Literatura académica sobre el tema "Allied health assistants"
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Artículos de revistas sobre el tema "Allied health assistants"
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Carless, Mary P. "THE ALLIED HEALTH ASSISTANTS‘ COURSE". Australian Occupational Therapy Journal 26, n.º 2 (27 de agosto de 2010): 74–79. http://dx.doi.org/10.1111/j.1440-1630.1979.tb00693.x.
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Stute, Michelle, Andrea Hurwood, Julie Hulcombe y Pim Kuipers. "Defining the role and scope of practice of allied health assistants within Queensland public health services". Australian Health Review 37, n.º 5 (2013): 602. http://dx.doi.org/10.1071/ah13042.
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Background The uptake and utilisation of allied health assistants as professional support staff has been variable across disciplines and jurisdictions. Although they are potentially very important in the current health workforce context, there is little agreement on their roles or the most suitable methods to define these roles. Method Based on a review of literature, existing role descriptions and focus groups, a Delphi survey process was undertaken. This process comprising three rounds of discussion and clarification via email, with between 107 and 188 participants, was undertaken to define and establish consensus on allied health assistant roles at three levels. Results Three cycles of editing, qualitative feedback and rating of agreement with statements resulted in substantial clarification of roles and a meaningful degree of consensus regarding the role and scope of such positions. High levels of agreement were not reached for more high-level or contested clinical tasks. Conclusions The Delphi process resulted in key tasks and roles being defined and contentious aspects clearly identified. The process facilitated engagement with workforce members most closely affected by these questions. It was a useful means of drawing together the opinions of the workforce and informing implementation trials to follow. What is known about the topic? Allied health assistants are important members of health teams. Current developments in health services necessitate considerable growth in these positions. The role and scope of practice of allied health assistants is poorly defined and varies between disciplines, settings and facilities, which threatens the establishment of these positions. What does this paper add? This study describes a methodology used to define the role and scope of practice of allied health support staff, which resulted in high levels of consensus and documentation of concerns regarding these positions. Tasks and roles have been defined at different allied health assistant position levels. What are the implications for practitioners? The definition of roles and establishment of scope of practice of emerging positions can be substantially advanced by well researched and widely consultative methods. For more advanced allied health assistant positions to be effectively implemented, tasks relating to treatment, leadership, documentation, assessment and team participation must be clearly elucidated and agreed.
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Pearce, Claire y Leanne Pagett. "Advanced allied health assistants: an emerging workforce". Australian Health Review 39, n.º 3 (2015): 260. http://dx.doi.org/10.1071/ah14253.
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Objective Nationally and internationally there is work underway to continue to advance the scope of practice of allied health assistants (AHA). The advanced role requires additional training and competency development, as well as significant clinical experience. To build on the evidence relating to advanced scope AHAs, ACT Health undertook a project to explore the potential for the development of the local AHA workforce. This paper provides an overview of the project. Methods The potential for advanced AHAs in the Australian Capital Territory (ACT) was assessed using literature reviews, consultation with other services working with advanced AHAs and interviews with local allied health managers and assistants. Results A role for advanced AHAs within the ACT workforce was recommended, along with the need to further develop the AHA governance structure and AHA training packages and to undertake more research into the AHA workforce. Conclusion AHAs make a positive contribution to the delivery of effective, responsive, consumer-focused healthcare. The advanced AHA role provides further opportunities to enhance the flexibility of allied health services while also providing a career structure for this growing workforce.
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Somerville, Lisa, Annette Davis, Sarah Milne, Desiree Terrill y Kathleen Philip. "Exploration of an allied health workforce redesign model: quantifying the work of allied health assistants in a community workforce". Australian Health Review 42, n.º 4 (2018): 469. http://dx.doi.org/10.1071/ah16266.
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The Victorian Assistant Workforce Model (VAWM) enables a systematic approach for the identification and quantification of work that can be delegated from allied health professionals (AHPs) to allied health assistants (AHAs). The aim of the present study was to explore the effect of implementation of VAWM in the community and ambulatory health care setting. Data captured using mixed methods from allied health professionals working across the participating health services enabled the measurement of opportunity for workforce redesign in the community and ambulatory allied health workforce. A total of 1112 AHPs and 135 AHAs from the 27 participating organisations took part in the present study. AHPs identified that 24% of their time was spent undertaking tasks that could safely be delegated to an appropriately qualified and supervised AHA. This equates to 6837 h that could be redirected to advanced and expanded AHP practice roles or expanded patient-centred service models. The VAWM demonstrates potential for more efficient implementation of assistant workforce roles across allied health. Data outputs from implementation of the VAWM are vital in informing strategic planning and sustainability of workforce change. A more efficient and effective workforce promotes service delivery by the right person, in the right place, at the right time. What is known about this topic? There are currently workforce shortages that are predicted to grow across the allied health workforce. Ensuring that skill mix is optimal is one way to address these shortages. Matching the right task to right worker will also enable improved job satisfaction for both allied health assistants and allied health professionals. Workforce redesign efforts are more effective when there is strong data to support the redesign. What does this paper add? This paper builds on a previous paper by Somerville et al. with a case study applying the workforce redesign model to a community and ambulatory health care setting. It provides evidence that this workforce redesign model enables data to be collected to identify the opportunity for redesign in the allied health workforce in this clinical setting. What are the implications for practitioners? There are career pathways and opportunity for growth in the allied health assistant workforce in the community and ambulatory health care setting. These opportunities will need to be coupled with the development of supervision and delegation skills in the allied health professional workforce to ensure that an integrated workforce is built to provide optimal clinical care in the community and ambulatory setting.
