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https://www.readbyqxmd.com/read/28535428/a-regional-market-oriented-governance-for-disaster-management-a-new-planning-approach
#1
Erwin A Blackstone, Simon Hakim, Brian Meehan
This paper proposes a regional competitive governance and management of response and recovery from disasters. It presents problems experienced in major disasters, analyzes the failures, and suggests how a competitive system that relies on private and volunteer regional leaders, personnel, and capital can improve preparation, response and recovery efforts over the existing government system. A Public Choice approach is adopted to explain why government often fails, and how regional governance may be socially more efficient than the existing federal- state-local funded and managed disaster system...
May 13, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28525808/characterization-of-post-disaster-environmental-management-for-hazardous-materials-incidents-lessons-learnt-from-the-tianjin-warehouse-explosion-china
#2
Hui Zhang, Huabo Duan, Jian Zuo, MingWei Song, Yukui Zhang, Bo Yang, Yongning Niu
Hazardous Materials Incidents (HMIs) have attracted a growing public concern worldwide. The health risks and environmental implications associated with HMIs are almost invariably severe, and underscore the urgency for sound management. Hazardous Materials Explosion incidents (HMEIs) belong to a category of extremely serious HMIs. Existing studies placed focuses predominately on the promptness and efficiency of emergency responses to HMIs and HMEIs. By contrast, post-disaster environmental management has been largely overlooked...
May 16, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28524371/out-of-hospital-emergency-care-providers-work-and-challenges-in-a-changing-care-environment
#3
Riitta Mikkola, Eija Paavilainen, Mari Salminen-Tuomaala, Päivi Leikkola
Acutely ill patients are often treated on site instead of being transported to hospital, so wide-ranging professional competence is required from staff. The aim of this study was to describe and produce new information about out-of-hospital emergency care providers' competence, skills and willingness to engage in self-development activities, and to uncover challenges experienced by care providers in the midst of changing work practices. A quantitative questionnaire was sent to out-of-hospital emergency care providers (N = 142, response rate 53%) of one Finnish hospital district...
May 19, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28513404/-a-bomb-attack-in-the-netherlands-how-would-we-provide-hospital-care
#4
J J M Haverkort, M B de Jong, L L van Spengler, L P H Leenen
- There is an ever-present threat of large-scale incidents and disasters, such as terrorism and natural disasters.- Preparation and planning are the key to successful response to major incidents and disasters, which is why education, training sessions and exercises take place in the Netherlands.- Analysis of recent large-scale incidents in Europe and the USA emphasises the importance of adequate distribution of the wounded to centres where the correct care can be provided.- A major step has been taken in the Netherlands to provide for such an eventuality with the introduction of distribution plans for the wounded, and other initiatives such as a regional hospital disaster plan...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28505521/short-simulation-exercises-to-improve-emergency-department-nurses-self-efficacy-for-initial-disaster-management-controlled-before-and-after-study
#5
Carl-Oscar Jonson, Jenny Pettersson, Jonas Rybing, Heléne Nilsson, Erik Prytz
INTRODUCTION: Head nurses at emergency departments often assume responsibility for managing the initial response to a major incident, and to create surge capacity. Training is essential to enable these nurses to perform an effective disaster response. Evaluating the effects of such training is however complicated as real skill only can be demonstrated during a real major incident. Self-efficacy has been proposed as an alternative measure of training effectiveness. PURPOSE: The aim of this study was to examine if short, small-scale computer-based simulation exercises could improve head emergency nurses' general and specific self-efficacy and initial incident management skills...
April 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28504631/-climate-change-floods-and-health-intervention
#6
Peter Furu, Siri Tellier, Lasse S Vestergaard
Climate change and variability are considered some of the biggest threats to human health in the 21st century. Extreme weather events such as floods and storms are examples of natural hazards resulting in highest number of disasters and with considerable mortality and morbidity among vulnerable communities. A coordinated, well-planned management of health interventions must be taken for timely action in the response, recovery, prevention and preparedness phases of disasters. Roles and responsibilities of international as well as national organizations and authorities are discussed...
May 15, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28496184/el-ni%C3%A3-o-increases-the-risk-of-lower-mississippi-river-flooding
#7
Samuel E Munoz, Sylvia G Dee
Mississippi River floods rank among the costliest climate-related disasters in the world. Improving flood predictability, preparedness, and response at seasonal to decadal time-scales requires an understanding of the climatic controls that govern flood occurrence. Linking flood occurrence to persistent modes of climate variability like the El Niño-Southern Oscillation (ENSO) has proven challenging, due in part to the limited number of high-magnitude floods available for study in the instrumental record. To augment the relatively short instrumental record, we use output from the Community Earth System Model (CESM) Last Millennium Ensemble (LME) to investigate the dynamical controls on discharge extremes of the lower Mississippi River...
