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5 results

  • One for Everyone: A Study of User Satisfaction Among Health-Care Providers Regarding Extended Use of N95 Masks During the COVID-19 Pandemic

  • Nishant Sharma, Anant Gupta, Makhdoom Killedar, Ashish Bindra, Asmita Patil, Surabhi Gupta, Paavan Gopathoti, Parmeshwar Kumar
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 16 / Issue 2 / April 2022
    Published online by Cambridge University Press:
    12 October 2020, pp. 619-626
    • Article
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  • Objective:

    This study was conducted to assess the feasibility of extended use of N95 masks in our hospital during the coronavirus disease 2019 (COVID-19) pandemic. We also studied the use pattern, user satisfaction, and issues faced during extended use of the mask.

    Methods:

    This cross-sectional study was conducted among health-care providers in a large tertiary care teaching hospital in northern India from April 1 to May 31, 2020. A list was prepared from the institute’s register, and participants were chosen by random sampling. The data collected from the physical forms were transferred to excel sheets.

    Results:

    A total of 1121 responses were received. The most common problem stated with reuse of N95 masks was loss of fit followed by damage to the slings, highlighted by 44.6% and 44.4% of the participants, respectively. A total of 476 (42.5%) participants responded that they would prefer “cup-shaped N95 mask with respirator”. The median scores regarding the satisfaction with the quality of masks and their fit was also 4 each.

    Conclusions:

    It was concluded that the extended use of N95 masks was acceptable, with more than 96% of the participants using these masks.

  • Radiation Injury Treatment Network Medical and Nursing Workforce Radiation: Knowledge and Attitude Assessment

  • Tener Goodwin Veenema, Timothy P. Moran, Ziad Kazzi, Sarah Schneider-Firestone, Cullen Case, Jennifer Aldrich
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 16 / Issue 1 / February 2022
    Published online by Cambridge University Press:
    22 September 2020, pp. 170-176
  • Objectives:

    The Radiation Injury Treatment Network (RITN) is prepared to respond to a national disaster resulting in mass casualties with marrow toxic injuries. How effective existing RITN workforce education and training is, or whether health-care providers (HCPs) at these centers possess the knowledge and skills to care for patients following a radiation emergency is unclear. HCP knowledge regarding the medical effects and medical management of radiation-exposed patients, along with clinical competence and willingness to care for patients following a radiation emergency was assessed.

    Methods:

    An online survey was conducted to assess level of knowledge regarding the medical effects of radiation, medical/nursing management of patients, self-perception of clinical competence, and willingness to respond to radiation emergencies and nuclear events.

    Results:

    Attendance at previous radiation emergency management courses and overall knowledge scores were low for all respondents. The majority indicated they were willing to respond to a radiation event, but few believed they were clinically competent to do so.

    Conclusions:

    Despite willingness to respond, HCPs at RITN centers may not possess adequate knowledge of medical management of radiation patients, and appropriate response actions during a radiation emergency. RITN should increase the awareness of the importance of radiation education and training.

  • 22 - Parenting for women with epilepsy

  • from Part V - Family planning, pregnancy, and parenting
    • By Mimi Callanan, Department of Neurology and Neurological Sciences, Stanford University Medical Center, Stanford Hospital, 300 Pasteur Drive, Stanford, CA 94305, USA
  • Edited by Martha J. Morrell, Columbia University, New York, Kerry L. Flynn, Columbia-Presbyterian Cancer Center, New York
  • Book:
    Women with Epilepsy
    Published online:
    02 November 2009
    Print publication:
    20 March 2003, pp 228-234

  • Summary

    This chapter discusses the seizure-related risks of parenting a small child. It offers reasonable and helpful suggestions to make a home environment that ensures child's safety. There are several special safety issues for pregnant women with epilepsy. For the most part, women with epilepsy are no longer discouraged from marrying or having children. However, they and their health-care providers are still concerned that seizures could interfere with the mother's ability to provide care for her infant or young child. Children should be educated about epilepsy and know how to respond if their mother has a seizure. Parenting is one of the most exciting, fulfilling, and stressful experiences in one's life. Although women with epilepsy have special issues that need to be addressed and given thought prior to having children, they too can experience the many challenges and rewards of motherhood.

  • 1 - Introduction: why we wrote this book

  • from Part I - The woman with epilepsy
    • By Martha J. Morrell, Professor of Clinical Neurology, Columbia University; Director of the Columbia Comprehensive Epilepsy Center, New York Presbyterian Hospital
  • Edited by Martha J. Morrell, Columbia University, New York, Kerry L. Flynn, Columbia-Presbyterian Cancer Center, New York
  • Book:
    Women with Epilepsy
    Published online:
    02 November 2009
    Print publication:
    20 March 2003, pp 3-6

  • Summary

    In many ways, epilepsy is a different disease in a woman than in a man. It is recognized that epilepsy is one of the chronic medical conditions that raise special issues for women. This has increased the educational materials available to health-care providers. However, there is still very little literature available for the nonmedical public that comprehensively addresses the biological, psychosocial, and treatment issues faced by women with epilepsy. The Epilepsy Foundation has recognized the importance of encouraging educational outreach as part of the broader based "Women with Epilepsy Initiative" launched in 1997. This book is a part of that larger effort. It provides information that will permit a woman with epilepsy to educate herself about optimal medical care, not only for epilepsy, but also to maintain the best general and reproductive health.

  • Complex, Humanitarian Emergencies: I. Concept and Participants

  • Frederick M. Burkle, Jr.
  • Journal:
    Prehospital and Disaster Medicine / Volume 10 / Issue 1 / March 1995
    Published online by Cambridge University Press:
    28 June 2012, pp. 36-42
    Print publication:
    March 1995

  • Complex, humanitarian emergencies, the result of civil strife and armed conflict affecting large populations at the brink of extinction, represent the most compelling of disaster relief challenges. They require the coordination of the United Nations agencies, the International Committee of the Red Cross, international nongovernmental relief organizations, and military forces. An increasing number of civilian and military health-care providers find themselves involved in the planning, coordination, and direct patient-care aspects of these emergencies, often without proper initiation and understanding of the unique nature of these disasters. This article provides a primer on the concept of complex, humanitarian emergencies and the contributions, characteristics, capabilities, and limitations of each major participant.