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4. Investigation and public health response to a COVID-19 outbreak in a rural resort community-Blaine County, Idaho, 2020

Author

Tsuzuki, S, Dunne, EM, Maxwell, T, Dawson-Skuza, C, Burns, M, Ball, C, Turner, K, Hahn, CG, Bowyer, M, Carter, KK, Hudson, L, Tsuzuki, S, Dunne, EM, Maxwell, T, Dawson-Skuza, C, Burns, M, Ball, C, Turner, K, Hahn, CG, Bowyer, M, Carter, KK, and Hudson, L

Abstract

Blaine County, Idaho, a rural area with a renowned resort, experienced a COVID-19 outbreak early in the pandemic. We undertook an epidemiologic investigation to describe the outbreak and guide public health action. Confirmed cases of COVID-19 were identified from reports of SARS-CoV-2-positive laboratory test results to South Central Public Health District. Information on symptoms, hospitalization, recent travel, healthcare worker status, and close contacts was obtained by medical record review and patient interviews. Viral sequence analysis was conducted on a subset of available specimens. During March 13-April 10, 2020, a total of 451 COVID-19 cases among Blaine County residents (1,959 cases per 100,000 population) were reported, with earliest illness onset March 1. The median patient age was 51 years (interquartile range [IQR]: 37-63), 52 (11.5%) were hospitalized, and 5 (1.1%) died. The median duration between specimen collection and a positive laboratory result was 9 days (IQR: 4-10). Forty-four (9.8%) patients reported recent travel and an additional 37 cases occurred in out-of-state residents. Healthcare workers comprised 56 (12.4%) cases; 33 of whom worked at the only hospital in the county, leading to a 15-day disruption of hospital services. Among 562 close contacts monitored by public health authorities, laboratory-confirmed COVID-19 or compatible symptoms were identified in 51 (9.1%). Sequencing results from 34 specimens supported epidemiologic findings indicating travel as a source of SARS-CoV-2, and identified multiple lineages among hospital workers. Community mitigation strategies included school and resort closure, stay-at-home orders, and restrictions on incoming travelers. COVID-19 outbreaks in rural communities can disrupt health services. Lack of local laboratory capacity led to long turnaround times for COVID-19 test results. Rural communities frequented by tourists face unique challenges during the COVID-19 pandemic. Implementing restrictions

Published
2021

6. Deepwater 2D data reveal orange basin objectives off western South Africa

Author

D. van der Spuy, Jikelo, N.A., Zielger, T., and Bowyer, M.

Subjects
Petroleum Geo-Services ASA -- Investments, Oil fields -- Investments, Petroleum services industry -- Investments, Company investment, Business, Petroleum, energy and mining industries
Abstract

A 2D seismic survey over the deepwater Orange basin on the West coast of South Africa, was acquired by the Petroleum Geo-Services. The Orange basin proves to be favorable for an active petroleum system and oil and gas prospects over a range of water depths are high.

Published
2003

8. Research priorities for childhood chronic conditions: a workshop report

Author

Lopez-Vargas, P, Tong, A, Crowe, S, Alexander, SI, Caldwell, PHY, Campbell, DE, Couper, J, Davidson, A, De, S, Fitzgerald, DA, Haddad, S, Hill, S, Howell, M, Jaffe, A, James, LJ, Ju, A, Manera, KE, McKenzie, A, Morrow, AM, Odgers, HL, Pinkerton, R, Ralph, AF, Richmond, P, Shaw, PJ, Singh-Grewal, D, Van Zwieten, A, Wake, M, Craig, JC, Bowyer, A, Valerio, C, Kambi, C, Guha, C, Walker, C, Kambi, D, Elharris, F, Pagano, G, Stumbles, J, Gile, J, Wong, K, Black, K, Bowyer, M, Harris, M, Lin, P, Jones, P, McGann, P, Pagano, P, Elhassan, R, Cole, S, Fernance, Z, Brown, A, Blake, J, Keath, J, Chandler, J, Griffin, L, Harnett, L, Fernandez, ML, Jackson, M, Haskard, M, Burke, N, Gardos, R, Brophy, S, Bowers, A, Ralph, A, van Zwieten, A, Penna, A, Wyse, B, Scanlan, C, Rogers, C, Cowell, C, Spencer, G, Hiscock, H, Odgers, H, Puusepp-Benazzouz, H, Razee, H, Boyle, J, Belcher, J, Craig, J, Ozimek-Kulik, J, Bau, K, Manera, K, James, L, Mimmo, L, Hallowell, L, Wallen, M, Bowden, M, Nassar, N, Lopez-Varga, P, Karlsson, P, Carlson, S, Hall, S, Sheppard-Law, S, and Wilson, Y

Subjects
Consensus, Adolescent, Health Priorities, Infant, Newborn, Infant, Consumer Behavior, Hospitals, Pediatric, Pediatrics, Child, Preschool, Chronic Disease, Humans, Patient Participation, New South Wales, Child, Attitude to Health
Published
2018

11. Vascular access training for REBOA placement : a feasibility study in a live tissue-simulator hybrid porcine model

Author

van der Burg, Boudewijn L. S. Borger, Hörer, Tal M., Eefting, D., van Dongen, T. T. C. F., Hamming, J. F., DuBose, J. J., Bowyer, M., Hoencamp, R., van der Burg, Boudewijn L. S. Borger, Hörer, Tal M., Eefting, D., van Dongen, T. T. C. F., Hamming, J. F., DuBose, J. J., Bowyer, M., and Hoencamp, R.

