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24 results

Page 1 of 2

  • A survey of healthcare workers on the acceptance and value of personal protective equipment for patient care

  • Gregory M. Schrank, Lyndsay M. O’Hara, Lisa Pineles, Saskia Popescu, Jessica P. Brown, Larry Magder, Anthony D. Harris
  • Journal:
    Infection Control & Hospital Epidemiology , First View
    Published online by Cambridge University Press:
    23 October 2024, pp. 1-5
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  • Objective:

    Assess healthcare workers’ (HCW) attitudes toward universal masking, and gowns and gloves used as part of transmission-based precautions.

    Design:

    Cross-sectional survey.

    Setting:

    Academic, tertiary care medical center in Baltimore, Maryland.

    Participants:

    HCW who work in patient care areas and have contact with patients.

    Methods:

    In May 2023, a 15-question web-based survey was distributed by the hospital’s communications team via email. The survey contained questions to assess HCW perceptions of universal masking policies prior to the availability of COVID-19 vaccines and at the time of the survey, and the use of gowns and gloves for transmission-based precautions. Descriptive statistics were used to summarize data. Differences in agreement with universal masking over time, level of agreement with gown and glove policies, and with all PPE types across respondent characteristics were assessed.

    Results:

    257 eligible respondents completed the survey. Nurses and patient care technicians (43%) and providers (17%) were the most commonly reported roles. Agreement with universal mask use decreased from 84% early in the pandemic to 55% at the time of the survey. 70% and 72% of HCW agreed masks protect themselves and others, respectively. 63% expressed any level of annoyance with mask wearing, the most often due to communication challenges or physical discomfort. 75% agreed with gown use for antibiotic-resistant bacteria compared with 90% for glove use.

    Conclusions:

    The majority of HCW agree with the use of PPE to prevent pathogen transmission in the healthcare setting. Agreement with universal mask use for patient care shifted during the COVID-19 pandemic.

  • Investigating the impact of the COVID-19 pandemic on recovery colleges: multi-site qualitative study

  • Merly McPhilbin, Katy Stepanian, Caroline Yeo, Daniel Elton, Danielle Dunnett, Helen Jennings, Holly Hunter-Brown, Jason Grant-Rowles, Julie Cooper, Katherine Barrett, Mirza Hamie, Peter Bates, Rebecca McNaughton, Sarah Trickett, Simon Bishop, Simran Takhi, Stella Lawrence, Yasuhiro Kotera, Daniel Hayes, Larry Davidson, Amy Ronaldson, Tesnime Jebara, Cerdic Hall, Lisa Brophy, Jessica Jepps, Sara Meddings, Claire Henderson, Mike Slade, Vanessa Lawrence
  • Journal:
    BJPsych Open / Volume 10 / Issue 3 / May 2024
    Published online by Cambridge University Press:
    16 May 2024, e113
    • Article
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  • Background

    During the COVID-19 pandemic, mental health problems increased as access to mental health services reduced. Recovery colleges are recovery-focused adult education initiatives delivered by people with professional and lived mental health expertise. Designed to be collaborative and inclusive, they were uniquely positioned to support people experiencing mental health problems during the pandemic. There is limited research exploring the lasting impacts of the pandemic on recovery college operation and delivery to students.

    Aims

    To ascertain how the COVID-19 pandemic changed recovery college operation in England.

    Method

    We coproduced a qualitative interview study of recovery college managers across the UK. Academics and co-researchers with lived mental health experience collaborated on conducting interviews and analysing data, using a collaborative thematic framework analysis.

    Results

    Thirty-one managers participated. Five themes were identified: complex organisational relationships, changed ways of working, navigating the rapid transition to digital delivery, responding to isolation and changes to accessibility. Two key pandemic-related changes to recovery college operation were highlighted: their use as accessible services that relieve pressure on mental health services through hybrid face-to-face and digital course delivery, and the development of digitally delivered courses for individuals with mental health needs.

    Conclusions

    The pandemic either led to or accelerated developments in recovery college operation, leading to a positioning of recovery colleges as a preventative service with wider accessibility to people with mental health problems, people under the care of forensic mental health services and mental healthcare staff. These benefits are strengthened by relationships with partner organisations and autonomy from statutory healthcare infrastructures.

