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Impact of the Covid-19 pandemic on the management of a selected treatment facility

Skowron Krzysztof, Koleszko Aleksandra

Organizacja i Zarządzanie : kwartalnik naukowy

2022

nr 1

127--143

Introduction/background: Following the SARS-CoV-2 virus outbreak, the goals of the health care system had to be adapted to the changed environment to meet the health care needs of patients and the expectations of Polish health care workers for safe working conditions in emergency situations. The need for change concerning the health workforce, is mainly due to organisational and economic changes affecting health care systems worldwide and affects all forms of health care. The aim of this paper is to determine the impact of the COVID-19 pandemic on the operation of a selected treatment facility. The research resulted in the author's master's thesis. Aim of the paper: The aim of the paper is to determine the changes that may have occurred in the operation of the treatment facility under investigation, influenced by the events taking place as a result of the COVID-19 coronavirus pandemic, and to analyse the assessment of the staff of the treatment facility before and during the COVID-19 pandemic. Materials and methods: Literature analysis, analysis of source materials (internal), survey method - technique: indirect survey, tool: survey questionnaire. Results and conclusions: The COVID-19 pandemic showed the state of the treatment facilities and the measures taken to cope with the new operating conditions. It is important to address staff shortages: nurses, doctors, economists trained in health system administration. Deficiencies in the health care system were revealed. Working in an environment with a lack of equipment and personnel forces changes in treatment methods. The application of standard treatment methods, developed under normal conditions, turns out to be either suboptimal to protect life and health or impossible. The most obvious conclusion is the lack of equipment, which occurs when the practitioner does not have the necessary tools or protective equipment that are formally authorised for medical use. Another of the identified frailties is the lack of adequate preparation of staff to work under stressful and even 'combative' conditions, contributing to staff overload, which may result in staff wanting to change jobs. Another finding is the lack of a developed procedure in terms of storage policy, which has a significant impact on the shortage of medical equipment in the medical facility. In addition, the sudden increase in the number of patients could have been a reason for employees to feel increased stress or a desire to change jobs. Such feelings, on the other hand, may have been the result of a lack of knowledge regarding the medical management of SARS-COV-2 coronavirus patients, in which certain risky emergency procedures were reserved for specialists or specially trained persons (e.g. intubation).

Technology of Utilization of Polypropylene Waste and Wastewater Sediments by Production of Building Blocks

Levytska Olena, Trus Inna, Gomelya Mukola, Alekseyenko Sergey

Ecological Engineering & Environmental Technology

2022

Vol. 23, iss. 2

50--59

Plastic waste and wastewater sediment stored on sludge lagoons are generated in almost every city in Ukraine. Their disposal is an urgent issue nowadays. The paper shows the ways of polypropylene utilization as one of the most widely used thermoplastics in everyday life, as well as the problem of formation and storage of wastewater sediments. The proposed technological scheme of complex processing of the resulted waste by production of building blocks is based on the property of polypropylene as a thermoplastic to soften and melt at above 160 °C, while exhibiting adhesive properties to a number of materials. For the implementation of technological solutions for manufacturing of construction products, the adhesion properties of polypropylene to wastewater sediments were substantiated, heating modes of the raw material mixture of wastewater sediments and polypropylene waste were specified, and the ratio of raw materials in the mixture for thermal treatment was determined. The samples of building blocks with a mass content of wastewater sediment from 5 to 95% (dry weight sediments) were made in the laboratory. In these samples, the polypropylene content was reduced from 95 to 5%, respectively. It was experimentally determined that for the samples of construction materials with a mass content of wastewater sediment 40–50% (dry weight), a uniform distribution of raw materials that would ensure their high strength, was observed. The comparison of the qualitative characteristics of the samples of building blocks with the regulatory requirements for construction products revealed that the experimental samples met the current requirements and were not inferior to the counterparts from traditional raw materials. However, the construction materials made from waste are recommended for application in building of industrial warehouses and storage facilities, non-food storage chambers, garages or other structures that do not provide permanent storage of food or living place for humans or animals.