Sample records for care crisis looms
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United front may help prevent crisis.
2003-03-01
Warnings of looming crisis are all around us, including within services for older people. Recent reports warn that the care home sector is reaching a critical juncture and, without long-term planning and investment, crisis will turn to meltdown ( Burstow 2003 ). In the past five years something like 50,000 long-term care beds have been lost and now, according to the National Audit Office, tens of thousands of older people each year find themselves unable to leave hospital because there is insufficient post-hospital care (see page five ). Emergency hospital readmissions have increased by nearly 20 per cent over the past two years and the reality of intermediate care has yet to live up to the policy rhetoric.
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Cirić, Ivan
2013-01-01
The United States health care is presently challenged by a significant economic crisis. The purpose of this report is to introduce the readers of Medicinski Pregled to the root causes of this crisis and to explain the steps undertaken to reform health care in order to solve the crisis. It is hoped that the information contained in this report will be of value, if only in small measure, to the shaping of health care in Serbia.
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Measuring a leader's ability to identify and avert crisis
Jamie Brownlee-Turgeon
2017-01-01
Leaders often have influence over the impact of pending crises by either preventing or minimizing the crisis (Pearson and Mitroff, 1993; Bonvillian, 2013). With crisis looming just around the corner, a leader’s ability to identify, avert, and manage a crisis has become a fundamental element in organizational sustainability. Yet, most literature on crisis is focused in the field of communication or crisis management during the actual event. Wooten and James (2008) provide a conceptual model...
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International Nuclear Information System (INIS)
Van Dijk, B.
2008-01-01
After the devastating natural disasters that have hit China recently, another crisis is looming, Drought, pollution and heavy usage in the fast-developing megacities have resulted in a shortage of water. A huge construction effort is underway to divert water from the south to the north. But experts warn that it will not solve China's structural water problems
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Practicing discernment: pastoral care in crisis situations.
Landes, Scott D
2010-01-01
This article correlates a particular experience of providing pastoral care for a person in a crisis situation with a particular understanding of the practice of pastoral care. Through engaging in correlative practical theology, it highlights the need for practicing discernment when providing pastoral care for persons utilizing narratives to work through crisis situations.
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Beyond Keynesianism : global infrastructure investments in times of crisis
Lin, Justin Yifu; Doemeland, Doerte
2012-01-01
As the world recovers only slowly from the 2008 financial crisis and Europe is facing a looming debt crisis, concerns have increased that the "new normal" -- a period of high unemployment, low returns on investment, high risks, and low growth -- may become protracted in advanced economies. If growth remains weak, unemployment rates and debt levels will be slow to recede. Consequently, the ...
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Indonesian heath care and the economic crisis: is managed care the needed reform?
Hotchkiss, D R; Jacobalis, S
1999-03-01
The ramifications of the current economic crisis are being felt throughout Asia, but problems are particularly acute in Indonesia; in the midst of high inflation and unemployment the government is considering expanding managed care reform. In this paper, we discuss the impact of the recent economic crisis on the health sector in Indonesia, and analyze the potential for implementing effective reform following the managed care model. The health sector is discussed, highlighting pre-existing problems in the health care supply environment. The determinants of the economic crisis are summarized, and the broad impacts of the crisis to date on the health sector are assessed. Next the prospects for success of current managed-care reform proposals are examined in some detail: viability of expanded managed care reform measures are assessed in light of the continuing crisis and its likely impacts on the consumers and suppliers of health care. Analysis of the potential impact of the continuing crisis focuses on key participants in health care reform: households, the government, and private health care providers. In conclusion the potential viability of managed care appears poor, given the current economic, political, and institutional conditions and likely future impacts, and suggest some alternative reform measures.
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Reviewing the definition of crisis in dementia care
MacNeil-Vroomen, J.L.; Bosmans, J.E.; van Hout, H.P.J.; de Rooij, S.E.
2013-01-01
Background: Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice.
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Reviewing the definition of crisis in dementia care
Vroomen, Janet MacNeil; Bosmans, Judith E.; van Hout, Hein P. J.; de Rooij, Sophia E.
2013-01-01
Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice. We systematically
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Utilization of medical care following the Three Mile Island crisis
International Nuclear Information System (INIS)
Houts, P.S.; Hu, T.W.; Henderson, R.A.; Cleary, P.D.; Tokuhata, G.
1984-01-01
Four studies are reported on how utilization of primary health care was affected by the Three Mile Island (TMI) crisis and subsequent distress experienced by persons living in the vicinity of the plant. The studies concerned: 1) Blue Cross-Blue Shield records of claims by primary care physicians in the vicinity of TMI; 2) utilization rates in a family practice located near the facility; 3) interviews with persons living within five miles of TMI following the crisis; and 4) responses to a questionnaire by primary care physicians practicing within 25 miles of TMI. All four studies indicated only slight increases in utilization rates during the year following the crisis. One study found that persons who were upset during the crisis tended to be high practice utilizers both before and after the crisis. These results suggest that, while patterns of physician utilization prior to the TMI crisis predicted emotional response during the crisis, the impact of the TMI crisis on subsequent physician utilization was small
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Utilization of medical care following the Three Mile Island crisis.
Houts, P S; Hu, T W; Henderson, R A; Cleary, P D; Tokuhata, G
1984-02-01
Four studies are reported on how utilization of primary health care was affected by the Three Mile Island (TMI) crisis and subsequent distress experienced by persons living in the vicinity of the plant. The studies concerned: 1) Blue Cross-Blue Shield records of claims by primary care physicians in the vicinity of TMI; 2) utilization rates in a family practice located near the facility; 3) interviews with persons living within five miles of TMI following the crisis; and 4) responses to a questionnaire by primary care physicians practicing within 25 miles of TMI. All four studies indicated only slight increases in utilization rates during the year following the crisis. One study found that persons who were upset during the crisis tended to be high practice utilizers both before and after the crisis. These results suggest that, while patterns of physician utilization prior to the TMI crisis predicted emotional response during the crisis, the impact of the TMI crisis on subsequent physician utilization was small.
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Mis on looming.org? : elektrooniline heli / Andres Lõo
Lõo, Andres
2004-01-01
Võrguajakirjast www.looming.org, kuhu kogutakse infot põhiliselt kahe jaotuse põhjal: muusika ja helieksperimentalism ning kaasaegne kunst, kunsti ja meediaga seonduv. Idee autorid: Hanno Soans ja Andres Lõo. Ilmunud on looming.orgi esimene muusikakogumik "Lilled algebrale"
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Moors, Pieter; Huygelier, Hanne; Wagemans, Johan; de-Wit, Lee; van Ee, Raymond
2015-01-01
Previous studies using binocular rivalry have shown that signals in a modality other than the visual can bias dominance durations depending on their congruency with the rivaling stimuli. More recently, studies using continuous flash suppression (CFS) have reported that multisensory integration influences how long visual stimuli remain suppressed. In this study, using CFS, we examined whether the contrast thresholds for detecting visual looming stimuli are influenced by a congruent auditory stimulus. In Experiment 1, we show that a looming visual stimulus can result in lower detection thresholds compared to a static concentric grating, but that auditory tone pips congruent with the looming stimulus did not lower suppression thresholds any further. In Experiments 2, 3, and 4, we again observed no advantage for congruent multisensory stimuli. These results add to our understanding of the conditions under which multisensory integration is possible, and suggest that certain forms of multisensory integration are not evident when the visual stimulus is suppressed from awareness using CFS.
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Fixation not required: characterizing oculomotor attention capture for looming stimuli.
Lewis, Joanna E; Neider, Mark B
2015-10-01
A stimulus moving toward us, such as a ball being thrown in our direction or a vehicle braking suddenly in front of ours, often represents a stimulus that requires a rapid response. Using a visual search task in which target and distractor items were systematically associated with a looming object, we explored whether this sort of looming motion captures attention, the nature of such capture using eye movement measures (overt/covert), and the extent to which such capture effects are more closely tied to motion onset or the motion itself. We replicated previous findings indicating that looming motion induces response time benefits and costs during visual search Lin, Franconeri, & Enns(Psychological Science 19(7): 686-693, 2008). These differences in response times were independent of fixation, indicating that these capture effects did not necessitate overt attentional shifts to a looming object for search benefits or costs to occur. Interestingly, we found no differences in capture benefits and costs associated with differences in looming motion type. Combined, our results suggest that capture effects associated with looming motion are more likely subserved by covert attentional mechanisms rather than overt mechanisms, and attention capture for looming motion is likely related to motion itself rather than the onset of motion.
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A Cost Sharing Plan: Solutions for the Child Care Crisis.
Delaware Valley Child Care Council, Philadelphia, PA.
This booklet discusses the current child care crisis and suggests a solution to the crisis. The gap between the cost of child care and parents' ability to pay is restricting the expansion and availability of child care services and undercutting the quality of child care. The average cost of full-day child care in the Delaware Valley, Pennsylvania,…
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Altan-Atalay, Ayşe; Ayvaşık, Halise Belgin
2018-01-01
Looming Cognitive Style, which was proposed as cognitive vulnerability model specific for anxiety disorders, suggests that anxiety-prone individuals have a tendency to perceive threats and dangers as getting closer, becoming larger, and more agonizing every passing minute. Yet, very few studies focused on the family-related variables that are associated with development of Looming Cognitive Style. This study aims to investigate the relationship of Looming Cognitive Style with measures perceived parenting and attachment. A cross-sectional study was conducted with 389 university students aged between 18 and 35 as participants. The participants were assessed through Looming Cognitive Style, perceived parenting, attachment anxiety, and avoidance. Hierarchical regression analyses indicated Looming Cognitive Style to be significantly predicted by maternal overprotection and anxiety dimension of attachment. The results are important in understanding how parenting-related variables are related to development of cognitive vulnerabilities specific to anxiety disorders.
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Stability and crisis in social and political development
Directory of Open Access Journals (Sweden)
S. V. Stavchenko
2015-03-01
Determined that the balance and stability on the one hand, and the crisis loss of balance of power between the main actors, leading to instability of institutions, on the other hand, forming two potential «poles» that cause and «energy» of the political process, the vectors of its changes. This process affects the type of the country and its institutional organization. In general, the political crisis dysfunction manifested in political institutions, and is characterized by loss of legitimacy of institutional and substantive elements of the political system. Legitimacy can become leaders, political leaders, political leaders and even the basic law of the country (in the case of revolution, for example. The indicators serve as the political crisis of the political system parameters responsible for the restoration of the political system. Violations of systemparameters mean that in the looming crisis.
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The nursing process in crisis-oriented psychiatric home care.
Boomsma, J; Dingemans, C A; Dassen, T W
1997-08-01
Crisis-oriented psychiatric home care is a recent development in the Dutch mental health care system. Because of the difference between psychiatric care in the home and in the hospital, an action research project was initiated. This project was directed at the nursing process and the nurses' role and skills in psychiatric home care. The main goal of the project was to describe and to standardize nursing diagnoses and interventions used in crisis-oriented and long-term psychiatric home care. The development of supporting methods of assessment and intervention were also important aspects of this project. In this article a crisis-oriented psychiatric home care programme and the first developmental research activities within this programme are described. To support the nursing process, the development of a nursing record and an assessment-format, based on Gordon's Functional Health Patterns (FHP), took place. By means of content analysis of 61 nursing records, the most frequently stated nursing diagnoses, based upon the North American Nursing Diagnosis Association (NANDA) taxonomy, were identified. The psychiatric diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) were also collected. The most common categories found were those of mood disorders and schizophrenia or psychotic disorders. Seventy-five per cent of the nursing diagnoses showed up within four FHP: role-relationship, coping-stress tolerance, self-perception/self-concept and activity-exercise. The nursing diagnosis of 'ineffective individual coping' was stated most frequently. This is not surprising because of the similarities in the definitions of this nursing diagnosis and the concept of 'crisis' to which the psychiatric home care programme is oriented. Further research activities will be focused on standardization of nursing diagnosis and the interventions that nurses undertake in this type of care.
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Chock-full of change. Opportunities, and perils, abound as industry continues to evolve.
Bellandi, D; Rauber, C; Hensley, S; Pallarito, K; Moore, J D; Morrissey, J; Hallam, K; Jaklevic, M C; Shinkman, R; Limbacher, P B; Saphir, A
1999-01-04
Tighten your belt and hold onto your wallet: Another year of change looms for healthcare. In a 1999 outlook report, our staff tells all about Medicare cutbacks, managed-care turbulence and a looming crisis in skilled nursing. And everyone is braced for the appearance of that ugly year-2000 computer bug.
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International Nuclear Information System (INIS)
Kennedy, E.; Roseland, M.; Connelly, S.; Markey, S.
2008-03-01
Canada's municipalities face multiple challenges in relation to the maintenance and development of services and infrastructure. This paper examined the growing infrastructure crisis in relation to sustainable community planning policies, gas tax agreements (GTA) and integrated community sustainability plans (ICSP). The study assessed the degree to which the GTA and ICSP may help to resolve the crisis and move towards the development of more sustainable infrastructure systems. The current need to upgrade or add to the infrastructure inventory represents an opportunity to adopt infrastructure technologies that are sustainable and more environmentally-friendly into municipal systems. The study demonstrated that the GTA and ICSP are financially insufficient. Jurisdictions with an existing capacity to plan and implement sustainability planning are the most successful at engaging with the ICSP process. However, there is no method of ensuring the transfer of innovative greener technologies. There is no overarching national strategy to eliminate or reduce the national infrastructure crisis. A serious national commitment is needed to address Canada's future infrastructure needs. 12 refs., 1 tab.
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Flood, disaster, and turmoil: social issues in cleft and craniofacial care and crisis relief.
Strauss, Ronald P; van Aalst, John A; Fox, Lynn; Stein, Margot; Moses, Michael; Cassell, Cynthia H
2011-11-01
To examine social issues in the conduct of cleft and craniofacial care through relief programs in disrupted crisis contexts. Social, health policy, and ethical analyses. At best, craniofacial team care is multidisciplinary, coordinated, and sustained, requiring a long-term relationship between team members, patients, and families. Disasters and societal turmoil interrupt such relationships, causing craniofacial care to become a secondary concern. Providing craniofacial team care in a crisis setting requires rebuilding disrupted coordination and communication. Crisis relief care involves a complex set of expectations and responsibilities and raises issues such as (1) quality assurance, infection control, appropriate standards of care, and follow-up care/continuity; (2) equity of access to services and clinical ethics in the context of war and/or deprivation; (3) training of visitors in the local nation or site; (4) disciplinary composition of teams, interprofessional communication/rivalry, and credentials of clinicians; (5) ownership of the site and local visitor relations; (6) fundraising and marketing strategies; and (7) ethical issues in the doctor-patient relationship. Specific ethical standards for international cleft and craniofacial care delivery also apply to domestic and global crisis relief contexts. Guidance on issues related to professional experience, informed consent, and continuity of care will help care providers address social and ethical issues raised in crisis relief programs. This paper proposes that the Position Paper of the American Cleft Palate-Craniofacial Association (ACPA) on International Treatment Programs should be used as a template to develop and disseminate a set of standards that apply to crisis relief.
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St George Acute Care Team: the local variant of crisis resolution model of care.
Cupina, Denise D; Wand, Anne P F; Phelan, Emma; Atkin, Rona
2016-10-01
The objective of this study was to describe functioning and clinical activities of the St George Acute Care Team and how it compares to the typical crisis resolution model of care. Descriptive data including demographics, sources of referral, type of clinical intervention, length of stay, diagnoses and outcomes were collected from records of all patients who were discharged from the team during a 10 week period. There were 677 referrals. The team's functions consisted of post-discharge follow-up (31%), triage and intake (30%), case management support (23%) and acute community based assessment and treatment (16%). The average length of stay was 5 days. The majority of patients were diagnosed with a mood (23%) or a psychotic (25%) disorder. Points of contrast to other reported crisis resolution teams include shorter length of stay, relatively less focus on direct clinical assessment and more telephone follow-up and triage. St George Acute Care Team provides a variety of clinical activities. The focus has shifted away from the original model of crisis resolution care to meet local and governmental requirements. © The Royal Australian and New Zealand College of Psychiatrists 2016.
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Managing crisis: the role of primary care for people with serious mental illness.
Lester, Helen; Tritter, Jonathan Q; Sorohan, Helen
2004-01-01
More than 30% of patients with serious mental illness in the United Kingdom now receive all their health care solely from primary care. This study explored the process of managing acute mental health crises from the dual perspective of patients and primary care health professionals. Eighteen focus groups involving 45 patients, 39 general practitioners, and eight practice nurses were held between May and November 2002 in six Primary Care Trusts across the British West Midlands. The topic guide explored perceptions of gold standard care, current issues and critical incidents in receiving/providing care, and ideas on improving services. Themes relevant to the management of acute crisis included issues of process, such as access, advocacy, communication, continuity, and coordination of care; the development of more structured care that might reduce the need for crisis responses; and issues raised by the development of a more structured approach to care. Access to services is a complicated yet crucial feature of managing care in a crisis, with patients identifying barriers at the level of primary care and health professionals at the interface with secondary care. The development of more structured systems as a solution may generate its own ethical and pragmatic challenges.
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North Carolina State Dept. of Human Resources, Raleigh. Div. of Mental Health, Mental Retardation and Substance Abuse Services.
This document consists of a combination of two separately published fact sheets, one on crisis nursery care for children at risk of abuse or neglect and one on respite care for families of children with disabilities or chronic illness. The fact sheet on crisis nursery care presents background information on the federal role in developing crisis…
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Cheng, Adam; Donoghue, Aaron; Gilfoyle, Elaine; Eppich, Walter
2012-03-01
To review the essential elements of crisis resource management and provide a resource for instructors by describing how to use simulation-based training to teach crisis resource management principles in pediatric acute care contexts. A MEDLINE-based literature source. OUTLINE OF REVIEW: This review is divided into three main sections: Background, Principles of Crisis Resource Management, and Tools and Resources. The background section provides the brief history and definition of crisis resource management. The next section describes all the essential elements of crisis resource management, including leadership and followership, communication, teamwork, resource use, and situational awareness. This is followed by a review of evidence supporting the use of simulation-based crisis resource management training in health care. The last section provides the resources necessary to develop crisis resource management training using a simulation-based approach. This includes a description of how to design pediatric simulation scenarios, how to effectively debrief, and a list of potential assessment tools that instructors can use to evaluate crisis resource management performance during simulation-based training. Crisis resource management principles form the foundation for efficient team functioning and subsequent error reduction in high-stakes environments such as acute care pediatrics. Effective instructor training is required for those programs wishing to teach these principles using simulation-based learning. Dissemination and integration of these principles into pediatric critical care practice has the potential for a tremendous impact on patient safety and outcomes.
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Junor, Sean; Usher, Alex
2006-01-01
This paper describes a looming crisis in Canadian student financial assistance. It begins by summarizing the known evidence with respect to student financial assistance. It notes that many studies have emphasized the central importance of grants targeted to low-income students as a means to expand of access to post-secondary education, but that…
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Naine : masin või loom? / Maris Palgi
Palgi, Maris
2007-01-01
Eero Taltsi, Margus Kiisi, Maia Mölleri, Kaie Luige, Eva Orava ja Maris Palgi projektist "Maine-loom, naine-masin", mida tutvustati 2006. a. Moostes üritusel "Postsovkhoz 6", 2007. a. jaanuaris-veebruaris Tartu Kunstimajas ja Tartu Tampere Majas. Näitused avati E. Taltsi ja M. Kiisi loeng-performance'itega
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Directory of Open Access Journals (Sweden)
Ayşe Altan Atalay
2018-03-01
Full Text Available Objectives: Most of the studies that examine cognitive vulnerability tend to focus on cognitive vulnerability for depression and explain anxiety through its intersection with depression. Looming Cognitive Style (LCS was suggested as a cognitive vulnerability model that is specific for anxiety. According to the model, people who have looming vulnerability tend to evaluate the threats coming from the environment as more overwhelming than they actually are and are constantly hypervigilant to the threat cues that may come from the environment. This pattern plays an important role in both generation and maintenance of anxiety disorders. A two-factor looming vulnerability scale was developed to assess looming cognitive style and the present study aims to adapt the scale into Turkish and examine its psychometric characteristics. Method: The sample is composed of 657 university students between the ages of 18 and 29. The participants were administered LMSQ-R as well as scales that assess anxiety, depression, and worry. Results: Confirmatory factor analysis results supported the original factor structure of the scale providing two distinct, but correlated factors as social and physical looming. In addition to that, total score and subscale scores had moderate to high correlations with other study variables and reliability scores appearing close to the original form provides support for the reliability of the scale. Conclusion: The Turkish version of the LMSQ-R is a reliable and valid scale that can be used with Turkish population.
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Paton, Fiona; Wright, Kath; Ayre, Nigel; Dare, Ceri; Johnson, Sonia; Lloyd-Evans, Brynmor; Simpson, Alan; Webber, Martin; Meader, Nick
2016-01-01
Crisis Concordat was established to improve outcomes for people experiencing a mental health crisis. The Crisis Concordat sets out four stages of the crisis care pathway: (1) access to support before crisis point; (2) urgent and emergency access to crisis care; (3) quality treatment and care in crisis; and (4) promoting recovery. To evaluate the clinical effectiveness and cost-effectiveness of the models of care for improving outcomes at each stage of the care pathway. Electronic databases were searched for guidelines, reviews and, where necessary, primary studies. The searches were performed on 25 and 26 June 2014 for NHS Evidence, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, NHS Economic Evaluation Database, and the Health Technology Assessment (HTA) and PROSPERO databases, and on 11 November 2014 for MEDLINE, PsycINFO and the Criminal Justice Abstracts databases. Relevant reports and reference lists of retrieved articles were scanned to identify additional studies. When guidelines covered a topic comprehensively, further literature was not assessed; however, where there were gaps, systematic reviews and then primary studies were assessed in order of priority. Systematic reviews were critically appraised using the Risk Of Bias In Systematic reviews assessment tool, trials were assessed using the Cochrane risk-of-bias tool, studies without a control group were assessed using the National Institute for Health and Care Excellence (NICE) prognostic studies tool and qualitative studies were assessed using the Critical Appraisal Skills Programme quality assessment tool. A narrative synthesis was conducted for each stage of the care pathway structured according to the type of care model assessed. The type and range of evidence identified precluded the use of meta-analysis. One review of reviews, six systematic reviews, nine guidelines and 15 primary studies were included. There was very limited evidence for access to support
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ARM-based control system for terry rapier loom
Shi, Weimin; Gu, Yeqing; Wu, Zhenyu; Wang, Fan
2007-12-01
In this paper, a novel ARM-based mechatronics control technique applied in terry rapier loom was presented. Electronic weft selection, electronic fluff, electronic let-off and take-up motions system, which consists of position and speedcontrolled servomechanisms, were studied. The control system configuration, operation principle, and mathematical models of electronic drives system were analyzed. The synchronism among all mechanical motions and an improved intelligent control algorithm for the warp let-off tension control was discussed. The result indict that, by applying electronic and embedded control techniques and the individual servomechanisms, the electronic weft selection, electronic let-off device and electronic take-up device in HGA732T terry rapier loom have greatly simplified the initial complicated mechanism, kept the warp tension constant from full to empty beam, set the variable weft density, eliminated the start mark effectively, promoted its flexibility, reliability and properties, and improved the fabric quality.
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Evaluating multidisciplinary health care teams: taking the crisis out of CRM.
Sutton, Gigi
2009-08-01
High-reliability organisations are those, such as within the aviation industry, which operate in complex, hazardous environments and yet despite this are able to balance safety and effectiveness. Crew resource management (CRM) training is used to improve the non-technical skills of aviation crews and other high-reliability teams. To date, CRM within the health sector has been restricted to use with "crisis teams" and "crisis events". The purpose of this discussion paper is to examine the application of CRM to acute, ward-based multidisciplinary health care teams and more broadly to argue for the repositioning of health-based CRM to address effective everyday function, of which "crisis events" form just one part. It is argued that CRM methodology could be applied to evaluate ward-based health care teams and design non-technical skills training to increase their efficacy, promote better patient outcomes, and facilitate a range of positive personal and organisational level outcomes.