May 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28494169/companion-animals-in-natural-disasters-a-scoping-review-of-scholarly-sources
#8
Cheryl Travers, Chris Degeling, Melanie Rock
During a disaster, people may make evacuation decisions based on their companion animal's welfare, therefore exposing themselves, their companion animals, and emergency responders to increased risk for injury or death. The loss and suffering of companion animals in disasters causes deep distress, diminishing people's capacity to rebuild their lives. This scoping review presents scholarly research studies and reviews relating to people and their companion animals in the context of disasters, with an aim of informing researchers, policymakers, and practitioners and providing direction for future research...
May 11, 2017: Journal of Applied Animal Welfare Science: JAAWS
https://www.readbyqxmd.com/read/28488413/preventing-and-treating-coronary-perforations-lessons-from-disaster-management
#9
EDITORIAL
Yader Sandoval, Emmanouil S Brilakis
Coronary artery perforations (CAP) are rare in patients undergoing routine PCI with recent contemporary databases reporting an incidence ∼0.3%. Older age, cardiomyopathy or left ventricular dysfunction, mechanical circulatory support prior to PCI, and CTO lesions have the strongest association with CAP. Prevention, early detection, preparedness and familiarity with the equipment used to treat perforations (such as efficient use of covered stents, and fat or coil embolization) and regrouping to examine and educate about these experiences are key for improving our response to cath lab disasters...
May 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28486207/possible-link-of-interleukin-6-and-interleukin-2-with-psychiatric-diagnosis-ethnicity-disaster-or-bmi
#10
Phebe Tucker, Betty Pfefferbaum, Pascal Nitiéma, Qaiser Khan, Ruchi Aggarwal, Erin E Walling
BACKGROUND: Cytokines are of increasing interest as markers for stress responses, mental disorders and general health. We assessed associations of two cytokines with several factors among relocated hurricane survivors and controls. METHODS: We examined 40 relocated hurricane survivors and 40 demographically matched (frequency matching) Oklahoma controls to assess relationships of Interleukin-2 (IL-2) and Interleukin-6 (IL-6) with psychiatric diagnoses (SCID-IV), demographic variables, hurricane exposure and body mass index (BMI)...
May 6, 2017: Cytokine
https://www.readbyqxmd.com/read/28478780/utilizing-strategic-and-operational-methods-for-whole-community-disaster-planning
#11
Stevee Franks, Ellen Seaton
Analysis of response and recovery efforts to disasters over the past 2 decades has identified a consistent gap that plagues the nation in regard to persons with access and functional needs. This gap can be highlighted by Hurricane Katrina, where the majority of those killed were a part of the access and functional needs population. After a disaster, many individuals with access and functional needs require assistance recovering but often have difficulty accessing services and resources. These difficulties are due to a combination of issues, such as health problems and the disruption of community support services...
May 8, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28478772/are-dutch-hospitals-prepared-for-chemical-biological-or-radionuclear-incidents-a-survey-study
#12
Luc J M Mortelmans, Menno I Gaakeer, Greet Dieltiens, Kurt Anseeuw, Marc B Sabbe
Introduction Being one of Europe's most densely populated countries, and having multiple nuclear installations, a heavy petrochemical industry, and terrorist targets, the Netherlands is at-risk for chemical, biological, or radionuclear (CBRN) incidents. Recent world and continental events show that this threat is real and that authorities may be underprepared. Hypothesis The hypothesis of this study is that Dutch hospitals are underprepared to deal with these incidents. METHODS: A descriptive, cross-sectional study was performed...
May 8, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28475423/investigating-the-abscopal-effects-of-radioablation-on-shielded-bone-marrow-in-rodent-models-using-multimodality-imaging
#13
Solmaz F Afshar, Janice A Zawaski, Taeko Inoue, David A Rendon, Arthur W Zieske, Jyotinder N Punia, Omaima M Sabek, M Waleed Gaber
The abscopal effect is the response to radiation at sites that are distant from the irradiated site of an organism, and it is thought to play a role in bone marrow (BM) recovery by initiating responses in the unirradiated bone marrow. Understanding the mechanism of this effect has applications in treating BM failure (BMF) and BM transplantation (BMT), and improving survival of nuclear disaster victims. Here, we investigated the use of multimodality imaging as a translational tool to longitudinally assess bone marrow recovery...