  • Report on Lists of Doctoral Dissertations and Master's Theses on Latin America

  • Larry C. Brown
  • Journal:
    Latin American Research Review / Volume 6 / Issue 3 / Fall 1971
    Published online by Cambridge University Press:
    24 October 2022, pp. 127-130
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  • Origami-inspired systems that improve adult diaper performance to enhance user dignity

  • Nathan C. Brown, Hunter T. Pruett, Diana S. Bolanos, Corinne Jackson, Bridget Beatson, Spencer P. Magleby, Larry L. Howell
  • Journal:
    Wearable Technologies / Volume 3 / 2022
    Published online by Cambridge University Press:
    11 May 2022, e6
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  • This paper proposes a novel origami-inspired adult diaper design that improves discretion by reducing sag and increasing wicking across the entire diaper pad. While other diapers rely on supporting elastics to reduce the sag of the diaper as a whole, this paper proposes an absorbent core that uses liquid activated shaping to take a specified shape. Origami-based folds are also incorporated into the diaper design to increase wicking performance. The paper introduces a disposable compliant mechanism waistband used to deploy the diaper, making it easier to put onto one’s body.

  • Chapter 46 - Improving emergency department process and flow

  • from Section 6. - Administration of psychiatric care
  • Edited by Leslie S. Zun
  • Edited in association with Lara G. Chepenik, Mary Nan S. Mallory
  • Book:
    Behavioral Emergencies for the Emergency Physician
    Published online:
    05 April 2013
    Print publication:
    21 March 2013, pp 347-354

  • Summary

    This chapter addresses the basic problem of improving emergency department flow and reducing trauma and dissatisfaction for consumers and staff alike. The Six Sigma system of improvement utilizes experts in the quality improvement process. The process begins with executive management commitment to the process and establishment of the organization's goals. The follow-up telephone interview assessed patient satisfaction with emergency department (ED) care, self-reported problems with the process of care, and discharge instructions. After reviewing the data on results and satisfaction, each hospital was allowed to organize its own quality improvement project. A number of efforts have been mounted to change ED systems of care. The atmosphere and culture in many EDs can actually, and inadvertently, encourage destabilization in people who appear with behavioral health problems. The Institute for Behavioral Healthcare Improvement (IBHI) is a not-for-profit organization dedicated to improving the quality and outcome of behavioral health care.

  • 12 - Poor Mayapan

  • from Part IV - THE LATE POSTCLASSIC TO HISTORICAL PERIODS
  • Edited by Geoffrey E. Braswell, University of California, San Diego
  • Book:
    The Ancient Maya of Mexico
    Published by:
    Acumen Publishing
    Published online:
    05 April 2014
    Print publication:
    30 April 2012, pp 306-324

  • Summary

    Abstract

    The material culture of Mayapan (ca. A.D. 1250–1400), the last great capital city of the northern Maya lowlands, has often been described as “decadent.” Such descriptions, however, are highly subjective. In this chapter, we consider poverty and wealth at Mayapan from a perspective based in modern economics. We find that, as in modern societies, wealth (as measured by house size) at Mayapan fits a Pareto distribution. Nevertheless, compared to two Classic-period sites in Mexico—Palenque and Sayil—the distribution of wealth was more equal at Mayapan, suggesting that economic inequality was less extreme at the Postclassic city. One cause for the decadent material culture of Mayapan, therefore, was that the city was impoverished when compared to its Classic predecessors.

    In this essay we analyze the magnitude and distribution of wealth at Mayapan and explore the implications of our findings for the general interpretation of the economy, society, and culture of that city. Mayapan, Yucatan, Mexico, is the largest and most important Maya archaeological site dating to the Late Postclassic period, and therefore inspires a lot of curiosity among archaeologists. Their interest is piqued because, founded by the legendary Kukulcan, Mayapan was the political capital of the largest and most powerful Maya state of its period. Because of its size and power, Mayapan also served as the social and cultural capital of the northern lowlands at the same time. Because it was a late prehistoric site, Mayapan was discussed in many historical chronicles from the early colonial period, and so we possess unusually detailed information about it.