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Crisis management

Yasmin Hakim, Anna Forbes, Momina Khan, Benjamin C Whitelaw
Chest pain with elevated serum troponin is a common clinical presentation and is normally managed as suspected myocardial infarction or acute coronary syndrome (ACS). We report a 49 year old man who presented with central chest pain sweating and breathlessness. He had a significantly elevated serum troponin I level and a subsequent angiogram showed near normal coronary arteries. He was subsequently investigated for fever and found to have a 3cm right sided adrenal mass consistent with a pheochromocytoma. After confirmation and appropriate blockade laparoscopic adrenalectomy was performed...
2016: Acute Medicine
Jane Landon, Tim Lobstein, Fiona Godfrey, Paula Johns, Chris Brookes, David Jernigan
Background and aims The 2011 UN Summit on Non-Communicable Disease failed to call for global action on alcohol marketing despite calls in the World Health Organization (WHO) Global Action Plan on Non-Communicable Diseases 2013-20 to restrict or ban alcohol advertising. In this paper we ask what it might take to match the global approach to tobacco enshrined in the Framework Convention on Tobacco Control (FCTC), and suggest that public health advocates can learn from the development of the FCTC and the Code of Marketing on infant formula milks and the recent recommendations on restricting food marketing to children...
October 18, 2016: Addiction
Nandan Limakrisna, Syahril Yoserizal
BACKGROUND: Indonesian banking industry has experienced up and down as can be seen after Pakto '88, in which the number of new banks grew rapidly, but after the 1997-1998 financial crisis, a lot of banks were liquidated due to the deteriorating financial condition and violation of the precautionary principles by bank management. The purpose of this research is to determine and analyze the effects of good corporate governance, information technology, HR competencies on competitive advantage and its implication on marketing performance...
2016: SpringerPlus
José Joaquín Mira, Irene Carrillo, Susana Lorenzo
OBJECTIVE: To explore what hospitals and primary care (PC) are doing to reduce the negative social impact of a serious adverse event (AE). METHODS: We surveyed 195 hospital (n=113) and PC (n=82) managers from eight autonomous communities to explore the level of implementation of five interventions recommended after an AE to protect the reputation of healthcare institutions. RESULTS: Most institutions (70, 45.2% PC, and 85, 54.8% hospitals) did not have a crisis plan to protect their reputation after an AE...
October 14, 2016: Gaceta Sanitaria
Bernadette M Lynch, Edward P Stern, Voon Ong, Mark Harber, Aine Burns, Christopher P Denton
The UK Scleroderma Study Group developed guidelines on the diagnosis and management of scleroderma renal crisis (SRC) based on best available evidence and clinical experience. SRC is characterised by the acute onset of severe hypertension and acute kidney injury. Current strategies to reduce the associated morbidity and mortality include identifying at risk patients to aid early diagnosis. ACE inhibitor therapy should be lifelong in all patients, regardless of whether they require renal replacement therapy...
September 2016: Clinical and Experimental Rheumatology
Deborah R Liptzin, Stanley J Szefler
No abstract text is available yet for this article.
October 10, 2016: Journal of Pediatrics
G Iakimova, S Dimitrova, T Burté
OBJECTIVES: Computer-delivered Cognitive Behavioral Therapies (C-CBT) are emerging as therapeutic techniques which contribute to overcome the barriers of health care access in adult populations with depression. The C-CBTs provide CBT techniques in a highly structured format comprising a number of educational lessons, homework, multimedia illustrations and supplementary materials via interactive computer interfaces. Programs are often administrated with a minimal or regular support provided by a clinician or a technician via email, telephone, online forums, or during face-to-face consultations...
October 10, 2016: L'Encéphale
Weibin Zhou, Min Chen
INTRODUCTION: Parathyroid crisis due to ectopic parathyroid adenomas can pose diagnostic and management challenges, since it is quite rare in clinical practice. CLINICAL FINDINGS/PATIENT CONCERNS: A 67-year-old Chinese male presented as a parathyroid crisis due to an ectopic mediastinal parathyroid adenoma with his serum calcium and PTH markedly increased in short time. An ultrasonography and computed tomography (CT) scan of the neck did not reveal any parathyroid adenoma...
October 2016: Medicine (Baltimore)
Isabelle Bragard, Marie-Christine Seghaye, Nesrine Farhat, Marie Solowianiuk, Mariane Saliba, Anne-Marie Etienne, Katharina Schumacher
OBJECTIVES: Residents beginning their specialization in pediatrics and emergency medicine (EM) are rapidly involved in oncall duties. Early acquisition of crisis resource management by novice residents is essential for patient safety, but traditional training may be insufficient. Our aim was to investigate the impact of a 2-day simulation-based course on residents to manage pediatric and neonatal patients. METHODS: First year residents participated in the course...
