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Disaster planning

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https://www.readbyqxmd.com/read/29773778/a-collaboration-to-teach-us-mph-students-about-cuba-s-health-care-system
#1
Joan O'Connell, Ana María Gálvez-González, Jean Scandlyn, María R Sala-Adam, Xiomara Martín-Linares
In 2011, the US Department of the Treasury changed its regulations to allow US students to participate in short-term education programs in Cuba. Beginning in 2012, and each year thereafter, Cuba's National School of Public Health and the Colorado School of Public Health have jointly taught a class on the Cuban public health system. The program goals are to provide US students with an opportunity to learn about the Cuban national health system's focus on 1) prevention and primary health care services; 2) financial and geographic access to services and health equity; 3) continuum of care across the home, family doctor-and-nurse offices, polyclinics and hospitals; 4) data collection at all levels to understand health risks, including outbreaks, and to guide resource allocation; 5) assessing patients' health and risks using a comprehensive definition of health; 6) multisectoral collaborations between the Ministry of Public Health and other Cuban agencies and organizations to address population health risks; 7) disaster preparedness, response and recovery; and 8) provision of international health assistance...
April 2018: MEDICC Review
https://www.readbyqxmd.com/read/29771200/disaster-preparedness-networks-in-rural-midwest-communities-organizational-roles-collaborations-and-support-for-older-residents
#2
Sato Ashida, Xi Zhu, Erin L Robinson, Audrey Schroer
This study investigated the roles and interconnections among community organizations belonging to local disaster coalitions in Midwest in supporting older residents. Representatives from 44 organizations participated in one-time survey. Most were non-profit (68%) or federal/state/local government agencies (23%). The analyses of 761 relationships showed stronger collaborations in assessment (average strength=2.88 on a 5-point scale), emergency response (2.72), and planning (2.61); and weaker collaborations in co-sponsoring programs (1...
May 17, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29766223/does-wildfire-open-a-policy-window-local-government-and-community-adaptation-after-fire-in-the-united-states
#3
Miranda H Mockrin, Hillary K Fishler, Susan I Stewart
Becoming a fire adapted community that can coexist with wildfire is envisioned as a continuous, iterative process of adaptation, but it is unclear how communities may pursue adaptation. Experience with wildfire and other natural hazards suggests that disasters may open a "window of opportunity" leading to local government policy changes. We examined how destructive wildfire affected progress toward becoming fire adapted in eight locations in the United States. We found that community-level adaptation following destructive fires is most common where destructive wildfire is novel and there is already government capacity and investment in wildfire regulation and land use planning...
May 15, 2018: Environmental Management
https://www.readbyqxmd.com/read/29753454/response-of-a-local-hospital-to-a-burn-disaster-contributory-factors-leading-to-zero-mortality-outcomes
#4
Eng-Kean Yeong, Ciaran P O'Boyle, Hui-Fu Huang, Hao-Chih Tai, Yen-Chun Hsu, Shu-Yang Chuang, Yu-Feng Wu, Che-Wei Chang, Tom J Liu, Hong-Shiee Lai
OBJECTIVE: To investigate the outcomes of a local healthcare system in managing a burn mass casualty incident (BMCI). METHODS: Thirty-three victims admitted to the National Taiwan University Hospital within 96h of the explosion were included in the study. Data were recorded on: patient demographics, Baux score, laboratory data, management response, treatment strategies, and outcomes. Case notes from June 27, 2015 to November 2015 were reviewed with a focus on fluid resuscitation, ventilation support, nutrition, infection control, sepsis treatment, and wound closure plan...
May 9, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29747715/an-in-situ-simulation-based-training-approach-to-active-shooter-response-in-the-emergency-department
#5
Mark S Mannenbach, Carol J Fahje, Kharmene L Sunga, Matthew D Sztajnkrycer
ABSTRACTWith an increased number of active shooter events in the United States, emergency departments are challenged to ensure preparedness for these low frequency but high stakes events. Engagement of all emergency department personnel can be very challenging due to a variety of barriers. This article describes the use of an in situ simulation training model as a component of active shooter education in one emergency department. The educational tool was intentionally developed to be multidisciplinary in planning and involvement, to avoid interference with patient care and to be completed in the true footprint of the work space of the participants...
May 11, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29726214/-stochastic-characteristics-of-daily-precipitation-and-its-spatiotemporal-difference-over-china-based-on-information-entropy
#6
Xin Xin Li, Yan Fang Sang, Ping Xie, Chang Ming Liu
Daily precipitation process in China showed obvious randomness and spatiotemporal variation. It is important to accurately understand the influence of precipitation changes on control of flood and waterlogging disaster. Using the daily precipitation data measured at 520 stations in China during 1961-2013, we quantified the stochastic characteristics of daily precipitation over China based on the index of information entropy. Results showed that the randomness of daily precipitation in the southeast region were larger than that in the northwest region...
