Theatre Facilities Research Articles

Satisfaction level among infertile women regarding patient-centered care in the fertility clinic at CSHW

This cross-sectional study was conducted at the Castle Street Hospital for Women's Specialized Fertility Clinic in Colombo 08, Sri Lanka. The purpose of this study is to investigate how patients with infertility felt about receiving therapy that was tailored to their specific needs. A sample of 425 individuals is addressed using the Patient-Centered Care Questionnaire (PCC-Q). The results showed that the clinic's emphasis on personalized attention and care was highly praised. The requirement for further enhancement of the richness of PCC is significantly emphasized to its maximum potential. The study suggests improvements to the client's satisfaction through PCC service efficiency which included an appointment system for consultations and ultrasound scanning, additional written information, and expanded theatre facilities.

Barrier-free film screening in China: awareness, practice and suggestions

This article outlines the development of China’s barrier-free screening. It indicates how Chinese film professionals understand cinema accessibility, what efforts they have undertaken to put their awareness into practice, the problems arising and the corresponding initiatives for solutions. I argue that the film professionals’ understanding is now shifting from guaranteeing the equal rights of persons with disabilities to offering them equal treatment in cinematic entertainment. The challenge is that the professionals still focus on updating theatre facilities and screening technologies particularly for blind persons but do not have an overall plan for improving the inclusivity of screenings. A solution is to design a theatre assistant app that allows persons with and without disabilities to enjoy watching films together.

EGS P22 Management of acute cholecystitis during the Covid-19 pandemic - A complete cycle

Abstract Background Acute cholecystitis is a common surgical emergency. NICE guidelines recommend early laparoscopic cholecystectomy should be performed within 1 week of diagnosis. Emergency and elective surgical provision was affected during the first wave of the covid pandemic due to high postoperative mortality and pulmonary complications. The objectives of this audit were to assess and improve the local management of acute cholecystitis during the Covid-19 pandemic. Methods A retrospective review of all patients who presented with acute cholecystitis over 2 months was performed in April 2020. Several interventions were introduced following the first cycle to improve our adherence with NICE guidelines, including ‘green elective surgical pathway’, clinical priority coding for elective surgeries, a hot gallbladder pathway, and a dedicated weekend and evening list. A re-audit was performed over 2 months in July 2020. These findings were presented at the departmental meeting. Results 34 patients were reviewed in the first audit and 37 in the re-audit. A higher number of patients with acute cholecystitis in cycle 2 had admission covid swabs (97.3% vs 64.7%) and interval covid swabs (54.1% vs 0%) compared to cycle 1. One patient was tested positive for Covid-19 in cycle 2 and was listed for elective operation. Cycle 2 revealed a higher rate of hot gallbladder (from 8.8% to 10.8%) and a shorter median length from admission to operation (from 4 to 1.5 days). A higher rate of patients was readmitted due to complications of cholecystitis in cycle 2 (29.7% vs 20.6%) compared to cycle 1. Conclusions The overall performance is still behind the NICE guideline recommendation. We have identified factors such as pressure on theatre facilities and resources and cancer fast-track priority surgeries during the Covid-19 pandemic. Ongoing audit and optimisation of the hot gallbladder pathway, elective surgical pathway, extra lists, and clinical priority of operations are important to improve the quality of care for patients with acute cholecystitis.

Diagnostics of the RC Roofing Structure of the 100-Year-Old Municipal Theatre Facility.

Reinforced concrete has been a widely used material for the construction of buildings for many decades. However, with the passage of time, the material characteristics and connection of structural elements gradually degrade. Development in measurement technology makes it possible to efficiently obtain data on the current state of the structure and material characteristics using non-destructive methods, with limited or no destructive testing. The paper presents the analysis of the condition of the reinforced concrete roof of a 100-year-old theatre building in terms of its further use after planned modernisation. The tests carried out in situ as well as the computational analysis of structure are described. Based on the test results, the current load-bearing capacity was assessed and the limit state conditions were checked. Limitations on the accuracy of the non-destructive test results in relation to the destructive test results were formulated. Options for the strengthening reinforced concrete beams with regard to structural and technological considerations were analysed.

TU4.9 Major elective colorectal surgery at a non-acute site: is it safe or not?

