale, but also for establishing reciprocal mobility of big student cohorts. The approach is based on an integrated foreign language learning and intercultural content. This successful experience also shows how universities play an integrative role for a country’s cultural and industrial relations at an international level.

scholarly journals Evaluation of an OBCE Conversion Contract in a Large-scale Oil and Gas Project

2020 ◽  
Vol 312 ◽  
pp. 02006
Author(s):  
Ruveyda Komurlu ◽  
Akin Er
Keyword(s):  
Large Scale ◽  
Oil And Gas ◽  
Oil And Gas Industry ◽  
Lessons Learned ◽  
Project Schedule ◽  
Gas Industry ◽  
Maximum Benefit ◽  
Set Up ◽  
Distinguishing Features

Billion-dollar investments are quite common in oil and gas industry and owners generally prefer engineering, procurement, construction (EPC) contracts since they would like to minimize their risks and guarantee the most consistent project cost and shortest timeline scheme. Considering the size of contracts, owners are unsurprisingly seeking an ideal tender awarding method to avoid deviation from project schedule or budget and get the maximum benefit for them. They may prefer to award the EPC contract directly (i), have a front-end engineering design (FEED) study done first and award the EPC contract afterwards (ii), or set up a convertible contract and convert it to EPC after an open book cost estimate (OBCE) process (iii). It is a question of concern which option for large-scale oil and gas projects is the most favourable. As a case study, outcomes of a project which was administrated with a conversion type of contract will be reviewed in detail, and a number of principles based on lessons learned will be listed. Thus, the authors aim to provide a verifying approach for the interpretation of EPC conversion type contract management based on analysis of the distinguishing features of large-scale oil and gas projects.

scholarly journals Telephone communication with relatives of hospitalised COVID-19 patients by a specialised family support team: lessons learned

2022 ◽  
Author(s):  
Ara Ayora ◽  
Carme Nogueras ◽  
Sonia Jimenez-Panes ◽  
Sergi Cortinas-Rovira
Keyword(s):  
Large Scale ◽  
Hospital Admissions ◽  
Health Workers ◽  
Lessons Learned ◽  
Bad News ◽  
Large Hospital ◽  
Individual Interviews ◽  
Breaking Bad ◽  
Adequate Care ◽  
Set Up

During March and April 2020, the number of hospital admissions and deaths due to the first wave of COVID-19 peaked. The objective of this study was to analyse the experiences of a team of health professionals in charge of breaking bad news over the telephone to the relatives of patients admitted to the respiratory ward of a large hospital in Barcelona. This was a qualitative research based on semi-structured individual interviews with all the members of the team and a group interview. The interviews were analysed using Condensation of Meaning techniques. Three central themes emerged after analysing the interviews: (1) the call itself, (2) the need for good organisational support both before and during a crisis, and (3) the care that the professionals themselves need. To set up a large-scale operation to break bad news over the phone, some organisational aspects must be considered that go beyond the call itself. All these aspects are interrelated to a large extent, and due attention should be given to proper communication and adequate care practices for both relatives and health workers. 

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Platelet Anti-Aggregating Activity and Tolerance of Clopidogrel in Atherosclerotic Patients

1996 ◽  
Vol 76 (06) ◽  
pp. 0939-0943 ◽  
Author(s):  
B Boneu ◽  
G Destelle ◽  
Keyword(s):  
Platelet Aggregation ◽  
Large Scale ◽  
Bleeding Time ◽  
Antithrombotic Activity ◽  
Ambulatory Patients ◽  
Patients At Risk ◽  
Set Up ◽  
Ischemic Events ◽  
Large Scale Clinical Trial ◽  
Selection Of

SummaryThe anti-aggregating activity of five rising doses of clopidogrel has been compared to that of ticlopidine in atherosclerotic patients. The aim of this study was to determine the dose of clopidogrel which should be tested in a large scale clinical trial of secondary prevention of ischemic events in patients suffering from vascular manifestations of atherosclerosis [CAPRIE (Clopidogrel vs Aspirin in Patients at Risk of Ischemic Events) trial]. A multicenter study involving 9 haematological laboratories and 29 clinical centers was set up. One hundred and fifty ambulatory patients were randomized into one of the seven following groups: clopidogrel at doses of 10, 25, 50,75 or 100 mg OD, ticlopidine 250 mg BID or placebo. ADP and collagen-induced platelet aggregation tests were performed before starting treatment and after 7 and 28 days. Bleeding time was performed on days 0 and 28. Patients were seen on days 0, 7 and 28 to check the clinical and biological tolerability of the treatment. Clopidogrel exerted a dose-related inhibition of ADP-induced platelet aggregation and bleeding time prolongation. In the presence of ADP (5 \lM) this inhibition ranged between 29% and 44% in comparison to pretreatment values. The bleeding times were prolonged by 1.5 to 1.7 times. These effects were non significantly different from those produced by ticlopidine. The clinical tolerability was good or fair in 97.5% of the patients. No haematological adverse events were recorded. These results allowed the selection of 75 mg once a day to evaluate and compare the antithrombotic activity of clopidogrel to that of aspirin in the CAPRIE trial.

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