An Era to Remember: Managing Offshore Drilling Campaign During World Pandemic Covid-19 Crisis

When the pandemic COVID-19 erupted and spreaded throughout the world, numerous rules and regulations were implemented to ensure the safety of everyone. The outcome of Covid-19 resulted in a global shutdown, where cases continued to grow rapidly that directly affected the normal processes in all business sectors. While the future is still uncertain, business plan must keep on progressing by managing all the obstacles to ensure the business goal is delivered efficaciously while keeping the impact as low as possible. In the early stage of the outbreak, there was limited knowledge and experience to manage a drilling campaign virtually, to ensure all plans are smooth despite all the restrictions to avoid additional cost and schedule impact to the company. Since the outbreak was quite abrupt, the main challenge faced by the team was to ensure a continuous operation like any other year before but with additional enforcement of stringent COVID-19 SOP and to come up with new modus operandi with stringent SOP at every location. During this pandemic, the operation is exposed to the risk of being on standby mode due to equipment unavailability, unreadiness of manpower or delay in vessel movement. Knowing that drilling operation is so dynamic, that a slight change to the drilling sequence could lead to operation shutdown if the required services are not readily onboard. This uncomplimentary impact is due to the new rules or regulations implemented on the manpower and equipment movement to reduce risk of Covid-19 infection. Therefore, a thorough planning is crucial to ensure the success of operation, in fact a few fallback plans must be in placed to minimize the cost and schedule exposure. This paper will address the challenges in managing equipment and manpower throughout the operation for BX-Project together with the solutions to ensure the governance, rules and regulations of Covid-19 are being followed. The approaches taken during this campaign is used as a baseline to run a drilling operation during Covid-19 pandemic in the upcoming year. Lessons learnt captured from this campaign can be replicated by other projects and finding the more efficient ways to implement the best practices. This pandemic has challenged our perseverance to deliver the project objectives while maintaining the dedication, health, focus as well as creativity to overcome unfamiliar circumstances. Copyright © 2022, Offshore Technology Conference.

Anatomy Laboratory Postdoctoral Training during COVID-19 Pandemic in Europe: Challenges and Solutions

Postdoctoral researchers utilise their time in training to broaden their research interests, learn new ideas and practices, such as grant application and laboratory administration, develop their higher-order thinking and communication skills, and get familiar with new scientific methodologies and concepts. Anatomy postdoctoral trainees working in laboratory research benefit greatly from biological sciences. During the COVID-19 pandemic, postdoctoral researchers face several challenges, including restricted hands-on laboratory work, limited lab supplies and equipment, less labour work as peoples become more isolated, and reduced supervision of their postgraduate students. Hence, in this commentary, we discussed the challenges and solutions during the anatomy laboratory postdoctoral fellowship amidst the COVID-19 pandemic in Europe, with regard to our own experience. Academic and research institutions, financial institutions, learning and professional associations, and employers must all work together to define the future, regardless of the situation. © 2022 UPM Press. All rights reserved.

Effect of Disinfectants Usage in Pandemic Corona Virus on Domesticated Animals and Birds

The COVID-19 pandemic represented a health threat to the world and since then, folks were forced to use disinfectants while not taking note of the negative effects it had on humans and animals. To estimate it, a survey study was undertaken (using a questionnaire) on the adverse effects of disinfectants utilized by citizens in home (within the town of Mosul) on the fauna and birds in the COVID-19 pandemic. The study showed that housewives used highest (37%) disinfectants and the least was used by staff in health departments (16%). It was distributed over 12 residential neighbourhoods (districts) in Mosul. Most of the survey participants observed signs of itching, eyes inflammation and breathing problems. The study showed that the foremost ordinarily used disinfectants were 70% alcohol and 3% chlorine. Therefore, wrong use of such disinfectants showed highest symptom of abdominal pain (95%) in animals and birds and the lowest sign of death (20%). The keepers of animals and birds additionally suffered from itching and eyes inflammation and difficulty in breathing. Only 33% of such animals and birds were taken to veterinary health care where the best-prescribed drug was 42% amoxicillin and 32% normal saline as eyewash. Thus, lack of information among animal keepers about the dangers of disinfectants and the fear of disease led to the exposure of domestic animals to their negative adverse effects. © 2022, Agri Bio Research Publishers. All rights reserved.

Home based peritoneal dialysis training during COVID-19 era: A single centre experience

Introduction: COVID-19 disease has been declared as a pandemic since February 2020. Resulting from this, home peritoneal dialysis training programme was implemented. However, infectious complications was one of our major concerns. Material(s) and Method(s): This is a single centre, observational, retrospective study. We recruited patients who were newly enrolled into the peritoneal dialysis programme from January 2020 until March 2021 and follow up them for 6 months duration. Patients' demographic data, baseline characteristic, clinical outcome were collected through electronic health record (eHIS) and data were analysed using SPSS version 23. Result(s): A total of 133 patients were enrolled into the peritoneal dialysis programme. The median age of the patients was 55(42-65) years old. Most of the patients were on CAPD, 87(65.4%), and 76(57.1%) of them were on self-care peritoneal dialysis (PD). During this observational period, 29(21.8%) patients underwent hospital based training, while a total of 104(78.2%) patients underwent home based training. The PD peritonitis rate for hospital based training was 1 episode per 55.8 patient months while home based training group was 1 episode per 25.4 patient month. The survival free to 1st PD peritonitis for home based training was 83.7% over 6 months. The exit site infection rate was 1 episode per 73.1 patient month. Conclusion(s): Home based PD training should be encouraged especially during Covid-19 pandemic period, but standardised training protocol should be implemented to improve the clinical outcome of our patients.