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Strong, Graham D. "Allied Health Assistants: Their Training, Role and Attitudes". Australian Occupational Therapy Journal 30, n.º 3 (27 de agosto de 2010): 117–23. http://dx.doi.org/10.1111/j.1440-1630.1983.tb01432.x.
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Snowdon, David A., Peggy Vincent, Michele L. Callisaya, Taya A. Collyer, Yi Tian Wang y Nicholas F. Taylor. "Feasibility of allied health assistant management of people with acute hip fracture: protocol for a feasibility randomised controlled trial". BMJ Open 11, n.º 11 (noviembre de 2021): e054298. http://dx.doi.org/10.1136/bmjopen-2021-054298.
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IntroductionGuidelines for hip fracture care state that patients with hip fracture should be mobilised on the day after surgery and at least once a day thereafter. However, compliance with these guidelines is poor. One approach that would assist physiotherapists to meet mobility guidelines after hip fracture is to delegate the provision of daily mobilisation to allied health assistants under their supervision. Therefore, we plan to conduct a randomised controlled trial to determine the feasibility of an allied health assistant providing daily inpatient rehabilitation to patients with hip fracture.Methods and analysisUsing a parallel group randomised controlled design with one-to-one allocation, participants will be randomly allocated to an experimental group (allied health assistant management) or a comparison group (physiotherapist management). Inclusion criteria are: adult with diagnosis of hip fracture; inpatient in acute hospital; walked independently pre-hip fracture and able to communicate in conversational English. The experimental group will receive routine physiotherapy rehabilitation, including daily mobilisation, from an allied health assistant following initial physiotherapist assessment. The comparison group will receive routine rehabilitation from a physiotherapist. The primary outcome will be the feasibility of allied health assistant management of patients with hip fracture. Feasibility will be determined using the following areas of focus in Bowen’s feasibility framework: acceptability (patient satisfaction), demand (proportion of patients who participate), implementation (time allied health assistant/physiotherapist spends with participant, occasions of service) and practicality (cost, adverse events). Staff involved in the implementation of allied health assistant care will be interviewed to explore their perspectives on feasibility. Secondary outcomes include compliance with daily mobilisation guidelines, discharge destination, hospital readmission, falls, functional activity and length of stay. We aim to recruit 50 participants. Descriptive statistics will be used to describe feasibility and mobilisation rates will be calculated using Cox proportional hazards regression to compare compliance with mobilisation guidelines.Ethics and disseminationEthics approval was obtained from the Peninsula Health human research ethics committee (HREC/63 005/PH-2020). The findings will be disseminated in peer-reviewed journals and conference presentations.Trail registration numberAustralian and New Zealand Clinical Trial Registry; ACTRN12620000877987; Pre-results.
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Reddy, J. "A survey of the role of allied mental health services in learning disabilities at Lanchester Road Hospital, Durham". European Psychiatry 26, S2 (marzo de 2011): 900. http://dx.doi.org/10.1016/s0924-9338(11)72605-0.
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IntroductionAllied mental health services play important role in patients’ care in Learning Disabilities as they are more in contact with the patients. Their knowledge about common side effects of medication and relevance of routine blood investigations help Clinicians to provide appropriate care and support.ObjectiveTo ascertain the knowledge of Allied mental health services about common side effects of medication and relevance of routine blood investigations.MethodologySurvey questionnaire was distributed to staff between November 09 and January 10.The questions included about the common side effects of Lithium, Insulin, High dose Antidepressants, High dose Antipsychotics and Anticoagulant Medication. Relevance of Routine Blood Tests and Blood Pressure Monitoring were also asked. Number of questionnaire distributed - 60. Number of Respondents -30. Responses were collected anonymously.ResultsRespondent Classification -Registered Nurses- 4, Nursing Assistants- 12, Care Assistants- 10, Associate Practioner- 1, Deputy Charge Nurses- 2, Occupational Therapist -1.Of the Registered Nurses, Associate Practioners, Deputy Charge Nurses the results were 100%. With the Nursing Assistant- 25% (3), Care Assistant- 10% (1) and OT was aware of Routine blood tests and BP.The Nursing Assistants and Care Assistants were aware of one side effect for Lithium, Clozapine, Anticoagulants and Insulin. They were not aware of side effects of High dose Antidepressants & High dose Antipsychotics. The awareness of relevance of Routine Blood Tests and Blood Pressure Monitoring was 80% and 90% respectively.Conclusions•Arrange educational meetings to the Support workers•Conduct the survey in a year's time
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O’Brien, Rachael, Nicole Byrne, Rebecca Mitchell y Alison Ferguson. "Rural speech-language pathologists’ perceptions of working with allied health assistants". International Journal of Speech-Language Pathology 15, n.º 6 (8 de febrero de 2013): 613–22. http://dx.doi.org/10.3109/17549507.2012.759623.