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Hu, Yu; Chen, Zhuoming; Huang, Lu; Xi, Yue; Li, Bingxiao; Wang, Hong; Yan, Jiajian; Lee, Tatia M C; Tao, Qian; So, Kwok-Fai; Ren, Chaoran
2017-11-07
Rapidly approaching objects indicating threats can induce defensive response through activating a subcortical pathway comprising superior colliculus (SC), lateral posterior nucleus (LP), and basolateral amygdala (BLA). Abnormal defensive response has been reported in autism, and impaired synaptic connections could be the underlying mechanism. Whether the SC-LP-BLA pathway processes looming stimuli abnormally in autism is not clear. Here, we found that looming-evoked defensive response is impaired in a subgroup of the valproic acid (VPA) mouse model of autism. By combining the conventional neurotracer and transneuronal rabies virus tracing techniques, we demonstrated that synaptic connections in the SC-LP-BLA pathway were abnormal in VPA mice whose looming-evoked defensive responses were absent. Importantly, we further translated the finding to children with autism and observed that they did not present looming-evoked defensive response. Furthermore, the findings of the DTI with the probabilistic tractography showed that the structural connections of SC-pulvinar-amygdala in autism children were weak. The pulvinar is parallel to the LP in a mouse. Because looming-evoked defensive response is innate in humans and emerges much earlier than do social and language functions, the absence of defensive response could be an earlier sign of autism in children.
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Directory of Open Access Journals (Sweden)
Ben Schouten
Full Text Available BACKGROUND: The focus in the research on biological motion perception traditionally has been restricted to the visual modality. Recent neurophysiological and behavioural evidence, however, supports the idea that actions are not represented merely visually but rather audiovisually. The goal of the present study was to test whether the perceived in-depth orientation of depth-ambiguous point-light walkers (plws is affected by the presentation of looming or receding sounds synchronized with the footsteps. METHODOLOGY/PRINCIPAL FINDINGS: In Experiment 1 orthographic frontal/back projections of plws were presented either without sound or with sounds of which the intensity level was rising (looming, falling (receding or stationary. Despite instructions to ignore the sounds and to only report the visually perceived in-depth orientation, plws accompanied with looming sounds were more often judged to be facing the viewer whereas plws paired with receding sounds were more often judged to be facing away from the viewer. To test whether the effects observed in Experiment 1 act at a perceptual level rather than at the decisional level, in Experiment 2 observers perceptually compared orthographic plws without sound or paired with either looming or receding sounds to plws without sound but with perspective cues making them objectively either facing towards or facing away from the viewer. Judging whether either an orthographic plw or a plw with looming (receding perspective cues is visually most looming becomes harder (easier when the orthographic plw is paired with looming sounds. CONCLUSIONS/SIGNIFICANCE: The present results suggest that looming and receding sounds alter the judgements of the in-depth orientation of depth-ambiguous point-light walkers. While looming sounds are demonstrated to act at a perceptual level and make plws look more looming, it remains a challenge for future research to clarify at what level in the processing hierarchy receding sounds
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Prevalence of tobacco use among power loom workers - A cross-sectional study
Directory of Open Access Journals (Sweden)
Ansari Zaki
2010-01-01
Full Text Available Background: Tobacco use is a major public health problem globally. According to the World Health Organization (WHO, tobacco is the second most important cause of death in the world. It is currently estimated to be responsible for about 5 million deaths each year worldwide. In India, it is responsible for over 8 lakh deaths every year. Objective: To estimate the prevalence of tobacco use among power loom workers in Mau Aima Town, District Allahabad, UP. Materials and Methods: Five hundred power loom workers were randomly chosen. Out of them 448 workers were interviewed through a questionnaire survey during May-June 2007. Data on demographics, education, and type of work were collected along with details regarding tobacco use and smoking status, duration of the habit, and daily consumption. Prevalence of tobacco chewing and/or bidi and cigarette smoking, and their sociodemographic correlates, were examined. Results: The overall prevalence of tobacco use was 85.9%; the prevalence of smoking and tobacco chewing were 62.28% and 66.07%, respectively. Statistical analysis showed that smoking is more common in the elderly, while chewing gutka (a type of chewing tobacco is popular among the younger age-groups. Conclusion: The prevalence of tobacco use among power loom workers is very high compared to that in general population. Immediate intervention programs are warranted to reduce the future burden of tobacco-related morbidity among these workers who are already exposed to the highly polluted environment in power loom factories.
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Prevalence of tobacco use among power loom workers - a cross-sectional study.
Ansari, Zaki Anwar; Bano, S Nafees; Zulkifle, M
2010-01-01
Tobacco use is a major public health problem globally. According to the World Health Organization (WHO), tobacco is the second most important cause of death in the world. It is currently estimated to be responsible for about 5 million deaths each year worldwide. In India, it is responsible for over 8 lakh deaths every year. To estimate the prevalence of tobacco use among power loom workers in Mau Aima Town, District Allahabad, UP. Five hundred power loom workers were randomly chosen. Out of them 448 workers were interviewed through a questionnaire survey during May-June 2007. Data on demographics, education, and type of work were collected along with details regarding tobacco use and smoking status, duration of the habit, and daily consumption. Prevalence of tobacco chewing and/or bidi and cigarette smoking, and their sociodemographic correlates, were examined. The overall prevalence of tobacco use was 85.9%; the prevalence of smoking and tobacco chewing were 62.28% and 66.07%, respectively. Statistical analysis showed that smoking is more common in the elderly, while chewing gutka (a type of chewing tobacco) is popular among the younger age-groups. The prevalence of tobacco use among power loom workers is very high compared to that in general population. Immediate intervention programs are warranted to reduce the future burden of tobacco-related morbidity among these workers who are already exposed to the highly polluted environment in power loom factories.
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Dynamical encoding of looming, receding, and focussing
Longtin, Andre; Clarke, Stephen Elisha; Maler, Leonard; CenterNeural Dynamics Collaboration
This talk will discuss a non-conventional neural coding task that may apply more broadly to many senses in higher vertebrates. We ask whether and how a non-visual sensory system can focus on an object. We present recent experimental and modeling work that shows how the early sensory circuitry of electric sense can perform such neuronal focusing that is manifested behaviorally. This sense is the main one used by weakly electric fish to navigate, locate prey and communicate in the murky waters of their natural habitat. We show that there is a distance at which the Fisher information of a neuron's response to a looming and receding object is maximized, and that this distance corresponds to a behaviorally relevant one chosen by these animals. Strikingly, this maximum occurs at a bifurcation between tonic firing and bursting. We further discuss how the invariance of this distance to signal attributes can arise, a process that first involves power-law spike frequency adaptation. The talk will also highlight the importance of expanding the classic dual neural encoding of contrast using ON and OFF cells in the context of looming and receding stimuli. The authors acknowledge support from CIHR and NSERC.
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DEFF Research Database (Denmark)
Hong, Ryan; Riskind, John; Cheung, Mike
2017-01-01
The Looming Maladaptive Style Questionnaire (LMSQ) is a self-report measure designed to assess the looming cognitive style, a tendency to interpret threats as rapidly approaching and increasing in magnitude. To date, no systematic evaluation on the psychometric properties of the LMSQ across diver...
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Myasthenic crisis patients who require intensive care unit management.
Sakaguchi, Hideya; Yamashita, Satoshi; Hirano, Teruyuki; Nakajima, Makoto; Kimura, En; Maeda, Yasushi; Uchino, Makoto
2012-09-01
The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care. Copyright © 2012 Wiley Periodicals, Inc.
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Prioritization of factors impacting on performance of power looms using AHP
Dulange, S. R.; Pundir, A. K.; Ganapathy, L.
2014-08-01
manufacturing environment. The finding suggests the notion that these critical success factors (CSFs) are to be studied carefully and improvement strategy should be developed. Moreover, the study emphasizes the need to link priority of factors to organizational performance and improvement. The study integrates the CSFs of performance and its quantification using AHP and its effect on performance of power loom textiles. The indirect impacts of underlying and fundamental factors are considered. Very few studies have been performed to investigate and understand this issue. Therefore, the research can make a useful contribution.
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Directory of Open Access Journals (Sweden)
Martin McKee
2012-12-01
Full Text Available The current economic crisis in Europe has challenged the basis of the economic model that currently prevails in much of the industrialised world. It has revealed a system that is managed not for the benefit of the people but rather for corporations and the small elite who lead them and which is clearly unsustainable in its present form. Yet, there is a hidden consequence of this system: an unfolding crisis in health care, driven by the greed of corporations whose profit-seeking model is also failing. Proponents of commodifying healthcare simultaneously argue that the cost of providing care for ageing populations is unaffordable while working to create demand for their health care products among those who are essentially healthy. Will healthcare be the next profit-fuelled investor bubble? In this paper we call on health professionals to heed the warnings from the economic crisis and, rather than stand by while a crisis unfolds, act now to redirect increasingly market-oriented health systems to serve the common good.
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McKee, Martin; Stuckler, David
2012-12-28
The current economic crisis in Europe has challenged the basis of the economic model that currently prevails in much of the industrialised world. It has revealed a system that is managed not for the benefit of the people but rather for the corporations and the small elite who lead them, and which is clearly unsustainable in its present form. Yet, there is a hidden consequence of this system: an unfolding crisis in health care, driven by the greed of corporations whose profit-seeking model is also failing. Proponents of commodifying healthcare simultaneously argue that the cost of providing care for ageing populations is unaffordable while working to create demand for their health care products among those who are essentially healthy. Will healthcare be the next profit-fuelled investor bubble? In this paper, we call on health professionals to heed the warnings from the economic crisis and, rather than stand by while a crisis unfolds, act now to redirect increasingly market-oriented health systems to serve the common good.
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COMPUTER ASSISTED LOOM IN THE REVIVAL OF CONTEMPORARY MONUMENTAL TAPESTRY
Directory of Open Access Journals (Sweden)
PINTILIE Anca-Aurelia
2015-05-01
Full Text Available The art of tapestry has its basics back in time, probably in the decorations of tent, the house of the nomad. Tapestry in its beginnings is the first wall of the nomad’s home and the decorative wall and canopy in the ancient Greek houses as architect Gottfried Semper stated in the nineteen century. The architectural approach is not unusual even in the next centuries. Tapestry becomes popular as a form of monumental art during the Middle Ages when it is used as decorative architectural element, coating the walls of medieval castles. During the next centuries dominated by decadent styles of baroque, rococo, the tapestry will lose its monumental spirit and architectural quality but at the middle of the XXth century a new approach will sustain the revival of the tapestry as monumental art. Later, in the XXIst century, renowned multimedia artists will approach this medium and will use computer assisted looms in ambitious tapestry projects. This technique will allow them to realize complex and exquisite tapestries, sustaining in this way the revival of the tapestry in the contemporary art world. The paper presents the importance of the architectural side of tapestry and the great achievement that computer assisted loom represents for this form of art. The research activity is willing to inform Romanian textile designers about the possibilities to create tapestries on computer assisted looms. The research was made during the initial stage of a doctoral thesis consisting in a documentary study on monumental aspects of contemporary tapestry.
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CSIR Research Space (South Africa)
Cloete, D
2010-04-01
Full Text Available · April 2010 Edited proceedings of a Round Table convened by Business Leadership South Africa and the Centre for Development and Enterprise CDE ROUND TABLE The Centre for Development and Enterprise is one of South Africa’s leading development think...-tanks, focusing on vital national development issues and their relationship to economic growth and democratic consolidation. Through examining South African realities and international experience, CDE formulates practical policy proposals for addressing major...
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America's looming creativity crisis.
Florida, Richard
2004-10-01
The strength of the American economy does not rest on its manufacturing prowess, its natural resources, or the size of its market. It turns on one factor--the country's openness to new ideas, which has allowed it to attract the brightest minds from around the world and harness their creative energies. But the United States is on the verge of losing that competitive edge. As the nation tightens its borders to students and scientists and subjects federal research funding to ideological and religious litmus tests, many other countries are stepping in to lure that creative capital away. Ireland, Canada, Australia, New Zealand, Denmark, and others are spending more on research and development and shoring up their universities in an effort to attract the world's best--including Americans. If even a few of these nations draw away just a small percentage of the creative workers from the U.S., the effect on its economy will be enormous. In this article, the author introduces a quantitative measure of the migration of creative capital called the Global Creative-Class Index. It shows that, far from leading the world, the United States doesn't even rank in the top ten in the percentage of its workforce engaged in creative occupations. What's more, the baby boomers will soon retire. And data showing large drops in foreign student applications to U.S. universities and in the number of visas issued to knowledge workers, along with concomitant increases in immigration in other countries, suggest that the erosion of talent from the United States will only intensify. To defend the U.S. economy, the business community must take the lead in ensuring that global talent can move efficiently across borders, that education and research are funded at radically higher levels, and that we tap into the creative potential of more and more workers. Because wherever creativity goes, economic growth is sure to follow.
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The role of looming and attention capture in drivers' braking responses.
Terry, Hugh R; Charlton, Samuel G; Perrone, John A
2008-07-01
This study assessed the ability of drivers to detect the deceleration of a preceding vehicle in a simulated vehicle-following task. The size of the preceding vehicles (car, van, or truck) and following speeds (50, 70, or 100 km/h) were systematically varied. Participants selected a preferred following distance by engaging their vehicle's cruise control and when the preceding vehicle began decelerating (no brake lights were illuminated), the participant's braking latency and distances to the lead vehicle were recorded. The experiment also employed a secondary task condition to examine how the attention-capturing properties of a looming vehicle were affected by driver distraction. The results indicated that a looming stimulus is capable of redirecting a driver's attention in a vehicle following task and, as with detection of brake lights, a driver's detection of a looming vehicle is compromised in the presence of a distracting task. Interestingly, increases in vehicle size had the effect of decreasing drivers' braking latencies and drivers engaged in the secondary task were significantly closer to the lead vehicle when they began braking, regardless of the size of the leading vehicle. Performance decrements resulting from the secondary task were reflected in a time-to-collision measure but not in optic expansion rate, lending support to earlier arguments that time-to-collision estimates require explicit cognitive judgements while perception of optic expansion may function in a more automatic fashion to redirect a driver's attention when cognitive resources are low or collision is imminent.
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Directory of Open Access Journals (Sweden)
Aušra ADOMAITIENĖ
2011-11-01
Full Text Available During the manufacturing of fabric of different raw material there was noticed, that after removing the fabric from weaving loom and after stabilization of fabric structure, the changes of parameters of fabric structure are not regular. During this investigation it was analysed, how weaving loom technological parameters (heald cross moment and initial tension of warp should be chosen and how to predict the changes of fabric structure parameters and its mechanical properties. The dependencies of changes of half-wool fabric structure parameters (weft setting, fabric thickness and projections of fabric cross-section and mechanical properties (breaking force, elongation at break, static friction force and static friction coefficient on weaving loom setting parameters (heald cross moment and initial warp tension were analysed. The orthogonal Box plan of two factors was used, the 3-D dependencies were drawn, and empirical equations of these dependencies were established.http://dx.doi.org/10.5755/j01.ms.17.4.780
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Gould, Madelyn S.; Munfakh, Jimmie L. H.; Kleinman, Marjorie; Lake, Alison M.
2012-01-01
Linking at-risk callers to ongoing mental health care is a key goal of crisis hotline interventions that has not often been addressed in evaluations of hotlines' effectiveness. We conducted telephone interviews with 376 suicidal and 278 nonsuicidal crisis callers to the National Suicide Prevention Lifeline (Lifeline) to assess rates of mental…
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Home health nursing care services in Greece during an economic crisis.
Adamakidou, T; Kalokerinou-Anagnostopoulou, A
2017-03-01
The purpose of this review was to describe public home healthcare nursing services in Greece. The effectiveness and the efficiency of home healthcare nursing are well documented in the international literature. In Greece, during the current financial crisis, the development of home healthcare nursing services is the focus and interest of policymakers and academics because of its contribution to the viability of the healthcare system. A review was conducted of the existing legislation, the printed and electronic bibliography related to the legal framework, the structures that provide home health care, the funding of the services, the human resources and the services provided. The review of the literature revealed the strengths and weaknesses of the existing system of home health care and its opportunities and threats, which are summarized in a SWOT analysis. There is no Greek nursing literature on this topic. The development of home health nursing care requires multidimensional concurrent and combined changes and adjustments that would support and strengthen healthcare professionals in their practices. Academic and nursing professionals should provide guidelines and regulations and develop special competencies for the best nursing practice in home health care. At present, in Greece, which is in an economic crisis and undergoing reforms in public administration, there is an undeniable effort being made to give primary health care the position it deserves within the health system. There is an urgent need at central and academic levels to develop home healthcare services to improve the quality and efficiency of the services provided. © 2016 International Council of Nurses.
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Underdevelopment and the health care crisis in Nigeria.
Alubo, S O
1985-01-01
It has been said that in all societies but especially in the developing countries, health care is inextricably linked to a nation's political and economic system. Medical underdevelopment is a necessary feature of economic underdevelopment. Health care in Nigeria has traditionally been conceptualized as an autonomous, self-determining phenomenon without links to the wider society; and morbidity and mortality problems explained as internal factors, i.e., inadequate hospitals, clinics, equipment, and materials, and a lack of the necessary personnel. The structural underpinnings of these internal problems are assumed inconsequential and not addressed, and so is the international dimension. This essay goes beyond the modernization paradigm by locating Nigeria's health and sickness problems in the context of underdevelopment, demonstrating how health care is located in the context of Nigeria's political economy. 1st, Nigeria's position within the capitalist world economy is examined along with the structure of power and privileges. Against this background, prevalent morbidity and mortality patterns, and the policies to combat these, are discussed. The current health care crisis, it is argued, must be located within the framework of underdevelopment, and solutions are inseparable from overcoming present structural arrangements.
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Economic crisis and nursing in Spain.
Zabalegui, Adelaida; Cabrera, Esther
2010-07-01
The purpose of the present study is to describe the economic context in Spain and its impact on the health care sector and in nursing schools. The global economic crisis is affecting nursing in Spain. This study analyses and compares indicators related to health care and nursing schools among European countries. Some new strategies to cope with the challenges arising from the health care crisis are suggested. Health care costs are increasing as a result of the ageing of the Spanish population, immigration, chronicity of health problems and new medical technology. Nursing education has changed in 2010 from a 3-year diploma programme to a 4-year University degree in Nursing. This change requires new resources involving staff, facilities and equipment, all of which are lacking because of the economic crisis in Spain. The worldwide economic crisis has affected Spain more than it has other European Union (EU) countries. This global crisis has an impact on the health care sector as well on nursing schools. It is essential for nursing management to develop creative approaches to maintain cost effective patient care. New programmes and technology must be carefully evaluated in terms of cost effectiveness before being implemented. All health care professionals should be well informed and have a solid understanding of this situation.
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McCarthy, Lisa; Olsen, Kirk N
2017-01-01
Continuous increases of acoustic intensity (up-ramps) can indicate a looming (approaching) sound source in the environment, whereas continuous decreases of intensity (down-ramps) can indicate a receding sound source. From psychoacoustic experiments, an "adaptive perceptual bias" for up-ramp looming tonal stimuli has been proposed (Neuhoff, 1998). This theory postulates that (1) up-ramps are perceptually salient because of their association with looming and potentially threatening stimuli in the environment; (2) tonal stimuli are perceptually salient because of an association with single and potentially threatening biological sound sources in the environment, relative to white noise, which is more likely to arise from dispersed signals and nonthreatening/nonbiological sources (wind/ocean). In the present study, we extrapolated the "adaptive perceptual bias" theory and investigated its assumptions by measuring sound source localization in response to acoustic stimuli presented in azimuth to imply looming, stationary, and receding motion in depth. Participants (N = 26) heard three directions of intensity change (up-ramps, down-ramps, and steady state, associated with looming, receding, and stationary motion, respectively) and three levels of acoustic spectrum (a 1-kHz pure tone, the tonal vowel /ә/, and white noise) in a within-subjects design. We first hypothesized that if up-ramps are "perceptually salient" and capable of eliciting adaptive responses, then they would be localized faster and more accurately than down-ramps. This hypothesis was supported. However, the results did not support the second hypothesis. Rather, the white-noise and vowel conditions were localized faster and more accurately than the pure-tone conditions. These results are discussed in the context of auditory and visual theories of motion perception, auditory attentional capture, and the spectral causes of spatial ambiguity.
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Kaposy, Chris; Maddalena, Victor; Brunger, Fern; Pullman, Daryl; Singleton, Richard
2017-01-01
Health care organizations can be very complex, and are often the setting for crisis situations. In recent years, Canadian health care organizations have faced large-scale systemic medical errors, a nation-wide generic injectable drug shortage, iatrogenic infectious disease outbreaks, and myriad other crises. These situations often have an ethical component that ethics consultants may be able to address. Organizational leaders such as health care managers and governing boards have responsibilities to oversee and direct the response to crisis situations. This study investigates the nature and degree of involvement of Canadian ethics consultants in such situations. This qualitative study used semi-structured interviews with Canadian ethics consultants to investigate the nature of their interactions with upper-level managers and governing board members in health care organizations, particularly in times of organizational crisis. We used a purposive sampling technique to identify and recruit ethics consultants throughout Canada. We found variability in the interactions between ethics consultants and upper-level managers and governing boards. Some ethics consultants we interviewed did not participate in managing organizational crisis situations. Most ethics consultants reported that they had assisted in the management of some crises and that their participation was usually initiated by managers. Some ethics consultants reported the ability to bring issues to the attention of upper-level managers and indirectly to their governing boards. The interactions between managers and ethics consultants were characterized by varying degrees of collegiality. Ethics consultants reported participating in or chairing working groups, participating in incident management teams, and developing decision-making frameworks. Canadian ethics consultants tend to believe that they have valuable skills to offer in the management of organizational crisis situations. Most of the ethics consultants
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[Training of health-care employees in crisis resource management].
Spanager, Lene; Østergaard, Doris; Lippert, Anne; Nielsen, Kurt; Dieckmann, Peter
2013-03-25
Studies show that human errors contribute to up to 70% of mistakes and mishaps in health care. Crisis resource management, CRM, is a conceptual framework for analysing and training individual and team skills in order to prevent and manage errors. Different CRM training methods, e.g. simulation, are in use and the literature emphasises the need of training the full team or organisation for maximal effect. CRM training has an effect on skill improvement, but few studies have shown an effect on patient outcome. However, these studies show great variability of quality.
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Expanded emergency medical services for the provision of primary care in remote rural areas.
Mccabe, S
2000-05-01
It is now widely recognised that a potential recruitment crisis is looming in the provision of primary care physicians for remote rural areas of the United Kingdom. Anecdotal evidence suggests that rural registrar, associate and principal vacancies are becoming increasingly difficult to fill and for many rural GPs locums are an impossible dream. Many practitioners are no longer prepared to work in areas where out-of-hours cooperatives are not available. We are now faced with the very real possibility that in some remote areas of the Scottish Highlands and Islands the recruitment of suitable GPs may no longer be possible. So what are the alternatives? In October 1999 I visited a community in the mountains of northern New Mexico which has had to deal with this very problem.
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International Nuclear Information System (INIS)
Pectorin, X.