Abstract

Background: The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with severe haemorrhagic shock is increasing. Obtaining vascular access is a necessary prerequisite for REBOA placement in these situations. Methods: During the EVTM workshop (September 2017, Orebro, Sweden), 21 individuals participated in this study, 16 participants and five instructors. A formalised curriculum was constructed including basic anatomy of the femoral region and basic training in access materials for REBOA placement in zone 1. Key skills: (1) preparation of endovascular toolkit, (2) achieving vascular access in the model and (3) bleeding control with REBOA. Scoring ranged from 0 to 5 for non-anatomical skills. Identification of anatomical structures was either sufficient (score=1) or insufficient (score=0). Five consultants performed a second identical procedure as a post test. Results: Consultants had significantly better overall technical skills in comparison with residents (p=0.005), while understanding of surgical anatomy showed no difference. Procedure times differed significantly (p<0.01), with residents having a median procedure time of 3 min and 24 s, consultants 2:33 and instructors 1:09. Conclusion: This comprehensive training model using a live tissue-simulator hybrid porcine model can be used for femoral access and REBOA placement training in medical personnel with different prior training levels. Higher levels of training are associated with faster procedure times. Further research in open and percutaneous access training is necessary to simulate real-life situations. This training method can be used in a multistep training programme, in combination with realistic moulage and perfused cadaver models., Funding Agency:Prytime Medical Devices, Inc.

Published
2019
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12. Research priorities for childhood chronic conditions: a workshop report

Author

Lopez-Vargas, P, Tong, A, Crowe, S, Alexander, SI, Caldwell, PHY, Campbell, DE, Couper, J, Davidson, A, De, S, Fitzgerald, DA, Haddad, S, Hill, S, Howell, M, Jaffe, A, James, LJ, Ju, A, Manera, KE, McKenzie, A, Morrow, AM, Odgers, HL, Pinkerton, R, Ralph, AF, Richmond, P, Shaw, PJ, Singh-Grewal, D, Van Zwieten, A, Wake, M, Craig, JC, Bowyer, A, Valerio, C, Kambi, C, Guha, C, Walker, C, Kambi, D, Elharris, F, Pagano, G, Stumbles, J, Gile, J, Wong, K, Black, K, Bowyer, M, Harris, M, Lin, P, Jones, P, McGann, P, Pagano, P, Elhassan, R, Cole, S, Fernance, Z, Brown, A, Blake, J, Keath, J, Chandler, J, Griffin, L, Harnett, L, Fernandez, ML, Jackson, M, Haskard, M, Burke, N, Gardos, R, Brophy, S, Bowers, A, Ralph, A, van Zwieten, A, Penna, A, Wyse, B, Scanlan, C, Rogers, C, Cowell, C, Spencer, G, Hiscock, H, Odgers, H, Puusepp-Benazzouz, H, Razee, H, Boyle, J, Belcher, J, Craig, J, Ozimek-Kulik, J, Bau, K, Manera, K, James, L, Mimmo, L, Hallowell, L, Wallen, M, Bowden, M, Nassar, N, Lopez-Varga, P, Karlsson, P, Carlson, S, Hall, S, Sheppard-Law, S, Wilson, Y, Lopez-Vargas, P, Tong, A, Crowe, S, Alexander, SI, Caldwell, PHY, Campbell, DE, Couper, J, Davidson, A, De, S, Fitzgerald, DA, Haddad, S, Hill, S, Howell, M, Jaffe, A, James, LJ, Ju, A, Manera, KE, McKenzie, A, Morrow, AM, Odgers, HL, Pinkerton, R, Ralph, AF, Richmond, P, Shaw, PJ, Singh-Grewal, D, Van Zwieten, A, Wake, M, Craig, JC, Bowyer, A, Valerio, C, Kambi, C, Guha, C, Walker, C, Kambi, D, Elharris, F, Pagano, G, Stumbles, J, Gile, J, Wong, K, Black, K, Bowyer, M, Harris, M, Lin, P, Jones, P, McGann, P, Pagano, P, Elhassan, R, Cole, S, Fernance, Z, Brown, A, Blake, J, Keath, J, Chandler, J, Griffin, L, Harnett, L, Fernandez, ML, Jackson, M, Haskard, M, Burke, N, Gardos, R, Brophy, S, Bowers, A, Ralph, A, van Zwieten, A, Penna, A, Wyse, B, Scanlan, C, Rogers, C, Cowell, C, Spencer, G, Hiscock, H, Odgers, H, Puusepp-Benazzouz, H, Razee, H, Boyle, J, Belcher, J, Craig, J, Ozimek-Kulik, J, Bau, K, Manera, K, James, L, Mimmo, L, Hallowell, L, Wallen, M, Bowden, M, Nassar, N, Lopez-Varga, P, Karlsson, P, Carlson, S, Hall, S, Sheppard-Law, S, and Wilson, Y