POS-630 RELIABILITY OF NEPHROLOGIST LED CLINICAL ASSESSMENT FOR VASCULAR ACCESS CREATION

Introduction: Arteriovenous fistula (AVF) delivers the best treatment dose prescribed for hemodialysis. KDOQI guideline 2006 advocate the adoption of ultrasound mapping for pre access creation. However, this is not translated to routine practice due to scarce resources. In this study, we wish to study the efficiency of clinical assessment in determining the suitable vessels for AVF creation and the access survival. Methods: This is a single tertiary nephrology center, prospective study of a series of patients who were referred to our AVF outsource program that was funded by Ministry of Health. This program diverting non Covid-19 CKD 5 or new ESKD patients that have opted for hemodialysis to private facilities for AVF creation due to the limitation of available operating theatre slot in government hospital attributed by Covid-19 pandemic. Those assessed by our nephrologists and trainees in a specially created outsourcing clinic that deemed suitable for assess creation will be outsource to the private institutions. Clinician assessment of suitability of the vessels and the outcome of AVF creations at 6 months were captured and analyzed. Results: A total of 147 patients were identified, reviewed, and outsourced, with the mean age of 54-year-old, male predominant (n: 94). 65% of the cohort has diabetes mellitus as their primary disease followed by hypertension at 17%. 37.4% of the cohort are CKD 5 patients who are not on dialysis, while 10.8% on peritoneal dialysis and 51.7% were on hemodialysis. 87% of the patients were AVF naïve whereas 13% had prior history of failed AVF. Out these, 15.6% of patients did not have access created (1 passed away, 7 needed complex grafts, 13 have small vessels, 2 needed two stages surgeries). Of the remaining 124 patients (84.4%), 2 received AVGs and 122 received AVFs. From the first subsequent vascular review by the surgeons, the concordance for the vascular access creation suitability with our assessment was 91.1%. Subsequently, the concordance for vascular access that was successfully created was 84.3% with site of creation agreement at 61%. At 6 months post AV access creation, 13 patients (10.5%) have primary failures whereas 11 patients (9%) had secondary failure. 21 patients (17%) unfortunately passed away during the study period and were excluded. At 6 months, 60% of the patients have functional AV access. In addition, for the 26 patients that have deemed no suitable vessels for AV access creation from prior vascular review before referred to our program, 84.6% has AV access created subsequently. Their outcome in 6 months includes: 36.3% have functional AV access, 18% have primary failure, 22.7% have secondary failure and another 22.7% passed away. Conclusions: We have demonstrated a careful clinical assessment of a patient’s vascular access by a nephrologist led team provides a high and consistent level of accuracy as to successfulness of the vascular creation. The omittance of routine vascular mapping in our protocol provide considerable cost and time saving which echoes the latest guideline by KDOQI 2019. Patients who failed assessment prior still warrant a repeat clinical assessment if they are considering hemodialysis as the life plan of kidney replacement therapy. No conflict of interest

EFFECTS OF COVID-19 PANDEMIC ON THE LOW-INCOME URBAN COMMUNITIES’ (B40) WELL-BEING: A CASE STUDY OF PPR HILIRAN AMPANG, MALAYSIA

Coronavirus outbreak 2019 (COVID-19) and Movement Control Order (MCO) announced by the Government of Malaysia since mid-March 2020 have had significant implications for the movement of the population to carry out economic activities and activities to meet other daily needs. The low-income group especially in urban areas is a very vulnerable community that is experiencing some sudden lifestyle changes due to these MCOs and pandemics. The aim of this study is to compare the level of well-being of the low-income urban community (bottom 40 percent of income earners-B40) before and during the COVID-19 pandemic and evaluate the impact of the COVID-19 pandemic on the well-being of the B40 urban community throughout the pandemic. This case study is a quantitative study that focuses on the B40 urban community living in the housing area of the Hiliran Ampang People's Housing Program (PPR Hiliran Ampang). Two hundred seventy-four (274) heads of households were involved as a sample to fill in the questionnaire. The collected data were analyzed using the descriptive statistics (frequency, mean and percentage) and inference (t-test, Pearson Correlation and multiple regression analysis). The findings show that the level of well-being of the PPR Hiliran Ampang community is at a moderate level with a mean score of 3.93 before the pandemic. This level of well-being decreased with a mean value of 0.02, making the mean score throughout the pandemic 3.92. The COVID-19 pandemic resulted in a declining monthly income of households and the fact that the number of non-income households increased by 12 percent throughout the pandemic. Based on the multiple regression analysis, it shows that the total monthly household income affects the three domains of B40 urban community’s well-being, namely the well-being in family and community relationships, economic as well as family and community health. © 2021, CA and C Press AB. All rights reserved.