April 2018: Ying Yong Sheng Tai Xue Bao, the Journal of Applied Ecology
https://www.readbyqxmd.com/read/29722864/participatory-investigation-of-the-great-east-japan-disaster-photovoice-from-women-affected-by-the-calamity
#7
Mieko Yoshihama, Tomoko Yunomae
Disasters exacerbate predisaster inequities and intensify the vulnerability of women and other marginalized and disempowered groups. Thus, disaster policies and responses should incorporate the experiences and perspectives of those who are marginalized. The authors sought to conduct a participatory research project to help develop more inclusive, gender-informed disaster responses and policies in Japan. In June 2011, following three months of planning and preparation, they initiated a participatory examination of the impact of the Great East Japan Disaster using PhotoVoice methodology...
May 2, 2018: Social Work
https://www.readbyqxmd.com/read/29717899/challenges-and-patterns-of-seeking-primary-health-care-in-slums-of-karachi-a-disaster-lurking-in-urban-shadows
#8
Abdur Rahman Aleemi, Hina Khaliqui, Asima Faisal
This study aimed to evaluate the challenges and patterns of seeking primary health care services in slums of Karachi, where about 60% of the population lives in various informal settlements. We surveyed 8 largest slums of the metropolitan, and analyzed the data both descriptively and inferentially to evaluate the factors associated with health care seeking behavior. Significantly positive association of quality health care seeking behavior and various socioeconomic indicators were found. In addition, substantial insights about the conditions of slum dwellers and health challenges of the population, such as low immunization and low vaccinations, among others, were reported...
April 1, 2018: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/29716669/the-health-sector-response-to-the-2015-earthquake-in-nepal
#9
Shiva Subedi, Guna Nidhi Sharma, Sagar Dahal, Megha Raj Banjara, Basu Dev Pandey
ABSTRACTIn April 2015, Nepal experienced an earthquake of a magnitude of 7.6 on the Richter scale that resulted in deaths, morbidities, and infrastructure damage. In the post-earthquake period, 4 different workshops and a national "Lessons Learnt" conference were organized to assess the adequacy of the preparedness and response of the health sector. This article summarizes the main conclusions of these discussions relating to leadership, timely search and rescue, referral operations, medical relief to response activities, awareness campaigns, and support from the national and international levels, and epidemiological surveillance...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29706140/health-care-providers-in-war-and-armed-conflict-operational-and-educational-challenges-in-international-humanitarian-law-and-the-geneva-conventions-part-i-historical-perspective
#10
Frederick M Burkle, Adam L Kushner, Christos Giannou, Mary A Paterson, Sherry M Wren, Gilbert Burnham
Since 1945, the reason for humanitarian crises and the way in which the world responds to them has dramatically changed every 10 to 15 years or less. Planning, response, and recovery for these tragic events have often been ad hoc, inconsistent, and insufficient, largely because of the complexity of global humanitarian demands and their corresponding response system capabilities. This historical perspective chronicles the transformation of war and armed conflicts from the Cold War to today, emphasizing the impact these events have had on humanitarian professionals and their struggle to adapt to increasing humanitarian, operational, and political challenges...
April 30, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29677968/risk-and-disaster-management-from-planning-and-expertise-to-smart-intelligent-and-adaptive-systems
#11
Arriel Benis, Amos Notea, Refael Barkan
"Disaster" means some surprising and misfortunate event. Its definition is broad and relates to complex environments. Medical Informatics approaches, methodologies and systems are used as a part of Disaster and Emergency Management systems. At the Holon Institute of Technology - HIT, Israel, in 2016 a National R&D Center: AFRAN was established to study the disaster's reduction aspects. The Center's designation is to investigate and produce new approaches, methodologies and to offer recommendations in the fields of disaster mitigation, preparedness, response and recovery and to disseminate disaster's knowledge...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29659943/cooperation-process-between-a-local-government-and-experts-in-official-voluntary-decontamination-of-environmental-radioactivity
#12
Takeshi Iimoto, Hirofumi Fujii, Seiichi Someya, Hajime Matsuzawa, Yukihide Yanagawa, Kiyoshi Kunii
Kashiwa city, inside the Tokyo metropolitan area and located ~200 km south of the Fukushima Dai-ichi Nuclear Power Plant, received a raised environmental ambient radiation dose due to the disaster relative to the rest of area. In this paper, the challenging process of the official voluntary decontamination activity in Kashiwa city, Chiba prefecture, which was carried out with strong cooperation between a local government and experts, is described and reviewed in terms of the effectiveness of the radiation protection...
April 6, 2018: Journal of Radiation Research
https://www.readbyqxmd.com/read/29626138/how-a-major-incident-plan-can-be-used-in-an-acute-healthcare-setting
#13
Seth Makin, L Smith, K McDevitt
All NHS Trusts face a diverse range of potential threats and disruptions that can overwhelm the delivery of their routine healthcare services. Major incidents range from significant infrastructure failure to responding to significant casualty numbers from natural disasters and malicious incidents. Major incident plans are one of the body of documents that support trusts and in this instance acute NHS trusts in emergency preparedness. Major incident plans can be used as a reference point for staff of all disciplines, that is, clinical and non-clinical...
