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Online learning has become an increasingly expected and popular component for education of the modern-day adult learner, including the medical provider. In light of the recent coronavirus pandemic, there has never been more urgency to establish opportunities for supplemental online learning. Heart University aims to be ‘the go-to online resource’ for e-learning in congenital heart disease and paediatric acquired heart disease. It is a carefully-curated open access library of pedagogical material for all providers of care to children and adults with congenital heart disease or children with acquired heart disease, whether a trainee or a practicing provider. In this manuscript, we review the aims, development, current offerings and standing, and future goals of Heart University.
On December 31st, 2019 the China National Health Commission (NHC) reported that an unknown cause of pneumonia had been detected in Wuhan in Hubei province. On February 12th, the disease caused by novel coronavirus (2019-nCoV) has a formal name, COVID-19. On January 20th, 2020, the first case of COVID-19 was confirmed in Korea. Among the deaths, age-specific death rate was the highest among cases over 70's, with underlying diseases in their circulatory system, such as myocardial infraction, cerebral infraction, arrythmia, and hypertension. Patients with underlying disease who are 70 years of age or older should recognize that there is a high possibility of developing a serious disease in case of viral infection and follow strict precautions.
As an emerging infectious disease, COVID-19 has involved with many countries and regions. With the further development of the epidemic, the proportion of clusters has been increased.
In our study, we collected the information of COVID-19 clusters in Qingdao City. The epidemiological characteristic and clinical manifestation were analyzed.
11 clusters of COVID-19 were reported in Qingdao City during Jan 29, 2020 and Feb 23, 2020, involved 44 confirmed cases, which were accounted for 73.33% of all confirmed cases. Most from Jan 19 and Feb 2, 2020, the cases mainly concentrated in the district which had many designated hospitals. The cases aged 20-59 years old accounted for the largest proportion (68.18%), with the male-to-female sex ration 0.52:1. Three cases were infected from exposure to confirmed cases. The average incubation period was 6.28d. The median number of cases per cluster was 4 and the median duration time was 6d.The median cumulative number of exposure persons was 53.
More attention should be paid on the epidemic of clusters in prevention and control of COVID-19. Besides isolating patients, it is essential to track, screen and isolate the close contacts. Self-isolation is the key especially for healthy people in epidemic area.
This study compared live instructor-led training in Personal Protective Equipment (PPE) donning and doffing with video-based instruction. It assessed the difference in performance between (i) attending one instructor-led training session in donning and doffing PPE one month prior to assessment, and (ii) watching training videos over the month.
This randomized controlled trial pilot study divided 21 medical students and junior doctors into 2 groups. Control group participants attended one instructor-led training session. Video group participants watched training videos demonstrating the same procedures, which they could freely watch again at home. After one month, a doctor performed a blind evaluation of performance using checklists.
19 participants were assessed after one month. The mean donning score was 84.8/100 for the instructor-led group and 88/100 for the video group; mean effect size 3,2 (95%CI: -7,5 to 9,5). The mean doffing score was 79.1/100 for the instructor group and 73.9/100 for the video group; mean effect size 5,2 (95%CI: -7,6 to 18).
Our study found no significant difference in donning and doffing score between instructor-led and video lessons. Video training could be a fast and resource-efficient method of training in PPE donning and doffing in responding to the COVID-19 pandemic.
The outbreak of a novel coronavirus, COVID-19, is challenging international public health and healthcare efforts. As hospitals work to acquire enough personal protective equipment and brace for potential cases, the role of infection prevention efforts and programs has become increasingly important. Lessons from the 2003 SARS-CoV outbreak in Toronto and 2015 MERS-CoV outbreak in South Korea have unveiled the critical role that hospitals play in outbreaks, especially of novel coronaviruses. Their ability to amplify the spread of disease can rapidly fuel transmission of the disease and often those failures in infection prevention and general hospital practices contribute to such events. While efforts to enhance infection prevention measures and hospital readiness are underway in the United States, it is important to understand why these programs were not able to maintain continued, sustainable levels of readiness. History has shown that infection prevention programs are primarily responsible for preparing hospitals and responding to biological events but face under-staffing and focused efforts defined by administrators. The current U.S. healthcare system though, is built upon a series of priorities that often view biopreparedness as a costly endeavor. Awareness of these competing priorities and the challenges infection prevention programs face when working to maintain biopreparedness is critical in adequately addressing this critical infrastructure in the face of an international outbreak.
Lyon Study Group on Covid19 infection (Geriatric section- Alphabetic order): Adrait, A, Benoist F, Castel-Kremer E, Chuzeville M, Dupin AC, Doh S, Kim B, Favrelle L, Hilliquin D, Kanafer N, Marion E, Martin-Gaujard G, Moyenin Y, Paulet-Lafuma H, Ricanet A, Saadatian-Elahi M, Vanhems P.
Multiple professional societies, nongovernment and government agencies have studied the science of sudden onset disaster mass casualty incidents to create and promote surge response guidelines. The COVID-19 pandemic has presented the health care system with challenges that have limited science to guide the staff, stuff and structure surge response.
This study reviewed the available surge science literature specifically to guide an Emergency Department's surge structural response using a translational science approach to answer the question: How does the concept of sudden onset mass casualty incident (MCI) surge capability apply to the process to expand COVID-19 Pandemic surge structure response?
The available surge structural science literature was reviewed to determine the application to a pandemic response. The on-line ahead of print and print COVID-19 scientific publications, as well as grey, literature were studied to learn the best available COVID-19 surge structural response science. A checklist was created to guide the Emergency Department team's COVID-19 surge structural response.