May 5, 2017: Radiation Research
https://www.readbyqxmd.com/read/28474823/global-emergency-medicine-a-review-of-the-literature-from-2016
#14
Torben K Becker, Bhakti Hansoti, Susan Bartels, Alison Schroth Hayward, Braden J Hexom, Kevin M Lunney, Regan H Marsh, Maxwell Osei-Ampofo, Indi Trehan, Julia Chang, Adam C Levine
OBJECTIVES: The Global Emergency Medicine Literature Review (GEMLR) conducts an annual search of peer-reviewed and gray literature relevant to global emergency medicine (EM) to identify, review, and disseminate the most important new research in this field to a global audience of academics and clinical practitioners. METHODS: This year 13,890 articles written in four languages were identified by our search. These articles were distributed among 20 reviewers for initial screening based on their relevance to the field of global EM...
May 5, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28471158/thermoresponsive-microcarriers-for-smart-release-of-hydrate-inhibitors-under-shear-flow
#15
Sang Seok Lee, Juwoon Park, Yutaek Seo, Shin-Hyun Kim
The hydrate formation in subsea pipelines can cause oil and gas well blowout. To avoid disasters, various chemical inhibitors have been developed to prevent or delay the hydrate formation and growth. Nevertheless, direct injection of the inhibitors results in environmental contamination and cross-suppression of inhibition performance in the presence of other inhibitors against corrosion and/or formation of scale, paraffin, and asphaltene. Here, we suggest a new class of microcarriers that encapsulate hydrate inhibitors at high concentration and release them on demand without active external triggering...
May 10, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28465695/benefits-barriers-and-limitations-on-the-use-of-hospital-incident-command-system
#16
REVIEW
Shahin Shooshtari, Shahram Tofighi, Shirin Abbasi
Hospital Incident Command System (HICS) has been established with the mission of prevention, response, and recovery in hazards. Regarding the key role of hospitals in medical management of events, the present study is aimed at investigating benefits, barriers, and limitations of applying HICS in hospital. Employing a review study, articles related to the aforementioned subject published from 1995 to 2016 were extracted from accredited websites and databases such as PubMed, Google Scholar, Elsevier, and SID by searching keywords such as HICS, benefits, barriers, and limitations...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28463097/road-traffic-injury-in-lagos-nigeria-assessing-prehospital-care
#17
Nasiru A Ibrahim, Abdul Wahab O Ajani, Ibrahim A Mustafa, Rufai A Balogun, Mobolaji A Oludara, Olufemi E Idowu, Babatunde A Solagberu
Introduction Injuries are the third most important cause of overall deaths globally with one-quarter resulting from road traffic crashes. Majority of these deaths occur before arrival in the hospital and can be reduced with prompt and efficient prehospital care. The aim of this study was to highlight the burden of road traffic injury (RTI) in Lagos, Nigeria and assess the effectiveness of prehospital care, especially the role of Lagos State Ambulance Service (LASAMBUS) in providing initial care and transportation of the injured to the hospital...
May 2, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28462768/emergency-physician-disaster-deployment-issues-to-consider-and-a-model-policy
#18
Christopher A Kahn, Kristi L Koenig, Carl H Schultz
Disaster responders are frequently emergency physicians (EPs). Effective response is enhanced by the strong support of home institutions and clear policies for backfill of regular duties. A group of disaster medicine responders and researchers worked with an academic department of emergency medicine to create a policy that addresses concerns of deploying physicians, colleagues remaining at the home institution, and administrators. This article describes the process and content of this policy development work...
May 2, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28458751/patient-tracking-in-earthquake-emergency-response-in-iran-a-qualitative-study
#19
Nahid Tavakoli, Mohammad H Yarmohammadian, Reza Safdari, Mahmoud Keyvanara
BACKGROUND: After a disaster, all victims have to be rapidly and accurately identified for locating, tracking and regulating them. The purpose of this study was to summarize people's experiences that how the patients were tracked in past earthquake disasters in Iran. METHODS: A qualitative study was carried out in 2015. This was an interview-based qualitative study using content analysis. The interviewed people included physicians, nurses, emergency medical technicians, disaster managers, Red Crescent Society' first responders and managers...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28458716/moderate-depression-promotes-posttraumatic-growth-ptg-a-young-population-survey-2-years-after-the-2009-l-aquila-earthquake
#20
V Bianchini, L Giusti, A Salza, V Cofini, M G Cifone, M Casacchia, L Fabiani, R Roncone
BACKGROUND: Earthquakes can result in a range of psychopathology and in negative and positive consequences for survivors. OBJECTIVE: To examine the association between clinical aftereffects (anxiety and depressive symptoms) and post-traumatic growth (PTG) among young survivors of the 2009 L'Aquila earthquake, Italy. METHOD: 316 young earthquake survivors enrolled in the University of L'Aquila were evaluated two years after the natural disaster...
2017: Clinical Practice and Epidemiology in Mental Health: CP & EMH
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