April 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29622049/socio-cultural-challenges-of-family-planning-initiatives-for-displaced-populations-in-conflict-situations-and-humanitarian-settings
#14
Ramin Asgary, Joan T Price
Provision of family planning services for refugee populations in conflict and humanitarian settings has been improving. Availability of services, however, does not translate into acceptability and uptake; understanding socio-cultural settings and barriers is critical to ensure utilization of services. Misconceptions and apprehensions surrounding family planning services are common. Populations may see limiting pregnancies as counterproductive in light of high child mortality or suspicious in the context of ethnic violence; larger family size has the perceived advantage of additional security for the community or ethnic group, assistance with family duties in a subsistence structure, and a social service investment for parents as they age; and there may be religious and moral objections to contraception...
April 6, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29608038/physical-therapy-needs-for-patients-with-physical-function-injuries-post-earthquake-disasters-a-systematic-review-of-chinese-and-western-literature
#15
Hao Li, John Nyland, Katrina Kuban, Justin Givens
BACKGROUND AND PURPOSE: Over the last 500 years, the most earthquakes with 10,000 or more fatalities and the most overall fatalities have occurred in China. Physical therapists must develop a better understanding of the patient and injury types that they are likely to treat post-earthquake disasters. This systematic review of Chinese and Western literature identified the primary patients treated by physical therapists post-earthquake disasters for injuries that negatively impacted physical function, activity, and participation...
April 2, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/29601478/did-harvey-learn-from-katrina-initial-observations-of-the-response-to-companion-animals-during-hurricane-harvey
#16
Steve Glassey
The aftermath of Hurricane Katrina in 2005 became the genesis of animal emergency management and created significant reforms in the US particularly the passage of the Pets Emergency and Transportation Standards Act in 2006 that required state and local emergency management arrangements to be pet- and service animal-inclusive. More than a decade later Hurricane Harvey struck the Gulf states with all 68 directly related deaths occurring in the state of Texas. In this study, six key officials involved in the response underwent a semi-structured interview to investigate the impact of the PETS Act on preparedness and response...
March 30, 2018: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/29596483/development-of-post-disaster-psychosocial-evaluation-and-intervention-for-children-results-of-a-south-korean-delphi-panel-survey
#17
Mi-Sun Lee, Jun-Won Hwang, Cheol-Soon Lee, Ji-Youn Kim, Ju-Hyun Lee, Eunji Kim, Hyoung Yoon Chang, SeungMin Bae, Jang-Ho Park, Soo-Young Bhang
OBJECTIVE: This study aimed to administer a Delphi panel survey and provide evidence for the development of a psychological intervention protocol for use after disasters in South Korea. METHOD: A three-round Delphi survey was conducted. In all rounds, respondents answered open- or closed-ended questions regarding their views on i) the concept of disaster, ii) evaluation, iii) intervention, and iv) considerations in a disaster. Data from Round 1 were subjected to content analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29592825/business-continuity-and-disaster-management-within-the-public-service-in-relation-to-a-national-development-plan
#18
Cliff Ferguson
Within South Africa, few public service departments understand the concepts of business continuity management (BCM) and what it takes to implement a well-constructed business continuity plan. Likewise, few of these entities understand the purpose of designing and maintaining resilient systems that are immune to incidents. This paper discusses the integration of the South African Disaster Management Act 2002, the Disaster Management Framework and the National Development Plan, linking these to BCM, through a resilience period model, as a means for the implementation of resilience strategies...
January 1, 2018: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/29575028/ultrasound-and-the-evaluation-of-pediatric-thyroid-malignancy-current-recommendations-for-diagnosis-and-follow-up
#19
REVIEW
Sarah Ogle, Alexa Merz, Ralitza Parina, Mahmoud Alsayed, Mira Milas
Ultrasound (US) plays a critical role in the evaluation, treatment, screening, and surveillance of thyroid malignancy in pediatric patients. This review aims to summarize recent advances in this topic. Improvements in imaging technology have amplified the advantage of US and US-guided fine-needle aspiration biopsy for thyroid nodule evaluation, cancer diagnosis, and surgical planning. Ultrasound has a definitive screening role for early cancer detection in high-risk patients, including those with a history of radiation exposure from childhood treatments, environmental radiation disasters, or hereditary/familial cancer syndromes...
March 25, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29571237/an-approach-to-treating-a-patient-with-a-heartmate-ii%C3%A2-left-ventricularassist-device-in-a-multiplace-hyperbaric-chamber-a-case-report
#20
D Orwig, C Logue, S Hendriksen, B Westgard, J Walter, M Pullis, T Masters
Introduction: Left-ventricular assist devices (LVAD) are becoming a common therapy for end-stage heart failure. These devicesare not tested for pressurization in a hyperbaricchamber by the manufacturer. In this article, we present an approach to modify the power supply in order to safely treat a patient with an LVAD. Materials and Methods: Our patient had a HeartMateII™ LVAD and presented for hyperbaric oxygen treatments for severe radiation cystitis. In order to modify this patient's equipment to be compliant with NFPA6 safety standards we made several modifications...
January 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
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