2010-01-01
After having briefly recalled the existence of a legal framework for crisis management organisation, this report briefly describes how the CEA plans the crisis management. This management is based on the definition of critical scenarios, on the building up of a crisis management team, and on the elaboration of crisis management operational documents. It evokes the alert organisation and the triggering of crisis management. Then, it describes the CEA's national crisis organisation with its main crisis management structures, the role and the operation of the Crisis Coordination Centre (CCC, the decision body), the role and operation of the Central Crisis Technical Teams (ETC-C, Equipes Techniques de Crise Centrales), the role of field interveners (various rescue, protection, health care and technical teams) and of other additional intervention actors. It evokes the objectives of the various exercises which are organised every year at the internal, national or international level
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Petrou, P
2015-11-01
Cyprus entered a prolonged financial recession in 2011 and by early 2013 it applied for an international bail-out agreement. This presupposed massive reforms in public governance. Health sector was considerably reformed and one of the measures was the introduction of co-payment for outpatient visits to public health care sector. The scope of this study is to assess the impact of financial crisis and co-payment to public outpatient visits in Nicosia urban and greater Nicosia region. An Interrupted time-series analysis. All outpatient visits to public health care family doctor/general practitioners in Nicosia urban and greater Nicosia region from January 2011 until May of 2014 were registered and analysed. Financial crisis did not alter outpatient visits. Introduction of co-payment led to a statistically significant decrease from the second month after its introduction (p = 0.048) (R(2) = 0.329, Q = 23.75, p = 0.137). This decrease was consistent until the end of the observational period and it did not level off. Financial crisis did not affect outpatient visits while co-payment can be considered as a potent cost containment measure during financial recession, by normalising utilisation of healthcare resources. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
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Directory of Open Access Journals (Sweden)
S Qureshi
2015-01-01
Full Text Available The rise in super bugs causing Ventilator-Associated Pneumonia (VAP is a major cause of mortality and morbidity despite recent advances in management owing to the looming ′antibiotic apocalypse′. The aetiology and susceptibility pattern of the VAP isolates varies with patient population, type of intensive care unit (ICU and is an urgent diagnostic challenge. The present study carried out for a period of one year in a tertiary care hospital, enrolled patients on mechanical ventilation (MV for ≥48 hrs. Endotracheal aspirates (ETA from suspected VAP patients were processed by semi quantitative method. Staphylococus aureus, members of Enterobacteriaceae were more common in early onset VAP (EOVAP, while Nonfermenting Gram negative bacilli (NFGNB were significantly associated with late onset VAP (LOVAP. Most of the isolates were multi drug resistant (MDR super bugs. With limited treatment options left for this crisis situation like the pre-antibiotic era; it is an alarm for rational antibiotic therapy usage and intensive education programs.
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Lawlor, Caroline; Johnson, Sonia; Cole, Laura; Howard, Louise M
2012-01-01
Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these. To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences. All women admitted to an acute psychiatric inpatient ward or a women's crisis house in four London boroughs during a 12-week period were included. Data were collected regarding their pathways to care, clinician-rated reasons for admission, hospital stays, and social and clinical characteristics. Two hundred and eighty seven (287) women from white British, white other, black Caribbean, black African and black other groups were included. Adjusting for social and clinical characteristics, all groups of black patients and white other patients were significantly more likely to have been compulsorily admitted than white British patients; white British patients were more likely than other groups to be admitted to a crisis house and more likely than all the black groups to be admitted because of perceived suicide risk. Immediate pathways to care differed: white other, black African and black other groups were less likely to have referred themselves in a crisis and more likely to have been in contact with the police. When adjustment was made for differences in pathways to care, the ethnic differences in compulsory admission were considerably reduced. There are marked ethnic inequities not only between white British and black women, but also between white British and white other women in experiences of acute admission. Differences between groups in help-seeking behaviours in a crisis may contribute to explaining differences in rates of compulsory admission.
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Water and energy: a symbiotic marriage. [Looming water shortages
Energy Technology Data Exchange (ETDEWEB)
Mageed, Y A
1977-02-01
The United Nations Water Conference held in Mar del Plata, Argentina, March 14-25, 1977 dealt with all aspects of the world's use of water: community supply, agriculture, industry, energy production, preservation of life and property through flood control, and transportation. The symbiosis between energy and water carries over into atomic power field--nuclear reactors are both users and a potential source of freshwater through desalination. The purpose of the conference was to call the attention of all concerned governments, opinion leaders, and public at large to the looming water crisis; to establish that the world's water problems cannot be solved by the lone water engineer or community water board, or even the scientist or administrator, but can be tackled with any hope of success only through a broad collaboration not only among all of these but of environmentalists, farm leaders, industrialists, and above all by governments, their planners, their budget officers, and their political leaders. The end of the explosive rise in water demand is nowhere in sight. Two-thirds of the world's people live in developing countries--most lacking in minimum public sanitation and hygiene. In summarizing all uses of water and its correlation with energy, the author expressed a desire that the conference would spark renewed initiative to accelerate capture of water from sources that are untapped or stress water conservation. Specifically, he calls on the nuclear community to improve efficiency of heat cycles so that generating units can cut down on the amount of water needed for cooling purposes; encourage utilization of take-off heat of nuclear power stations and its use in industry, agriculture, or municipal heating systems in the vicinity of the generating plant; and plan and construct nuclear plants in such a way that they form a part of comprehensive area or river valley development schemes in which the total investment is addressed to the area's total needs.
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Willrich, Janaína Quinzen; Kantorski, Luciane Prado; Chiavagatti, Fabieli Gopinger; Cortes, Jandro Moraes; Antonacci, Milena Hohmann
2013-06-01
The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness.
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"Pastoral crisis intervention": toward a definition.
Everly, G S
2000-01-01
The pastoral community represents a large and often untapped resource in times of crisis. It possesses a unique aggregation of characteristics that makes it uniquely valuable amidst the turmoil of a psychological crisis. In critical incidents such as terrorism, mass disasters, violence, the loss of loved ones, and any events wherein human actions result in injury, destruction, and/or death, the pastoral community may possess especially powerful restorative attributes. Unfortunately, heretofore, there has existed no generally recognized and accepted manner in which the healing factors inherent in pastoral care have been functionally integrated with the well-formulated principles of crisis intervention. This paper represents an initial effort to elucidate how the principles of pastoral care may be functionally integrated with those of crisis intervention. The amalgam shall heretofore be referred to as "pastoral crisis intervention" and is defined herein.
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Neuhoff, John G.
2003-04-01
Increasing acoustic intensity is a primary cue to looming auditory motion. Perceptual overestimation of increasing intensity could provide an evolutionary selective advantage by specifying that an approaching sound source is closer than actual, thus affording advanced warning and more time than expected to prepare for the arrival of the source. Here, multiple lines of converging evidence for this evolutionary hypothesis are presented. First, it is shown that intensity change specifying accelerating source approach changes in loudness more than equivalent intensity change specifying decelerating source approach. Second, consistent with evolutionary hunter-gatherer theories of sex-specific spatial abilities, it is shown that females have a significantly larger bias for rising intensity than males. Third, using functional magnetic resonance imaging in conjunction with approaching and receding auditory motion, it is shown that approaching sources preferentially activate a specific neural network responsible for attention allocation, motor planning, and translating perception into action. Finally, it is shown that rhesus monkeys also exhibit a rising intensity bias by orienting longer to looming tones than to receding tones. Together these results illustrate an adaptive perceptual bias that has evolved because it provides a selective advantage in processing looming acoustic sources. [Work supported by NSF and CDC.
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Intervention pattern in crisis: mental health as a nursing care approach at a general hospital
Oliveira, Elias Barbosa; Kestenberg, Célia Caldeira Fonseca; Silva, Alexandre Vicente
2013-01-01
Objective: Testing and validating the application of Intervention in Crisis theory as an approach in mental health on HIV/AIDS patients care who are interned at a general hospital. Method: Help Interview has been accomplished as an activity for Mental Health subject according to an applied guide by graduation in nursing students in order to identify this illness psycho-social repercussion and draft therapeutic plan for patients under their care. The outcomes were the reports results presented...
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Hypertensive crisis in children: an experience in a single tertiary care center in Korea.
Lee, Geum Hwa; Lee, I Re; Park, Se Jin; Kim, Ji Hong; Oh, Ji Young; Shin, Jae Il
2015-01-01
pressure monitoring and careful examinations should be mandatory in children with underlying disease, especially renal diseases and cancer. Furthermore, both nicardipine and labetalol may be effective antihypertensive drug in lowering high blood pressure in children with hypertensive crisis.
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Department of Veterans Affairs — The caring responders at the Veterans Crisis Line are specially trained and experienced in helping Veterans of all ages and circumstances. Some of the responders are...
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Veterans Crisis Line: Videos About Reaching out for Help
Full Text Available ... Crisis Centers About Be There Show You Care Find Resources Graphic Generator Toolkit Signs of Crisis Identifying ... or a Veteran you know is in crisis, find a facility near you. Spread the Word Download ...
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Directory of Open Access Journals (Sweden)
Giorgio Baruchello
2010-03-01
Full Text Available Four literary-philosophical skecthes are presented here in order to celebrate the ten-year anniversary of the publication of the official English translation of one of Eduardo Galeano's most important books: Upside Down: A Primer for the Looking-glass World. Each of these four sketches deals with the current economic crisis, though from different perspectives of analysis, and attempts to make use of the vibrant and creative sylistic devices characterising Galeano's works, particularly Upside Down. In this book, Galeano explored insightfully the roots of the crisis to come. His critical conclusions were analogous to those of another eccentric observer of the most notable economic phenomena of the 1990s, John McMurtry, whose perception of the looming crisis was even more profound and technical. Therefore, also this Canadian thinker, indeed his theory of value, is evoked in the four sketches, for McMurtry's onto-axiology reveals the ongoing contradiction between the relentless search for profit of the mostly virtual global script type=text/javascript src=http://nome.st5.stefna.is/joomla/plugins/editors/jce/tiny_mce/themes/advanced/langs/en.js?version=156/scriptscript type=text/javascript src=http://nome.st5.stefna.is/joomla/plugins/editors/jce/tiny_mce/plugins/advcode/langs/en.js?version=156/scripteconomy and the requirements of natural and human life.
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Kim, Hanjoong; Chung, Woo Jin; Song, Young Jong; Kang, Dae Ryong; Yi, Jee Jeon; Nam, Chung Mo
2003-01-01
To examine and quantify the impact of the recent economic crisis on morbidity and medical care utilization in the Republic of Korea. 22 675 people from 6791 households and 43 682 people from 12 283 households were questioned for two nationwide surveys that took place in 1995 and 1998, respectively. A separate sample pretest-posttest design was used and we conducted c2 test and logistic regression analysis after controlling for the maturation effect of the morbidity and medical care utilization. The morbidity rates of chronic disease and acute disease increased significantly by 27.1% and 9.5%, respectively, whereas the utilization rates of outpatient and inpatient services decreased by 15.1% and 5.2%, respectively. In particular, the pace of decline in the utilization rate of outpatient services varied depending on the type of disease: morbidity rates for mental and behavioural disorders were 13.7%; for cardiovascular disease, 7.1%; and for injury, 31.6%. After the Republic of Korean economic crisis, the morbidity and medical care utilization rates changed significantly but the degree of change depended on the type of disease or service. The time-dependent relationship between the national economy and the morbidity and medical care utilization rates needs to be further investigated.
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Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K.; Dounias, George; Hadjichristodoulou, Christos
2014-01-01
Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country. PMID:24688306
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The Impact of the 1997-1998 East Asian Economic Crisis on Health and Health Care in Indonesia
Pradhan, M.P.; Waters, H.; Saadah, F.
2003-01-01
This article identifies the effects of the 1997-98 East Asian economic crisis on health care use and health status in Indonesia. The article places the findings in the context of a framework showing the complex cause and effect relationships underlying the effects of economic downturns on health and
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Cancer Care at Times of Crisis and War: The Syrian Example.
Sahloul, Eman; Salem, Riad; Alrez, Wessam; Alkarim, Tayseer; Sukari, Ammar; Maziak, Wasim; Atassi, M Bassel
2017-08-01
As Syria enters its fifth year of conflict, the number of civilians killed and injured continues to rise sharply. Along with this conflict comes the rapid decline of medical care, specifically cancer care. To determine physician and equipment availability, cancer screening and management, and possible solutions relative to various major cities, a survey was distributed to physicians inside Syria through the help of the humanitarian organization Syrian American Medical Society. Online surveys were distributed to both certified oncologists who work in cancer clinics and general physicians who work in rural and mobile clinics inside Syria. Variables assessed were physician specialty, location, population, cost, regional situation (besieged versus government controlled), and resource availability and access. Results were stratified by location and physician specialty. Survey results revealed a large shortage of specialized physicians and inhibited accessibility to screening and management options in besieged areas compared with government-controlled regions. Physicians within both government-controlled and besieged cities reported limited or no targeted agents, radiation therapy, clinical trials, bone marrow transplantation, positron emission tomography scans, magnetic resonance imaging, and genetic testing. The Syrian civil war has resulted in suboptimal oncology care in the majority of the region. In consideration of specific deficiencies in cancer care, we recommend several solutions that may better the level of care in Syria: patient education on medical documentation and self-examination; online consultation; and cheap, effective screening methods. The implementation of these recommendations may change the course of cancer care in a country that has deteriorated into the worst humanitarian crisis of the century.
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Cancer Care at Times of Crisis and War: The Syrian Example
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Eman Sahloul
2017-08-01
Full Text Available Purpose: As Syria enters its fifth year of conflict, the number of civilians killed and injured continues to rise sharply. Along with this conflict comes the rapid decline of medical care, specifically cancer care. To determine physician and equipment availability, cancer screening and management, and possible solutions relative to various major cities, a survey was distributed to physicians inside Syria through the help of the humanitarian organization Syrian American Medical Society. Methods: Online surveys were distributed to both certified oncologists who work in cancer clinics and general physicians who work in rural and mobile clinics inside Syria. Variables assessed were physician specialty, location, population, cost, regional situation (besieged versus government controlled, and resource availability and access. Results were stratified by location and physician specialty. Results: Survey results revealed a large shortage of specialized physicians and inhibited accessibility to screening and management options in besieged areas compared with government-controlled regions. Physicians within both government-controlled and besieged cities reported limited or no targeted agents, radiation therapy, clinical trials, bone marrow transplantation, positron emission tomography scans, magnetic resonance imaging, and genetic testing. Conclusion: The Syrian civil war has resulted in suboptimal oncology care in the majority of the region. In consideration of specific deficiencies in cancer care, we recommend several solutions that may better the level of care in Syria: patient education on medical documentation and self-examination; online consultation; and cheap, effective screening methods. The implementation of these recommendations may change the course of cancer care in a country that has deteriorated into the worst humanitarian crisis of the century.
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Crisis intervention for people with severe mental illnesses.
Murphy, Suzanne M; Irving, Claire B; Adams, Clive E; Waqar, Muhammad
2015-12-03
A particularly difficult challenge for community treatment of people with serious mental illnesses is the delivery of an acceptable level of care during the acute phases of severe mental illness. Crisis-intervention models of care were developed as a possible solution. To review the effects of crisis-intervention models for anyone with serious mental illness experiencing an acute episode compared to the standard care they would normally receive. If possible, to compare the effects of mobile crisis teams visiting patients' homes with crisis units based in home-like residential houses. We searched the Cochrane Schizophrenia Group's Study-Based Register of Trials. There is no language, time, document type, or publication status limitations for inclusion of records in the register. This search was undertaken in 1998 and then updated 2003, 2006, 2010 and September 29, 2014. We included all randomised controlled trials of crisis-intervention models versus standard care for people with severe mental illnesses that met our inclusion criteria. We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assessed risk of bias for included studies and used GRADE to create a 'Summary of findings' table. The update search September 2014 found no further new studies for inclusion, the number of studies included in this review remains eight with a total of 1144 participants. Our main outcomes of interest are hospital use, global state, mental state, quality of life, participant satisfaction and family burden. With the exception of mental state, it was not possible to pool data for these outcomes.Crisis intervention may reduce repeat admissions to hospital (excluding index admissions) at six months (1 RCT, n = 369, RR 0.75 CI 0.50 to 1.13, high quality evidence), but does appear to reduce family burden (at six months: 1 RCT, n = 120, RR 0.34 CI 0.20 to 0.59, low quality evidence), improve
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The myasthenic patient in crisis: an update of the management in Neurointensive Care Unit
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Daniel Agustin Godoy
2013-09-01
Full Text Available Myasthenia gravis (MG is an autoimmune disorder affecting neuromuscular transmission leading to generalized or localized muscle weakness due most frequently to the presence of autoantibodies against acetylcholine receptors in the postsynaptic motor end-plate. Myasthenic crisis (MC is a complication of MG characterized by worsening muscle weakness, resulting in respiratory failure that requires intubation and mechanical ventilation. It also includes postsurgical patients, in whom exacerbation of muscle weakness from MG causes a delay in extubation. MC is a very important, serious, and reversible neurological emergency that affects 20–30% of the myasthenic patients, usually within the first year of illness and maybe the debut form of the disease. Most patients have a predisposing factor that triggers the crisis, generally an infection of the respiratory tract. Immunoglobulins, plasma exchange, and steroids are the cornerstones of immunotherapy. Today with the modern neurocritical care, mortality rate of MC is less than 5%.
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Teaching Method in Situational Crisis Communication Theory: A Literature Review
Proud Arunrangsiwed
2016-01-01
Crisis management strategies could be found in various curriculums, not only in schools of business, but also schools of communication. Young students, such as freshmen and sophomores of undergraduate schools, may not care about learning crisis management strategies. Moreover, crisis management strategies are not a topic art students are familiar with. The current paper discusses a way to adapt entertainment media into a crisis management lesson, and the importance of learning crisis manageme...
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The role of crisis in family crisis intervention: do crisis experience and crisis change matter?
Al, C.M.W.; Stams, G.J.J.M.; van der Laan, P.H.; Asscher, J.J.
2011-01-01
Evaluation studies of crisis intervention have focused on prevention of out-of-home placement of children or family functioning, but largely neglected the aspect of crisis. The present study examined crisis in 183 families receiving Family Crisis Intervention (FCI), addressing crisis characteristics
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van Bergen, J. E.
1995-01-01
A tension exists between objectives of health policy makers to achieve high quality standards of care on one hand, and district multi-crisis reality in sub-Saharan Africa on the other hand where sheer survival of the (public) health system is questioned. The collapsing health services as well as the
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2010-07-07
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The crisis as catalyst for reframing health care policies in the European Union.
Helderman, Jan-Kees
2015-01-01
Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare states, health care has always belonged to the sovereignty of European Member States. However, in past two decades, European welfare states have in fact become semi-sovereign states and the European Union (EU) no longer is an exogenous actor in European health policy making. Today, the EU not only puts limits to unsustainable growth levels in health care spending, it also acts as an health policy agenda setter. Since the outbreak of the GFC, it does so in an increasingly coercive and persuasive way, claiming authority over health system reforms alongside the responsibilities of its Member States.
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Specialists without spirit: crisis in the nursing profession.
Hewa, S; Hetherington, R W
1990-01-01
This paper examines the crisis in the nursing profession in Western industrial societies in the light of Max Weber's theory of rationalisation. The domination of instrumental rational action in modern industrial societies in evident in the field of modern medicine. The burgeoning mechanistic approach to the human body and health makes modern health care services increasingly devoid of human values. Although the nursing profession has been influenced by various changes that took place in health care during the last few decades (for example greater reliance on technology), the underlying values of the nursing profession still emphasise a broad definition of the well-being of patients. Hence, in recent years the irrational consequences of growing technological medicine in North America has resulted in a serious crisis in the nursing profession. To resolve this crisis the authors propose a reorganisation of modern health care services on the basis of a new paradigm which is compatible with both the health care needs of the people and the main emphasis in education and training of the nursing profession. PMID:2287012
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A Study of Crisis Management Based on Stakeholders Analysis Model
Qingchun, Yue
2017-11-01
From the view of stakeholder theory, not only the enterprises should provide services to shareholders, but also take care of the demands of stakeholders. Stakeholders for the enterprise crisis are the organizations and individuals, which cause crisis, respond to the crisis and affected by the enterprise crisis. In this paper, first of all, to comb the development of stakeholder theory systematically; secondly, with the help of the enterprise crisis stakeholder analysis model, analyze the concept of stakeholders for the enterprise crisis and membership, and with the example of Shuanghui Group for further analysis; finally, we put forward relevant proposals for the enterprise crisis from the view of stakeholders.
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Martín Martín, R; Sánchez Bayle, M; Gancedo García, C; Teruel de Francisco, M C; Coullaut López, A
2016-04-01
To study the impact of the economic crisis on the families of the children who attend Primary Health Care and its relationship with their socioeconomic status. Observational descriptive study was conducted by analysing the results of 453 questionnaires, given to the parents of children between 1 and 7 years old who attended 4 paediatric clinics in Madrid. The raw data was analysed, and comparisons between groups and multivariate analysis were performed. In the multivariate analysis, the variables related to the non-acquisition of prescribed medication are: lower income level OR=0.118, p<.0001 and lower educational level OR=0.464, p<.001; the variables related to the reduction of food expenditure are: lower income level OR=0.100, p<.0001 and a higher number of family members OR=1.308, p=.045; the variables related to anti-pneumococcal vaccination without public funding are: higher income level OR=2.170, p=.0001, higher educational level OR=1.835, p=.013, and not being an immigrant OR=0.532, p=.037. The presence of health problems from the beginning of the economic crisis is related to unemployment OR=4.079, p=.032, lower educational level R=0.678, p=.042, and income level OR=0.342, p<.0001. In all cases, the models achieved a statistical significance of p<.0001. The economic crisis has greater impact on the group with the lowest income level in all analysed variables. The lower educational level and higher number of family members has an impact on the reduction in food expenditure. The fact of being an immigrant has an impact on not receiving the anti-pneumococcal and rotavirus vaccination. Unemployment leads to an increase in health problems in the family. To sum up, the economic crisis has increased inequalities according to socioeconomic status. Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.
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Lay, Barbara; Salize, Hans Joachim; Dressing, Harald; Rüsch, Nicolas; Schönenberger, Thekla; Bühlmann, Monika; Bleiker, Marco; Lengler, Silke; Korinth, Lena; Rössler, Wulf
2012-09-05
The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates) has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients' perceived coercion and to increase patient satisfaction, their quality of life and empowerment. This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be compared with standard care procedures (control group
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Lay Barbara
2012-09-01
Full Text Available Abstract Background The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients’ perceived coercion and to increase patient satisfaction, their quality of life and empowerment. Methods/Design This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be
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Albert, Rikke; Simpson, Alan
2015-12-01
To explore carers' experience of caring during a mental health crisis. Community mental health care including crisis care relies increasingly on carers. The relationship between carers and professionals is at times fraught due to issues of what constitutes a crisis, confidentiality and a perception of lack of empathy. The caring experience can lead carers to feel isolated and neglected. A qualitative study with a phenomenological approach. Eight carers participated and were interviewed individually using a semi-structured approach. Analysis used the Interpretive Phenomenological Analysis method including transcribing of interviews, initial noting, searching for connections and patterns across the transcripts and cases. The themes were checked with the participants for their views on the emerging themes. The data were collected from November 2011-May 2012. Carers experienced 'double deprivation' by not receiving support from professionals and protecting their social network from the trauma of the crisis. The caring in crisis invoked complex feelings of guilt and loyalty which made discussing aggression difficult. Caring was described as a terrifying experience not just because of the aggression but also because of the perception of abandonment by professionals. The experience was an overwhelmingly negative one with a wish for acknowledgement of the crisis and support from mental health services. For most of the participants the caring during crisis was traumatic which left the carer feeling isolated and unsupported. The study should be used to help educate professionals on the complexities of caring during a crisis. © 2015 John Wiley & Sons Ltd.
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A scoping review of crisis teams managing dementia in older people.
Streater, Amy; Coleston-Shields, Donna Maria; Yates, Jennifer; Stanyon, Miriam; Orrell, Martin
2017-01-01
Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1) conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2) conduct a scoping survey with dementia crisis teams mapping services across England to understand operational procedures and identify what is currently occurring in practice. For the systematic literature review, included studies were graded using the Critical Appraisal Skills Programme checklist. For the scoping survey, Trusts across England were contacted and relevant services were identified that work with people with dementia experiencing a mental health crisis. The systematic literature review demonstrated limited evidence in support of crisis teams reducing the rate of hospital admissions, and despite the increase in number of studies, methodological limitations remain. For the scoping review, only half (51.8%) of the teams had a care pathway to manage crises and the primary need for referral was behavioral or psychological factors. Evidence in the literature for the effectiveness of crisis teams for older adults with dementia remains limited. Being mainly cohort designs can make it difficult to evaluate the effectiveness of the intervention. In practice, it appears that the pathway for care managing crisis for people with dementia varies widely across services in England. There was a wide range of names given to the provision of teams managing crisis for people with dementia, which may reflect the differences in the setup and procedures of the service. To provide evidence on crisis intervention teams, a comprehensive protocol is required to deliver a standardized care pathway and measurable intervention as part of a large-scale evaluation of effectiveness.