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Mickan, Sharon, Xanthe Golenko y Nicholas Buys. "Educational needs and workplace opportunities of allied health assistants: A qualitative pilot". Focus on Health Professional Education: A Multi-Professional Journal 19, n.º 3 (27 de noviembre de 2018): 52. http://dx.doi.org/10.11157/fohpe.v19i3.251.
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Sarigiovannis, P., S. Jowett, B. Saunders, N. Corp y A. Bishop. "Clinical and cost-effectiveness and perceptions of delegation by Allied Health Professionals to Allied Health Assistants: A mixed methods systematic review". Physiotherapy 113 (diciembre de 2021): e119-e120. http://dx.doi.org/10.1016/j.physio.2021.10.104.
Texto completoTesis sobre el tema "Allied health assistants"
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SCHUCKMAN, CHRISTY M. "The Use of Personal Digital Assistants Across Four Medical Center Colleges at the University of Cincinnati". University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1141091676.
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Epps, Susan Bramlett. "What do RAs and spiders have in common". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/2566.
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Epps, Susan Bramlett. "The Myth of the 24/7 RA". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/2565.
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Epps, Susan Bramlett. "Communication for the RA". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/2567.
Texto completoLibros sobre el tema "Allied health assistants"
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M, Rayburn Francis, ed. The professional medical assistant: Clinical practice. Albany, N.Y: Delmar Publishers, 1993.
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Frew, Mary Ann. Comprehensive medical assisting: Competencies for administrative and clinical practice. 3a ed. Philadelphia: F.A. Davis, 1995.
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R, Frew David, ed. Comprehensive medical assisting: Administrative and clinical procedures. 2a ed. Philadelphia: Davis, 1988.
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Frew, Mary Ann. Clinical procedures for medical assisting. Philadelphia: F.A. Davis, 1990.
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Introduction to physical therapy for physical therapist assistants. 2a ed. Sudbury, MA: Jones & Bartlett Learning, 2011.
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Medical assisting review. Englewood Cliffs, N.J: Brady/Prentice Hall, 1995.
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Klieger, Diane M. Saunders essentials of medical assisting. 2a ed. St. Louis, Mo: Saunders, 2010.
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Leighann, Remmert y Clayton Bruce D. 1947-, eds. Mosby's textbook for medication assistants. St. Louis, Mo: Mosby/Elsevier, 2009.
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Documentation for physical therapist assistants. Philadelphia: F.A. Davis, 1997.
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Ann, Woods Mary y Derge Eleanor F, eds. The medical assistant: Administrative and clinical. 7a ed. Philadelphia: W.B. Saunders Co., 1993.
Buscar texto completoCapítulos de libros sobre el tema "Allied health assistants"
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Lucid, Catherine E. "Prominent Role of Allied Health Professionals (Nurse Practitioners, Physician Assistants, Others) in Long-Term Follow-Up After Hematopoietic Stem Cell Transplantation". En Blood and Marrow Transplantation Long-Term Management, 52–54. Oxford, UK: John Wiley & Sons, Ltd, 2013. http://dx.doi.org/10.1002/9781118473306.ch7.
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Nancarrow, Susan y Alan Borthwick. "The support workforce within the allied health division of labour". En The Allied Health Professions, 131–50. Policy Press, 2021. http://dx.doi.org/10.1332/policypress/9781447345367.003.0006.
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This chapter draws on the examples of occupational therapy assistants (OTAs) and podiatry assistants to examine the development and growth of the support workforce in allied health, and the considerations for the allied health professions. Allied health professionals have successfully devolved several aspects of their work to a growing support workforce, such as allied health assistants. These roles are becoming increasingly standardised in terms of training, titles, recognition and regulation. These occupations are often seen as transitional roles rather than aspiring professions in their own right, and may occupy an interdisciplinary space; however, there is evidence of growth and extended scope within these disciplines, such as the expansion of OTA roles into assistant practitioners.
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Bathory, David S. "Relational Dynamics and Health Economics". En Health Economics and Healthcare Reform, 220–35. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-3168-5.ch013.
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Primary care physicians' and allied healing professionals are overwhelmed with greater demands to provide complex care within business structures that either mandate high volume or exorbitant fees for service in order to support healthcare needs or sustain their livelihood. Statistics within the USA note that 40 to 50 percent of primary care physicians practice consists of complicated care. There are continued decreases within the USA of medical doctors who enter general practice and most choose to enter specialties where they are able to dictate their hours of availability and are reimbursed at a higher rate for services. The exception lies in psychiatry and pediatrics, where there is a shortage of providers and low fees for service. Models that have been proposed to alleviate issues related to these shortages include models of integrated health care, where physicians provide holistic care or partner seamlessly with others to provide total care at a single location. Physician extenders have been developed as an alternative where Master's Level Nurses and Physician Assistants are allowed to practice in the same setting and under the supervision of the licensed physician to deliver care. The intent of the physician extender is to allow the physician to spend greater time with more complicated cases and for the assistants to provide routine care. The issue becomes differentiating when a patient presents with a routine issue but actually requires complex interventions. When traditional physical medicine is combined with a need for psychological counseling the needs are complex, and medical doctors or physician extenders are provided with only a three month rotation in psychological diagnosis and interventions. Both socialized non-socialized medicine do not have a practice model in which they provide adequate care and holistic healing. This paper proposes a new model of providing holistic healthcare based upon relational dynamics in an economically sound manner.