Abstract Introduction Recent reorganisation resulted in elective surgical services being separated from emergency facilities due to a new hospital site in our Health Board. Clinicians were initially concerned with regards to postoperative complications and the potential need for transfer to the acute site (6 miles away) for ongoing emergency management. There are no ICU or emergency theatre facilities at the cold site. We audited the first year of the service reconfiguration. Methods This study looked at unexpected transfer of major colorectal surgical patients occurring between December 2020 to 2021 from the elective hospital to the acute site. The prospectively maintained departmental database was interrogated. Results There were 263 patients undergoing colorectal operations over 12 months. 31 patients (12%) required step-up to the acute hospital for further post-operative care. 10 returned to theatre (4 anastomotic leaks, 1 anastomotic bleed, 1 fluid collection washout, 3 SBO, 1 stoma revision). The remaining 21 patients were managed conservatively by the surgical team (8) or taken over by the medical team (13). The main surgical reason for step-up was due to anastomotic leakage (7). Other step-up reasons included cardiorespiratory compromise (9), infection (6), bowel obstruction (3) and bleeding (2). Median time for transfer was day 4 (range 0–11 days) postoperatively. No transfer delay causing harm was reported. The 30-day mortality rate for all 263 patients was 0%. Conclusion Transfer to the acute site seems to have been safe, timely and effective in its first year. Patients have received appropriate and emergency care for these unpredictable complications.

'n Ou skoolsaal of teater - die opvoerruimtes van die Cape Flats Players en die Eoan-groep

Die teaternavorser Temple Hauptfleisch spreek in 1983 kommer uit oor die agteruitgang van plaaslike amateurteater. Hy identifiseer verskeie faktore om dit te stimuleer, onder meer die beskikbaarheid van 'n saal of 'n teater, verkieslik laasgenoemde, "omdat vir vandag se geso-fistikeerde gehore die ou skoolsaal nie meer goed genoeg is nie". Hierdie artikel ondersoek na aanleiding van hierdie stelling die lotgevalle van die Cape Flats Players en die Eoan-groep, beide Kaapse amateurgeselskappe tydens die hoogbloei van apartheid. Die beskikbaarheid van teatergeriewe en veral die toepassing van apartheidswetgewing met verwysing na die Wet op die Aanwysing van Aparte Geriewe en die Groepsgebiedewet, word van nader beskou. Die ondersoek vind plaas aan die hand van Michel Foucault, David Harvey en Henri Lefebvre se insigte oor die aard van plek en ruimte. Hier is bevind dat die Cape Flats Players nie toegang tot teaters gehad het nie; dat die toegang van gehore beperk was; dat hulle nie-tradisionele ruimtes moes gebruik; dat hulle geen beheer oor die aard en demografie van hulle gehore gehad het nie en dat hulle nuwe netwerke van verbandhoudende individue en groepe gevestig het. Ten opsigte van die Eoan-groep is bevind dat die apartheidswetgewing tot gevolg gehad het dat hul kulturele netwerk vernietig is. Ná die oprigting van hul eie teater, het hul onmiddellike gemeenskap die fasiliteit geboikot, hoofsaaklik vanweë die apartheidsregering se geldelike steun aan die groep. Die kontrasterende ervaring van die Cape Flats Players wat in 1991 in die voorheen "slegs blankes" Nico Malan-teater opgetree het, word bespreek. Alhoewel daar kritiek teen hul optrede was, het dit ook die einde van die boikot van die teaterkompleks ingelui. In die algemeen is bevind dat opvoerruimtes verbande oproep met ander ruimtes, geskiedenisse en simbole. Die keuse tussen "'n ou skoolsaal" en "'n teater" mag eenvoudig klink, maar verdoesel verwikkelde vrae oor ruimtes, toegang en uitsluiting.

