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https://www.readbyqxmd.com/read/27909158/off-site-emergency-planning-at-uk-nuclear-licensed-sites
#1
Paul Leonard, Gareth Thomas
Nuclear emergency planning arrangements in the UK are continually kept under review. This work proposes to outline how experience from nuclear exercises and undertaking emergency response duties can be based on radiological knowledge of specific sites and utilised in the future. In 2014, the UK regulator, the Office for Nuclear Regulation (ONR) revised their principles for the determination of off-site emergency planning areas around nuclear sites where predetermined countermeasures and other protection measures are applied to protect those people who may be affected by a radiation emergency...
December 1, 2016: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/27896497/the-slippery-difficulty-of-ever-containing-drug-resistance-with-current-practices
#2
REVIEW
R Fullybright
It has previously been shown that the rate of drug resistance emergence in medicine is exponential, while we have been producing drugs at a much lower rate. Our ability to successfully contain resistance at any one time is function of how many drugs we have at our disposal to counter new resistances from pathogens. Here, we assess our level of preparedness through a mathematical comparison of the drug manufacture rate by the pharmaceutical industry with the resistance emergence rate in pathogens. To that effect, changes in the rates of growth of the drugs production and resistance emergence processes are computed over multiple time segments and compared...
November 28, 2016: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/27890031/a-national-assessment-of-the-health-and-safety-of-emergency-medical-services-professionals
#3
Melissa A Bentley, Roger Levine
OBJECTIVES: The objectives were to assess changes in (1) health and physical fitness, (2) the prevalence of selected health problems, (3) risk behaviors, (4) ambulance safety issues, and (5) the preparedness of Emergency Medical Services (EMS) professionals. In addition, the incidence of patient-initiated violence directed toward EMS personnel and associated factors were assessed. METHODS: Data were obtained from a sample of nationally certified EMS professionals via annual questionnaires between 1999 and 2008...
November 28, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27886994/development-of-northeast-asia-nuclear-power-plant-accident-simulator
#4
Juyub Kim, Juyoul Kim, Li-Chi Cliff Po
A conclusion from the lessons learned after the March 2011 Fukushima Daiichi accident was that Korea needs a tool to estimate consequences from a major accident that could occur at a nuclear power plant located in a neighboring country. This paper describes a suite of computer-based codes to be used by Korea's nuclear emergency response staff for training and potentially operational support in Korea's national emergency preparedness and response program. The systems of codes, Northeast Asia Nuclear Accident Simulator (NANAS), consist of three modules: source-term estimation, atmospheric dispersion prediction and dose assessment...
November 24, 2016: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/27886904/mastocytosis-and-anaphylaxis
#5
REVIEW
Anna Schuch, Knut Brockow
This article updates current knowledge on epidemiology, risk factors, triggers, and management of anaphylaxis in patients with mastocytosis. Hyperactive mast cells and higher number of effector mast cells are speculated to facilitate anaphylaxis in this condition. In children, increased risk is limited to those with extensive skin involvement and high tryptase. In adults, manifestations of anaphylaxis are severe with high frequency of cardiovascular symptoms. Hymenoptera stings are the most common triggers for these reactions; however, idiopathic anaphylaxis and reactions to food or drugs occur...
February 2017: Immunology and Allergy Clinics of North America
https://www.readbyqxmd.com/read/27885092/nuclear-and-radiological-preparedness-the-achievements-of-the-european-research-project-prepare
#6
Thierry Schneider, Florian Gering, Sylvie Charron, Mark Zhelezniak, Spyros Andronopoulos, Gilles Heriard-Dubreuil, Johan Camps, Wolfgang Raskob
The PREPARE project aimed closing gaps identified in nuclear and radiological preparedness in Europe following the first evaluation of the Fukushima disaster. With 46 partners from Europe and Japan, it collected the key players in the area of emergency management and rehabilitation preparedness. Starting from February 2013, the project ended in January 2016. Among others, the project reviewed existing operational procedures for long-lasting releases, cross-border problems in radiation monitoring and food safety and further developed missing functionalities in decision support systems ranging from improved source term estimation and dispersion modelling to the inclusion of hydrological pathways for European water bodies...