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Waldbaum, Leonard N., Lynn D. Anderson y Zoraida Fiol-Silva. "Ophthalmic allied health personnel". En The Ophthalmic Assistant, 779–82. Elsevier, 2013. http://dx.doi.org/10.1016/b978-1-4557-1069-0.00049-9.
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Anderson, Lynn D., William H. Ehlers y Craig Simms. "Ophthalmic allied health personnel". En The Ophthalmic Assistant, 786–89. Elsevier, 2018. http://dx.doi.org/10.1016/b978-0-323-39477-2.00053-1.
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MORGAN, R. "Allied health personnel in ophthalmology". En The Ophthalmic Assistant, 719–24. Elsevier, 2006. http://dx.doi.org/10.1016/b978-0-323-03330-5.50053-6.
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Morgan, Rod A. "Allied health personnel in ophthalmology". En The Ophthalmic Assistant, 759–65. Elsevier, 2013. http://dx.doi.org/10.1016/b978-1-4557-1069-0.00047-5.
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Morgan, Rod A. "Allied health personnel in ophthalmology". En The Ophthalmic Assistant, 769–74. Elsevier, 2018. http://dx.doi.org/10.1016/b978-0-323-39477-2.00051-8.
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Orleans, C. Tracy. "Treating Nicotine Dependence in Medical Settings: A Stepped-Care Model". En Nicotine Addiction: Principles and Management, 145–61. Oxford University PressNew York, NY, 1993. http://dx.doi.org/10.1093/oso/9780195064414.003.0008.
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Abstract This chapter presents the rationale for treating nicotine dependence in health care set-tings and introduces a stepped-care model as a blueprint for intervention. It includes an overview of the patient characteristics associated with success in quitting smoking and of the stages of change smokers progress through as they quit. Treatments for cigarette smokers are emphasized because most clinical work and research has focused on cigarette smoking. Likewise, the chapter focuses on physician interventions, because they have been the most carefully studied. However, applications for allied health care providers (e.g., nurses, physician assistants, health educators, respiratory care practitioners), for dentists and their staffs, for pharmacists, and for chemical dependency counselors also are described. Subsequent chapters give detailed practical guidelines for implementing the interventions outlined here. They also will help the clinician modify this generic treatment model for different settings and for patients in selected high-risk groups (e.g., pregnant smokers, smokers with cardiac or pulmonary disease or cancer, psychiatric and chemical dependency patients) and for smokeless tobacco users.
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WALDBAUM, L. "Ophthalmic allied health personnel: scope of practice". En The Ophthalmic Assistant, 735–38. Elsevier, 2006. http://dx.doi.org/10.1016/b978-0-323-03330-5.50055-x.
Texto completoActas de conferencias sobre el tema "Allied health assistants"
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TVQ, Sá, Aguiar RALP y Reis ZSN. "Much native data, little longitudinal information: a model of information for the continuity of care, from prenatal assistance to the emergency in maternities". En Simpósio Brasileiro de Computação Aplicada à Saúde. Sociedade Brasileira de Computação - SBC, 2021. http://dx.doi.org/10.5753/sbcas.2021.16059.
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Obstetric caring demands a continuous process of information sharing between health professionals. However, the lack of communication between points of assistance has allowed for an accumulation of local data without the benefits of data interoperability. The study’s objective is to develop an information model with essential obstetric data to foster the continuity of information. An exploratory research involved discussions of fictitious cases of obstetric emergencies and ninety electronic medical records (EMR) were used to validate the model. The minimum antenatal dataset entries was structured into nine sections, and fifty-six data entries. The development of an information model, based on the standard of interoperability, has the potential to overcome the informality of EMR.
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Cardoso, Bruno, Luciano Moreira, António Lobo y Sara Ferreira. "Spotlighting distraction in artificial intelligence driver assistance systems". En Intelligent Human Systems Integration (IHSI 2023) Integrating People and Intelligent Systems. AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1002852.