Historical aspects of muscle research in the Dubowitz Neuromuscular Centre: the Hammersmith days

Historical aspects of muscle research in the Dubowitz Neuromuscular Centre: the Hammersmith days

P.86 Feedback of major obstetric haemorrhage simulation training

Introduction: Following an incidence at our hospital site, we developed a simulation programme in managing major obstetric haemorrhage (MOH) as a multi-disciplinary team. Obtaining feedback was essential for identifying the effectiveness of training and areas of improvement for future sessions and for the service of the trust. Methods: Training was delivered during the COVID-19 pandemic in July -September 2020. Anaesthetists, obstetricians, midwives, theatre nurses, clinical support staff and students were involved in managing a clinical scenario. Feedback was obtained post-simulation in a questionnaire adapted from the Joint Royal College of Physicians Training Board evaluation form.1 87 feedback forms were completed, which equates to 74.35% response rate. Results: Not all members were aware of trust MOH protocols nor how to access guidelines. On a five-point scale (very poor, poor, satisfactory, good and excellent), over 90% of staff thought the simulation training was ‘good’ or ‘excellent’ in the following categories: teaching environment (n = 84);learning objectives were met (n = 84);delivery of teaching was clear and effective (n = 79);candidates had learnt something today (n = 83);and the usefulness of the session (n = 83). Only 68 (78%) of staff knew how to access the local trust guidelines, however following this training 84 (97%) felt more confident in calling a MOH. General comments include greater appreciation of other team members’ roles, whilst developing better communication and team-working skills. Through general feedback and discussion we have also identified the staff members’ concerns which were not highlighted previously. We found due to recent changes in theatre facilities and staff role, O negative blood was no longer readily available within the theatre complex and required delivery from a separate hospital building (which would take around 15 min). This was investigated, only to find that the blood fridge was non- functional and had no direct internet connection (for remote site monitoring). These concerns were highlighted leading to (1) reinstatement of accessible and functionable fridge;(2) establishment of wired internet access for remote site monitoring of fridge temperature;(3) negotiation with biomedical scientists and transfusion practitioner to expand role in monitoring fridge by direct checks;and (4) training of local staff within the maternity department to monitor and maintain fridge conditions. Discussion: Having alleviated our staff concerns, improved their confidence and knowledge in managing a frequent obstetric complication as well as allowing better access to crucial blood products, we hope this reflects as an improvement in service provision by auditing in the future. We hope to replicate this activity over at our cross-site hospital with the intention of enhancing staff training, inter- departmental relationships and again identification of concerns which can be rectified to improve patient safety.

Comparative study on operation theatre facility utilization in government hospitals and semi-government hospitals

International Journal of Multidisciplinary Studies (IJMS) is published by the Faculty of Graduate Studies - University of Sri Jayewardenepura. IJMS provides a supportive environment for multidisciplinary researchers to publish their contribution to the academy of knowledge and wisdom. Focus of the journal is on multidisciplinary research which should cover at least two distinct disciplines.

Out Sourcing of Head and Neck Oncologic Surgery: Cost Considerations.

165 surgeries for head and neck cancer have been performed by a team of the Indian Institute of Head and Neck Oncology IIHNO in 1year. Integration of private players was necessitated because of need to share available facilities without losing objective of reducing the cost. These surgeries were performed at a private hospital using their resources for the operation theatre and post-operative intensive care services, since the IIHNO does not as yet have an operation theatre facility. The pre-op facilities and post-operative care was done at IIHNO a charitable cancer center under the Indore Cancer Foundation a public charitable trust. Cost analysis of these procedures has been done and the system of integration of the two have been analysed.

Post-Serial Earthquakes Health Problems in Lombok, Indonesia: Experience of 'Ksatria Airlangga' Floating Hospital [Profil Masalah Kesehatan Pasca Gempa Serial di Lombok, Indonesia: Pengalaman Rumah Sakit Terapung Ksatria Airlangga

Predictions regarding damaged land access by a serial earthquake in Lombok, West Nusa Tenggara in 2018, was the background of the Rumah Sakit Terapung Ksatria Airlangga (RSTKA), being sent. RSTKA is phinisi ship with an operating theatre and other healthcare facilities. The earthquake was not accompanied by a tsunami, so the dock was suitable to be used for leaning. The study analyzes patient data in RSTKA, and as an evaluation of field hospitals. This study used observational descriptive design. Obtained 1601 patients with disease distribution classified as trauma and non-trauma. A number of patients who came to RSTKA were volatile. The number of cases recorded was more than the number of patients because some patients had more than one health problem. Trauma cases recorded 121 cases (6.7%) while non-trauma 1679 cases (93.3%). Non-trauma cases have increased rapidly since the fourth day. The trauma case was dominated by soft tissue injury 57.02%. Non-trauma cases were dominated by non-infectious diseases with 919 cases (54.8%) and 760 cases of infection (45.2%). Infectious diseases were dominated by respiratory infections (437 cases) followed by gastrointestinal infections (239 cases). Humanity mission of RSTKA has succeeded in making meaningful contributions to disaster-affected communities in Lombok, especially in North Lombok District.

