The Early Impact of COVID-19 on Urological Service Provision.

Aim COVID-19 has posed an unprecedented challenge to healthcare systems. We aimed to observe the impact on urological care delivery in an Irish university hospital. Methods Data on urological activity was prospectively collected for 3 months from March 2020. A retrospective review of the same period in 2019 was performed for control data. Results Over the 2020 study period, 356 urological admissions were recorded; a 23.1% decrease from the 2019 corresponding period(n=463). A 21.7% decrease in flexible cystoscopies was seen (162 versus 207). 125 theatre cases (36 off-site) were performed in the 2020 period, versus 151 in 2019. Emergency case load remained stable, with 69 cases in the 2020 period. The percentage of trainee-performed cases was preserved. COVID-era outpatient activity increased, to involve 559 clinic consultations compared to 439 the preceding year; a reflection of annual growth in service demand and facilitated by virtual clinic application (n=403). There were 490 instances of patients cancelling/failing to attend outpatient appointments, compared to 335 in 2019. Conclusion The Irish COVID-19 outbreak has created obstacles for urological care. Nonetheless, urgent/emergent urological cases persist. Our unit has managed this to-date with flexible adaptation of service delivery. The global challenge posed by COVID-19 will demand ongoing resourcefulness to minimise impact on patients with time-sensitive urological conditions.

Evaluation of two lead-based paint removal and waste stabilization technology combinations on typical exterior surfaces.

A study was conducted to demonstrate the effectiveness of a wet abrasive blasting technology to remove lead-based paint from exterior wood siding and brick substrates as well as to evaluate the effectiveness of two waste stabilization technologies to stabilize the resulting blast media (coal slag and mineral sand) paint debris thereby reducing the leachable lead content. The lead-based paint removal technology effectiveness was determined by the use of an X-ray fluorescence (XRF) spectrum analyzer (L- and K-shell). The effectiveness of the technologies to stabilize the debris was evaluated through the toxicity characteristic leaching procedure (TCLP). Wet abrasive blasting effectively removed the lead-based paint coating from both the wood and brick substrates to below the US Department of Housing and Urban Development Guideline (1mg/cm(2)) with no minimal or no damage to the underlying substrates (P<0.0001). The mean area air levels of lead-containing particulate generated during paint removal were significantly below the personal exposure limit (PEL) (P<0.0001). However, the mean personal breathing zone lead levels were approximately three times higher than the PEL. Neither of the two stabilization technologies consistently stabilized the resultant paint debris to achieve a leachable lead content below the RCRA regulatory threshold of <5 mg/l.