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As artificial intelligence driver monitoring systems gain momentum in intelligent mobility, it is critical to analyse how distraction is defined and induced. This systematic review was specifically focused on studies conducted in driving simulators. A Boolean query was iteratively developed to retrieve articles from Scopus that fulfil the following criteria: (1) being an empirical study, (2) addressing driver distraction, (3) using a driving simulator, (4) aiming at developing an artificial intelligence monitoring system. After screening, 34 articles remained and were analysed according to four general themes: definition of distraction, characteristics of the scenarios used in the driving simulator, sampling of participants, and procedures. Results showed that the most common definitions of distraction consider it as a shift in the driver’s attention towards a secondary task, which implicates in a degradation of the execution of the primary task (i.e., driving the vehicle), and, consequently, a reduction in driving safety. Most articles described the scenarios used in the simulator in greater detail and, in some cases, variations in traffic density, visibility, and environmental conditions were observed. Furthermore, scripted critical events in the scenario (e.g., car in front of the participant breaking) were also used. Recruitment and samples varied greatly between studies, with the smallest population consisting of two and the largest of 97 participants. Despite the sample size, participants still needed to meet eligibility criteria such as having a driver’s license, possessing minimum driving experience, health prerequisites, being part of a specific group, age, and gender. Procedures and tasks were not always described in detail. However, several studies described an initial moment where participants could familiarize themselves with the simulator without taking measurements, while fewer reported that participants were allowed to familiarize themselves with the tasks. Session length varied from eight to 90 minutes. Regarding the operationalization of distraction in experiments, some studies required drivers to perform a single type of distraction-inducing task (mental calculations, use of In-Vehicle Information System (IVIS), cell phone operation, and manual tasks) with varying difficulty levels. Still, most studies relied on a combination of different tasks, such as cell phone use, physical tasks (e.g., drinking, moving objects, and applying makeup), and IVIS use. Results showed studies favour the description of the digital systems over the experiment design and procedures and a preference for locating the studies at the individual level of analysis, precluding a broader understanding of human behaviour as socially constructed and signified. We argue that articulation with higher levels of analysis would bring relevant explanations for actual road behaviour and personal and social factors should be considered when developing driver monitoring systems aimed at reducing distraction. Our results may assist future studies within the same scope, guiding the definition of effective experimental designs to test artificial intelligence driving monitoring systems, while contributing to a more holistic understanding of driver’s behaviour.
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Marcel, Louis, Mathieu Specklin y Smaine Kouidri. "Finding Optimal Hemo-Compatible Operating Conditions for Ventricular Assistance Device". En ASME Turbo Expo 2023: Turbomachinery Technical Conference and Exposition. American Society of Mechanical Engineers, 2023. http://dx.doi.org/10.1115/gt2023-103635.
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Abstract Statistics show that since the beginning of the 2000s, a concerning number of patients are diagnosed with Heart Failure (HF) and this number increases steadily. It would not be such an issue if the number of potential heart donors followed the same trend. However, it is not the case resulting in an issue on the number of lives which can be saved. Sometimes, saving some time can be a life savior for these patients on the active waiting list for transplant. It is in this context that the use of Mechanical Circulatory Support (MCS) has proven its efficiency and still has a lot to offer on a longer-term use, to replace one day heart transplant. Today’s MCSs are mostly centrifugal pumps, and the scientific knowledge of their internal flow has been widened using Computational Fluid Dynamics (CFD). Numerical simulations are a way to predict a pump’s internal flow topology, gather information inaccessible by the means of experiment such as local information of the flow and understand its behavior without having to test it experimentally. Before manufacturing an entire device, it appears useful to estimate a certain number of variables related to the flow specificity such as the forces exerted on the structure or on fluid particles. In the specific case of MCS, the number of red blood cells destroyed, depending on the flow topology is estimated by introducing a new variable, the Hemolysis Index (HI). Hemolysis is a natural phenomenon during which red-blood cells degrade themselves and are destroyed after a certain amount of time. The use of rotodynamic devices may accentuate hemolysis, up to a point where the body is unable to produce enough red-blood cells. As a result, these cells won’t be able to provide oxygen to the organs, including to the heart, an already failing organ. The blood being a well-known shear-thinning fluid composed of living cells whose features are essential to the patient’s survival, CFD calculations are crucial before animal testing in order to prevent an accident. In this study, numerical assessments of hemodynamic parameters of a complex centrifugal Ventricular Assistance Device (VAD) were performed using the Eulerian method. These acquisitions allowed to determine the behavior of these variable under different rotational speed or flow rate, hence leading us to a potential optimal operating point to prevent hemolysis issues. The variations of Hemolysis with rotational speed are predictable, however its variation with flowrate is more complex. Results of this study suggests that the evolution of this variable with flowrate depends on the geometry of the device and that very different results may be observed from a device to another. The global architecture of the device defines specific evolution according to flowrate of mean residential time of fluid particles in the pump or averaged shear stress. The ability of the device to generate more shear stress with an increased flow rate will define the existence of an optimal hemo-compatible operating condition.
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Nugraha, Tommy, Widi Hernowo, Mohammad Alfianto y Muhammad Djabbar Yulianto. "Managing 4 (Four) Major Offshore Projects Amid COVID 19 Pandemic - A Case Study from Health & Safety (H&S) and Quarantine Management". En ADIPEC. SPE, 2022. http://dx.doi.org/10.2118/210941-ms.
