Health 400 | OB-GYN

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Health 400 | OB-GYN

June 10, 2024
mike@standardsmichigan.com
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Today we break down regulations, codes, standards and open-source literature governing the safety and sustainability of university-affiliated medical research and healthcare delivery facilities.  Because of the complexity of the topic we break down our coverage:

Health 200.   Survey of all relevant codes, standards, guidelines and recommended practices for healthcare settings.

Health 400.  All of the above with special consideration needed for obstetrics, gynecological and neonatal clinical practice and research.

Today we confine our interest to systems — water, power, telecommunication and security; for example — that are unique to campus-configured, city-within-city risk aggregations.  Electrotechnologies (voltage stability, static electricity control, radio-interference, etc.) in these enterprises are subtle, complex and high risk.  Sample titles from legacy best practice literature in this domain are listed below:

American College of Obstetricians and Gynecologists: Levels of Maternal Care

Provision of Care, Treatment, and Services standards for maternal safety

Since our interest lies in the habitable spaces for these enterprises we usually start with a scan of the following titles:

International Building Code Section 407 (Institutional Group I-2) identifies requirements specific to healthcare settings, covering aspects such as fire safety, means of egress, and smoke compartments. Maternity and obstetric facilities within hospitals fall under this classification.

K-TAG Matrix for Healthcare Facilities

NFPA 70 National Electrical Code Article 517

NFPA 99 Healthcare Facilities Code

NFPA 101 Life Safety Code Chapters 18 & 19

ASHRAE 170 Ventilation of Healthcare Facilities

ASHRAE 189.3: Design, Construction and Operation of Sustainable High Performance Health Care Facilities

Relevant Institute of Electrical and Electronic Engineers research

Towards Deeper Neural Networks for Neonatal Seizure Detection

A System to Provide Primary Maternity Healthcare Services in Developing Countries

Deep Learning for Continuous Electronic Fetal Monitoring in Labor

Reorganizing of University Hospital of Oran’s operating theatre: Simulation approach

Finally, we collaborate with the IEEE E&H Committee on the following IEC committee projects from IEC/TC 62 Electrical equipment in medical practice:

– Common aspects of electrical equipment used in diagnostic imaging equipment

– Equipment for radiotherapy, nuclear medicine and radiation dosimetry

– Electromedical equipment for neonatal care

 

More

Journal of Healthcare Management Standards: Operational Resilience of Hospital Power Systems in the Digital Age

Health Insurance Portability and Accountability Act (HIPAA)

Health care cost as percentage of Gross Domestic Product for six representative nations.

Association of Academic Health Centers

International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.

Animal Welfare Act and the Institutional Animal Care and Use Committee

Good Laboratory Practice: GLP is a set of principles that ensure the quality and integrity of non-clinical laboratory studies. It ensures that data generated from non-clinical laboratory studies are reliable, valid, and accurate.

International Code Council Representation of Interests

University of Chicago

Children’s Hospital Neonatal Intensive Care

June 10, 2024
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Some of the common electro-technologies used in a neonatal care unit include:

  • Incubators: These temperature-controlled units create a controlled environment to keep premature or sick infants warm and protected.
  • Ventilators: Mechanical ventilators assist newborns with respiratory distress by delivering oxygen and helping them breathe.
  • Monitors: These devices track vital signs such as heart rate, oxygen levels, blood pressure, and temperature to ensure the baby’s health and detect any abnormalities.
  • Phototherapy Lights: Special lights are used to treat jaundice in newborns, helping to break down excess bilirubin in the blood.
  • Intravenous (IV) Pumps: These pumps are used to deliver medications, fluids, and nutrients directly into the baby’s bloodstream.
  • Feeding Tubes: For infants who are unable to feed orally, feeding tubes are used to deliver breast milk or formula directly into their stomach.
  • Blood Gas Analyzers: These machines measure the levels of oxygen, carbon dioxide, and other gases in a baby’s blood to monitor respiratory status and acid-base balance.
  • Infusion Pumps: Used to administer controlled amounts of fluids, medications, or nutrients to newborns.
  • CPAP/BiPAP Machines: Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) machines help newborns with breathing difficulties by providing a continuous flow of air pressure.
  • Neonatal Resuscitation Equipment: This includes equipment such as resuscitation bags, endotracheal tubes, laryngoscopes, and suction devices used during emergency situations to assist with newborn resuscitation.

It’s important to note that specific tools and equipment may vary depending on the level of neonatal care provided by the unit, the needs of the infants, and the policies of the healthcare facility.

Neonatal care, as a specialized field, has been shaped by the contributions of several pioneers in medicine. Here are a few notable figures who have made significant advancements in neonatal care:

  • Dr. Virginia Apgar was an American obstetrical anesthesiologist who developed the Apgar score in 1952. The Apgar score is a quick assessment tool used to evaluate the overall health of newborns immediately after birth. It assesses the baby’s heart rate, respiratory effort, muscle tone, reflex irritability, and color, providing valuable information for prompt intervention and monitoring.
  • Dr. Martin Couney, a pioneering physician, established incubator exhibits at world fairs and amusement parks in the early 20th century. He promoted the use of incubators to care for premature infants and played a significant role in popularizing the concept of neonatal intensive care.
  • Dr. Virginia A. Apgar, an American pediatrician and neonatologist, made significant contributions to the field of neonatology. She specialized in the care of premature infants and conducted extensive research on neonatal resuscitation and newborn health. She also developed the Apgar scoring system, although unrelated to Dr. Virginia Apgar mentioned earlier.
  • Dr. Lula O. Lubchenco was an influential researcher and neonatologist who made important contributions to the understanding of newborn growth and development. She developed the Lubchenco Growth Chart, which provides a standardized assessment of a newborn’s size and gestational age, aiding in the identification and monitoring of growth abnormalities.
  • Dr. Mary Ellen Avery was a renowned American pediatrician and researcher whose work focused on understanding and treating respiratory distress syndrome (RDS) in premature infants. She identified the importance of surfactant deficiency in RDS and contributed to the development of surfactant replacement therapy, revolutionizing the care of preterm infants.

