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Disaster Management

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https://www.readbyqxmd.com/read/29677968/risk-and-disaster-management-from-planning-and-expertise-to-smart-intelligent-and-adaptive-systems
#1
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/29673431/the-aeromedical-management-of-allergic-rhinitis
#2
Nicole Powell-Dunford, Charles Reese, Alaistair Bushby, Berit H Munkeby, Sébastien Coste, Višnja Livajić Pezer, Lars Rosenkvist
INTRODUCTION: Allergic rhinitis is a prevalent condition warranting special aeromedical consideration due to its potential for acute and painful manifestations involving the middle ear or paranasal sinuses during rapid barometric pressure changes. Although second generation antihistamines and intranasal steroids are safe and effective treatments for this common condition, aeromedical management varies. METHODS: An aeromedical policy review of 14 public access civil and military data repositories was undertaken...
May 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29666997/forensic-answers-to-the-14th-of-july-2016-terrorist-attack-in-nice
#3
Gérald Quatrehomme, Steve Toupenay, Tania Delabarde, Bernard Padovani, Véronique Alunni
The terrorist attack of July 14, 2016 in Nice (France) was a devastating event. A man voluntarily drove a truck into a crowd gathered for the fireworks display on the seaside "Promenade des Anglais," plowing pedestrians down over more than 2 km before being shot dead. At the time of this report, a total of 86 casualties and more than 1200 formal complaints for physical and psychological injuries have been recorded. The aim of this work is to describe the forensic management of this event and its immediate aftermath...
April 17, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29658296/medical-and-health-surveillance-in-postaccident-recovery-experience-after-fukushima
#4
K Tanigawa
The accident at Fukushima Daiichi nuclear power plant occurred following the huge tsunami and earthquake of 11 March 2011. After the accident, there was considerable uncertainty and concern about the health effects of radiation. In this difficult situation, emergency responses, including large-scale evacuation, were implemented. The Fukushima Health Management Survey (FHMS) was initiated 3 months after the accident. The primary purposes of FHMS were to monitor the long-term health of residents, promote their well-being, and monitor any health effects related to long-term, low-dose radiation exposure...
January 1, 2018: Annals of the ICRP
https://www.readbyqxmd.com/read/29652175/the-work-programme-of-neris-in-post-accident-recovery
#5
T Schneider, S Andronopoulos, J Camps, T Duranova, E Gallego, F Gering, O Isnard, M Maître, C Murith, D Oughton, W Raskob
NERIS is the European platform on preparedness for nuclear and radiological emergency response and recovery. Created in 2010 with 57 organisations from 28 different countries, the objectives of the platform are to: improve the effectiveness and coherency of current approaches to preparedness; identify further development needs; improve 'know how' and technical expertise; and establish a forum for dialogue and methodological development. The NERIS Strategic Research Agenda is now structured with three main challenges: (i) radiological impact assessments during all phases of nuclear and radiological events; (ii) countermeasures and countermeasure strategies in emergency and recovery, decision support, and disaster informatics; and (iii) setting up a multi-faceted framework for preparedness for emergency response and recovery...
January 1, 2018: Annals of the ICRP
https://www.readbyqxmd.com/read/29648605/lexical-analysis-suggests-differences-between-subgroups-in-anxieties-over-radiation-exposure-in-fukushima
#6
Arifumi Hasegawa, Manami Takahashi, Mami Nemoto, Takashi Ohba, Chieri Yamada, Shiro Matsui, Mitsuko Fujino, Kenichi Satoh
Although many experts have attempted communication about radiation risk, fears about radiation exposure stemming from the Fukushima Daiichi Nuclear Power Plant accident remain deeply rooted. The characteristics of the anxiety vary with social background, which makes it difficult to alleviate with one approach. Our ultimate goal is therefore to create risk-communication materials tailored to various groups with differing social backgrounds. Towards that end, the purpose of the present study was to clarify potential factors associated with radiation-related anxieties within these groups...