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When gains loom larger than losses: reversed loss aversion for small amounts of money.
Harinck, Fieke; Van Dijk, Eric; Van Beest, Ilja; Mersmann, Paul
2007-12-01
Previous research has generally shown that people are loss averse; that is, they weigh losses more heavily than gains. In a series of three experiments, we found that for small outcomes, this pattern is reversed, and gains loom larger than losses. We explain this reversal on the basis of (a) the hedonic principle, which states that individuals are motivated to maximize pleasure and to minimize pain, and (b) the assumption that small losses are more easily discounted cognitively than large losses are.
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Ebola Crisis in the United States
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Avinash Raghunath Patwardhan M.D.
2014-12-01
Full Text Available This article is about readiness of the U.S. health care system to deal with crises. Using the Ebola crisis as a reference, first it examines the response to the current challenge. However, that is the smaller objective of the article. Lately, we are also being challenged to deal with other kinds of epidemics like obesity, mental health diseases, and violence. These crises are not dramatic like the Ebola crisis. However, these are no less insidious than Ebola. If we are not ready for them, then these crises have the potential to undermine the long-term health and prosperity of our society. In this context, and therefore mainly, this article is about two major long-standing systemic problems in the U.S. health care system that the unfolding of the Ebola crisis has bared. One is about how the inherent problem in the design of American federalist system regarding state autonomy on health matters is creating a dysfunctional health care system. The other is about the inertia of the research industry in the health care system in clinging to an archaic outdated inefficient mind-set and methodology that fails to generate the right information required for an appropriate decision making in matters of health care delivery, including crises. These problems are not small, nor their solutions easy. However, no matter how uncomfortable and tedious, facing them is necessary and inevitable. The discussions and arguments in this article are to outline their nature broadly and to make a call to further a dialogue.
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Management of myasthenic crisis in a child.
Rybojad, Beata; Lesiuk, Witold; Fijałkowska, Anna; Rybojad, Paweł; Sawicki, Marek; Lesiuk, Leszek
2013-01-01
Myasthenia gravis is an autoimmune disorder of peripheral nervous system, leading to fluctuating muscle weakness. It is caused by circulating antibodies that block acetylcholine nicotinic postsynaptic receptors at the postsynaptic neuromuscular junction. Myasthenic crisis is a life-threatening complication, which is defined as weakness from acquired myasthenia gravis. In this paper we described a 15-year-old boy who was admitted to the Paediatric Intensive Care Unit due to myasthenic crisis. He had suffered not only from myasthenia gravis but also hypothyroidism, cerebral palsy and epilepsy. The patient required mechanical ventilation and was successfully treated with both plasmapheresis and intravenous immunoglobulins. He recovered from the crisis and then thymectomy was performed. Perioperative period and anaesthesia passed uncomplicated. Discharged home from the hospital after 2.5 month-treatment, for the last 4 years, he has only come on scheduled outpatient medical appointments. This case reveals that myasthenic crisis, albeit rare, may occur in male adolescents. In such cases multidisciplinary care followed by surgery becomes a procedure of choice. Concomitant medical problems, if well controlled, do not affect the results of outcome of the underlying disease.
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A scoping review of crisis teams managing dementia in older people
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Streater A
2017-10-01
Full Text Available Amy Streater,1,2 Donna Maria Coleston-Shields,2 Jennifer Yates,2 Miriam Stanyon,2 Martin Orrell2 1Research and Development, North East London NHS Foundation Trust, Ilford, 2Institute of Mental Health, University of Nottingham, Nottingham, UK Background: Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1 conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2 conduct a scoping survey with dementia crisis teams mapping services across England to understand operational procedures and identify what is currently occurring in practice.Methods: For the systematic literature review, included studies were graded using the Critical Appraisal Skills Programme checklist. For the scoping survey, Trusts across England were contacted and relevant services were identified that work with people with dementia experiencing a mental health crisis.Results: The systematic literature review demonstrated limited evidence in support of crisis teams reducing the rate of hospital admissions, and despite the increase in number of studies, methodological limitations remain. For the scoping review, only half (51.8% of the teams had a care pathway to manage crises and the primary need for referral was behavioral or psychological factors.Conclusion: Evidence in the literature for the effectiveness of crisis teams for older adults with dementia remains limited. Being mainly cohort designs can make it difficult to evaluate the effectiveness of the intervention. In practice, it appears that the pathway for care managing crisis for people with dementia varies widely across services in England. There was a wide range of names given to the provision of teams managing crisis for people with dementia, which may reflect the differences in the setup and procedures of the service. To provide evidence on crisis intervention teams, a comprehensive protocol is required
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Gili, Margalida; Roca, Miquel; Basu, Sanjay; McKee, Martin; Stuckler, David
2013-02-01
Nearly all European countries have been affected by the economic crisis that began in 2007, but the consequences have been among the worst in Spain. We investigated the associations of the recession on the frequency of mood, anxiety, somatoform, alcohol-related and eating disorders among those visiting Spanish primary care settings. Primary care physicians selected randomized samples of patients attending primary care centres representing Spain's consulting populations. A total of 7940 patients in 2006-07 and 5876 in 2010-11 were administered the Primary Care Evaluation of Mental Disorders (PRIME-MD) instrument to diagnose mental disorders. Multivariate logistic regression models were used to quantify overall changes in the frequency of mental disorders, adjusting for potential socio-demographic differences in consulting populations unrelated to economic factors. Compared with the pre-crisis period of 2006, the 2010 survey revealed substantial and significant increases in the proportion of patients with mood (19.4% in major depression), anxiety (8.4% in generalized anxiety disorder), somatoform (7.3%) and alcohol-related disorders (4.6% in alcohol dependence), all significant at P < 0.001, but not in eating disorders (0.15%, P = 0.172). Independent of observed risks of unemployment [odds ratio (OR) = 1.72, P < 0.001], we observed a significantly elevated risk of major depression associated with mortgage repayment difficulties (OR = 2.12, P < 0.001) and evictions (OR = 2.95, P < 0.001). About one-third of the overall risk in the consulting population's attendance with mental health disorders could be attributed to the combined risks of household unemployment and mortgage payment difficulties. Recession has significantly increased the frequency of mental health disorders and alcohol abuse among primary care attendees in Spain, particularly among families experiencing unemployment and mortgage payment difficulties.
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[Crisis and future of humanity].
Bellver Capella, Vicente
2012-09-01
We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e.,just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the "weak signals" the latent opportunities that await we become them realities.
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Disparities in access to emergency general surgery care in the United States.
Khubchandani, Jasmine A; Shen, Connie; Ayturk, Didem; Kiefe, Catarina I; Santry, Heena P
2018-02-01
As fewer surgeons take emergency general surgery call and hospitals decrease emergency services, a crisis in access looms in the United States. We examined national emergency general surgery capacity and county-level determinants of access to emergency general surgery care with special attention to disparities. To identify potential emergency general surgery hospitals, we queried the database of the American Hospital Association for "acute care general hospital," with "surgical services," and "emergency department," and ≥1 "operating room." Internet search and direct contact confirmed emergency general surgery services that covered the emergency room 7 days a week, 24 hours a day. Geographic and population-level emergency general surgery access was derived from Geographic Information Systems and US Census. Of the 6,356 hospitals in the 2013 American Hospital Association database, only 2,811 were emergency general surgery hospitals. Counties with greater percentages of black, Hispanic, uninsured, and low-education individuals and rural counties disproportionately lacked access to emergency general surgery care. For example, counties above the 75th percentile of African American population (10.2%) had >80% odds of not having an emergency general surgery hospital compared with counties below the 25th percentile of African American population (0.6%). Gaps in access to emergency general surgery services exist across the United States, disproportionately affecting underserved, rural communities. Policy initiatives need to increase emergency general surgery capacity nationwide. Copyright © 2017 Elsevier Inc. All rights reserved.
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Understanding animal fears: a comparison of the cognitive vulnerability and harm-looming models
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Armfield Jason M
2007-12-01
Full Text Available Abstract Background The Cognitive Vulnerability Model holds that both clinical and sub-clinical manifestations of animal fears are a result of how an animal is perceived, and can be used to explain both individual differences in fear acquisition and the uneven distribution of fears in the population. This study looked at the association between fear of a number of animals and perceptions of the animals as uncontrollable, unpredictable, dangerous and disgusting. Also assessed were the perceived loomingness, prior familiarity, and negative evaluation of the animals as well as possible conditioning experiences. Methods 162 first-year University students rated their fear and perceptions of four high-fear and four low-fear animals. Results Perceptions of the animals as dangerous, disgusting and uncontrollable were significantly associated with fear of both high- and low-fear animals while perceptions of unpredictability were significantly associated with fear of high-fear animals. Conditioning experiences were unrelated to fear of any animals. In multiple regression analyses, loomingness did not account for a significant amount of the variance in fear beyond that accounted for by the cognitive vulnerability variables. However, the vulnerability variables accounted for between 20% and 51% of the variance in all animals fears beyond that accounted for by perceptions of the animals as looming. Perceptions of dangerousness, uncontrollability and unpredictability were highly predictive of the uneven distribution of animal fears. Conclusion This study provides support for the Cognitive Vulnerability Model of the etiology of specific fears and phobias and brings into question the utility of the harm-looming model in explaining animal fear.
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Qualitative Investigation of the Wellness Recovery Action Plan in a UK NHS Crisis Care Setting.
Ashman, Michael; Halliday, Vanessa; Cunnane, Joseph G
2017-07-01
Crisis theory suggests that in addition to presenting a threat to mental well-being, crises are also opportunities where successful interventions can lead to successful outcomes. UK mental health crisis teams aim to reduce hospital admission by treating people at home and by building resilience and supporting learning from crisis, yet data on repeat crisis episodes suggest this could be improved. This qualitative study sought to explore the Wellness Recovery Action Plan (WRAP) as a means of supporting resilience-building and maximising the opportunity potential of crisis. The following themes emerged: The meaning of crisis; Engaging with the WRAP process; WRAP and self-management; and Changes and transformations. This research suggests that WRAP has potential in supporting recovery from crisis, revealing insights into the nature of crisis which can inform the further development of crisis services.
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Fierce debate looms over funding of superconducting super collider
International Nuclear Information System (INIS)
Lepkowski, W.
1988-01-01
The coming session of Congress looks like a crucial one in the present era of Big Science. Legislators will have to decide on whether to go ahead and approve construction funding for the biggest atom smasher of all time, the Superconducting Super Collider (SSC). The Administration will be asking for about $230 million (out of a scheduled $350 million) to begin work. But uncertainties loom, and the debate ahead looks bloody. The SSC is a project the Department of Energy says will cost $4.4 billion in fiscal 1988 dollars, rated according to a targeted completion date in 1996. The General Accounting Office pegs the cost at $4.9 billion in 1985 dollars. In inflationary and project stretchout dollars, the figure could easily double. But money for science is again tight in the government, and battles that lie ahead involve the competition between science and social programs, and, indeed, between the sciences themselves. This article discusses these battles
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'HTA for Crisis': sharing experiences during the 7th EBHC Symposium.
Wladysiuk, Magdalena; Tabor, Anna; Godman, Brian
2013-02-01
The Central and Eastern European Society of Technology Assessment in Health Care was founded in Krakow, Poland in 2003. On October 8th and 9th, the 7th symposium took place titled 'HTA for Crisis'. This meeting was attended by over 250 decision makers, evidence-based specialists, healthcare managers, commercial company personnel and experts. The symposium was principally divided into four main themes: insurance in times of crisis; importance of pricing of health services in times of crisis; managing welfare benefits in times of crisis and Health Technology Assessment in crisis-laden countries. The symposium finished by debating potential ways forward for healthcare systems in times of crisis.
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L’Italia: una crisi nella crisi.(Italy: A Crisis within the Crisis
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Carlo D'ippoliti
2011-10-01
Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.JEL: B50; E12; G01
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Directory of Open Access Journals (Sweden)
Sicras-Mainar A
2015-12-01
Full Text Available Antoni Sicras-Mainar,1 Ruth Navarro-Artieda2 1Research Unit, Badalona Serveis Assistencials SA, 2Medical Documentation Unit, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain Objective: To describe antidepressant (AD use in the treatment of major depressive disorder during a period of economic crisis.Patients and methods: This was a retrospective, observational study using population-based databases. Two periods were considered: 1 2008–2009, precrisis, and 2 2012–2013, economic crisis. Certain inclusion/exclusion criteria were taken into account for the study (initiation of AD treatment. Patients were followed up for 12 months. The main measures were use (defined daily doses, epidemiologic measures, strategies used and treatment persistence, referrals, and use of resources. Statistical significance was set at P<0.05.Results: In the precrisis period, 3,662 patients were enrolled, and 5,722 were enrolled in the period of economic crisis. Average age was 58.8 years and 65.4% were women. Comparing the two periods, major depressive disorder prevalence was 5.4% vs 8.1%, P<0.001. During the period of economic crisis, AD use rose by 35.2% and drug expenditures decreased by 38.7%. Defined daily dose per patient per day was 10.0 mg vs 13.5 mg, respectively, P<0.001. At 12-month follow-up, the majority of patients (60.8% discontinued the treatment or continued on the same medication as before, and in 23.3% a change of AD was made.Conclusion: Primary health care professionals are highly involved in the management of the illness; in addition, during the period of economic crisis, patients with major depressive disorder showed higher rates of prevalence of the illness, with increased use of AD drugs. Keywords: consumption, antidepressants, economic crisis
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Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research.
Hunt, Tara; Wilson, Coralie J; Woodward, Alan; Caputi, Peter; Wilson, Ian
2018-01-01
Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this perspective article identifies key challenges facing current telephone crisis support research and proposes that understanding of the role of telephone crisis helplines in supporting suicidal men may be strengthened by careful examination of the context of telephone crisis support, together with the impact this has on help-provision for male suicidal callers. In particular, the impact of the time- and information-poor context of telephone crisis support on crisis-line staff's identification of, and response to, male callers with thoughts of suicide is examined. Future directions for research in the provision of telephone crisis support for suicidal men are discussed.
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Crisis, What Crisis? The Media: Business and Journalism in Times of Crisis
Directory of Open Access Journals (Sweden)
Rosario de Mateo
2010-08-01
Full Text Available The global financial and economic crisis is often used to justify a crisis of media and journalism: lower advertising, collapses in the share price, falls in consumption, more unemployment. But is this just a business crisis, or is it also a crisis in journalism and its role in democratic societies? In this case, is the journalism crisis attributable to the economic crisis or, rather, was it forged during the years of high profitability and high salaries in the mass media? These two sides of the crisis, in media industry and in journalism, are addressed in this article, which explores the evolution of mainly Spanish media in the years before the crisis. However, in order to understand how they reached the current situation, political and economic transformations in what has been called the Information Society and neoliberal globalization must be addressed.
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Deficient crisis-probing practices and taken-for-granted assumptions in health organisations
Canyon, Deon V.; Adhikari, Ashmita; Cordery, Thomas; Giguère-Simmonds, Philippe; Huang, Jessica; Nguyen, Helen; Watson, Michael; Yang, Daniel
2011-01-01
The practice of crisis-probing in proactive organisations involves meticulous and sustained investigation into operational processes and management structures for potential weaknesses and flaws before they become difficult to resolve. In health organisations, crisis probing is a necessary part of preparing to manage emerging health threats. This study examined the degree of pre-emptive probing in health organisations and the type of crisis training provided to determine whether or not they are prepared in this area. This evidence-based study draws on cross-sectional responses provided by executives from chiropractic, physiotherapy, and podiatry practices; dental and medical clinics; pharmacies; aged care facilities; and hospitals. The data show a marked lack of mandatory probing and a generalised failure to reward crisis reporting. Crisis prevention training is poor in all organisations except hospitals and aged care facilities where it occurs at an adequate frequency. However this training focuses primarily on natural disasters, fails to address most other crisis types, is mostly reactive and not designed to probe for and uncover key taken-for-granted assumptions. Crisis-probing in health organisations is inadequate, and improvements in this area may well translate into measurable improvements in preparedness and response outcomes. PMID:24149030
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Deficient crisis-probing practices and taken-for-granted assumptions in health organisations.
Canyon, Deon V; Adhikari, Ashmita; Cordery, Thomas; Giguère-Simmonds, Philippe; Huang, Jessica; Nguyen, Helen; Watson, Michael; Yang, Daniel
2011-04-18
The practice of crisis-probing in proactive organisations involves meticulous and sustained investigation into operational processes and management structures for potential weaknesses and flaws before they become difficult to resolve. In health organisations, crisis probing is a necessary part of preparing to manage emerging health threats. This study examined the degree of pre-emptive probing in health organisations and the type of crisis training provided to determine whether or not they are prepared in this area. This evidence-based study draws on cross-sectional responses provided by executives from chiropractic, physiotherapy, and podiatry practices; dental and medical clinics; pharmacies; aged care facilities; and hospitals. The data show a marked lack of mandatory probing and a generalised failure to reward crisis reporting. Crisis prevention training is poor in all organisations except hospitals and aged care facilities where it occurs at an adequate frequency. However this training focuses primarily on natural disasters, fails to address most other crisis types, is mostly reactive and not designed to probe for and uncover key taken-for-granted assumptions. Crisis-probing in health organisations is inadequate, and improvements in this area may well translate into measurable improvements in preparedness and response outcomes.
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Assessment of health-care waste management in a humanitarian crisis: A case study of the Gaza Strip.
Caniato, Marco; Tudor, Terry Louis; Vaccari, Mentore
2016-12-01
Health-care waste management requires technical, financial and human resources, and it is a challenge for low- and middle income countries, while it is often neglected in protracted crisis or emergency situations. Indeed, when health, safety, security or wellbeing of a community is threatened, solid waste management usually receives limited attention. Using the Gaza Strip as the case study region, this manuscript reports on health-care waste management within the context of a humanitarian crisis. The study employed a range of methods including content analyses of policies and legislation, audits of waste arisings, field visits, stakeholder interviews and evaluation of treatment systems. The study estimated a production from clinics and hospitals of 683kg/day of hazardous waste in the Gaza Strip, while the total health-care waste production was 3357 kg/day. A number of challenges was identified including lack of clear definitions and regulations, limited accurate data on which to base decisions and strategies and poor coordination amongst key stakeholders. Hazardous and non-hazardous waste was partially segregated and treatment facilities hardly used, and 75% of the hazardous waste was left untreated. Recommendations for mitigating these challenges posed to patients, staff and the community in general are suggested. The outputs are particularly useful to support decision makers, and re-organize the system according to reliable data and sound assumptions. The methodology can be replicated in other humanitarian settings, also to other waste flows, and other sectors of environmental sanitation. Copyright © 2016 Elsevier Ltd. All rights reserved.
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LOOM-P: a finite element mesh generation program with on-line graphic display
International Nuclear Information System (INIS)
Ise, Takeharu; Yamazaki, Toshio.
1977-06-01
A description of the two-dimensional mesh generation program, LOOM-P, is given in detail. The program is developed newly to produce a mesh network for a reactor core geometry with the help of an automatic mesh generation routine built in it, under the control of the refresh-type graphic display. It is therefore similar to the edit program of the self-organizing mesh generator, QMESH-RENUM. Additional techniques are incorporated to improve the pattern of mesh elements by means of on-line conversational mode. The obtained mesh network is edited out as input data to the three-dimensional neutron diffusion theory code, FEM-BABEL. (auth.)
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Directory of Open Access Journals (Sweden)
Glyn Allan McMillan
2015-12-01
Full Text Available The locust visual system contains a well-defined motion-sensitive pathway that transfers visual input to motor centers involved in predator evasion and collision avoidance. One interneuron in this pathway, the descending contralateral movement detector (DCMD, is typically described as using rate coding; edge expansion of approaching objects causes an increased rate of neuronal firing that peaks after a certain retinal threshold angle is exceeded. However, evidence of intrinsic DCMD bursting properties combined with observable oscillations in mean firing rates and tight clustering of spikes in raw traces, suggest that bursting may be important for motion detection. Sensory neuron bursting provides important timing information about dynamic stimuli in many model systems, yet no studies have rigorously investigated if bursting occurs in the locust DCMD during object approach. We presented repetitions of 30 looming stimuli known to generate behavioural responses to each of 20 locusts in order to identify and quantify putative bursting activity in the DCMD. Overall, we found a bimodal distribution of inter-spike intervals (ISI with peaks of more frequent and shorter ISIs occurring from 1-8 ms and longer less frequent ISIs occurring from 40-50 ms. Subsequent analysis identified bursts and isolated single spikes from the responses. Bursting frequency increased in the latter phase of an approach and peaked at the time of collision, while isolated spiking was predominant during the beginning of stimulus approach. We also found that the majority of inter-burst intervals occurred at 40-50 ms (or 20-25 bursts/s. Bursting also occurred across varied stimulus parameters and suggests that burst timing may be a key component of looming detection. Our findings suggest that the DCMD uses two modes of coding to transmit information about looming stimuli and that these modes change dynamically with a changing stimulus at a behaviourally-relevant time.
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Clinical profile and outcome of myasthenic crisis in a tertiary care hospital: A prospective study.
Sharma, Sudhir; Lal, Vivek; Prabhakar, Sudesh; Agarwal, Ritesh
2013-04-01
The present understanding of the clinical course, complications, and outcome of myasthenic crisis (MC) is based chiefly on observational studies and retrospective case series. To study the baseline demographic and clinical variables, risk factors, complications, outcome, and mortality in patients of MC. All patients of myasthenia gravis (MG) who presented with myasthenic crisis between July 2009 and December 2010 were included. Ten patients of MC were included in this study. The median age of the patients was 40.5 years (range 14-71 years). Seven were females and three were males. Nine had generalized MG and one patient had oculobulbar involvement only. Median duration of disease was 3 years (range 1 month to17 years). Two patients had thymoma. Two patients had history of thymectomy in the past. Infection was the most common triggering factor accounting for five cases (50%) followed by inadequate treatment/drug withdrawal in three (30%) and steroid initiation and hypokalemia in the remaining two patients (20%). Median duration of MC was 12 days (range 3-28 days). Mortality was in 3 out of 10 (30%) during MC. Management in the intensive care unit (ICU) and treatment with plasma exchange/intravenous immunoglobulins were associated with good outcome. Ventilator support and management in intensive care unit are the most important components in the management of MC. The high mortality rate seen in present study may be more reflective of the actual ground reality in resource constrained developing countries, however, larger prospective studies are needed to confirm these findings.
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The financial crisis in Italy: implications for the healthcare sector.
de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter
2012-06-01
The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
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Severe Hypoglycemia Accompanied with Thyroid Crisis
Directory of Open Access Journals (Sweden)
Yuki Nakatani
2012-01-01
Full Text Available We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.