These individuals, among many others, have played pivotal roles in advancing the field of neonatal care, improving the understanding, diagnosis, treatment, and overall outcomes for newborn infants.

Healthcare Facilities Code

IEEE  Education & Healthcare Facility Electrotechnology

 

Maternity Metrix

June 10, 2024
mike@standardsmichigan.com

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The De-Population Bomb

June 10, 2024
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February 16, 2024: North Shore Medical Center abruptly closes neo-natal, labor and delivery units

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“In 1970, Stanford professor Paul Ehrlich published a famous book, The Population Bomb, in which he described a disastrous future for humanity: 

‘The battle to feed all of humanity is over. In the 1970s and 1980s hundreds of millions of people will starve to death in spite of any crash programs embarked upon now.’

That prediction turned out to be very wrong, and in this interview American Enterprise Institute scholar Nicholas Eberstadt tells how we are in fact heading toward the opposite problem: not enough people. For decades now, many countries have been unable to sustain a #population replacement birth rate, including in Western Europe, South Korea, Japan, and, most ominously, China. The societal and social impacts of this phenomenon are vast. We discuss those with Eberstadt as well as some strategies to avoid them.”

Out take [35:22]:

“…All right this gets us right to the heart of of your essay and of the matter quoting you yet again the single best predictor for National fertility rates happens to be wanted family size as reported by women now you note there are polls that ask women how many children they’d like and you know that this doesn’t correlate perfectly with birth rates but it’s the best indicator in one sense this is a reassuring even heartening finding it highlights the agency at the very heart of our Humanity…

[“You’re talking about free will there people choosing their family size but if we permit the non-material realm of life to figure into our inquiry we may conclude that proposals to revive the American birth rate through subsidies vastly underestimate the challenge the challenge May ultimately prove to be civilizational in nature”] 

okay so I look at first of all that hits like a two by four — civilizational in nature — and on the one hand I think to myself wait a minute aren’t we all supposed to be delighted that in this modern world women are in a position to participate in the workforce they’re in a position to choose more carefully more explicitly more intentionally the number of children they’d like to have aren’t we supposed to believe that that’s a wonderful thing and that releasing that many women to the workforce should increase the dynamism and growth of our [economy]…and all that…good, good, good…”

Evensong “A Boy and A Girl”

University of Rochester New York

Day Care

Why Daycare Is So Expensive In America

Children’s Hospital Neonatal Intensive Care

Health 400 | OB-GYN

Healthcare Facilities Code

Design & Operation of Health Care Facilities

Evensong “Sonata for Arpeggione and Piano” (Franz Schubert)

June 9, 2024
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Evensong is a traditional Anglican choral service that takes place in the late afternoon or early evening, typically around sunset. It is also known as Evening Prayer or Vespers.

The service consists of a series of prayers, psalms, canticles, and readings from the Bible, which are sung or chanted by a choir in four-part harmony. The choral music often features elaborate harmonies and complex counterpoint, and is usually accompanied by an organ or other instruments.

Evensong has been an important part of the British choral tradition for centuries, and is still performed in many Anglican churches throughout the UK and beyond. The tradition is particularly strong in Oxford and Cambridge, where the famous college choirs perform regular Evensong services that are open to the public.

The origins of Evensong can be traced back to the monastic offices of the Middle Ages, when monks would gather in the evening to sing the psalms and other prayers. Over time, these services evolved into more elaborate and musically sophisticated forms, which were eventually adopted by the Anglican Church and other Protestant denominations.

Today, Evensong is appreciated for its beauty and spiritual depth, as well as its contribution to the rich heritage of British choral music.

Abiit sed non oblitus | Wisconsin

June 9, 2024
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A message from Stritch President Dr. Dan Scholz

“Saint Francis with the Animals” 17th Century / Lambert de Hondt

Standards Wisconsin

Rooibos Tea

June 7, 2024
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Rooibos tea, also known as red bush tea, is a popular herbal tea that is native to South Africa. It is made from the leaves of the Aspalathus linearis plant, which is found only in the Western Cape region of South Africa.

The plant grows in a microclimate where it is exposed to a combination of hot, dry summers and cold, wet winters, which gives it its distinctive flavor and aroma.  It is used in cooking and baking, and can be found in a variety of products, including desserts, skincare products, and even beer.

EU protection for Rooibos tea is good news for South African agriculture

Tea

Coffee Time!

June 7, 2024
mike@standardsmichigan.com

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Universities Wisconsin | Annual Financial Reports

Victor Davis Hanson

“…The veneer of civilization is very very thin. Once you strip off that thin layer of civilization
you get human nature in the raw and it’s not a pretty sight…”



Standards Wisconsin


Wisconsin

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