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Abstract For an upstream oil and gas company, avoiding an offshore COVID-19 outbreak while executing four different offshore projects poses a huge challenge, particularly in a country experiencing a daily COVID-19 test positivity rate over 20%. Even minor mismanagement of the quarantine process can lead to an offshore COVID-19 outbreak, with the risk of shutting down campaigns and severely impacting business objectives. The challenge is therefore to avoid an offshore COVID-19 outbreak, ensuring well-being of personnel during the quarantine period and managing quarantine related costs, including COVID-19 test costs. To ensure effective quarantine management, a new approach was created that applied a combination of medical assessments, Health & Safety (H&S) and security measures. Quarantine management was led by a special task force responsible for ensuring the readiness of transportations, rooms, PCR tests, as well as overall compliance to quarantine rules. In compliance with government regulations and WHO recommendations, another complimentary approach was applied that sequestered personnel who tested positive in an isolation room. Effective quarantine management was established with the assistance of the company Business Continuity Management Team (BCMT). The company was able to complete four different major offshore projects with no offshore COVID-19 outbreaks. During these operations, over 1,000 personnel were quarantined and tested with a 5.37% positivity rate at the pre-work quarantine site. Confirmed cases were managed in full compliance with government regulations. The result of this effective quarantine management system, has allowed the company to achieve scorecard performance goals while delivering all four of the major offshore work-scopes, as per the original business plan. This paper discusses quarantine management as part of business continuity management covering medical assessment, H&S and security measures amidst a national COVID-19 pandemic. These programs were applied in an adaptive method-based risk assessment, which based on evidence base approaches, during frequently changing government regulations.
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Zaidi, Sohail, Austin Huynh, Peara Thach, Isaac Rubio, Harsh Patel y Vimal Viswanathan. "Design and Characterization of an Automated Assistive Knee Brace for Leg Muscle Rehabilitation". En ASME 2019 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/imece2019-11802.
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Abstract The advances in the field of mechatronics and robotics have allowed us to create a variety of medical devices. Comparable advances are not reported in the area of rehabilitation and assistive devices. In the prior work, the authors have created an automated orthotic knee joint that provides assistance to the victims of partial paralysis. This device uses electromyography sensors to gather impulse signals and use pneumatic actuators in the form of fluidic muscles. A microcontroller is used to interpret the signals from the sensors and uses a feedback control loop to provide augmented strength and mobility to the wearer. This paper reports a couple of experiments performed to characterize the behavior of this knee brace. Firstly, the brace is operated stand-alone with the help of electromyography sensors attached to a healthy individual. The system provided reaction times from one to three seconds, which is reasonable for an assistive device. Next, the system is attached to a mannequin that mimics the behavior of a human knee. While the brace is observed to be behaving as expected, the reaction times were significantly higher than that of the natural motion of the human leg. The study provided insights about several parameters that need to be optimized before the brace is completely operational.
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Nemeth, Christopher, Adam Amos-Binks, Gregory Rule, Dawn Laufersweiler, Natalie Keeney, Yuliya Pinevich y Vitaly Herasevich. "Real Time Battlefield Casualty Care Decision Support". En 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002112.
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Tactical combat casualty care (TCCC) involves care for casualties in armed conflict from one’s own service (e.g., U.S. Marine Corps), other services (i.e., U.S. Army, Air Force,), allied forces, adversaries, and civilians. To minimize injury and preserve life, medics perform TCCC which includes casualty retrieval, stabilization and documentation, transport, triage, and treatment. In future scenarios, delays in evacuation are expected to require extended care including prolonged field care (PFC) over hours to days, increasing the potential for complications such as bloodstream infection (sepsis). Most medics have only simple equipment and essential medications and will need assistance at point of care to make decisions on how to treat more complex cases and perform procedures in an austere setting.We describe a project for the Defense Health Agency (DHA) over 3 years to develop and evaluate the Trauma Triage Treatment and Training Decision Support (4TDS), a real-time decision support system (DSS) to monitor casualty health. The operating 4TDS prototype uses the Samsung smart phone and tablet certified for use in the Department of Defense (DoD) Nett Warrior program. Connection to a simple VitalTag (Pacific Northwest National Laboratory, Richland, WA) vital signs monitor placed on a casualty at point of injury (PoI) will stream patient data including heart rate, respiration rate, peripheral oxygen saturation (SpO2), and diastolic and systolic blood pressure. Nurses, technicians, and physicians can use the tablet to display an expanded data set including lab values while providing care at a Battalion Aid Station (BAS) and Field Hospital (FH).4TDS includes a Machine Learning (ML) model to indicate shock probability, risk of internal hemorrhage, and probability of the need for a massive transfusion. The shock model was trained on Mayo Clinic Intensive Care Unit (ICU) patient data, then evaluated in a 6-month “silent test” comparing shock prediction with actual clinician diagnoses. The model only uses 6 vital signs, which is suited to battlefield care, while other published results include lab tests (e.g., lactate), and produces a Receiver Operator Characteristic Curve (ROC) of 0.83 for shock detection. The model only decreases by 0.05 90 minutes, identifying shock probability well before its onset. Medic reviews indicate a 30-minute advanced warning would be more than sufficient to initiate treatment.Medics who provide PFC may need to perform life-critical procedures such as shock management, cricothyroidotomy intubation, and transfusion that may not have been used for an extended period. 4TDS includes refresher training in how to perform such a procedure, as well as whether to perform the procedure. Usability assessments with healthcare providers from the Army, Navy, and Air Force at Joint Base San Antonio, TX have demonstrated 4TDS and its capabilities align with TCCC practice. This work is supported by the US Army Medical Research and Materiel Command under Contract No. W81XWH‐15‐9‐0001.
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Iacono, Ester, Alberto Cirulli y Francesca Tosi. "Ergonomics and Design: development of a “next generation” NICU portable ventilator". En 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003412.