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de Miguel-Diez, Javier; Lopez-de-Andres, Ana; Herandez-Barrera, Valentin; Jimenez-Trujillo, Isabel; Puente-Maestu, Luis; Cerezo-Lajas, Alicia; Jimenez-Garcia, Rodrigo
2018-01-01
Chronic obstructive pulmonary disease (COPD) is a major cause of disability and death worldwide. Consequently, COPD patients are frequent users of health and social resources. Therefore, they are highly vulnerable to decreases in investment in healthcare services. We aimed to describe the utilization of health and home care services among Spanish COPD patients during the economic crisis to identify factors independently associated with changes in the utilization of these services and to study the time trends from 2009 to 2014. We used data from the European Health Interview Surveys for Spain (EHSS) conducted between 2009/2010 (n=22,188) and 2014 (n=22,842). We included responses from adults with COPD aged 40 years or over. Dependent variables included self-reported hospitalizations during the previous year, general practitioner (GP) visits during the last 4 weeks, other health care services used during the previous year (nursing, rehabilitation, and psychological services), and home care services use during the previous year. Independent variables included demographic and socioeconomic characteristics, health status variables, and lifestyles. We identified 1,328 and 1,008 COPD patients from EHSS 2009 and EHSS 2014, respectively. We observed a significant increase in non-GP services use (30.6% in 2009 vs 39.11% in 2014; p home care services use over time. Multivariable models showed that associated factors with a higher use included any chronic comorbidity and worse self-rated health. Physical activity was a strong predictor of fewer hospitalizations and less home care service use. Female sex was associated with significantly fewer hospitalizations (OR 0.72; 95% CI 0.58-0.89). We found an increase in the use of non-GP services (nursing, rehabilitation, and psychological) but not in other health and home care services. The only differences in hospitalizations were observed according to sex. Therefore, the effect of the economic crisis, if any, seems to have been of
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Innovative finance : strategic research project.
2013-08-01
Its time to rethink how we fund transportation infrastructure because most transportation : experts agree: theres a transportation funding and financing crisis looming. : Projected revenues from current sources of transportation funding will am...
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[Public health in major socio-economic crisis].
Cosmacini, G
2014-01-01
The term "crisis" in different cultures (such as ancient Greece or China) can have a positive meaning, since it indicates a time of growth, change and opportunity. Over the centuries there have been times of severe economic and social crisis that led to the implementation of major reforms and improved population health. Nowadays, despite the new economic crisis which has also affected health care for its rising costs, health economics does not hesitate to affirm the importance of key objectives such as prevention and medical assistance. Prevention is not prediction. Prevention means "going upstream" and fixing a problem at the source; the goal is to reduce diseases' effects, causes and risk factors, thereby reducing the prevalence of costly medical conditions.
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Myxedema coma: a new look into an old crisis.
Mathew, Vivek; Misgar, Raiz Ahmad; Ghosh, Sujoy; Mukhopadhyay, Pradip; Roychowdhury, Pradip; Pandit, Kaushik; Mukhopadhyay, Satinath; Chowdhury, Subhankar
2011-01-01
Myxedema crisis is a severe life threatening form of decompensated hypothyroidism which is associated with a high mortality rate. Infections and discontinuation of thyroid supplements are the major precipitating factors while hypothermia may not play a major role in tropical countries. Low intracellular T3 leads to cardiogenic shock, respiratory depression, hypothermia and coma. Patients are identified on the basis of a low index of suspicion with a careful history and examination focused on features of hypothyroidism and precipitating factors. Arrythmias and coagulation disorders are increasingly being identified in myxedema crisis. Thyroid replacement should be initiated as early as possible with careful attention to hypotension, fluid replacement and steroid replacement in an intensive care facility. Studies have shown that replacement of thyroid hormone through ryles tube with a loading dose and maintenance therapy is as efficacious as intravenous therapy. In many countries T3 is not available and oral therapy with T4 can be used effectively without major significant difference in outcomes. Hypotension, bradycardia at presentation, need for mechanical ventilation, hypothermia unresponsive to treatment, sepsis, intake of sedative drugs, lower GCS and high APACHE II scores and Sequential Organ Failure Assessment (SOFA) scores more than 6 are significant predictors of mortality in myxedema crisis. Early intervention in hypothyroid patients developing sepsis and other precipitating factors and ensuring continued intake of thyroid supplements may prevent mortality and morbidity associated with myxedema crisis.
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Myxedema Coma: A New Look into an Old Crisis
Directory of Open Access Journals (Sweden)
Vivek Mathew
2011-01-01
Full Text Available Myxedema crisis is a severe life threatening form of decompensated hypothyroidism which is associated with a high mortality rate. Infections and discontinuation of thyroid supplements are the major precipitating factors while hypothermia may not play a major role in tropical countries. Low intracellular T3 leads to cardiogenic shock, respiratory depression, hypothermia and coma. Patients are identified on the basis of a low index of suspicion with a careful history and examination focused on features of hypothyroidism and precipitating factors. Arrythmias and coagulation disorders are increasingly being identified in myxedema crisis. Thyroid replacement should be initiated as early as possible with careful attention to hypotension, fluid replacement and steroid replacement in an intensive care facility. Studies have shown that replacement of thyroid hormone through ryles tube with a loading dose and maintenance therapy is as efficacious as intravenous therapy. In many countries T3 is not available and oral therapy with T4 can be used effectively without major significant difference in outcomes. Hypotension, bradycardia at presentation, need for mechanical ventilation, hypothermia unresponsive to treatment, sepsis, intake of sedative drugs, lower GCS and high APACHE II scores and Sequential Organ Failure Assessment (SOFA scores more than 6 are significant predictors of mortality in myxedema crisis. Early intervention in hypothyroid patients developing sepsis and other precipitating factors and ensuring continued intake of thyroid supplements may prevent mortality and morbidity associated with myxedema crisis.
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2015-12-01
huge shortfall in gas supplies will be unavoidable. In an effort to mitigate this looming threat, the materialization of transnational gas pipeline ...original financing terms, to kick-start the TAPI gas pipeline project. Despite reaching a consensus, the consortium leader’s selection is still pending...is testimony of the government’s institutional, political, and policy inefficiency. Materialization of IPI and TAPI gas pipeline projects will add
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Energy Technology Data Exchange (ETDEWEB)
Pectorin, X. [CEA Fontenay-aux-Roses, MR/DCS/DIR, 92 (France)
2010-07-01
After having briefly recalled the existence of a legal framework for crisis management organisation, this report briefly describes how the CEA plans the crisis management. This management is based on the definition of critical scenarios, on the building up of a crisis management team, and on the elaboration of crisis management operational documents. It evokes the alert organisation and the triggering of crisis management. Then, it describes the CEA's national crisis organisation with its main crisis management structures, the role and the operation of the Crisis Coordination Centre (CCC, the decision body), the role and operation of the Central Crisis Technical Teams (ETC-C, Equipes Techniques de Crise Centrales), the role of field interveners (various rescue, protection, health care and technical teams) and of other additional intervention actors. It evokes the objectives of the various exercises which are organised every year at the internal, national or international level
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Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms
Chebbi, Hela; Pündrich, Aline Pereira
2015-01-01
Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…
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Porthé, Victoria; Vargas, Ingrid; Ronda, Elena; Malmusi, Davide; Bosch, Lola; Vázquez, M Luisa
2017-06-02
To analyse changes in health professionals' and immigrant users' perceptions of the quality of care provided to the immigrant population during the crisis. A qualitative descriptive-interpretative and exploratory study was conducted in two areas of Catalonia. Semi-structured individual interviews were used with a theoretical sample of medical (n=24) and administrative (n=10) professionals in primary care (PC) and secondary care (SC), and immigrant users (n=20). Thematic analysis was conducted and the results were triangulated. Problems related to technical and interpersonal quality emerged from the discourse of both professionals and immigrants. These problems were attributed to cutbacks during the economic crisis. Regarding technical quality, respondents reported an increase in erroneous or non-specific diagnoses, inappropriate use of diagnostic tests and non-specific treatments, due to reduction in consultation times as a result of cuts in human resources. With regard to interpersonal quality, professionals reported less empathy, and users also reported worse communication, due to changes in professionals' working conditions and users' attitudes. Finally, a reduction in the resolution capacity of the health services emerged: professionals described unnecessary repeated PC visits and limited responses in SC, while young immigrants reported an insufficient response to their health problems. The results indicate a deterioration in perceived technical and interpersonal quality during the economic crisis, due to cutbacks mainly in human resources. These changes affect the whole population, but especially immigrants. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.
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DEFF Research Database (Denmark)
Larsen, Øjvind
2016-01-01
This special issue of Nordicum-Mediterraneum contains select proceedings from the third meeting of the Nordic Summer University research circle called “Crisis and Crisis Scenarios: Normativity, Possibilities and Dilemmas”, held April 9th — 12th, 2015 at the Lysebu Conference Centre in Oslo, Norway....... The circle’s research program runs from 2014 to 2016 and is aimed at examining the concept of crisis as it is used today in academia and public discussion. In this collection of papers from the symposium we present some of the different ways in which the topic of the study group was addressed....
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The correlation between stress and economic crisis: a systematic review
Directory of Open Access Journals (Sweden)
Mucci N
2016-04-01
Full Text Available Nicola Mucci,1 Gabriele Giorgi,2 Mattia Roncaioli,3 Javier Fiz Perez,2 Giulio Arcangeli11Department of Experimental and Clinical Medicine, University of Florence, Florence, 2Department of Psychology, European University of Rome, Rome, 3Department of Biomedical Sciences for Health, University of Milan, Milan, ItalyAbstract: In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees’ well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers’ mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages.Keywords: economic crisis, recession, work-related stress, mental health, risks assessment, occupational medicine
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DEFF Research Database (Denmark)
Utz, Sonja; Schultz, Friederike; Glocka, Sandra
2013-01-01
Social media play in today's societies a fundamental role for the negotiation and dynamics of crises. However, classical crisis communication theories neglect the role of the medium and focus mainly on the interplay between crisis type and crisis communication strategy. Building on the recently...... developed “networked crisis communication model” we contrast effects of medium (Facebook vs. Twitter vs. online newspaper) and crisis type (intentional vs. victim) in an online experiment. Using the Fukushima Daiichi nuclear disaster as crisis scenario, we show that medium effects are stronger than...... the effects of crisis type. Crisis communication via social media resulted in a higher reputation and less secondary crisis reactions such as boycotting the company than crisis communication in the newspaper. However, secondary crisis communication, e.g. talking about the crisis communication, was higher...
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2011-06-01
Cities across the United States are grappling with a looming transportation crisis as a : result of ever-increasing passenger and freight transport demands and overburdened : networks of aging infrastructure. All levels of government, but particularl...
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Making the most of minimal water
International Development Research Centre (IDRC) Digital Library (Canada)
MENA region share lessons on how demand management can avert a looming water crisis. ... volume of renewable water resources make the Middle East ... the tools they need to create and implement ... integrated with traditional knowledge.
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L’Italia: una crisi nella crisi
Directory of Open Access Journals (Sweden)
Alessandro Roncaglia
2011-01-01
Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.
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The Economic Crisis and Public Health
Directory of Open Access Journals (Sweden)
Victor Sidel
2009-06-01
Full Text Available The current global economic crisis seriously threatens the health of the public. Challenges include increases in malnutrition; homelessness and inadequate housing; unemployment; substance abuse, depression, and other mental health problems; mortality; child health problems; violence; environmental and occupational health problems; and social injustice and violation of human rights; as well as decreased availability, accessibility, and affordability of quality medical and dental care. Health professionals can respond by promoting surveillance and documentation of human needs, reassessing public health priorities, educating the public and policymakers about health problems worsened by the economic crisis, advocating for sound policies and programs to address these problems, and directly providing necessary programs and services.
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Something in the Water: Hospital Responds to Water Crisis.
Redfern, Roberta; Micham, Jennifer; Daniels, Rebecca; Childers, Sue
2018-02-05
Early on August 2, 2014, in the city of Toledo, Ohio, a media alert informed the public that traces of microcystin, a hazardous toxin, had been detected in the drinking water. The warning stated that residents should not drink, boil, or even touch the contaminated water. A water crisis of this magnitude was recognized to pose a potentially serious and significant impact on patient care and safety in health care environments. ProMedica Toledo Hospital's Emergency Operation Plan addressed 3 critical issues: safe water availability, alternate cleaning solutions, and preparations for a prolonged crisis. This report details some of the lessons learned throughout the response to the crisis: particularly, because the impact was county-wide which affected other hospitals who used the same vendors, alternate water sources should have been secured in advance; the courier service was vital to delivery of supplies and moving equipment to alternate areas for sterilization processes; and finally, communication with staff and patients was jeopardized by external media outlets. Changes to the emergency plan considering these unanticipated aspects proved useful in a later incident and should be considered by all health care facilities as water emergency policies and procedures are created and reviewed. (Disaster Med Public Health Preparedness. 2018;page 1 of 3).
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Ontario pharmacists' crisis over Bill 16: A missed opportunity?
Rosenthal, Meagen; Austin, Zubin; Tsuyuki, Ross T
2012-01-01
In 2010, the Ontario government brought forward Bill 16, which, among other things, removed pharmacists' professional allowances. While many would disagree with this unilateral action by the Ontario government, it also could have served as a crisis for change towards patient-centred care. We sought to examine the response of the pharmacy profession in Ontario to this crisis as it relates to the vision outlined in the Blueprint for Pharmacy. We systematically examined publicly available responses to Schedule 5 of Ontario's Bill 16 during the period from April to June 16, 2010. A rapid textual analysis of the data using tag or word clouds and a qualitative content analysis were performed on all of the data collected. The rapid textual analysis revealed that the most frequently used terms were "pharmacist," "pharmacy" and "professional allowances"; the least used were "layoffs," "service cuts" and "patient care." Content analysis revealed 4 themes: the desire to maintain the status quo of practice, a focus on the business of pharmacy, pharmacy stakeholders' perceptions of government's attitude towards the profession and changes to patient services. It is notable that patient care was almost completely absent from the discussion, a reflection that our profession has not embraced patient-centred care. This also represents a missed opportunity - a crisis that could have been used to move the profession towards the Blueprint's vision. We thought that the Blueprint had already achieved this consensus, but the Ontario experience has shown that this may not be the case.
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CRISIS-DIAGNOSTICS IN ANTI-CRISIS MANAGEMENT
Directory of Open Access Journals (Sweden)
Gavrylenko Valentina
2018-01-01
Full Text Available Introduction. In today’s conditions of a changing market environment, uncertainty and risk, one of the main tasks of management is the timely detection of crisis symptoms and the development of measures aimed at preventing their negative impact on the activities of the enterprise. The purpose of this article is to determine the accounting and analytical information for the development of the model KRIZІS-diagnostics and ensure the effectiveness of its functioning in anti-crisis management. Results. The analysis of definition of the concept «KRIZІS-diagnostics» in the scientific literature is carried out. Multi-factor models for assessing the financial status and the diagnostics of enterprises bankruptcy for different countries are presented. The specified classification of management KRIZІS-diagnostics is specified. The stages and tasks of KRIZІS-diagnostics are determined. The sources of information, which are determinants of the early symptoms of the crisis and necessary for KRIZІS-diagnostics are indicated and the characteristic is also given. Qualitative and quantitative indicators that characterize the business processes of the enterprise and can be used to analyze the state of the enterprise in a changing environment for preventing the crisis are determined. Conclusions. This approach of identifying crisis symptoms in business processes is the basis for managing an enterprise to make strategic management decisions in order to prevent a crisis at its early stages. The development of KRIZІS-diagnostics as an information provision for anti-crisis management is the direction of further research.
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The impact of Crisis Communication on audience: A study based on plane crash
Chan, Calvin
2007-01-01
Organisational crises have now become as common as having a cold. Crises negatively affect the company's reputation and share price. Maintaining a reputation has today become paramount. Therefore, post-crisis communication is absolutely essential and has to be planned carefully. Poor crisis communication would leave the audience or the public with bad impression over the company. The poor crisis communication may even extend the bad impression over the whole industry. In responding to th...
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Financial crisis and crisis management in Sweden: Lessons for today
Jonung, Lars
2009-01-01
This paper gives an account of the Swedish financial crisis covering the period 1985-2000, dealing with financial deregulation and the boom in the late 1980s, the bust and the financial crisis in the early 1990s, the recovery from the crisis and the bank resolution policy adopted during the crisis. The paper focuses on three issues: the causes and consequences of the financial crisis, the policy response concerning bank resolution, and the applicability of the Swedish model of bank crisis man...
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Improving Therapeutic Relationships: Joint Crisis Planning for Individuals With Psychotic Disorders.
Farrelly, Simone; Lester, Helen; Rose, Diana; Birchwood, Max; Marshall, Max; Waheed, Waquas; Henderson, R Claire; Szmukler, George; Thornicroft, Graham
2015-12-01
Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to determine the mechanism through which joint crisis planning might affect the therapeutic relationship. Results suggest that routine processes in mental health care are affected by policy and organizational requirements for risk mitigation-aspects that undermine person-centered approaches. In contrast, strong therapeutic relationships are characterized by individualized care and reliable and respectful treatment. The Joint Crisis Plan intervention partially succeeded in reducing contextual influences on routine role enactments, facilitating the demonstration of respect and improving the therapeutic relationship. © The Author(s) 2015.
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White, Brandi; Ellis, Charles; Jones, Walter; Moran, William; Simpson, Kit
2018-04-01
Objective Periods of economic instability may increase preventable hospitalizations because of increased barriers to accessing primary care. For underserved populations such as the homeless, these barriers may be more pronounced due to limited resources in the health care safety net. This study examined the impact of the global financial crisis of 2007-2008 on access to care for the homeless in New York State. Methods Hospitalizations for ambulatory care sensitive conditions (ACSCs) were used as a proxy measure for primary care access. Admissions for ACSCs were identified in the New York State Inpatient Database from 2006 to 2012. Hospitalization rates for ACSCs were calculated for the homeless and nonhomeless. Multivariable linear regression was used to investigate the impact of the financial crisis on hospitalization rates for ACSCs. Results The findings indicate that during the financial crisis, homeless adults had significantly higher preventable hospitalizations than nonhomeless adults, and the uninsured homeless had significantly higher preventable hospitalizations when compared to other homeless subgroups. After the financial crisis, preventable hospitalizations for the homeless stabilized but remained at higher rates than those for the nonhomeless. Conclusions These findings are important to developing health policies designed to provide effective care for underserved population such as the homeless.
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Who Helps the Helpers? Social Support for Rape Crisis Advocates.
Houston-Kolnik, Jaclyn D; Odahl-Ruan, Charlynn A; Greeson, Megan R
2017-08-01
Secondary exposure to trauma may have negative effects on rape victim advocates' well-being. Self-care can help to mitigate these negative effects on advocates' well-being, and prior research suggests that social support is an especially important aspect of advocates' self-care. However, there is a lack of research on how rape crisis advocates access and receive social support in relationship to their advocacy work. Therefore, semistructured qualitative interviews were conducted with 15 rape crisis advocates who volunteered for a rape crisis center in Chicago to understand how they accessed social support from informal and formal support providers, and when they did receive support, what was helpful versus unhelpful. Data were analyzed using thematic content analysis. Results revealed that many advocates were able to seek out and receive positive instrumental and emotional social support that nurtured them and their work. However, advocates also experienced a variety of barriers to obtaining positive support from informal support providers, including fear of burdening providers and a reluctance or lack of preparedness of their support providers to speak about the issue. Advocates emphasized the need for rape crisis centers to provide resources for their informal social support systems in order to encourage helpful responses. In addition, advocates praised the rape crisis center for its built-in formal support structures, but also encouraged the organization to seek broader representation of persons from minority backgrounds among their advocates and mentors. Implications and future directions for research and rape crisis centers are also discussed. The present study highlights the importance of social support systems for advocates and potential barriers that may be addressed to reduce service provider burnout and vicarious trauma.
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Crisis Communication and Management: Surviving a Public Relations Crisis
Eramo, Eric M.
2009-01-01
Crisis management, or crisis communication, is never a good thing for a business to experience. It is, however, a public relations' professional moment to shine and put their honed skills to good use. A good crisis management plan is not only action during the crisis but preparation and reflection. Hiring a PR firm that deals with crisis…
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Managing the Essence of Life | IDRC - International Development ...
International Development Research Centre (IDRC) Digital Library (Canada)
A water crisis is looming in Africa and the Middle East, where annual ... Management of Water Demand in Africa and the Middle East: Current Practices and Future Needs ... CASE STUDY: Jordan — Dealing with the water deficit in Jordan.
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A Novel Mental Health Crisis Service - Outcomes of Inpatient Data.
Morrow, R; McGlennon, D; McDonnell, C
2016-01-01
Northern Ireland has high mental health needs and a rising suicide rate. Our area has suffered a 32% reduction of inpatient beds consistent with the national drive towards community based treatment. Taking these factors into account, a new Mental Health Crisis Service was developed incorporating a high fidelity Crisis Response Home Treatment Team (CRHTT), Acute Day Care facility and two inpatient wards. The aim was to provide alternatives to inpatient admission. The new service would facilitate transition between inpatient and community care while decreasing bed occupancy and increasing treatment in the community. All services and processes were reviewed to assess deficiencies in current care. There was extensive consultation with internal and external stakeholders and process mapping using the COBRAs framework as a basis for the service improvement model. The project team set the service criteria and reviewed progress. In the original service model, the average inpatient occupancy rate was 106.6%, admission rate was 48 patients per month and total length of stay was 23.4 days. After introducing the inpatient consultant hospital model, the average occupancy rate decreased to 90%, admissions to 43 per month and total length of stay to 22 days. The results further decreased to 83% occupancy, 32 admissions per month and total length of stay 12 days after CRHTT initiation. The Crisis Service is still being evaluated but currently the model has provided safe alternatives to inpatient care. Involvement with patients, carers and all multidisciplinary teams is maximised to improve the quality and safety of care. Innovative ideas including structured weekly timetable and regular interface meetings have improved communication and allowed additional time for patient care.
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Goodrich, Suzanne; Ndege, Samson; Kimaiyo, Sylvester; Some, Hosea; Wachira, Juddy; Braitstein, Paula; Sidle, John E; Sitienei, Jackline; Owino, Regina; Chesoli, Cleophas; Gichunge, Catherine; Komen, Fanice; Ojwang, Claris; Sang, Edwin; Siika, Abraham; Wools-Kaloustian, Kara
2013-12-01
Widespread violence followed the 2007 presidential elections in Kenya resulting in the deaths of a reported 1,133 people and the displacement of approximately 660,000 others. At the time of the crisis the United States Agency for International Development-Academic Model Providing Access to Healthcare (USAID-AMPATH) Partnership was operating 17 primary HIV clinics in western Kenya and treating 59,437 HIV positive patients (23,437 on antiretroviral therapy (ART)). This case study examines AMPATH's provision of care and maintenance of patients on ART throughout the period of disruption. This was accomplished by implementing immediate interventions including rapid information dissemination through the media, emergency hotlines and community liaisons; organization of a Crisis Response leadership team; the prompt assembly of multidisciplinary teams to address patient care, including psychological support staff (in clinics and in camps for internally displaced persons (IDP)); and the use of the AMPATH Medical Records System to identify patients on ART who had missed clinic appointments. These interventions resulted in the opening of all AMPATH clinics within five days of their scheduled post-holiday opening dates, 23,949 patient visits in January 2008 (23,259 previously scheduled), uninterrupted availability of antiretrovirals at all clinics, treatment of 1,420 HIV patients in IDP camps, distribution of basic provisions, mobilization of outreach services to locate missing AMPATH patients and delivery of psychosocial support to 300 staff members and 632 patients in IDP camps. Key lessons learned in maintaining the delivery of HIV care in a crisis situation include the importance of advance planning to develop programs that can function during a crisis, an emphasis on a rapid programmatic response, the ability of clinics to function autonomously, patient knowledge of their disease, the use of community and patient networks, addressing staff needs and developing effective
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IAEA Nobel Prize money fights cancer crisis in Africa
International Nuclear Information System (INIS)
2006-01-01
To fight the looming cancer crisis in Africa, the International Atomic Energy Agency (IAEA) is assembling many of the world's leading cancer experts in Cape Town on 11-16 December. Cancer is a disease that is spreading very fast in the developing world and the IAEA has come to realize that we need to do much more to combat cancer in this part of the world, says IAEA Director General Mohamed ElBaradei in a video address to the conference. I hope this event will be the first of many events that would enable us to work together - national governments, international organisations, civil society - to help combat this dreadful disease and provide quality of life to our fellow human beings. With the support of African Nobel Laureates Nelson Mandela, Archbishop Desmond Tutu and F.W. de Klerk, this unprecedented gathering will bring together senior representatives from major national and international cancer organisations. Together with leading public figures and specialists they will assess the growing cancer burden in Africa and focus on building effective cancer control programmes at the national and regional levels. The IAEA is sponsoring the intensive workshops using funds awarded for the 2005 Nobel Peace Prize. The IAEA's Programme of Action for Cancer Therapy, or 'PACT', was established in 2004 to help achieve these goals. Building on the IAEA's 30 years of expertise in promoting radiotherapy, PACT aims to help get more cancer treatment facilities up and running in the world's developing regions, along with the trained personnel to operate them. 'PACT' is building partnerships with the WHO and other international cancer-control organisations so that the battle against cancer can be waged at country level. This includes cancer prevention, early detection, diagnosis and palliation, and more importantly education and training of professionals, says PACT Head Massoud Samiei. Current estimates suggest that several billion US$ are needed in the next 10 to 15 years if the
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Steinman, Theodore I
2002-01-01
The geriatric population with end-stage renal disease (ESRD) is placed at risk with regards to the quality and extent of medical coverage because of the rapidly changing financial environment. Managed care organizations (MCOs) are generally for-profit companies that must focus on the bottom line. While the verbal commitment to quality care is voiced, the financial pressures on MCOs have led to a decrease in coverage of many services and outright denial for some necessary treatments. While denying services, the MCOs have also reduced payments to providers for services rendered. The coverage crisis is compounded by health maintenance organizations (HMOs) quitting Medicare because the reimbursement from the Health Care Financing Administration (HCFA) is less than their costs. Because of the above issues which can potentially impact on the quality of care delivered to the ESRD geriatric population, a new approach to disease management has created the opportunity to improve total patient care to a level not yet achieved in the United States. Disease management encompasses integrated care across all disciplines. Every component of care can be tracked by a dedicated information system. Improvement in outcomes has far exceeded the U.S. Renal Data System (USRDS) benchmark performance measurements with a disease management model approach. The key to success is the health service coordinator (HSC), a senior nurse with many years of ESRD experience. This individual coordinates care across all disciplines and expedites necessary referrals. With rapid attention to patient needs there has been a significant reduction in hospital admissions, hospital length of stay, and emergency room visits. Patient care will steadily improve as the disease management system matures as a consequence of understanding the patients total physical and psychosocial needs.
