ABSTRACT
Purpose: Until now, the Hospitalization Rate (HR) served as an indicator (among others) for the COVID-19 associated healthcare burden. To ensure that the HR accomplishes its full potential, hospitalizations caused by COVID-19 (primary cases) and hospitalizations of patients with incidental positive SARS-CoV-2 test results (incidental cases) must be differentiated. The aim of this study was to synthesize the existing evidence on differentiation criteria between hospitalizations of primary cases and incidental cases. Methods: An online survey of the members of the German Network University Medicine (NUM) was conducted. Additionally, senior clinicians with expertise in COVID-19 care were invited for qualitative, semi-structured interviews. Furthermore, a rapid literature review was undertaken on publications between 03/2020 and 12/2022. Results: In the online survey (n=30, response rate 56%), pneumonia and acute upper respiratory tract infections were the most indicative diagnoses for a primary case. In contrast, malignant neoplasms and acute myocardial infarctions were most likely to be associated with incidental cases. According to the experts (n=6), the diagnosis, ward, and type of admission (emergency or elective), low oxygen saturation, need for supplemental oxygen, and initiation of COVID-19 therapy point to a primary case. The literature review found that respiratory syndromes and symptoms, oxygen support, and elevated levels of inflammatory markers were associated with primary cases. Conclusion: There are parameters for the differentiation of primary from incidental cases to improve the objective of the HR. Ultimately, an updated HR has the potential to serve as a more accurate indicator of the COVID-19 associated healthcare burden.
ABSTRACT
Cleaning and erosion of objects by ultrasound in liquids are caused by the action of acoustic cavitation bubbles. Experiments have been performed with respect to the erosive effect of multibubble structures on painted glass surfaces and on aluminium foils in an ultrasonic standing wave field at 40 kHz. High-speed imaging techniques have been employed to investigate the mechanisms at work, in particular bubble interaction and cluster formation near and at the object surfaces. It was found that different prototype bubble structures can contribute to the erosion process. Some are bound to the surface, which seems to act as a bubble source in this case, while others also exist independently from the object. Cleaning and erosion effects at the pressure antinodes can vary strongly as they depend on the emerging bubble structures. These, in turn, seem to be substantially influenced by properties and the history of the surface.
ABSTRACT
Filamentary formations of acoustic cavitation bubbles in an ultrasonic resonator are recorded by high-speed stereoscopic means. The bubble locations and motions are reconstructed in three dimensions, and a velocity distribution of bubbles is obtained. Experimental bubble trajectories are compared to a one-to-one simulation by a particle modeling approach which shows reasonable agreement. Such investigations are important for a better understanding of the mechanisms taking place in applications of intense ultrasound in liquids, and for verification and improvement of particle modeling of cavitation bubbles.
ABSTRACT
Ethnography is a qualitative research design that has relevance for clinical research in occupational therapy. The ethnographic approach is illustrated in the present paper through a description of how it could be used to investigate the effectiveness of an occupational therapy leisure intervention with stroke survivors. This paper contrasts ethnography with a randomized clinical trial design addressing the same question. Background information about ethnography, its relationship to other qualitative approaches, and its relevance to occupational therapy is addressed. Additionally, specific aspects of the research process are described, including triangulation of data-gathering strategies, sampling, and analysis. The limitations of ethnography are then described. The paper concludes with some examples of ethnographic work with persons with disabilities.