November 24, 2016: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/27884947/the-effect-of-smartphone-delivered-emergency-preparedness-education-on-coping-knowledge-among-fifth-and-sixth-grade-elementary-schoolchildren-in-south-korea
#7
Shin-Jeong Kim, Haeryun Cho
This study examined the effect of an intervention on coping knowledge among fifth- and sixth-grade elementary schoolchildren who received smartphone-delivered emergency preparedness education. This was a quasi-experimental study using a pre-/posttest design. Eighty-six children were recruited to participate. The children in the experimental group (n = 44) received smartphone-delivered emergency preparedness education while those in the control group (n = 42) received traditional lecture-centered education. Data were analyzed using a repeated-measured analysis of variance...
November 24, 2016: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/27881208/the-west-africa-disaster-preparedness-initiative-strengthening-national-capacities-for-all-hazards-disaster-preparedness
#8
Melinda J Morton Hamer, Paul L Reed, Jane D Greulich, Gabor D Kelen, Nicole A Bradstreet, Charles W Beadling
OBJECTIVE: The Ebola outbreak demonstrated the need for improved disaster response throughout West Africa. The West Africa Disaster Preparedness Initiative was a training and assessment effort led by US Africa Command and partners to strengthen capacities among 12 West African partner nations (PNs). METHODS: Series of 3-week training sessions with representatives from each PN were held from 13 July through 20 November 2015 at the Kofi Annan International Peacekeeping Training Centre in Accra, Ghana...
November 24, 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27881085/the-ebola-outbreak-catalyzing-a-shift-in-global-health-governance
#9
Tim K Mackey
BACKGROUND: As the 2014 Ebola virus disease outbreak (EVD) transitions to its post-endemic phase, its impact on the future of global public health, particularly the World Health Organization (WHO), is the subject of continued debate. Criticism of WHO's performance grew louder in the outbreak's wake, placing this international health UN-specialized agency in the difficult position of navigating a complex series of reform recommendations put forth by different stakeholders. Decisions on WHO governance reform and the broader role of the United Nations could very well shape the future landscape of 21st century global health and how the international community responds to health emergencies...
November 24, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27873296/emergency-preparedness-of-veterans-and-nonveterans
#10
Joseph F Iii Geiger
This study examined statistical differences in levels of disaster preparedness between former members of the US Armed Forces (veterans) and civilians (nonveterans). It was hypothesized that veterans would exhibit a higher degree of disaster preparedness as compared to their nonveteran counterparts as a consequence of their training and life experience. Furthermore, if this were proven to be valid, the finding would identify this cohort as an ideal target audience for emergency and disaster preparedness education efforts...
September 2016: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/27871327/ebola-zika-and-the-international-health-regulations-implications-for-port-health-preparedness
#11
R W Glynn, M Boland
BACKGROUND: The outbreak of Ebola Virus Disease in West Africa in 2014-2015 was unprecedented in terms of its scale and consequence.  This, together with the emergence of Zika virus as a Public Health Emergency of International Concern in 2016, has again highlighted the potential for disease to spread across international borders and provided an impetus for countries to review their Port Health preparedness. This report reviews the legislative framework and actions taken under this framework in advancing and improving Port Health preparedness in Ireland, in response to the declaration of the Public Health Emergency of International Concern for Ebola Virus Disease in August 2014...
November 21, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27870718/self-reported-preparedness-to-respond-to-mass-fatality-incidents-in-38-state-health-departments
#12
Jacqueline Merrill, Qi Zhi, Robyn R Gershon
CONTEXT: Public health departments play an important role in the preparation and response to mass fatality incidents (MFIs). OBJECTIVE: To describe MFI response capabilities of US state health departments. DESIGN: The data are part of a multisector cross-sectional study aimed at 5 sectors that comprise the US mass fatality infrastructure. Data were collected over a 6-week period via a self-administered, anonymous Web-based survey. SETTING: In 2014, a link to the survey was distributed via e-mail to health departments in 50 states and the District of Columbia...