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The New Phase of Constitutional Struggle in Venezuela
2016-07-21
the context of the November 22 election of conservative Mauricio Macri to the presidency of Argentina , the announcement by Ecuadorian President Rafael...Correa that he will not run for a fourth term, the economic crisis in Brazil with the looming impeachment of its president Dilma Rousseff, and the...and its neighbors. Anatomy of the Coming Crisis The potential for catastrophe in Venezuela within the coming months arises from a potentially
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Saving water? : analysis of options for rice-based farms in Tamil Nadu, India
Senthilkumar, K.
2008-01-01
Keywords: Modified rice cultivation, Water-saving, Farm typology, Technology adoption, Policy interventions, Farmers livelihoods, Resource use efficiency and Linear programming.
The looming water crisis and water-intensive nature of rice cultivation are driving the search for alternative
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Impact of the east Asian economic crisis on health and health care: Malaysia's response.
Suleiman, A B; Lye, M S; Yon, R; Teoh, S C; Alias, M
1998-01-01
In the wake of the east Asian economic crisis, the health budget for the public sector in Malaysia was cut by 12%. The Ministry of Health responded swiftly with a series of broad-based and specific strategies. There was a careful examination of the operating expenditure and where possible measures were taken to minimise the effects of the budget constraints at the service interface. The MOH reprioritised the development of health projects. Important projects such as rural health projects and training facilities, and committed projects, were continued. In public health, population-based preventive and promotive activities were expected to experience some form of curtailment. There is a need to refocus priorities, maximise the utilisation of resources, and increase productivity at all levels and in all sectors, both public and private, in order to minimise the impact of the economic downturn on health.
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Crisis? What crisis? How European professionals handle crises and crisis communication
Verhoeven, P.; Tench, R.; Zerfass, A.; Moreno, A.; Verčič, D.
2014-01-01
A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly
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Mularski, Richard A; Reinke, Lynn F; Carrieri-Kohlman, Virginia; Fischer, Mark D; Campbell, Margaret L; Rocker, Graeme; Schneidman, Ann; Jacobs, Susan S; Arnold, Robert; Benditt, Joshua O; Booth, Sara; Byock, Ira; Chan, Garrett K; Curtis, J Randall; Donesky, Doranne; Hansen-Flaschen, John; Heffner, John; Klein, Russell; Limberg, Trina M; Manning, Harold L; Morrison, R Sean; Ries, Andrew L; Schmidt, Gregory A; Selecky, Paul A; Truog, Robert D; Wang, Angela C C; White, Douglas B
2013-10-01
In 2009, the American Thoracic Society (ATS) funded an assembly project, Palliative Management of Dyspnea Crisis, to focus on identification, management, and optimal resource utilization for effective palliation of acute episodes of dyspnea. We conducted a comprehensive search of the medical literature and evaluated available evidence from systematic evidence-based reviews (SEBRs) using a modified AMSTAR approach and then summarized the palliative management knowledge base for participants to use in discourse at a 2009 ATS workshop. We used an informal consensus process to develop a working definition of this novel entity and established an Ad Hoc Committee on Palliative Management of Dyspnea Crisis to further develop an official ATS document on the topic. The Ad Hoc Committee members defined dyspnea crisis as "sustained and severe resting breathing discomfort that occurs in patients with advanced, often life-limiting illness and overwhelms the patient and caregivers' ability to achieve symptom relief." Dyspnea crisis can occur suddenly and is characteristically without a reversible etiology. The workshop participants focused on dyspnea crisis management for patients in whom the goals of care are focused on palliation and for whom endotracheal intubation and mechanical ventilation are not consistent with articulated preferences. However, approaches to dyspnea crisis may also be appropriate for patients electing life-sustaining treatment. The Ad Hoc Committee developed a Workshop Report concerning assessment of dyspnea crisis; ethical and professional considerations; efficient utilization, communication, and care coordination; clinical management of dyspnea crisis; development of patient education and provider aid products; and enhancing implementation with audit and quality improvement.
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SARS: Key factors in crisis management.
Tseng, Hsin-Chao; Chen, Thai-Form; Chou, Shieu-Ming
2005-03-01
This study was conducted at a single hospital selected in Taipei during the SARS (Severe Acute Respiratory Syndrome) outbreak from March to July, 2003 in Taiwan. During this period of time, 104 SARS patients were admitted to the hospital. There were no negative reports related to the selected hospital despite its being located right in the center of an area struck by the epidemic. The purpose of this study was to identify the key factors enabling the hospital to survive SARS unscathed. Data were collected from in-depth interviews with the nursing directors and nursing managers of the SARS units, along with a review of relevant hospital documents. The five key elements identified as survival factors during this SARS crisis are as follows: 1. good control of timing for crisis management, 2. careful decision-making, 3. thorough implementation, 4. effective communication, and 5. trust between management and employees. The results of this study reconfirmed the selected hospital as a model for good crisis management during the SARS epidemic.
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Elstad, Jon Ivar
2017-08-01
This study examines income inequalities in foregone dental care in 23 European countries during the years with global economic crisis. Associations between dental care coverage from public health budgets or social insurance, and income-related inequalities in perceived access to dental care, are analysed. Survey data 2008-2013 from 23 countries were combined with country data on macro-economic conditions and coverage for dental care. Foregone dental care was defined as self-reported abstentions from needed dental care because of costs or other crisis-related reasons. Age-standardized percentages reporting foregone dental care were estimated for respondents, age 20-74, in the lowest and highest income quartile. Associations between dental care coverage and income inequalities in foregone dental care, adjusted for macro-economic indicators, were examined by country-level regression models. In all 23 countries, respondents in the lowest income quartile reported significantly higher levels of foregone dental care than respondents in the highest quartile. During 2008-2013, income inequalities in foregone dental care widened significantly in 13 of 23 countries, but decreased in only three countries. Adjusted for countries' macro-economic situation and severity of the economic crisis, higher dental care coverage was significantly associated with smaller income inequalities in foregone dental care and less widening of these inequalities. Income-related inequalities in dental care have widened in Europe during the years with global economic crisis. Higher dental care coverage corresponded to less income-related inequalities in foregone dental care and less widening of these inequalities. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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Crisis?: What crisis?: currency vs. banking in the financial crisis of 1931
Albrecht Ritschl; Samad Salferaz
2010-01-01
This paper examines the role of currency and banking in the German financial crisis of 1931 for both Germany and the U.S. We specify a structural dynamic factor model to identify financial and monetary factors separately for each of the two economies. We find that monetary transmission through the Gold Standard played only a minor role in causing and propagating the crisis, while financial distress was important. We also find evidence of crisis propagation from Germany to the U.S. via the ban...
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Financial Crisis in Russia: Cuases and Prospects
Directory of Open Access Journals (Sweden)
Seungweon Suh
1998-06-01
Full Text Available Although we cannot exclude the reason for financial crisis in Russia's foreign exchange is the depreciation of Rupees and a loss for foreign investment caused the currency crisis in Asia, but most people predicted that by the support of the Russian government and the deflation efforts it will soon go back to stable. And other people said that there is no possibility of causing the world economic chaos but also no possibility for this situation to evolve into a situation where old policy replaced by new one and where there is Country moratorium. At the time when the prediction was made, since the Korea-Russia relationship is still weak, this Russian Crisis caused small influence on Korean Economy. But some section like exporting electronic products and food which rely Russia quite a lot, should analyze the situation carefully in order to face the shrinkage of market demand of Russia.
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Morris, Edwin Kent
2016-01-01
Crisis thought is an idea that gives a name to and accounts for some of the problematics of the sign crisis in political, social, cultural, and economic discourse. Specifically, crisis thought is a discursive formation, a concept used loosely here to refer to an assemblage of signs such as anxiety or fear that evoke or invoke similar, but inaccurate connotations as crisis in political and everyday usage. The general question this study grapples with is why political, social, cultural, and eco...
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Precarious work and care responsibilities in the economic crisis
Czech Academy of Sciences Publication Activity Database
Hašková, Hana; Dudová, Radka
2017-01-01
Roč. 27, č. 1 (2017), s. 47-63 ISSN 0959-6801 R&D Projects: GA ČR GA15-07898S; GA ČR GA15-13766S Institutional support: RVO:68378025 Keywords : Czech Republic * economic crisis * precarious work Subject RIV: AO - Sociology, Demography OBOR OECD: Sociology Impact factor: 1.159, year: 2016 http://ejd.sagepub.com/content/early/2016/10/13/0959680116672279.full.pdf+html
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Modified rice cultivation in Tamil Nadu, India: Yield gains and farmers' (lack of) acceptance
Senthilkumar, K.; Bindraban, P.S.; Thiyagarajan, T.M.; Ridder, de N.; Giller, K.E.
2008-01-01
The looming water crisis and water-intensive nature of rice cultivation are driving the search for alternative management methods to increase water productivity in rice cultivation. Experiments were conducted under on-station and on-farm conditions to compare rice production using modified methods
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Huppert, David; Griffiths, Matthew
2015-10-01
To review internationally recognized models of police interactions with people experiencing mental health crises that are sometimes complex and associated with adverse experience for the person in crisis, their family and emergency service personnel. To develop, implement and review a partnership model trial between mental health and emergency services that offers alternative response pathways with improved outcomes in care. Three unique models of police and mental health partnership in the USA were reviewed and used to develop the PACER (Police Ambulance Crisis Emergency Response) model. A three month trial of the model was implemented and evaluated. Significant improvements in response times, the interactions with and the outcomes for people in crisis were some of the benefits shown when compared with usual services. The pilot showed that a partnership involving mental health and police services in Melbourne, Australia could be replicated based on international models. Initial data supported improvements compared with usual care. Further data collection regarding usual care and this new model is required to confirm observed benefits. © The Royal Australian and New Zealand College of Psychiatrists 2015.
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Was the 2007 crisis really a global banking crisis?
Shehzad, Choudhry Tanveer; De Haan, Jakob
We argue that the 2007 crisis was not a global banking crisis. Stock prices of banks in emerging countries faced a temporary shock but quickly recovered, while stock prices of banks located in industrial countries remained much lower than before the 2007 crisis. Our results also suggest that stock
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Mortality in hyperglycemic crisis: a high association with infections and cerebrovascular disease.
Ekpebegh, C; Longo-Mbenza, B
2013-06-01
Aim of the present study was to determine syndrome specific mortality rates and the precipitating factors associated with deaths following admission for hyperglycemic crisis to a high care unit. Retrospective review of medical records for hyperglycemic crisis at Nelson Mandela Academic Hospital, Mthatha, Eastern Cape Province of South Africa from February 1 2010 to January 31 2011. All admissions were initially into the high care unit. The overall mortality rates (per admissions) was 13.9% (N.=15/108) with syndrome specific mortality rates (per admissions) of 11.9% (N.=8/67), 0% (N.=0/8) and 21.2% (N.=7/33) respectively for diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS) and hyperglycemia with dehydration (HD). The precipitating factors that were mainly associated with mortality were infections and cerebrovascular disease (CVD). The patients with CVD who died were all unconscious. There were no deaths where non-compliance with hypoglycaemic agents (14.8%, N.=16/108) was the precipitating factor. The overall mortality rates (per admissions) following high care unit admissions for hyperglycemic crisis was 13.9% with infections and CVD as the precipitating factors most associated with deaths.
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[Economic crisis and mental health. SESPAS report 2014].
Gili, Margalida; García Campayo, Javier; Roca, Miquel
2014-06-01
Studies published before the financial crisis of 2008 suggest that economic difficulties contribute to poorer mental health. The IMPACT study conducted in primary health care centers in Spain found a significant increase in common mental disorders. Between 2006 and 2010, mood disorders increased by 19%, anxiety disorders by 8% and alcohol abuse disorders by 5%. There were also gender differences, with increased alcohol dependence in women during the crisis period. The most important risk factor for this increase was unemployment. In parallel, antidepressant consumption has increased in recent years, although there has not been a significant inrease in the number of suicides. Finally, the study offers some proposals to reduce the impact of the crisis on mental health: increased community services, employment activation measures, and active policies to reduce alcohol consumption and prevent suicidal behavior, particularly among young people. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.
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School Crisis Management: A Model of Dynamic Responsiveness to Crisis Life Cycle
Liou, Yi-Hwa
2015-01-01
Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,…
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Causes and consequences of the Spanish economic crisis: Why the recovery is taken so long?
Directory of Open Access Journals (Sweden)
Carballo-Cruz Francisco
2011-01-01
Full Text Available Spain is currently facing its worst crisis in the last fifty years. The crisis began as an extension of the international financial crisis, but the internal imbalances accumulated in the pre-crisis period aggravated the situation. At present their incomplete adjustment is making difficult the economic recovery. This paper describes the evolution of the economic crisis in Spain. The real estate sector and the banking sector are analyzed in detail, as they played a key role in the detonation and the deepening of the crisis. The results of the main reforms carried out so far are also carefully examined. It also discusses the main factors that have delayed the economic recovery up to now (unemployment and indebtedness, and present some alternatives to define an exit strategy.
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Patterson, Mark E; Bogart, Miller S; Starr, Kathleen R
2015-03-01
Because hospital units operating in crisis mode could create unsafe transitions of care due to miscommunication, our objective was to estimate associations between perceived crisis mode work climate and patient information exchange problems within hospitals. Self-reported data from 247,140 hospital staff members across 884 hospitals were obtained from the 2010 Hospital Survey on Patient Safety Culture. Presence of a crisis mode work climate was defined as respondents agreeing that the hospital unit in which they work tries to do too much too quickly. Presence of patient information exchange problems was defined as respondents agreeing that problems often occur in exchanging patient information across hospital units. Multivariable ordinal regressions estimated the likelihood of perceived problems in exchanging patient information across hospital units, controlling for perceived levels of crisis mode work climate, skill levels, work climate, and hospital infrastructure. Compared to those disagreeing, hospital staff members agreeing that the hospital unit in which they work tries to do too much too quickly were 1.6 times more likely to perceive problems in exchanging patient information across hospital units (odds ratio: 1.6, 95% confidence interval: 1.58-1.65). Hospital staff members perceiving crisis mode work climates within their hospital unit are more likely to perceive problems in exchanging patient information across units, underscoring the need to improve communication during transitions of care. © 2014 Society of Hospital Medicine.
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Adrenal Crisis: Still a Deadly Event in the 21st Century.
Puar, Troy H K; Stikkelbroeck, Nike M M L; Smans, Lisanne C C J; Zelissen, Pierre M J; Hermus, Ad R M M
2016-03-01
Adrenal crisis is a life-threatening medical emergency, associated with a high mortality unless it is appropriately recognized and early treatment is rendered. Despite it being a treatable condition for almost 70 years, failure of adequate preventive measures or delayed treatment has often led to unnecessary deaths. Gastrointestinal illness is the most common precipitant for an adrenal crisis. Although most patients are educated about "sick day rules," patients, and physicians too, are often reluctant to increase their glucocorticoid doses or switch to parenteral injections, and thereby fail to avert the rapid deterioration of the patients' condition. Therefore, more can be done to prevent an adrenal crisis, as well as to ensure that adequate acute medical care is instituted after a crisis has occurred. There is generally a paucity of studies on adrenal crisis. Hence, we will review the current literature, while also focusing on the incidence, presentation, treatment, prevention strategies, and latest recommendations in terms of steroid dosing in stress situations. Copyright © 2016 Elsevier Inc. All rights reserved.
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Crisis of Meaning Predicts Suicidality in Youth Independently of Depression.
Schnell, Tatjana; Gerstner, Rebekka; Krampe, Henning
2018-02-23
At times, the question for meaning comes to nothing and a crisis of meaning ensues. This state is very painful, but difficult to account. Both those who suffer from it and care professionals find themselves at a loss for words. This study introduces an operationalization of a crisis of meaning. It aims to distinguish the concept from depression, and to investigate whether a crisis of meaning can explain suicidality beyond the known protective and risk factors self-esteem, family functioning, life-event load, and depression. Final-year school pupils in Ecuador (N = 300) completed questionnaires assessing the above variables. Data were analyzed using chi-square, hierarchic multiple regression, serial mediation, and moderator analyses. Crisis of meaning was distinguished from depression. It explained a significant amount of variance in suicidality beyond the mentioned protective and risk factors. For males, crisis of meaning was the only significant risk factor, and the strongest predictor overall. The acute risk factors depression and crisis of meaning mediated the effects of the baseline factors self-esteem, family functioning, and life-event load on suicidality. The study was cross-sectional; assessed factors predicted variance in suicidal thoughts, plans, and past suicide attempts, while their relevance cannot be generalized to actual future suicide attempts. A crisis of meaning is an important factor to take into account in further research on the prevention and treatment of people at risk of suicide.
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National Research Council Canada - National Science Library
Gudgel, Andy
2004-01-01
.... China's crisis management strategy is geared towards obtaining the maximum political advantage for China, as opposed to resolving the crisis. China tries to define the crisis on its terms in order to shape the resolution favorably.
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International Nuclear Information System (INIS)
Snieckus, D.
1998-01-01
A looming pan-industry skills crisis is among the most heated talking points in the oil and gas business today. But just what future damage will be suffered by an industry that has been unable to move professional training to the top of the agenda? (author)
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The Ethics of the Financial Crisis and Financial Reform
I.P. van Staveren (Irene)
2012-01-01
textabstractThe paper analyses the financial crisis and financial reform from two alternative ethical perspectives as compared to the mainstream one in economics, utilitarianism. It contrasts deontology with the ethics of care and argues that the rule-based deontological approach is not able to
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From oil crisis to climate crisis
International Nuclear Information System (INIS)
Langseth, Bjarne
2000-01-01
The oil crisis in the 1970s led to the shift from oil to hydro- and nuclear power. An almost similar shift might soon come as a ''climate crisis''. A climate crisis may imply a renaissance for hydropower and nuclear power and natural gas will be used on a large scale. In Europe, natural gas is currently considered environmentally friendly. Although there is at present growing opposition to nuclear power in Sweden and Germany, this attitude may change as the result of increased focus on the costs of the alternatives. A forced phase-out of nuclear power in Europe simultaneously with a climate crisis with reduced energy production from fossil fuels is likely to entail significantly increased prices of electricity. In Norway, 98% of the country's electric power production is based on hydro power, which means that much more heating can be based on electricity than in countries in which electricity is produced by combustion of fossil fuels. Much research is in progress to find technologies that will make it possible to shift from fossil fuel energy to energy from renewable sources like solar, water, wind, biomass and geothermal energy
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Alam, Fahad; LeBlanc, Vicki R; Baxter, Alan; Tarshis, Jordan; Piquette, Dominique; Gu, Yuqi; Filipkowska, Caroline; Krywenky, Ashley; Kester-Greene, Nicole; Cardinal, Pierre; Au, Shelly; Lam, Sandy; Boet, Sylvain; Clinical Trials Group, Perioperative Anesthesia
2018-04-21
The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. We aim to investigate whether ageing is associated with baseline CRM skills of ACPs (emergency, critical care and anaesthesia) using simulated crisis scenarios and to assess whether ageing influences learning from simulation-based education. This is a prospective cohort multicentre study recruiting ACPs from the Universities of Toronto and Ottawa, Canada. Each participant will manage an advanced cardiovascular life support crisis-simulated scenario (pretest) and then be debriefed on their CRM skills. They will then manage another simulated crisis scenario (immediate post-test). Three months after, participants will return to manage a third simulated crisis scenario (retention post-test). The relationship between biological age and chronological age will be assessed by measuring the participants CRM skills and their ability to learn from high-fidelity simulation. This protocol was approved by Sunnybrook Health Sciences Centre Research Ethics Board (REB Number 140-2015) and the Ottawa Health Science Network Research Ethics Board (#20150173-01H). The results will be disseminated in a peer-reviewed journal and at scientific meetings. NCT02683447; Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
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Cornelis, Jurgen; Barakat, Ansam; Dekker, Jack; Schut, Tessy; Berk, Sandra; Nusselder, Hans; Ruhl, Nikander; Zoeteman, Jeroen; Van, Rien; Beekman, Aartjan; Blankers, Matthijs
2018-02-27
Hospitalization is a common method to intensify care for patients experiencing a psychiatric crisis. A short-term, specialised, out-patient crisis intervention by a Crisis Resolution Team (CRT) in the Netherlands, called Intensive Home Treatment (IHT), is a viable intervention which may help reduce hospital admission days. However, research on the (cost-)effectiveness of alternatives to hospitalisation such as IHT are scarce. In the study presented in this protocol, IHT will be compared to care-as-usual (CAU) in a randomized controlled trial (RCT). CAU comprises low-intensity outpatient care and hospitalisation if necessary. In this RCT it is hypothesized that IHT will reduce inpatient days by 33% compared to CAU while safety and clinical outcomes will be non-inferior. Secondary hypotheses are that treatment satisfaction of patients and their relatives are expected to be higher in the IHT condition compared to CAU. A 2-centre, 2-arm Zelen double consent RCT will be employed. Participants will be recruited in the Amsterdam area, the Netherlands. Clinical assessments will be carried out at baseline and at 6, 26 and 52 weeks post treatment allocation. The primary outcome measure is the number of admission days. Secondary outcomes include psychological well-being, safety and patients' and their relatives' treatment satisfaction. Alongside this RCT an economic evaluation will be carried out to assess the cost-effectiveness and cost-utility of IHT compared to CAU. RCTs on the effectiveness of crisis treatment in psychiatry are scarce and including patients in studies performed in acute psychiatric crisis care is a challenge due to the ethical and practical hurdles. The Zelen design may offer a feasible opportunity to carry out such an RCT. If our study finds that IHT is a safe and cost-effective alternative for CAU it may help support a further decrease of in-patient bed days and may foster the widespread implementation of IHT by mental health care organisations
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Bakacsi, Gyula
2010-01-01
The traditional approach to crisis management suggest autocratic leadership, that has risks anyway (leader is the bottle-neck of problem solving, single-loop learning, crisis management is a matter of efficiency). However, managing nowadays crisis is rather effectiveness issue, and requires double-loop learning (second-order change) and leadership role in the sense of Kotter’s theory. Paper discusses the top-management’s leadership responsibilities, and their special tasks in the problem solv...