21ST CENTURY THEATER – REGRESS OR PROGRESS?

Abstract Theater as such is mostly defined through a relationship between play and observation. Such interplay results in a final product with either lasting or fleeting spatial form, and such spatial form ensues from a broadly understood function it is meant to fulfill. Therefore, the aesthetics of stage objects will involve the shape of the building as well as the stage pictures that are created in it and in its factual or significative proximity. To put it in simple terms, present-day global trends in theater construction seem to be headed in two directions. The first one involves standard solutions for the stage layout in a representative facility. They are addressed to the majority of audiences. The second trend is a form of relationship between the areas of play and observation. It is an embodiment of the creative idea of the people of theater, and, oftentimes, it is an outcome of advanced and complex creative ideas combined with many years of experience. It is an ambitious theater, in many circumstances bordering on an experiment. The discussion of aesthetics of theater facilities and stage layouts was conducted on the basis of judgments expressed by Władysław Tatarkiewicz and Umberto Eco. Despite being seemingly different, they are generally similar.

Factors predicting surgical site infection after clean contaminated surgery

Background: The infection of a wound is defined as the invasion of organisms through tissues following a breakdown of local and systemic host defences, leading to cellulitis, lymphangitis, abscess and bacteraemia. Southampton criteria and the centers for disease control and prevention criteria for the diagnosis of surgical site infections are used now for severity assessment. There is still controversy existing on the multifactorial causal relationship.Methods: Longitudinal Observational study with nonrandom purposive sampling carried out in the patients in OT, Casuality, ICU and Wards, in our hospital having clean contaminated abdominal operations for one-year period starting from November 2015 determine the factors responsible for surgical site infections following clean contaminated abdominal operations with prophylactic antibiotics(n=150).Results: Diabetes mellitus (odds ratio of 1.9) and emergency procedure (12.6%) were the most important risk factors for development of SSI. E. Coli (45%, n= 9) was the most common organism. Midline incision (n=6/22 = 27.27%) showed highest rate. Other high-risk factors are obesity, malnutrition, anemia, old age and prolonged duration of surgeries.Conclusions: Various host factors like malnutrition, obesity, patients knowledge about hygiene, presence of co-morbidity etc. coupled with environmental factors such as condition of the wounds, delay to initiate operation, duration of operation, prolonged exposure of peritoneal cavity to environment, prophylactic use of antibiotics and factors associated with surgery like type of incision, type of operation and experience of operating surgeon greatly contribute to occurrences of SSI. So, quality of surgical care including immediate assessment of patients, resuscitative measures, adequate preparation of patients and aseptic environment are important for control of SSI. Moreover, in absence of highly advanced surgical amenities, preoperative resuscitative units, modern operation theatre facilities and sophisticated sterilization procedure it is necessary to use prophylactic antibiotics to encounter the various types of micro-organisms responsible for surgical site infection, particularly E. coli.

The Impact of Korean Ambassadors’ Encounters with Qing Entertainments, Focusing on Lantern Festivals, Fireworks, Plays, and Theater Facilities

Abstract This study examines how Chosŏn Korean ambassadors’ encounters with Qing entertainment impacted their views of the Qing dynasty in China based on their travel accounts written during the eighteenth and early nineteenth centuries. During diplomatic trips as ambassadors, select Chosŏn literati were able to experience new and exotic forms of foreign culture. This article focuses on Qing entertainments, including fireworks, lantern festivals, and plays, and related aspects such as theater facilities, that captured the attention of the traveling ambassadors. Through direct experience with Qing entertainments, traveling Chosŏn dignitaries gained first hand experience of Qing commercial and technological development. Some of these witnesses came to the realization that the Qing had become a successful ruling dynasty, which dismantled previously held assumptions by most Chosŏn literati that the Manchus were barbaric and uncultivated.