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Nowadays, research and innovation in the pediatric field represent both a challenge and a great development opportunity. The emergence of clinical problems and the convergence of scientific knowledge and multidisciplinary approaches allows us to offer innovative solutions to improve pediatric care. In particular, the new digital technologies represent an important factor of innovation in the field of health care and, above all, in delicate and complex contexts such as Neonatal Intensive Care Units (NICU), where due to the vulnerability of young patients it is necessary to use of ever more straightforward and more efficient care tools.However, in the pediatric field and, above all, in Neonatology, cases of errors in healthcare are increasingly frequent; it is estimated that a child is three times more exposed than an adult to potentially harmful situations of Medication Error because the level of assistance required is higher and the equipment required is more complex. In particular, one of the most common causes of access to the Neonatal Intensive Care Unit is the respiratory difficulty which requires specific mechanical ventilation treatment, which can involve human errors and risks related to its use with possible physiological complications.Sometimes, human error can be attributed to the excessive complexity of using the products/services or the need for more materials suitable for the personnel needs. In the neonatal field, there are frequent problems related to usability, ergonomic characteristics, software and hardware interfaces, the human factor, and the context and methods of use of medical devices that lead to errors.The general objective of this study, conducted at the Meyer Children's Hospital in Florence, was to improve not only the condition of the well-being of the young patient but also the working conditions of the medical and healthcare staff, promoting interaction, simplifying the actions and minimizing the possibility of error in use.This paper reports the main results of the research achieved thanks to the application of the evaluation methods of usability and safety of use typical of Human-Centered Design. These have made it possible to pay attention to the needs of users who interact with the medical system (patients, health professionals) and the different skills of the professionals involved in designing and providing services.Through field surveys and discussions with experts and healthcare professionals (user observation, semi-structured interviews, questionnaires, etc.) conducted at Meyer Children's Hospital in Florence, it was possible to collect data on current critical issues. In particular, the survey made it possible to understand how the user interacts with existing fans and how much these can lead to problems regarding the complexity of assembly, the difficulty of reading the physical and digital interface, the presence of numerous instruments during transport and the issues relating to the organization of the treatment phases.The analysis of the user and the evaluation of the criticality of the existing products/systems have therefore allowed the identification of possible scenarios and intervention solutions, defining the requirements of the new ventilation system. From the results obtained, it was possible to configure new solutions, which gave rise to the design of a new generation lung ventilator for NICU to improve ventilation assistance operations, reduce user errors and make the product versatile and easy to use both in the ward and during neonatal protected transport.
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Alema´n, Miguel A´ngel, Ramiro Bermeo, Andre´s Mendiza´bal y Wong Loon. "Successful Social Environmental Management Model, Implemented in Ecuador to Overcome Impacts From a Heavy Crude Oil Spill". En 2010 8th International Pipeline Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/ipc2010-31179.
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On February 25, 2009, OCP Ecuador S.A. faced its first incident; an oil spill consisting of 11,700 barrels of heavy crude oil in an area of high biodiversity in eastern Ecuador. An earth movement caused stress in the pipeline causing its breakage. The temporarily impacted area covered 30 hectares of soil and gravel along 180 kilometers of three rivers that form the high watershed of the Amazon River; these rivers are the Santa Rosa, Quijos and the Coca. During the emergency, while workers rallied to contain the spill and clean the affected area, other workers took safety precautions regarding the health of the inhabitants of the area. Consequently, 1,258 residents from the Gonzalo Pizarro and Orellana cantons received medical assistance in order to rule out patients with pathologies related to the oil spill. OCP executed a joint effort with the Emergency Operations Committee (COE) stationed in Coca in order to supply water for the citizens that reside in the affected area. OCP responded to the requirements claimed by residents, all of which were approved by the COE. Communities affected by the event participated in cleaning efforts through the creation of temporary jobs for them. OCP strictly adhered to the regulations passed by the Ministry of the Environment and those of internationally accepted best practices for these types of events. The media and the citizenry were kept continuously abreast of developments. In addition, all corresponding works and reliability tests were performed on March 4 in order to restart pumping activities. On September 30th, 2009, and following a rigorous process of cleaning and remediation (L&Rr—in Spanish) activities, all tasks were completed in all affected areas prior to an inspection and a walking tour of the area performed by governmental authorities, community members and independent observers. For the collective benefit of affected communities, the environment and OCP, local authorities and international auditors recognized the model established during the event. OCP created a taskforce charged with the execution of the Environmental Remediation Program (PRA—in Spanish) and environmental authorities prepared and approved this program. The Environmental Remediation Taskforce (UPRA) covered the following aspects related to the incident: legal, environmental, cleaning and remediation technical aspects, as well as social, environmental, financial, insurance, internal and external communication aspects, along with a rigorous oversight of contractors. The model implemented is the first of its kind deployed in Ecuador. National and international regulations in force validated the methodology used to remediate the soil, riverbanks and surface water contaminated with the oil caused by the incident. The application of this methodology, aptly deployed in response to the distress situation present at the various affected areas, allowed a reduction in a short period, of the total hydrocarbon concentrations established in the environmental standard, to equal or lower values than those previously indicated for sensitive ecosystems. OCP developed and implemented a technical, environmental and economic matrix that allowed the Company to choose and justify the remediation methods used in affected areas.