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Crisis Response Strategy and Crisis Types Suitability: A Preliminary Study on MH370
Directory of Open Access Journals (Sweden)
Mohamad Ashari Noratikah
2017-01-01
Full Text Available In time of crisis, the organisation’s tactic in responding to the crisis according to its type/s may significantly affect the organisation’s effort to survive its reputational damages. The study of crisis response strategy (CRS requires further exploration within the Malaysian context, moreso with the greater and apparent use of social media as a platform for the organisation in crisis to reach out to its stakeholders. This preliminary paper studies the MH370 crisis in light of Coombs [1] Situational Crisis Communication Theory (SCCT. It aims to discuss the suitability of the CRS applied by Malaysia Airlines System (MAS with the crisis type/s that was/were experienced by the organisation. Hence, the need for this paper to investigate the crisis type/s of MH370 and examines the CRS applied by MAS by content analysing media statements that were disseminated directly to the organisation’s stakeholders on Facebook during the first day of the crisis. Results ultimately show an interesting analysis to the crisis type of MH370, and the suitability of the CRS applied by MAS for that matter.
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Paccione-Dyszlewski, Margaret R; Conelea, Christine A; Heisler, Walter C; Vilardi, Jodie C; Sachs, Henry T
2012-07-01
Behavioral crisis management, including the use of seclusion and restraint, is the most high risk process in the psychiatric care of children and adolescents. The authors describe hospital-wide programmatic changes implemented at a children's psychiatric hospital that aimed to improve the quality of crisis management services. Pre/post quantitative and qualitative data suggest reduced restraint and seclusion use, reduced patient and staff injury related to crisis management, and increased patient satisfaction during the post-program period. Factors deemed beneficial in program implementation are discussed.
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... page: //medlineplus.gov/ency/article/003270.htm Hemolytic crisis To use the sharing features on this page, please enable JavaScript. Hemolytic crisis occurs when large numbers of red blood cells ...
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Who Cares for the Children? Denmark's Unique Public Child-Care Model.
Polakow, Valerie
1997-01-01
U.S. working mothers wrestle daily with a child-care crisis characterized by unavailable infant care, high costs, and inadequate access and regulation. In Denmark, high-quality child care is a guaranteed entitlement for every child. Other benefits include paid parental leaves, single-parent allowances, housing subsidies, and universal health care.…
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the dutch crisis and recovery act: economic recovery and legal crisis
African Journals Online (AJOL)
Jonathan
THE DUTCH CRISIS AND RECOVERY ACT: ECONOMIC RECOVERY AND. LEGAL CRISIS? J Verschuuren. 1 Introduction. Throughout the world, governments are responding to the financial and economic crisis. Such responses vary from supporting the banking system to adopting economic stimulus packages. The latter ...
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Dalla crisi finanziaria alla crisi reale. ( Financial and real crisis
Directory of Open Access Journals (Sweden)
Carlo D'Adda
2010-03-01
Full Text Available The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow. JEL: E44, G01, G10
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Lopez-de-Andres, Ana; de Miguel-Diez, Javier; Hernandez-Barrera, Valentin; Jiménez-Trujillo, Isabel; Martinez-Huedo, Maria-Angeles; Del Barrio, José Luis; Jimenez-Garcia, Rodrigo
2018-03-27
To describe the utilization of health and home care services among older people (≥65 years) with diabetes during the economic crisis; to identify the factors associated with changes in the utilization of these services; and to study the time trends (2009-2014). We used the European Health Interview Surveys for Spain (EEHSS) for 2009/10 and 2014. The dependent variables included self-reported hospitalizations; general practitioner (GP) visits; 'other healthcare services' (OHS) used; and home care services (HCS) used. We identified 6026 and 6020 diabetic patients (EEHSS2009 and EEHSS2014, respectively). A significant decrease in the number of GP visits (OR 0.94; 95% CI 0.91-0.98) and the use of HCS (OR 0.95; 95% CI 0.91-0.99) was found; however, we found an increase in the use of OHS (OR 1.06; 95% CI 1.02-1.10). Multivariate models showed that factors associated with an increased use included chronic conditions, worse self-rated health, pain and mental disorders. Physical activity was a strong predictor of lower hospitalizations and HCS use. Female gender was associated with significantly lower hospitalizations and a higher use of OHC and HCS. We found a decrease in the number of GP visits and the use of HCS among elderly diabetic adults; however, we also observed an increase in the use of OHS, which may partly explain this decrease in the figures. Significant differences in the use of health services were found according to gender. The effect of the economic crisis, if any, seems to have had a small magnitude. Copyright © 2018 Elsevier B.V. All rights reserved.
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Occupy Education: Living and Learning Sustainability. Global Studies in Education. Volume 22
Evans, Tina Lynn
2012-01-01
"Occupy Education" is motivated by the sustainability crisis and energized by the drive for social justice that inspired the Occupy movement. Situated within the struggle for sustainability taking place amid looming resource shortages, climate change, economic instability, and ecological breakdown, the book is a timely contribution to community…
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Ngigi, S.N.; Savenije, H.H.G.; Gichuki, F.N.
2008-01-01
The upper Ewaso Ng’iro basin, which starts from the central highlands of Kenya and stretches northwards transcending different climatic zones, has experienced decreasing river flows for the last two decades. The Naro Moru sub-basin is used to demonstrate the looming water crisis in this water scarce
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平澤 敦
2017-01-01
Researchers have shown an increased interest in crisis communication as well as crisis management. Crisis communication became an established corporate discipline in the last 20 years. Because of the recent rash of corporate (organizational) scandals, natural disasters and so on, importance of crisis communication (management) attracts much more attention than the past.Crisis communication is used to help governments and companies organizations to respond to and recover from a crisis. Crisis ...
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Shah, Nirmish; Rollins, Margo; Landi, Daniel; Shah, Radhika; Bae, Jonathan; De Castro, Laura M
2014-03-01
Sickle cell disease (SCD) is a chronic disease characterized by multiple vaso-occlusive complications and is increasingly cared for by hospitalists. The purpose of this study is to examine differences in pain management between hematologists and hospitalists. We performed a single-institution, retrospective review of pain management patterns and outcomes in adult SCD patients hospitalized for vaso-occlusive crisis. Over 26 months, we found a total of 298 patients (120 cared for by the hematologists and 178 by hospitalists), with a mean age of 32 (range 19-58). Patients cared for by hospitalists had a lower total number of hours on a patient controlled analgesia (PCA) device (171 vs. 212 hours, P=0.11). Hospitalists also were significantly more likely to utilize demand only PCA (42% vs. 23%, P=0.002) and had a significantly lower rate of using both continuous and demand PCA (54% vs. 67%, P=0.04). In addition, patients cared for by hospitalists had a significantly shorter hospitalization (8.4 days) compared to hematologists (10 days, P=0.04) with a non-significant difference in 7 and 30 day readmission rates (7.2% vs. 6.7% and 40% vs. 35% respectively). We found patients cared for by hospitalists more frequently utilized home oral pain medication during admission, had shorter lengths of hospitalization, and did not have a significant increase in readmission rates.
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Crisis communication: an inequalities perspective on the 2010 Boston water crisis.
Galarce, Ezequiel M; Viswanath, K
2012-12-01
Although the field of crisis risk communication has generated substantial research, the interaction between social determinants, communication processes, and behavioral compliance has been less well studied. With the goal of better understanding these interactions, this report examines how social determinants influenced communications and behavioral compliance during the 2010 Boston, Massachusetts, water crisis. An online survey was conducted to assess Boston residents' knowledge, beliefs, attitudes, mass and interpersonal communication, and preventive behaviors on emergency preparedness topics dealing with the water crisis. Of a total sample of 726 respondents, approximately one-third (n = 267) reported having been affected by the water crisis. Only data from affected participants were analyzed. Following an order to boil water, 87.5% of respondents refrained from drinking unboiled tap water. These behaviors and other cognitive and attitudinal factors, however, were not uniform across population subgroups. All communication and behavioral compliance variables varied across sociodemographic factors. Crisis communication, in conjunction with other public health preparedness fields, is central to reducing the negative impact of sudden hazards. Emergency scenarios such as the Boston water crisis serve as unique opportunities to understand how effectively crisis messages are conveyed to and received by different segments of the population.
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Talking about a Crisis - Italian Bloggers' Perceptions of Alitalia's Crisis Responses
DEFF Research Database (Denmark)
Valentini, Chiara; Romenti, Stefania
In this study we intend to examine the way in which bloggers and blog readers framed a company performance during a crisis, but looking at the most discussed crisis's themes, at the sources of their statements and at their evaluations. To facilitate that, we focused on a specific crisis case......, the Alitalia's one, as this case shows some specificities that have influenced the contents of the communicative discourses among bloggers and blog readers on the organization's response to its crisis....
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Daggenvoorde, Thea H; Gijsman, Harm J; Goossens, Peter J J
2017-09-27
To explore the lived experiences of patients with a psychotic or bipolar disorder and their families with emergency care during the first contact with a mobile crisis team. Open individual interviews were held with ten patients and ten family members. Content data-analysis was conducted. Communication and cooperation was difficult in several cases. Personal crisis plans were not always used. Stigma was felt, especially when police-assistance was needed. A calm, understanding attitude was appreciated. Focus explicitly on communication with the patient, despite the acute condition, enhances the chance of cooperation. Taking time for contact is important. © 2017 Wiley Periodicals, Inc.
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... Artery Disease Venous Thromboembolism Aortic Aneurysm More Hypertensive Crisis: When You Should Call 9-1-1 for ... Nov 13,2017 A hypertensive ( high blood pressure ) crisis is when blood pressure rises quickly and severely ...
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Between crisis, agency and return: the vulnerability of Bolivian migrants in Italy
Directory of Open Access Journals (Sweden)
Isabel Yépez del Castillo
2014-09-01
Full Text Available This article addresses the interrelationships between the economic crisis, international migration and the labour market, and their impact on female migration agency, both in the decision to migrate and in the subsequent possibility of return to Bolivia. Based on information collected in a large survey conducted in the city of Cochabamba and the tracing of multiple female migration trajectories, the extreme vulnerability of these women, who are the heads of single-parent households, working in elderly care in Bergamo, is shown. Despite their deteriorating working conditions in the context of current Italian economic crisis and the competition of immigrant care workers from countries of Eastern Europe, they choose to remain in Italy instead of returning to Bolivia.
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Neoliberalism, trade imbalances, and economic policy in the Eurozone crisis
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Engelbert Stockhammer
2016-12-01
Full Text Available This paper analyzes the causes of the Eurozone crisis. In doing so, it carefully surveys authors from different economic schools of thought. The paper discusses competing explanations for European current account imbalances. Remarkably, opposing views on the relative importance of cost developments and demand developments in explaining current account imbalances can be found in both heterodox and orthodox economics. Regarding the assessment of fiscal and monetary policy there is a clearer polarisation, with heterodox analysis regarding austerity as unhelpful and most of orthodox economics endorsing it. We advocate a post-Keynesian view, which holds that current account imbalances are not a fundamental cause of the sovereign debt crisis. Rather, the economic policy architecture of the Eurozone, which aims at restricting the role of fiscal and monetary policy, is the key to understanding the crisis in Europe.
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Collection for Refugee and Migration Crisis
Rolf Heuer, Director-General,
2015-01-01
Dear Colleagues, In response to the current refugee and migration crisis, we are starting a collection today and we are calling on your generosity. The funds will be forwarded to the International Federation of Red Cross and Red Crescent Societies to respond to the humanitarian needs of the refugees and migrants, providing immediate and longer-term relief, including emergency medical care and basic health services, psychological support, temporary shelter, distribution of food & water and other urgently needed items. We hope that your contributions to the above-mentioned appeal will not prevent you from sparing a thought for them and doing whatever you can to help them. Bank account details for donations: Bank account holder: Association du personnel CERN - 1211 GENEVE 23 Account number: 279-HU106832.1 IBAN: CH85 0027 9279 HU10 6832 1 BIC: UBSWCHZH80A Please mention: Refugee and Migration Crisis
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Sbitti, Yassir; Slimani, Khaoula; Debbagh, Adil; Mokhlis, Anouar; Kadiri, Habiba; Laraqui, Abdelilah; Errihani, Hassan; Ichou, Mohamed
2017-08-01
Patients with visceral crisis from luminal metastatic breast cancer (mBC) are often treated with palliative chemotherapy. No studies have analyzed the aggressiveness of the care in visceral crisis from luminal mBC patients. The objective of this study was to assess practices in this setting in a university medical oncology department. This retrospective study included all patients who were managed for luminal mBC between January 2013 and April 2016. The analysis focused on the characteristics of the patients, the modalities of cancer treatment and delays between visceral crisis and death. Thirty-five patients pre-treated with two hormonal therapy lines were enrolled retrospectively. Worse performance status and a higher proportion of severe organ dysfunction for luminal mBC were observed among patients with visceral crisis. Sixty-five percent of patients received cytotoxic treatment. One cycle of chemotherapy was administrated in the majority of patients. Palliative care was performed in 35% of patients. Chemotherapy did not have any significant effect on patient outcome in the present study. The mean time between visceral crisis and death was 4.7 weeks (standard deviation = 1.9). Our study showed that visceral crisis in patients with luminal mBC is a complex problem. We need more comprehension of molecular pathogenesis to visceral crisis disease to propose efficacious treatments for these patients and to identify subgroup of patients who need chemotherapy followed by maintenance endocrine therapy.
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Crisis Response Strategy and Crisis Types Suitability: A Preliminary Study on MH370
Mohamad Ashari Noratikah; Abang Ahmad Dayang Aizza Maisha; Samani Mus Chairil
2017-01-01
In time of crisis, the organisation’s tactic in responding to the crisis according to its type/s may significantly affect the organisation’s effort to survive its reputational damages. The study of crisis response strategy (CRS) requires further exploration within the Malaysian context, moreso with the greater and apparent use of social media as a platform for the organisation in crisis to reach out to its stakeholders. This preliminary paper studies the MH370 crisis in light of Coombs [1] Si...
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Leading in crisis: lessons for safety leaders.
George, William W; Denham, Charles R; Burgess, L Hayley; Angood, Peter B; Keohane, Carol
2010-03-01
The National Quality Forum (NQF) Safe Practices are a group of 34 evidence-based Safe Practices that should be universally used to reduce the risk of harm to patients. Four of these practices specifically address leadership. A recently published book, 7 Lessons for Leading in Crisis, offers practical advice on how to lead in crisis. An analysis of how concepts from the 7 lessons could be applied to the Safe Practices was presented nationally by webinar to assess the audience's reaction to the information. The objective of this article was to present the information and the audience's reaction to it. Recommendations for direct actions that health care leaders can take to accelerate adoption of NQF Safe Practices were presented to health care leaders, followed by an immediate direct survey that used Reichheld's "Net Promoter Score" to assess whether the concepts presented were considered applicable and valuable to the audience. In a separate presentation, the challenges and crises facing nursing leaders were addressed by nursing leaders. Six hundred seventy-four hospitals, with an average of 4.5 participants per hospital, participated in the webinar. A total of 272 safety leaders responded to a survey immediately after the webinar. A Net Promoter Score assessment revealed that 58% of those surveyed rated the value of the information at 10, and 91% scored the value of the webinar to be between 8 and 10, where 10 is considered a strong recommendation that those voting would recommend this program to others. The overwhelmingly high score indicated that the principles presented were important and valuable to this national audience of health care leadership. The 2010 environment of uncertainty and shrinking financial resources poses significant risk to patients and new challenges for leaders at all levels. A values-grounded focus on personal accountability for leading in crisis situations strongly resonates with those interested in or leading patient safety initiatives.
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The Euro crisis. Causes and Symptoms
Directory of Open Access Journals (Sweden)
Christoph S. Weber
2015-06-01
Full Text Available The Euro crisis is mainly a consequence of the international financial crisis of 2008. Thereby, the term Euro crisis is misleading as there is no currency crisis. First, the article shows some of the birth defects of the Euro. Second, it shows that the increase in public debt was caused by rescue measures for banks and anti-cyclical fiscal policy. Third, we argue that the Euro crisis is not just one crisis (a sovereign debt crisis but it is a combination of several macroeconomic crises including a growth crisis, a labour market crisis, a public debt crisis, and a current account crisis.
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Russell, C; Russell Wms
1984-01-01
This article reviews field research on the violent response on the part of animals to conditions of crowding. Monkey species in zoos have consistently been noted to be more quarrelsome and violent than their counterparts in the wild. Up to a certain critical population density various animal species form cooperative social units; however, a surplus population upsets this balance. In addition, under conditions of intense crowding, mammal's care and protection of the young is transformed into indifference, neglect, competition, domination, and ultimately murder. The reversal of social behavior under crowded conditions can be understood as a means of response to a population crisis, in which population is in danger of outrunning resources. In the absence of confinement, tensions among monkeys lead to war between bands. A community weakened by crowding also is more likely to succumb to certain stress diseases and to have less resilience against parasites. Under various special conditions, tolerance may evolve to permit temporary compression without violence; on the other hand, when a violent response is suppressed, the response tends to be explosive when it does occur. If population reduction is delayed too long, the result may be violence, famine, and permanent damage to the environment from overgrazing. In human society there has generally been a lag in the full development of the violent response to crowding. Given the power of modern military technology, it is imperative that human populations avert a population crisis response by substituting voluntary fertility control for involuntary mortality control.
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Hegner, Sabrina M.; Beldad, Ardion D.; Kraesgenberg, Anne Lotte
2016-01-01
Organisational crises can have deleterious consequences for organisational reputation and sales. Hence, one exigent question pertains to the effects of a company's action prior to the crisis and its crisis response on customers' post-crisis attitude and behavioural intention. To address that
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THE CURRENCY CRISIS TRIGGER OF THE ROMANIAN FINANCIAL CRISIS OF 2008
Directory of Open Access Journals (Sweden)
Radu SOVIANI
2014-07-01
Full Text Available This paper analyses the ways the financial crisis started to manifest into the Romanian Financial System, through the exchange rate channel. The focus of this Paper is on how the Romanian decision makers contributed in triggering the financial crisis (that would have been triggered anyway. The paper will determine the trigger (the first obvious event for the Romanian Financial Crisis (the debut and it will prove that the consequences of this trigger could have been anticipated - it is in line with similar triggers for the debut in other currency crises. Therefore, one of the main conclusions of this paper is that while a global crisis starts to manifest the local economy should limit the exuberance of the decision makers in order to smooth the effects of the crisis.
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Anca Jarmila Guţă
2006-01-01
The paper presents the manner in which the crisis of different types can disturb the normal activity of an organization and also the modalities by which the communication in this situation can solve or attenuate the negative effects of a crisis.
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Directory of Open Access Journals (Sweden)
Yosvany Tabares Silverio
2011-06-01
Full Text Available Introducción: la hipertensión arterial afecta la salud de las poblaciones en todas las partes del mundo. Representa por sí misma una enfermedad y también un factor de riesgo para otras afecciones cardiovasculares. Su impacto es en el área de la epidemiología, la salud pública, y en el aspecto económico. Objetivo: determinar el costo institucional de la atención al paciente con crisis hipertensiva en el servicio urgencia del policlínico "Antonio Maceo" de La Habana en el primer semestre del año 2008. Métodos: se realizó un estudio del tipo de descripción de costos. El enfoque metodológico utilizado fue el costo de la enfermedad, siguiendo los pasos recomendados en la Guía Metodológica para las Evaluaciones Económicas en Salud en Cuba. Los costos fueron expresados en pesos cubanos no convertibles del año 2008. La perspectiva de análisis adoptada fue la institucional. El universo de estudio estuvo constituido por 216 pacientes. En el cálculo del costo total institucional se consideraron las variables: costo por medicamentos, por medios diagnósticos, por salarios, entre otras. Resultados: se estudiaron 209 pacientes con urgencia hipertensiva (96,8 % y 7 con emergencia hipertensiva (3,2 %. El costo total de la atención del paciente con crisis hipertensiva ascendió a 5 451,68 pesos en moneda nacional y el costo promedio por paciente fue de 25,23. Conclusiones: el costo mayor en la atención al paciente con crisis hipertensiva estuvo relacionado con el salario directo. La adecuada dispensarización y tratamiento de los pacientes hipertensos pudiera disminuir el costo de la atención médica.Introduction: high blood pressure affects the health of populations at world scale. By itself represent a disease and a risk factor for other cardiovascular affections. Its impact is on the epidemiology, public health areas and in the economic feature. Objective: to determine the institutional cost of the patient care with hypertensive crisis
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The social process of escalation: a promising focus for crisis management research
Directory of Open Access Journals (Sweden)
Bergström Johan
2012-06-01
Full Text Available Abstract Background This study identifies a promising, new focus for the crisis management research in the health care domain. After reviewing the literature on health care crisis management, there seems to be a knowledge-gap regarding organisational change and adaption, especially when health care situations goes from normal, to non-normal, to pathological and further into a state of emergency or crisis. Discussion Based on studies of escalating situations in obstetric care it is suggested that two theoretical perspectives (contingency theory and the idea of failure as a result of incomplete interaction tend to simplify the issue of escalation rather than attend to its complexities (including the various power relations among the stakeholders involved. However studying the process of escalation as inherently complex and social allows us to see the definition of a situation as normal or non-normal as an exercise of power in itself, rather than representing a putatively correct response to a particular emergency. Implications The concept of escalation, when treated this way, can help us further the analysis of clinical and institutional acts and competence. It can also turn our attention to some important elements in a class of social phenomenon, crises and emergencies, that so far have not received the attention they deserve. Focusing on organisational choreography, that interplay of potential factors such as power, professional identity, organisational accountability, and experience, is not only a promising focus for future naturalistic research but also for developing more pragmatic strategies that can enhance organisational coordination and response in complex events.
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Possibilities and tools of business crisis management during the natural crisis
Bosáková, Renáta
2009-01-01
This work analyses disposable tools of business crisis management to manage crisis which are induced by natural threats and it considers possibilities of these methods using. On basis of performed analysis then in the practical part it uses the acceptable methods and tools to look for threats and risks of the firm and suggests optimal structure of crisis plan.
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Henderson, Claire; Farrelly, Simone; Flach, Clare; Borschmann, Rohan; Birchwood, Max; Thornicroft, Graham; Waheed, Waquas; Szmukler, George
2017-11-24
In the UK, crisis planning for mental health care should acknowledge the right to make an informed advance treatment refusal under the Mental Capacity Act 2005. Our aims were to estimate the demand for such treatment refusals within a sample of service users who had had a recent hospital admission for psychosis or bipolar disorder, and to examine the relationship between refusals, and service user characteristics. To identify refusals we conducted content analysis of Joint Crisis Plans, which are plans formulated by service users and their clinical team with involvement from an external facilitator, and routine care plans in sub-samples from a multi-centre randomised controlled trial of Joint Crisis Plans (plus routine mental health care) versus routine care alone (CRIMSON) in England. Factors hypothesised to be associated with refusals were identified using the trial data collected through baseline interviews of service users and clinicians and collection of routine clinical data. Ninety-nine of 221 (45%) of the Joint Crisis Plans contained a treatment refusal compared to 10 of 424 (2.4%) baseline routine care plans. No Joint Crisis Plans recorded disagreement with refusals on the part of clinicians. Among those with completed Joint Crisis Plans, adjusted analyses indicated a significant association between treatment refusals and perceived coercion at baseline (odds ratio = 1.21, 95% CI 1.02-1.43), but not with baseline working alliance or a past history of involuntary admission. We demonstrated significant demand for written treatment refusals in line with the Mental Capacity Act 2005, which had not previously been elicited by the process of treatment planning. Future treatment/crisis plans should incorporate the opportunity for service users to record a treatment refusal during the drafting of such plans. ISRCTN11501328 Registered 13th March 2008.