October 6, 2016: Pediatric Emergency Care
Jingjing Liang, Thomas W Crowther, Nicolas Picard, Susan Wiser, Mo Zhou, Giorgio Alberti, Ernst-Detlef Schulze, A David McGuire, Fabio Bozzato, Hans Pretzsch, Sergio de-Miguel, Alain Paquette, Bruno Hérault, Michael Scherer-Lorenzen, Christopher B Barrett, Henry B Glick, Geerten M Hengeveld, Gert-Jan Nabuurs, Sebastian Pfautsch, Helder Viana, Alexander C Vibrans, Christian Ammer, Peter Schall, David Verbyla, Nadja Tchebakova, Markus Fischer, James V Watson, Han Y H Chen, Xiangdong Lei, Mart-Jan Schelhaas, Huicui Lu, Damiano Gianelle, Elena I Parfenova, Christian Salas, Eungul Lee, Boknam Lee, Hyun Seok Kim, Helge Bruelheide, David A Coomes, Daniel Piotto, Terry Sunderland, Bernhard Schmid, Sylvie Gourlet-Fleury, Bonaventure Sonké, Rebecca Tavani, Jun Zhu, Susanne Brandl, Jordi Vayreda, Fumiaki Kitahara, Eric B Searle, Victor J Neldner, Michael R Ngugi, Christopher Baraloto, Lorenzo Frizzera, Radomir Bałazy, Jacek Oleksyn, Tomasz Zawiła-Niedźwiecki, Olivier Bouriaud, Filippo Bussotti, Leena Finér, Bogdan Jaroszewicz, Tommaso Jucker, Fernando Valladares, Andrzej M Jagodzinski, Pablo L Peri, Christelle Gonmadje, William Marthy, Timothy O'Brien, Emanuel H Martin, Andrew R Marshall, Francesco Rovero, Robert Bitariho, Pascal A Niklaus, Patricia Alvarez-Loayza, Nurdin Chamuya, Renato Valencia, Frédéric Mortier, Verginia Wortel, Nestor L Engone-Obiang, Leandro V Ferreira, David E Odeke, Rodolfo M Vasquez, Simon L Lewis, Peter B Reich
The biodiversity-productivity relationship (BPR) is foundational to our understanding of the global extinction crisis and its impacts on ecosystem functioning. Understanding BPR is critical for the accurate valuation and effective conservation of biodiversity. Using ground-sourced data from 777,126 permanent plots, spanning 44 countries and most terrestrial biomes, we reveal a globally consistent positive concave-down BPR, showing that continued biodiversity loss would result in an accelerating decline in forest productivity worldwide...
October 14, 2016: Science
Efthyvoulos Kyriacou, Iolie Nicolaidou, George Hadjichristofi, Stelios Kyprianou, Synesios Christou, Riana Constantinou
Τhe performance of rescuers and personnel handling major emergencies or crisis events can be significantly improved through continuous training and through technology support. The work done in order to create a system has been discussed which can support both resources and victims during a crisis or major emergency event. More specifically, the system supports real-time management of firefighter teams, rescue teams, health services, and victims during a major disaster. It can be deployed in an ad hoc manner in the disaster area, as a stand-alone infrastructure (using its own telecommunications and power)...
September 2016: Healthcare Technology Letters
Tracy Hatton, Eleanor Grimshaw, John Vargo, Erica Seville
Business Continuity Planning (BCP) is well established as a key plank in an organisation's risk management process. But how effective is BCP when disaster strikes? This paper examines the experiences of organisations following the 2010-11 Canterbury, New Zealand earthquakes. The study finds that BCP was helpful for all organisations interviewed but more attention is needed on the management of societal and personal impacts; development of employee resilience, identification of effective crisis leaders; right-sizing plans and planning to seize opportunities post-disaster...
2016: Journal of Business Continuity & Emergency Planning
Andrea L Murphy, Ruth Martin-Misener, Stan P Kutcher, Claire L O'Reilly, Timothy F Chen, David M Gardner
BACKGROUND: The role of community pharmacists is changing globally with pharmacists engaging in more clinically-oriented roles, including in mental health care. Pharmacists' interventions have been shown to improve mental health related outcomes but various barriers can limit pharmacists in their care of patients. We aimed to explore the experiences of people with lived experience of mental illness and addictions in community pharmacies to generate findings to inform practice improvements...