Published
2019

15. Proceedings of resources for optimal care of acute care and emergency surgery consensus summit Donegal Ireland

Author

Sugrue, M., primary, Maier, R., additional, Moore, E. E., additional, Boermeester, M., additional, Catena, F., additional, Coccolini, F., additional, Leppaniemi, A., additional, Peitzman, A., additional, Velmahos, G., additional, Ansaloni, L., additional, Abu-Zidan, F., additional, Balfe, P., additional, Bendinelli, C., additional, Biffl, W., additional, Bowyer, M., additional, DeMoya, M., additional, De Waele, J., additional, Di Saverio, S., additional, Drake, A., additional, Fraga, G. P., additional, Hallal, A., additional, Henry, C., additional, Hodgetts, T., additional, Hsee, L., additional, Huddart, S., additional, Kirkpatrick, A. W., additional, Kluger, Y., additional, Lawler, L., additional, Malangoni, M. A., additional, Malbrain, M., additional, MacMahon, P., additional, Mealy, K., additional, O’Kane, M., additional, Loughlin, P., additional, Paduraru, M., additional, Pearce, L., additional, Pereira, B. M., additional, Priyantha, A., additional, Sartelli, M., additional, Soreide, K., additional, Steele, C., additional, Thomas, S., additional, Vincent, J. L., additional, and Woods, L., additional

Published
2017
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17. Vascular access training for REBOA placement: a feasibility study in a live tissue-simulator hybrid porcine model

Author

Borger van der Burg, Boudewijn L S, Ho¨rer, T M, Eefting, D, van Dongen, T T C F, Hamming, J F, DuBose, J J, Bowyer, M, and Hoencamp, R

Abstract

BackgroundThe use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with severe haemorrhagic shock is increasing. Obtaining vascular access is a necessary prerequisite for REBOA placement in these situations.MethodsDuring the EVTM workshop (September 2017, O¨rebro, Sweden), 21 individuals participated in this study, 16 participants and five instructors. A formalised curriculum was constructed including basic anatomy of the femoral region and basic training in access materials for REBOA placement in zone 1. Key skills: (1) preparation of endovascular toolkit, (2) achieving vascular access in the model and (3) bleeding control with REBOA. Scoring ranged from 0 to 5 for non-anatomical skills. Identification of anatomical structures was either sufficient (score=1) or insufficient (score=0). Five consultants performed a second identical procedure as a post test.ResultsConsultants had significantly better overall technical skills in comparison with residents (p=0.005), while understanding of surgical anatomy showed no difference. Procedure times differed significantly (p<0.01), with residents having a median procedure time of 3 min and 24 s, consultants 2:33 and instructors 1:09.ConclusionThis comprehensive training model using a live tissue-simulator hybrid porcine model can be used for femoral access and REBOA placement training in medical personnel with different prior training levels. Higher levels of training are associated with faster procedure times. Further research in open and percutaneous access training is necessary to simulate real-life situations. This training method can be used in a multistep training programme, in combination with realistic moulage and perfused cadaver models.

Published
2019
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23. Parallel Knowledge Based Systems Architectures for In-Flight Mission Management

Author

DEFENCE RESEARCH AGENCY FARNBOROUGH (UNITED KINGDOM) AEROSPACE DIV, Bowyer, M. R., Cross, S. A., DEFENCE RESEARCH AGENCY FARNBOROUGH (UNITED KINGDOM) AEROSPACE DIV, Bowyer, M. R., and Cross, S. A.

Abstract

This paper focuses on the architectural approach, both in hardware and software, taken for the parallel DMuse project, and its application to in-flight Mission Management. This includes a description of the Muse Real Time Intelligent Knowledge Based Systems (IKBS) toolkit as it now stands and the alterations necessary to provide this system on a multi-processor platform to produce the Distributed Muse (DMuse) toolkit., This article is from 'Air Vehicle Mission Control and Management, The Guidance and Control Panel Symposium (53rd) Held in Amsterdam, The Netherlands on 22-25 October 1991 (La Gestion et le Controle des Missions des Vehicules Aeriens),' AD-A253 088, p26-1 thru p26-12.

Published
1992

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