January 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27866509/assistive-technology-and-older-adults-in-disasters-implications-for-emergency-management
#13
Mary Helen McSweeney-Feld
This article identifies concepts, trends, and policy gaps in the availability and service delivery of assistive technology utilized by older adults in disasters, as well as implications for emergency management planning and shelter administration. Definitions of types of assistive technology, as well as views of older adults using technology as at-risk individuals for emergency management service provision, are provided. An overview of peer-reviewed articles and gray literature is conducted, focusing on publications from 2001 to the present in the United States...
November 21, 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27863572/emergency-preparedness-and-the-development-of-health-care-coalitions-a-dynamic-process
#14
REVIEW
Deborah H Kim
Health care emergency preparedness has undergone significant changes since the first widespread distribution of federal funds occurred in 2002. Prior to the development of the Health Resources and Service Administration Bioterrorism Preparedness grant, support to hospitals and public health was limited to smaller regional preparedness programs such as the Chemical Stockpile Emergency Preparedness Program. Measurable progress with both the hospital preparedness program and public health emergency preparedness requires development of partnerships, establishment of coalitions, development of measurable objectives, and a community willingness to work together to solve complex preparedness problems...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27855644/febrile-illness-diagnostics-and-the-malaria-industrial-complex-a-socio-environmental-perspective
#15
Justin Stoler, Gordon A Awandare
BACKGROUND: Global prioritization of single-disease eradication programs over improvements to basic diagnostic capacity in the Global South have left the world unprepared for epidemics of chikungunya, Ebola, Zika, and whatever lies on the horizon. The medical establishment is slowly realizing that in many parts of sub-Saharan Africa (SSA), particularly urban areas, up to a third of patients suffering from acute fever do not receive a correct diagnosis of their infection. MAIN BODY: Malaria is the most common diagnosis for febrile patients in low-resource health care settings, and malaria misdiagnosis has soared due to the institutionalization of malaria as the primary febrile illness of SSA by international development organizations and national malaria control programs...
November 17, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27852239/determinants-of-use-of-health-facility-for-childbirth-in-rural-hadiya-zone-southern-ethiopia
#16
Netsanet Abera Asseffa, Fawole Bukola, Arowojolu Ayodele
BACKGROUND: Maternal mortality remains a major global public health concern despite many international efforts. Facility-based childbirth increases access to appropriate skilled attendance and emergency obstetric care services as the vast majority of obstetric complications occur during delivery. The purpose of the study was to determine the proportion of facility delivery and assess factors influencing utilization of health facility for childbirth. METHODS: A cross-sectional study was conducted in two rural districts of Hadiya zone, southern Ethiopia...
November 16, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27850353/715-expanded-data-collection-for-drug-safety-and-effectiveness-during-u-s-public-health-emergencies
#17
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850280/641-short-period-incidence-study-for-severe-acute-respiratory-infections-usa-experience
#18
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849750/106-real-time-assessment-of-u-s-health-system-stress-during-the-2015-16-influenza-season-pulse-program
#19
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27843850/birth-preparedness-and-complication-readiness-among-women-of-bankura-district-west-bengal
#20
Dipta Kanti Mukhopadhyay, Sharmistha Bhattacherjee, Sujishnu Mukhopadhyay, Sarmila Malik, Susmita Nayak, Akhil Bandhu Biswas
BACKGROUND: Birth preparedness and complication readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency which is critical in averting maternal morbidity and mortality. OBJECTIVES: To find out awareness and practices regarding BPCR among pregnant and recently delivered women in Bankura, West Bengal. MATERIALS AND METHODS: A cross-sectional, community-based study was carried out among 120 pregnant women and 235 recently delivered women...
April 2016: Journal of Family Medicine and Primary Care
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