October 12, 2016: BMC Health Services Research
Hafiz Azhar Ali Khan, Waseem Akram
Developing resistance management strategies for eco-friendly insecticides is essential for the management of insect pests without harming the environment. Cyromazine is a biorational insecticide with very low mammalian toxicity. Resistance to cyromazine has recently been reported in house flies from Punjab, Pakistan. In order to propose a resistance management strategy for cyromazine, experiments were planned to study risk for resistance development, possibility of cross-resistance and bio-chemical mechanisms...
October 8, 2016: Chemosphere
Elizabeth Welch, Karen Jones, James Caiels, Karen Windle, Rosalyn Bass
Personal health budgets (PHBs) in England have been viewed as a vehicle for developing a personalised patient-based strategy within the substance misuse care pathway. In 2009, the Department of Health announced a 3-year pilot programme of PHBs to explore opportunities offered by this new initiative across a number of long-term health conditions, and commissioned an independent evaluation to run alongside as well as a separate study involving two pilot sites that were implementing PHBs within the substance misuse service...
October 10, 2016: Health & Social Care in the Community
Vladimir M Adamović, Davor Z Antanasijević, Mirjana Đ Ristić, Aleksandra A Perić-Grujić, Viktor V Pocajt
This paper presents the development of a general regression neural network (GRNN) model for the prediction of annual municipal solid waste (MSW) generation at the national level for 44 countries of different size, population and economic development level. Proper modelling of MSW generation is essential for the planning of MSW management system as well as for the simulation of various environmental impact scenarios. The main objective of this work was to examine the potential influence of economy crisis (global or local) on the forecast of MSW generation obtained by the GRNN model...
October 7, 2016: Environmental Science and Pollution Research International
Prashanth Komirishetty, Aparna Areti, Ranadeep Gogoi, Ramakrishna Sistla, Ashutosh Kumar
Neuropathic pain, a debilitating pain condition and the underlying pathogenic mechanisms are complex and interwoven amongst each other and still there is scant information available regarding therapies which promise to treat the condition. Evidence indicate that oxidative/nitrosative stress induced poly (ADP-ribose) polymerase (PARP) overactivation initiate neuroinflammation and bioenergetic crisis culminating into neurodegenerative changes following nerve injury. Hence, we investigated the therapeutic effect of combining an antioxidant, quercetin and a PARP inhibitor, 4-amino 1, 8-naphthalimide (4-ANI) on the hallmark deficits induced by chronic constriction injury (CCI) of sciatic nerve in rats...
October 3, 2016: Neuropharmacology
Veronika K Jaeger, Elina G Wirz, Yannick Allanore, Philipp Rossbach, Gabriela Riemekasten, Eric Hachulla, Oliver Distler, Paolo Airò, Patricia E Carreira, Alexandra Balbir Gurman, Mohammed Tikly, Serena Vettori, Nemanja Damjanov, Ulf Müller-Ladner, Jörg H W Distler, Mangtao Li, Ulrich A Walker
OBJECTIVE: Systemic sclerosis (SSc) is a rare and clinically heterogeneous autoimmune disorder characterised by fibrosis and microvascular obliteration of the skin and internal organs. Organ involvement mostly manifests after a variable period of the onset of Raynaud's phenomenon (RP). We aimed to map the incidence and predictors of pulmonary, cardiac, gastrointestinal (GI) and renal involvement in the early course of SSc. METHODS: In the EUSTAR cohort, patients with early SSc were identified as those who had a visit within the first year after RP onset...
2016: PloS One
Alexis Descatha, Alice Huynh Tuong, Pierre Coninx, Michel Baer, Thomas Loeb, Thomas Despréaux
In massive catastrophic events, occupational health practitioners are more and more frequently involved in the management of such situations. We aim to describe the multiple aspects of the role that occupational health practitioners might play, by focusing on the recent example of the Paris terrorist attack of November 2015. During and after the Paris attack, occupational practitioners, in collaboration with emergency and security professionals, were involved in psychological care, assembling information, follow-up, return-to-work, and improving in-company safety plans...
2016: Frontiers in Public Health
Byron Kiiza Yafesi Bitanihirwe
Infectious disease continues to have dramatic effects on morbidity and mortality around the world. Few events could cause such loss of life and damage to livelihoods. As witnessed with the recent West African Ebola outbreak, raising alerts and identifying the outbreak in the community took too long. As a consequence local health systems were quickly overwhelmed. In addition, response at the international level proved slow and poorly coordinated. Rapid diagnostics, effective therapeutics, protective equipment, and a vaccine were all lacking...
July 2016: Annali Dell'Istituto Superiore di Sanità
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