Experienced parathyroid surgeons need not routinely request FS examination. The decision to omit intraoperative FS examination must be balanced against the potential implications of misdiagnosis and a repeat operative procedure.
As the World Health Organization is examining the airborne nature of COVID 19, there is past research on other airborne infections which set all encompassing guidelines. Even as more data begins to be available regarding COVID, there is proven spread of airborne disease like tuberculosis being transmitted by this route. As the summer months approach, there is an increased use of Air Conditioners in the tropical regions of the world. India, too being in this part of the world sees an active rise in the indoors which are being air conditioned to meet the thermal comfort requirements of the rising urban population which is spending a large chunk of time indoors. This is coupled with the enforced lockdown which encourages people to stay indoors to prevent the spread of infection. In such situations the use of Room air conditioner requires rethinking as they re-circulate the indoor air without any Fresh air supply into the room. To reduce heat gain and save the electric load of the room AC, people tend to seal the windows further. This paper looks at many possible ways of finding out infection spread in spaces and one of them is used to find out the probability of airborne infection spread in a typical public space. An experiment to validate the same has been conducted in a classroom setup with results analysed. Increased ventilation has been demonstrated to show a lesser probability of infection spread.
Purpose of the study: Uninterrupted hospital services and medical functions are the keys to functional resilience to cope with mass casualties. This paper presents the important level of resilience indicators for hospital functions to withstand natural disasters.
Methodology: For the survey, 21 indicators are grouped into three domains focusing on i) general concerns of healthcare infrastructure planning ii) design and planning of hospital buildings iii) emergency service and management. The corresponding indicators were ranked on a Likert scale of 1 to 5. The authors collected 389 responses through an online survey of the healthcare professionals including disaster management professionals, medical officers, hospital architects, planners, project managers, and engineers.
Main Findings: The data were analysed for determining the Relative Importance Index (RII) of each indicator. The top 7 indicators as an outcome of this research are: ‘access to the emergency services (0.861), ‘planning of refugee settlements’ (0.814), ‘uninterrupted supply of MEP services to critical units’ (0.871), ‘signages for internal circulation’ (0.845), ‘adaptive control, command, and communication system’ (0.848), ‘flexible spatial planning in case of a surge of patients’(0.813), ‘ensuring availability of healthcare workers with the provision of support infrastructure’ (0.758).
Applications of this study: Assessment of the top indicators highlight the importance of ‘flexible design’ and ‘access to medical functions of a hospital building’. Based on these outcomes, it is proposed to develop a numerical framework for a comprehensive design appraisal of resilient hospital buildings.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.