The Impact of Korean Ambassadors’ Encounters with Qing Entertainments, Focusing on Lantern Festivals, Fireworks, Plays, and Theater Facilities

This study examines how Chosŏn Korean ambassadors’ encounters with Qing entertainment impacted their views of the Qing dynasty in China based on their travel accounts written during the eighteenth and early nineteenth centuries. During diplomatic trips as ambassadors, select Chosŏn literati were able to experience new and exotic forms of foreign culture. This article focuses on Qing entertainments, including fireworks, lantern festivals, and plays, and related aspects such as theater facilities, that captured the attention of the traveling ambassadors. Through direct experience with Qing entertainments, traveling Chosŏn dignitaries gained first hand experience of Qing commercial and technological development. Some of these witnesses came to the realization that the Qing had become a successful ruling dynasty, which dismantled previously held assumptions by most Chosŏn literati that the Manchus were barbaric and uncultivated.

Public Healthcare Sector: Is Losing Its Importance in Rural Tamil Nadu?

In India, though Tamil Nadu is one of the best performing states in health, it is losing its importance in many areas. There is no specialist in Community Health Centres (CHCs) functioning in Tamil Nadu; all specialist posts are vacant, though there is excess number of doctors in primary health centres (PHCs) and enough number of SCs (sub-centres), PHCs and CHCs. The number of PHCs functioning without lady doctors is also the maximum in Tamil Nadu. The shortfall of health workers in PHCs and CHCs is also very much, female health workers (the 2nd highest) and male health workers (the third highest among the states taken for discussion). In the shortfall of female health assistants in PHCs also Tamil Nadu shows a backward position. Operation theatre facility is available only in 6% of PHCs functioning in Tamil Nadu, but Gujarat is having this facility in all its PHCs. On the basis of rural population served, rural area covered, number of villages covered and radial distance covered, Tamil Nadu is not a better placed state. The budget allocation in revenue budget is continuously falling and the fall is very much in Tamil Nadu in comparison with other states except Odisha. All these force the people of Tamil Nadu to make use of private hospitals instead of public healthcare sector (only about 40%).

A Study on Wodosim Urban Regeneration of Simbolic Place and meaning of Placeness through Theater Facilities

A Study on Wodosim Urban Regeneration of Simbolic Place and meaning of Placeness through Theater Facilities

Assessment of infrastructure at government healthcare facilities for providing family welfare services in Odisha

This study was conducted to assess the various facilities available at Government Healthcare facilities for providing Family Welfare services. The facilities assessed were regarding general information, infrastructural facilities, facilities available at Operation Theater, staffpattern, record keeping and logistics. The facilities were studied to see their readiness for providing hospital based family planning services in- stead of earlier camp based approach. The findings were that 15.26% healthcare institutions have laparoscope sets and 18.11% healthcare institutions do not have empanelled surgeons at their establishments, 75% health institutions do not have space earmarked for examination & counseling and 73.62% healthcare institutions do not have clean bed, linen for post–operative care. In 63.89% healthcare institutions they do not have clean functional toilets and 38.89% healthcare institutions do not follow wet mopping. 47.21% healthcare institutions possess NSV kits for male sterilization, 55.55% healthcare institutions have emergency resuscitation equipment and 41.66% healthcare institutions have emergency medicine tray available with them. Key Words: Government Healthcare facilities, Family Welfare services, Infrastructure, Operation theater facilities, Staff pattern, Record keeping, Logistics