April 10, 2018: Journal of Radiation Research
https://www.readbyqxmd.com/read/29629933/using-tabletop-exercises-as-an-innovative-and-practical-teaching-strategy-in-response-to-external-disaster-scenarios
#7
Cathleen A Evans, Rose Schwartz
Transferring previous learning to novel and unfamiliar health care situations is a challenge that nurses face daily. As a nursing classroom experience, tabletop exercises provide nursing students with open-ended decision-making opportunities to manage realistic practice problems. This article describes an innovative tabletop exercise with a disaster healthcare context and patient scenarios that senior nursing students used to demonstrate foundational nursing education knowledge, skills, and abilities. Students demonstrated a transfer of knowledge from early medical-surgical coursework to a complex, novel situation using the nursing process and evidence-based clinical judgment...
April 6, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29622286/the-german-emergency-and-disaster-medicine-and-management-system-history-and-present
#8
REVIEW
Norman Hecker, Bernd Dieter Domres
As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the site of the incident, is a long-standing marker for quality of care and patient survival in Germany. Professional rescue and emergency forces, including medical services, are the "Golden Standard" of emergency management systems. Regulative laws, proper organization of resources, equipment, training and adequate delivery of medical measures are key factors in systematic approaches to manage emergencies and disasters alike and thus save lives...
January 31, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29617478/revisiting-the-p-36-oil-rig-accident-15-years-later-from-management-of-incidental-and-accidental-situations-to-organizational-factors
#9
Marcelo Gonçalves Figueiredo, Denise Alvarez, Ricardo Nunes Adams
The accident with the P-36 oil rig in the Campos Basin in Rio de Janeiro State, Brazil, was one of the petroleum industry's worst international disasters. Based on this specific case, the article aims to (a) verify the role of the human dimension in the reliability of highly complex systems, with a focus on the management of incidental and accidental situations with the potential to lead to large-scale accidents. The analysis should help (b) shed light on some of the organizational factors that can increase the risk level in offshore activities, beyond the so-called immediate causes...
March 29, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29613935/the-use-of-emergency-physicians-to-deliver-anesthesia-for-orthopaedic-surgery-in-austere-environments-the-expansion-of-the-emergency-physician-s-general-anesthesia-syllabus-to-orthopaedic-surgery
#10
Ogedad Pierre, John F Lovejoy, Robert Stanton, Richard Skupski, Harold Previl, Jerry Bernard, Lia Losonczy, Mark Walsh
BACKGROUND: Five billion people, primarily in low-income and middle-income countries, cannot access safe, affordable surgical and anesthesia care, particularly for orthopaedic trauma. The rate-limiting step for many orthopaedic surgical procedures performed in the developing world is the absence of safe anesthesia. Even surgical mission teams providing surgical care are limited by the availability of anesthesiologists. Emergency physicians, who are already knowledgeable in airway management and procedural sedation, may be able to help to fulfill the need for anesthetists in disaster relief and surgical missions...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29609618/what-should-the-african-health-workforce-know-about-disasters-proposed-competencies-for-strengthening-public-health-disaster-risk-management-education-in-africa
#11
Olushayo Olu, Abdulmumini Usman, Kalula Kalambay, Stella Anyangwe, Kuku Voyi, Christopher Garimoi Orach, Aklilu Azazh, Mala Ali Mapatano, Ngoy Nsenga, Lucien Manga, Solomon Woldetsadik, Francois Nguessan, Angela Benson
BACKGROUND: As part of efforts to implement the human resources capacity building component of the African Regional Strategy on Disaster Risk Management (DRM) for the health sector, the African Regional Office of the World Health Organization, in collaboration with selected African public health training institutions, followed a multistage process to develop core competencies and curricula for training the African health workforce in public health DRM. In this article, we describe the methods used to develop the competencies, present the identified competencies and training curricula, and propose recommendations for their integration into the public health education curricula of African member states...
April 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29606184/communicable-disease-surveillance-systems-in-disasters-application-of-the-input-process-product-and-outcome-framework-for-performance-assessment
#12
Javad Babaie, Ali Ardalan, Hasan Vatandoost, Mohammad Mahdi Goya, Ali Akbarisari
OBJECTIVE: One of the most important measures following disasters is setting up a communicable disease surveillance system (CDSS). This study aimed to develop indicators to assess the performance of CDSSs in disasters. METHOD: In this 3-phase study, firstly a qualitative study was conducted through in-depth, semistructured interviews with experts on health in disasters and emergencies, health services managers, and communicable diseases center specialists. The interviews were analyzed, and CDSS performance assessment (PA) indicators were extracted...