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André, Ayla Nóbrega, João Victor Bezerra Ramos y Lakymê ângelo Mangueira Porto. "QUALITY OF LIFE OF YOUNG WOMEN WITH BREAST CANCER IN A REFERENCE HOSPITAL IN PARAÍBA". En XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1068.
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Introduction: Breast cancer is the main cancer in women in Brazil and worldwide, it and is the leading cause of death among women in Brazil. Although it is more common in women over 40 years, when it occurs in younger women, it generally has a worse prognosis, thus leading to more aggressive treatments and generating more long-term sequelae. Objective: The aim of this research was to analyze the quality of life of women breast cancer survivors under 40 years of age. Methods: This is an observational, cross-sectional study that was carried out at the Hospital Napoleão Laureano, which is the reference for the treatment of breast cancer in Paraíba. The project was submitted to the Research Ethics Committee of the Centro de Ciências Médicas of the Universidade Federal da Paraíba, and the patients signed an informed consent form. Data collection was performed between September 2020 and February 2021. We had to conduct most of the interviews by telephone, because the COVID-19 pandemic decreased the flow of patients to the outpatient clinic. Results: In this time period, we identified 76 patients who fit the inclusion criteria for the survey, and from these, we obtained 47 responses to the quality of life questionnaire. Among those who answered the survey, only four had not yet had any surgical procedure on their breasts. Of the 43 women who had undergone surgery, most still suffer from pain (27.6%) or discomfort (63.8%) in the area of the breasts and upper limbs, and 63.8% also feel a decrease in the strength of this homolateral upper limb. This is very important data, because pain is responsible for a great decrease in quality of life, so much so that chronic pain can lead to symptoms of depression in breast cancer survivors. In the second part of the questionnaire, we asked about body image, since the breast region is generally a very important area of women’s bodies. More than 70% of the interviewees feel beautiful and satisfied with their sex life; often related to the support they are receiving, be it from family, friends, health professionals, or even from social media. Even so, they have noticed a drop in libido, which is a common side effect of chemotherapy, a topic not usually addressed in medical consultations. They were asked about their desire to have children, since many cancer treatments can lead to premature ovarian failure, early menopause, and infertility; 36% of them said that the diagnosis changed their desire to get pregnant, demonstrating that the issue of fertility is not being properly addressed among these women, since fertility preservation options are not even available in the Brazilian public health service. Another issue addressed was the socioeconomic issues related to the diagnosis and treatment of the disease, considering that in Brazil, women are responsible for the family income in more than half of the households. Although cancer treatment in Brazil is free of charge, 68% of the women had to stop work or take a medical leave, and about 78% of them said that their financial conditions worsened during the treatment, increasing their worries in this already extremely stressful period. Conclusion: The evolution of therapies in the treatment of breast cancer has allowed a considerable survival rate for this disease. Thus, the management of the sequelae of the disease and treatment, and the quality of life of these women survivors, also becomes the responsibility of the health team, so that studies on this are fundamental to provide better assistance.
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Dosmukhambetov, Issatay, Bakhytzhan Taubayev, Ualikhan Yesbolov, Aikhan Sadykov, Muratbek Shmalin, Beibit Akbayev, Yermek Kaipov et al. "First Successful ESP-DST Well Test in Heavy Oil Unconsolidated Sandstone in Caspian Sea". En SPE Conference at Oman Petroleum & Energy Show. SPE, 2022. http://dx.doi.org/10.2118/200121-ms.
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Abstract The Caspian offshore is a prolific area for hydrocarbon accumulation. Since it is an offshore, it is a challenging area in terms of strict environmental regulations and safety. At the early stage of the project it was clear, that formation properties of the exploration well require artificial lift assistance to produce during well testing. Therefore, designing proper DST string with ESP was crucial to the success of well testing. This paper describes unique combination of technologies and techniques that enabled a DST with ESP in combination with the Y tool, that provides capabilities to run thePLT below the pump. Also, one of the main challenges of well testing operation was to handle heavy oil fluid at surface. Being in environmentally sensitive area, designing a surface well testing equipment in a limited footprint, that enables efficient separation and disposal of heavy oil was very critical. Another challenge was unconsolidated formation with the high risk of sand production under drawdown, therefore downhole testing string and ESP pump supposed to withstand large quantity of solids during the production. The key technology that enabled testing was a new generation of abrasion resistant ESP pumps, that are designed to handle extensive solids production. The heavy oil also posed a number of risks. The surface equipment was specifically designed to heat oil in the tanks and if required to mix with diesel before flaring operations. Local regulation does not permit production during the night time and allows limited number of days for well testing. Therefore, well testing design must enable to acquire all necessary information within short period of test duration. The real-time data transmission and interpretation was a key to achieve main goal of the testing in exploration well - to accurately characterize the reservoir. This was the first successful ESP-DST in Caspian Sea. Despite of many challenges, the technologies that were selected for well testing operation was proven to be reliable. This allowed Operator to untap previously not accessible hydrocarbon reserves.