멀티플렉스 영화관의 보유시설, 상권 및 입지요인이 영화관 매출에 미치는 영향에 대한 탐색적 연구

우리나라의 영화산업은 지난 10여 년 간 비약적으로 성장해 왔으며, 이에 따라 영화의 흥행이나 영화관 매출에 영향을 미치는 요인들에 대한 학계의 관심도 점차 높아지고 있다. 지금까지 영화의 흥행이나 영화관 매출에 대한 연구들은 대부분 영화의 제작이나 배급 또는 상영단계의 영화컨텐츠에 초점을 두고 있다. 그런데 우리나라 영화산업은 미국과는 다르게 대기업에 의한 제작, 배급, 상영단계가 수직계열화 되어 있고, 이들이 운영하는 멀티플렉스가 전체 극장의 80%를 차지하고 있다는 점에서 영화 컨텐츠 요소가 영화관 매출에 끼치는 영향보다는 오히려, 영화관 자체의 시설이나, 영화관 주변의 상권 입지요인이 영화관 매출에 더 큰 영향을 미칠 수 있을 것으로 보인다. 본 연구는 기존의 상권이나 입지연구에서는 상대적으로 덜 다루어졌던 자원 기반이론과 산업조직론의 S-C-PParadigm을 바탕으로, 영화관 자체의 내부환경 즉, 영화관 특성 요인과 영화관의 외부환경인 상권 입지요인(입지특성, 접근특성, 인구통계특성)이 영화관 매출에 끼치는 영향을 분석하였다. 분석결과, 상영관 평균 수용인원은 대도시 뿐만 아니라 중소도시의 영화상영관에도 매출에 가장 중요한 영향을 끼치는 변수로 나타났으며, 대도시(인구 100만명 이상)에 위치한 영화상영관은 상대적으로 영화관 특성요인(진동좌석, 특수음향시설, 프리미엄영화관, VIP라운지의 유무)들이, 중소도시에 위치한 영화관은 입지특성(쇼핑몰 입점여부, 경쟁업체)이나 접근특성(지하철역, 버스노선)이 더 영화관 매출에 영향을 미치는 것으로 나타났다. 마지막으로 연구의 시사점과 한계점에 대해 기술하였다. Korea's film industry has been growing over the last 10 years, and there has been much attention to the antecedents of film box office sales both academic and business communities. So far, previous research which explained success factors of film or movie mainly focused on 3 stages, production, distribution and screening. However, these 3 steps are heavily vertically integrated in Korea's firm industry unlike United States. Almost 130% of movie theaters are multiplex chain and operated by film production companies such as CJ and Lotte Entertainment In this situation, film sales are likely to he affected by movie theaters own facilities or location factors rather than movie contents. Based. on resource-based view and S-C-P paradigm, the authors examined "whether movie theater's facilities factors and trade area factors such as accessibility, competitive situation, and population have effect to movie theater's sales revenues. The results showed that the average occupancy of theater is the most important factor to movie theaters sales in both large and small cities. In large cities, movie theater's facilities factors which included vibration seat special sound system, premium movie theater, VIP lounge are relatively important than trade area factors. In contrast, in small cities, location factors and accessibility are the most important factors to movie theaters sales. We discuss the managerial and theoretical implication for the results and the specific limitations are suggested at the end of the paper.

Study of the severity of musculoskeletal injuries and triage during the 2005 Pakistan earthquake

On 8 October 2005 a massive earthquake hit the northern mountainous areas of Pakistan and Kashmir causing 73,338 deaths and leaving over 125,000 severely injured. In a region which was less prepared for such an enormous disaster, mobilising rescue, relief and rehabilitation posed great challenges. The first author (SMA) established two level 1 orthopaedic trauma and rehabilitation units in each of two severely hit major cities through private philanthropy. According to the severity of injuries, the patients were triaged and treated. The aim of this study is to improve the future strategies in similar scenarios. This is a retrospective review of medical records of patients suffering from musculoskeletal injuries in the aftermath of the 2005 earthquake who were managed in these centres in the order of triage priority. The patients were received, categorised, worked up and provided definitive surgical procedures. All patients were provided assistance for the fitting of a prosthesis and rehabilitation. Of 128,304 (total of injured patients), 19,700 were managed in two centres established by SMA during the first months after the earthquake. Of these, 112 patients underwent amputations of upper and lower limbs. In a massive calamity over a wide geographical area away from big university hospitals, such as the 2005 Pakistan earthquake, the level 1 operating theatre facilities must be established within the area to meet the immediate needs of the patients nearest to their homes and families, and run forever so that patients can have excellent follow-up and can use the same facilities regularly. In the aftermath of this earthquake the need to practise triage in the first 72 hours was thoroughly realised and effectively practised in our centres.