April 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29602586/analysis-of-the-effects-of-high-fidelity-simulation-on-nursing-students-perceptions-of-their-preparedness-for-disasters
#13
Vesile Unver, Tulay Basak, Sevinc Tastan, Gulsah Kok, Gulten Guvenc, Ayla Demirtas, Hatice Ayhan, Gulsah Köse, Emine Iyigun, Nuran Tosune
INTRODUCTION: As disasters may occur any time, health care staff and institutions should be prepared to manage these events. The aim of study is to analyze the effects of high-fidelity simulation on the perceptions of senior nursing students regarding their preparedness for disasters. METHODS: This study used a pretest-posttest design and was conducted as a quasi-experimental investigation. RESULTS: Slightly less than the half of the students (42...
March 27, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29601489/the-relationship-between-sleep-time-and-mental-health-problems-according-to-the-strengths-and-difficulties-questionnaire-in-children-after-an-earthquake-disaster-the-fukushima-health-management-survey
#14
Shuntaro Itagaki, Tetsuya Ohira, Masato Nagai, Seiji Yasumura, Masaharu Maeda, Yuriko Suzuki, Hirobumi Mashiko, Tetsuya Shiga, Itaru Miura, Hirooki Yabe
A cross-sectional study was performed on the adverse effects of sleep time on the mental health of children after the Great East Japan Earthquake and subsequent nuclear reactor accident in March 2011. The target participants were children aged 4-15 years living inside the government-designated evacuation zone as of 11 March 2011 ( n = 29,585). The participants' parents/guardians completed the Strengths and Difficulties Questionnaire (SDQ) and sleep time data were obtained from the 2011 Fukushima Health Management Survey...
March 30, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29601478/did-harvey-learn-from-katrina-initial-observations-of-the-response-to-companion-animals-during-hurricane-harvey
#15
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/29592828/improving-disaster-outcomes-with-better-decision-making
#16
Ronda Oberlin
Decisions made in an emergency can improve or exacerbate the outcome of the event. Making complex decisions in high-stress circumstances is not easily done without prior training. Understanding how people process information under stress, and how decisions are affected by bias, can lead to better decision making. This paper examines how risk communication lessons from sense-making research and cockpit resource management can be applied to business and industry to improve emergency and disaster outcomes.
January 1, 2018: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/29592825/business-continuity-and-disaster-management-within-the-public-service-in-relation-to-a-national-development-plan
#17
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/29571237/an-approach-to-treating-a-patient-with-a-heartmate-ii%C3%A2-left-ventricularassist-device-in-a-multiplace-hyperbaric-chamber-a-case-report
#18
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
https://www.readbyqxmd.com/read/29563014/optimizing-mass-casualty-burns-intensive-care-organization-and-treatment-using-evidence-based-outcome-predictors
#19
Huang-Kai Kao, Charles Yuen Yung Loh, Hao-Wei Kou, Kuo-Chin Kao, Han-Chung Hu, Chia-Ming Chang, Chia-Hui Lee, Hsiang-Hao Hsu
BACKGROUND: Majority of current research focuses on pre-hospital care in mass casualty incidents (MCI) whereas this study is the first to examine multifactorial aspects of intensive care unit (ICU) resource management during a surge in massive burn injury (MBI) patients whilst identifying key outcome predictors that resulted in successful disaster managements. METHODS: Both critical care, surgical parameters and cost-effectiveness are investigated in patients admitted with severe burns resulting from the explosion...
March 18, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29562887/reproductive-health-in-the-recent-disasters-of-iran-a-management-perspective
#20
Sanaz Sohrabizadeh, Katayoun Jahangiri, Reza Khani Jazani
BACKGROUND: Natural disasters represent critical threats to the health, safety, and well-being of a community-including reproductive health, which has been neglected in disaster-stricken regions. The current study was undertaken to explore administrative issues related to post-disaster reproductive health systems in Iran. METHODS: A qualitative approach using in-depth unstructured interviews was applied to explore the administrative issues of reproductive health systems in the affected regions...
March 21, 2018: BMC Public Health
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