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Communication in the state of crisis
Senić Vladimir; Senić Radoslav
2015-01-01
Due to diversity of research related to crisis it is rather important to present definitions of various key terms related to crisis, crisis management and crisis communication, in order to establish tangible boundaries among them. Those three are mutually intertwined and should be considered starting from the first symptoms of crisis to crisis management and finally crisis communication. In the state of crisis, conventional management practice is often not adequate, while types of reaction ar...
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Dalla crisi finanziaria alla crisi reale
Directory of Open Access Journals (Sweden)
CARLO D’ADDA
2010-01-01
Full Text Available The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow.
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THE ROLE AND IMPORTANCE OF COMPANY CRISIS DIAGNOSIS IN ANTI-CRISIS MANAGEMENT
Klodane, Alona
2016-01-01
Nowadays, under a free market, crises at companies are a frequent phenomenon; however, anti-crisis management and related aspects are currently a little researched problem in Latvia. The research aim is to examine the nature of company crisis diagnosis and its role and importance in the anti-crisis management system. The research general tasks are: to describe the nature of company crisis diagnosis and review the scope, purpose and tasks of performing a diagnosis; to examine the role and impo...
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Hypercalcemic crisis resulting from near drowning in an indoor public bath.
Matsumoto, Ryusaku; Yamada, Go; Amano, Aya; Yamada, Tomoko; Hamamatsu, Keita; Murabe, Hiroyuki; Yokota, Toshihiko
2013-01-01
Male, 66. Hypercalcemic crisis. Near drowning state. - - Critical care medicine. Challenging differential diagnosis. Hypercalcemic crisis, generally caused by malignancy or primary hyperparathyroidism, is a life-threatening emergency that can result in multi-organ failure. Lowering the patient's calcium level immediately and determining the correct etiology are essential. We report a case of hypercalcemic crisis with a novel etiology. A 66-year-old male presented to the emergency room in cardiac arrest with a ventricular arrhythmia after being discovered submerged in an indoor public bath. He underwent cardioversion and was emergently intubated. Computed tomography showed bilateral pulmonary edema, suspected from water aspiration. Laboratory data revealed severe hypercalcemia and mild hypernatremia. Following three days of continuous hemodiafiltration, serum Ca decreased to and remained within normal limits. We concluded the etiology of hypercalcemia was absorption of Ca resulting from aspirated water. Near drowning can be a cause of hypercalcemic crisis. For cases of near drowning, it is important to investigate the source of the aspirated water and consider electrolyte abnormalities in the diagnosis.
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Kirigia, Joses M; Nganda, Benjamin M; Mwikisa, Chris N; Cardoso, Bernardino
2011-04-13
effects of the global financial crisis on a few variables, is important to alert the Ministry of Health on the looming danger of cuts in health funding from domestic and external sources. However, it is even more important for national governments to monitor the effects of the economic crisis and the policy responses on the social determinants of health, health inputs, health system outputs and health system outcomes, e.g. health.
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Crisis Diagnosis in Anti-Crisis Management Process in a Company
Ruta Meiste; Sandra Jakstiene
2015-01-01
Crisis concept links up to its appearance area. Some different kinds and levels of crises have been found: we face with global, mainly nature cataclysm crises, state economic crises, corporate crises and individual or psychological crises. The research area of this paper is micro level, i.e. corporate crises or crisis in a company. However, it is emphasized that company is a sociotechnical system, performing in a complex environment, therefore crisis in a company is closely related to global ...
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Narratives of crisis: identity crisis or crisis of meaning?!
Directory of Open Access Journals (Sweden)
Roseli Araújo Barros Costa
2006-06-01
Full Text Available This article is about a review of a broader research on the understanding of the professional development of Mathematics teachers, especially the results of the analysis of one of the selected categories, the projectors and the crisis narratives. This analysis was theoretically supported by Larrosa (2002. To carry out the research, we adopted the qualitative research, with a narrative focus, based on semi-structured interviews about the life history of a teacher who teaches mathematics in Basic Education. Based on a concept of professional development taken from a continuous perspective, idealized in a broader context of teaching work, permeating crises and conflicts, the analysis shows that the teacher's crisis reports are related to factors such as: low salaries, conflicts in her current institution Lack of social prestige and insecurity. His reports reveal that initial training did nothing to address the "new" changes in education. It shows that their lack of enthusiasm is associated with the emptying of the useful meaning of their formation, which results from the overvaluation of their exchange value. However, a crisis narrative can construct the present as a critical moment in the double sense of the word as a decisive moment and, at the same time, as a moment in which the subject critically recovers his own history, appropriates himself critically To find out where it is and to decide its own movement (LARRROSA, 2002. The individual, by critically restoring his history, can rethink the past, think the present, and (reconstruct his own future. The teacher, in her crisis narratives, shows that, by critically recovering her story, by putting out all her "revolt", she opens a "door" that will possibly show a new path to be taken. This seeks new challenges for their professional development
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The Critical Role of Crisis Communication Plan in Corporations’ Crises Preparedness and Management
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Agnes Lucy Lando
2014-06-01
Full Text Available Many corporations have a Crisis Management Plan (CMP, which is designed to handle crises. These plans may include crisis response drills, evacuation plans, and standby machines/generators. However, when it comes to communication during a crisis, many organizations are ill-prepared because they lack a Crisis Communication Plan (CCP. Following the September 21, 2013 attack on the Westgate Mall in Nairobi, the public’s praises for the security forces swiftly degenerated into blame, insults, and expressions of betrayal. The government seemed unprepared. There was no clearly spelt out CCP detailing what and when to release information, as well as who and how to make the release. Hence, every step the government took to give updates about the attack and what it was doing to secure the mall and save people was challenged by the media and the public. The lack of a CCP was evident in the presentation of several spokespersons by the authorities, double talk, conflicting messages, and uncertainty on the matter. This paper thus argues that while corporations strive for a variety of strategies for crisis management, there is need to also enshrine CCP in their CMP. It utilizes Coombs’ (2012 three-stage crisis management model that carefully considers the pre-crisis, crisis, and post-crisis stages. Focusing on selected corporations in Kenya that suffered crises between June 1, 2012 and October 30, 2013, this research holds that the crises duration and negative impact could have been lessened if the organizations integrated effective CCP in their CMP.
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The true cost of the economic crisis on psychological well-being: a review
Directory of Open Access Journals (Sweden)
Van Hal G
2015-01-01
Full Text Available Guido Van Hal Medical Sociology and Health Policy, University of Antwerp, Antwerp, Belgium Abstract: The recent economic crisis has led to many negative consequences, not the least having to do with the mental health and well-being of the populations involved. Although some researchers say it is still too early to speak about a relationship between the economic crisis and a rise in mental health problems resulting in suicides, there is solid evidence for the existence of such a relationship. However, several moderating or mediating mechanisms can also play a role. The main reactions of most policy makers to the economic crisis are (severe austerity measures. These measures seem to have, however, a detrimental effect on the mental health of the population: Just when people have the highest need for mental help, cost-cutting measures in the health care sector lead to a (substantial drop in the supply of services for the prevention, early detection, and cure of mental health problems. Policy makers should support moderating mechanisms such as financial and psychological coping and acculturation and the role of primary health care workers in the early detection of suicidal thoughts, suicide attempts, and suicide in times of economic recession. Several examples show that the countries best off regarding the mental health of their populations during the economic crisis are those countries with the strongest social safety net. Therefore, instead of cutting back on health care and social welfare measures, policy makers should in the future invest even more in social protection measures during economic crises. Keywords: economic recession, mental health, suicide, social protection, austerity, review
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Bartenberger, M.
2017-01-01
Based on philosophical pragmatism, this study builds a model of pragmatist crisis management at the political-strategic level and contrasts it with a principle-guided approach towards political crisis management. It identifies four cornerstons of pragmatist political crisis management and builds a
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Sickle Cell Crisis (For Teens)
... Safe Videos for Educators Search English Español Sickle Cell Crisis (Pain Crisis) KidsHealth / For Teens / Sickle Cell ... drepanocíticas (Crisis de dolor) What Is a Sickle Cell Crisis? Sickle cell disease changes the shape of ...
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Crisis Behavior in Autism Spectrum Disorders: A Self-Organized Criticality Approach
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Lucio Tonello
2018-01-01
Full Text Available The Autism Spectrum Disorder (ASD represents a set of life-long disorders. In particular, subjects with ASD can display momentary behaviors of acute agitation and aggressiveness called crisis behaviors. These events are problematic for the subject and care providers but little is known about their occurrence, namely, possible relations among intensity, frequency, and duration. A group of ASD subjects (n=33 has been observed for 12 months reporting data on each crisis (n=1137 crises. Statistical analysis did not find significant results, while the relation between crisis duration and frequency showed a good fit to a “power law” curve, suggesting the application of Self-Organized Criticality (SOC model. The SOC is used to describe natural phenomena as earthquakes, bank failures of rivers, mass extinctions, and other systems where a type of “catastrophic events” is necessary to maintain a critical equilibrium. In a sense, subjects at risk of crisis behavior seem to fit the same model as seismic zones at risk of earthquakes. The employment of the same strategies, as those successfully developed for known SOC systems, could lead to important insights for ASD management. Moreover, the SOC model offers possible interpretations of crisis behavior dynamics suggesting that they are unpredictable and, in a sense, necessary.
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Companies’ management during economic crisis
Kumpikaitė, Vilmantė; Grybauskas, Andrius; Juodelis, Mantas; Strumyla, Dovydas
2011-01-01
Lots of companies faced recent economic crisis. It was generated by global markets deregulation and it triggered relevant situation to emerge other types of crisis. Many scientists all over the world analyses how crisis affected global economy and changed companies’ management actions. Scientists exclude these types of crisis: economic, informational, physical, human resource, reputational, psychopathic acts production and financial. This paper examines economic crisis generated negative effe...
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Energy crisis? The likelihood of a global energy crisis
International Nuclear Information System (INIS)
Franssen, H.
2001-01-01
This paper assess global energy problems and compares the energy crises of the 1970s with current US energy problems. The reaction of the OECD countries to the oil crises of 1973/4 and 1979/80, the perception of future oil supplies, and the difficulties faced by ordinary consumers in accepting that there is an energy crisis are discussed along with the Californian electricity crisis, the falling US natural gas supplies, and the low return on investment in the US refining industry. The prospect of another oil crisis, and the need for consumers to learn to live with price volatility are considered
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Waiting for a Crisis: Case Studies of Crisis Leaders in Higher Education
Muffet-Willett, Stacy L.
2010-01-01
This study examines the system of crisis leadership in higher education. Using case study methods, five crisis leadership participants were interviewed to develop a deep understanding of how they perceive their university crisis leadership system. Two participants were from a private institution, and three were from a public institution. Higher…
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Handling Kids in Crisis with Care
Bushinski, Cari
2018-01-01
The Handle with Care program helps schools help students who experience trauma. While at the scene of an event like a domestic violence call, drug raid, or car accident, law enforcement personnel determine the names and school of any children present. They notify that child's school to "handle ___ with care" the next day, and the school…
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Research on Sichuan Cuisine Enterprises Crisis
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Jianfei Nan
2014-04-01
Full Text Available It is impossible to avoid crisis for Sichuan cuisine enterprises. On the basis of emphasizing the importance of the research of Sichuan cuisine enterprises crisis, the paper mainly analyzed the issue of Sichuan cuisine enterprises crisis from three aspects including formation mechanism of Sichuan cuisine enterprises crisis, the impact mechanism of Sichuan cuisine enterprises crisis and its response measures(such as principles, methods and strategiesin order to provide an important reference so that Sichuan cuisine enterprises have a correct understanding of the crisis, effectively response to the crisis, and strengthen crisis management so as to achieve their scientific development themselves. To some extent, the paper is helpful to cope with the crisis and promote the safety operation of the enterprises which are facing the crisis.
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Kitchingman, Taneile A; Wilson, Coralie J; Woodward, Alan; Caputi, Peter; Wilson, Ian
2018-05-01
Empathic engagement with distressed others can lead to elevated symptoms of psychological distress and functional impairment, which preclude helping professionals' delivery of optimal patient care. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. This study examined the relationship between functional impairment and intentions to use recommended support skills in a representative national sample of 210 telephone crisis support workers. Participants completed an online survey including measures of functional impairment and intentions to use recommended telephone crisis support skills with callers reporting suicidal ideation, symptoms of depression, and anxiety. As a group, participants who experienced greater functional impairment during the past month reported significantly lower intentions to use recommended support skills with callers than those who reported lower functional impairment. Future research is needed to clarify the extent to which results generalize to telephone crisis support workers from other organizations. Results warrant further research to (a) identify determinants of telephone crisis support workers' functional impairment, and (b) for the deliberate management of telephone crisis support workers' functional impairment through developing and/or modifying existing service strategies to optimize workers' psychological well-being and delivery of support to callers.
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Consequences of the crisis: New concepts
Andrei Marga
2010-01-01
The crisis that started in 2008 began with the malfunctioning of the financial mechanisms, i.e. as a financial crisis; it quickly became an economic crisis and is now threatening to become an energetic crisis and, lately, a crisis of agricultural products, announcing at the same time the crisis of a development model and an ontological crisis. It engages the questioning of certain conceptualizations and orientations. If one wonders about the new concepts employed by the foreseen “ontological ...
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Efficacy of treatment for hyperglycemic crisis in elderly diabetic patients in a day hospital
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Benaiges D
2014-05-01
Full Text Available D Benaiges,1–3 JJ Chillarón,1–3 MJ Carrera,1,3 F Cots,3,4 J Puig de Dou,1 E Corominas,1 J Pedro-Botet,1–3 JA Flores-Le Roux,1–3 C Claret,1 A Goday,1–3 JF Cano1–3 1Department of Endocrinology and Nutrition, Hospital del Mar, 2Department of Medicine, Universitat Autònoma de Barcelona, 3Institut Hospital del Mar d’Investigacions Mèdiques, 4Epidemiology and Evaluation Department, Parc de Salut Mar, Barcelona, Spain Background: The purpose of this prospective cohort study was to compare the costs of day hospital (DH care for hyperglycemic crisis in elderly diabetic patients with those of conventional hospitalization (CH. Secondary objectives were to compare these two clinical scenarios in terms of glycemic control, number of emergency and outpatient visits, readmissions, hypoglycemic episodes, and nosocomial morbidity. Methods: The study population comprised diabetic patients aged >74 years consecutively admitted to a tertiary teaching hospital in Spain for hyperglycemic crisis (sustained hyperglycemia [>300 mg/dL] for at least 3 days with or without ketosis. The patients were assigned to DH or CH care according to time of admission and were followed for 6 months after discharge. Exclusion criteria were ketoacidosis, hyperosmolar crisis, hemodynamic instability, severe intercurrent illness, social deprivation, or Katz index >D.Results: Sixty-four diabetic patients on DH care and 36 on CH care were included, with no differences in baseline characteristics. The average cost per patient was 1,345.1±793.6 € in the DH group and 2,212.4±982.5 € in the CH group (P<0.001. There were no differences in number of subjects with mild hypoglycemia during follow-up (45.3% DH versus 33.3% CH, P=0.24, nor in the percentage of patients achieving a glycated hemoglobin (HbA1c <8% (67.2% DH versus 58.3% CH, P=0.375. Readmissions for hyperglycemic crisis and pressure ulcer rates were significantly higher in the CH group
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Health care and higher education governance
DEFF Research Database (Denmark)
Vrangbæk, Karsten; Arrevaara, Timo; Hansen, Hanne Foss
2017-01-01
reveals patterns and constraints in different institutional settings. The paper concludes that Denmark and Norway initially tried to shelter the health care and higher education sectors, but they have moved on to more radical strategic responses as the crisis has persisted. Many similarities in the crisis...
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Economic crisis: prelude to an energetic crisis?
International Nuclear Information System (INIS)
Chevallier, B.
2009-01-01
Recession due to the financial crisis of 2008 has stopped the world economic development and the hydrocarbons sector too. Collapse of prices, cancellation of investments, reach of a 'peak demand', the four speeches which are given here, describe these impacts and their consequences; but in scrutinizing the incentives of the crisis, they show the new role of petroleum: pretext value against the weakness of dollar and the inflation risks, speculative value for the investment funds. (O.M.)
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Talking to Parents: Communication in Times of Crisis and Beyond.
Wendell, Charlene
2002-01-01
Camps should always have a crisis management plan, but the events of September 11, 2001, make it especially important. Honest communication with parents is paramount--directors should choose their words carefully and control the tone of their voices. Examples are given of crises involving weather, transportation, and a shooting. Questions to…
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Gifts in Health Crisis: The Use of Health Coaching to Create Opportunity for a More Meaningful Life.
Nutt, Theresa
2018-02-01
The purpose of this article is to explore health coaching as an effective intervention in times of health crisis for patients, families, and health-care staff. The pause that a health crisis creates in the activities of normal life allows for deeper questions about a person's life to emerge. Health coaching provides a safe space for clients to engage with these life questions while facilitating a connection with their sense of personal empowerment and innate inner wisdom. The result is a more meaningful and resilient life despite the outcome of the health crisis.
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Thyrotoxic and pheochromocytoma multisystem crisis: a case report.
Suzuki, Kodai; Miyake, Takahito; Okada, Hideshi; Yamaji, Fuminori; Kitagawa, Yuichiro; Fukuta, Tetsuya; Yasuda, Ryu; Tanaka, Yoshihito; Okamoto, Haruka; Nachi, Sho; Doi, Tomoaki; Yoshida, Takahiro; Kumada, Keisuke; Yoshida, Shozo; Ushikoshi, Hiroaki; Toyoda, Izumi; Ogura, Shinji
2017-06-23
. After retroperitoneal laparoscopic adrenalectomy on hospital day 33, his condition stabilized. He was discharged on hospital day 58. Since he required more intensive cardiovascular management for thyrotoxic crisis, beta blockade was increased under intensive care unit monitoring even though initial alpha blockade is recommended in pheochromocytoma. When these crises occur simultaneously, cardiovascular management can be very challenging.
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Currency Crisis Revisited: A Literature Review
Directory of Open Access Journals (Sweden)
Teuta Ismaili Muharremi
2015-12-01
Full Text Available This paper elaborates on currency crisis, focusing on the main factors causing the currency crisis. After a brief overview of the main factors driving currency crisis, the paper provides a literature review highlighting that the history of the global economy experienced a number of currency crisis whereas as relates to the triggers of the currency crisis there are three generations of models that have been used to explain currency crisis during the last four decades. Underscoring the role of the government in financial market, in particular the evolution of this role as a result of the recent global financial crisis and highlighting other factors that trigger such crisis, the paper concludes that the potential financial crisis can be addressed using early warning system, which consists of indicators proven to be beneficial in anticipation of the currency crisis, and using the advanced empirical models of currency crisis. In this context the paper reveals that currency crisis are associated with all factors impacting them such as inflation, real exchange rate, import growth, US interest rates, public debt/GDP, and current account/GDP – all with a slightly different time lag.
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DEFF Research Database (Denmark)
Borch, Christian
The November Revolution in 1918 made manifest and further unleashed a political crisis in Germany, the consequences of which have been thoroughly examined. What has attracted less attention is how the Revolution also triggered a semantic crisis within sociology, namely with regard to conceptions...... selected aspects of classical crowd semantics – in particular notions of imitation and suggestibility – and for placing them centrally in the understanding of the social, in times of crisis and not....
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Nuclear management during crisis: a study through representations of crisis managers
International Nuclear Information System (INIS)
Suchet, Romain
2015-01-01
This thesis is the result of almost 4 years of research carried out within the IRSN, one of the actors among the different actors in charge of nuclear crisis response. We started with the following question: how France gets prepared to manage a nuclear accident situation and what are the results of this preparation in a real accident case even if it is a minor accident or if it happens abroad? Thanks to a very fruitful documentary and in field research work, we are able to show in this thesis that the unilateral management of a 'crisis' situation by the different actors organized under the leadership of high level engineers from the 'Corps de mines', results in a very technical definition of the 'crisis' focused on the technical aspects while disregarding the general public. As a consequence, emergency drills that are defined and carried out do not prepare intervention teams to manage social reactions that may be caused by a nuclear accident. To the opposite and paradoxically, such a vision that neglects the reaction of the population may generate by itself a crisis situation even when an accident is deemed to be 'technically' of a minor importance. However the management system of nuclear crisis is evolving. Organizational changes in this area that progressively take into account the social factor, really result from the in field experience of dealing with the general public reactions during a real nuclear crisis. Crisis training and drills have a lesser impact on this evolution. (author)
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Crisis Management: Research Summaries
Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel
2013-01-01
This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…
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Consumer experience of formal crisis-response services and preferred methods of crisis intervention.
Boscarato, Kara; Lee, Stuart; Kroschel, Jon; Hollander, Yitzchak; Brennan, Alice; Warren, Narelle
2014-08-01
The manner in which people with mental illness are supported in a crisis is crucial to their recovery. The current study explored mental health consumers' experiences with formal crisis services (i.e. police and crisis assessment and treatment (CAT) teams), preferred crisis supports, and opinions of four collaborative interagency response models. Eleven consumers completed one-on-one, semistructured interviews. The results revealed that the perceived quality of previous formal crisis interventions varied greatly. Most participants preferred family members or friends to intervene. However, where a formal response was required, general practitioners and mental health case managers were preferred; no participant wanted a police response, and only one indicated a preference for CAT team assistance. Most participants welcomed collaborative crisis interventions. Of four collaborative interagency response models currently being trialled internationally, participants most strongly supported the Ride-Along Model, which enables a police officer and a mental health clinician to jointly respond to distressed consumers in the community. The findings highlight the potential for an interagency response model to deliver a crisis response aligned with consumers' preferences. © 2014 Australian College of Mental Health Nurses Inc.
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Husserl's Crisis as a crisis of psychology.
Feest, Uljana
2012-06-01
This paper places Husserl's mature work, The Crisis of the European Sciences, in the context of his engagement with--and critique of--experimental psychology at the time. I begin by showing (a) that Husserl accorded psychology a crucial role in his philosophy, i.e., that of providing a scientific analysis of subjectivity, and (b) that he viewed contemporary psychology--due to its naturalism--as having failed to pursue this goal in the appropriate manner. I then provide an analysis of Husserl's views about naturalism and scientific philosophy. Some central themes of the Crisis are traced back to Husserl's earlier work and to his relationship with his teacher, Franz Brentano, with whom he disagreed about the status of "inner perception" as the proper scientific method for a phenomenological analysis. The paper then shows that Husserl was well aware of at least one publication about the crisis of psychology (Bühler's 1927 book), and it teases out some aspects of the complicated relationship between Husserl and members of the Würzburg School of thought psychology: The latter had drawn on Husserl's writings, but Husserl felt that they had misunderstood his central thesis. I conclude by placing Husserl's work in the wider context of scientific, cultural, and political crisis-discourses at the time. Copyright © 2011 Elsevier Ltd. All rights reserved.
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Khubchandani, Jasmine A; Ingraham, Angela M; Daniel, Vijaya T; Ayturk, Didem; Kiefe, Catarina I; Santry, Heena P
2018-02-01
Owing to lack of adequate emergency care infrastructure and decline in general surgery workforce, the United States faces a crisis in access to emergency general surgery (EGS) care. Acute care surgery (ACS), an organized system of trauma, general surgery, and critical care, is a proposed solution; however, ACS diffusion remains poorly understood. To investigate geographic diffusion of ACS models of care and characterize the communities in which ACS implementation is lagging. A national survey on EGS practices was developed, tested, and administered at all 2811 US acute care hospitals providing EGS to adults between August 2015 and October 2015. Surgeons responsible for EGS coverage at these hospitals were approached. If these surgeons failed to respond to the initial survey implementation, secondary surgeons or chief medical officers at hospitals with only 1 general surgeon were approached. Survey responses on ACS implementation were linked with geocoded hospital data and national census data to determine geographic diffusion of and access to ACS. We measured the distribution of hospitals with ACS models of care vs those without over time (diffusion) and by US counties characterized by sociodemographic characteristics of county residents (access). Survey response rate was 60% (n = 1690); 272 responding hospitals had implemented ACS by 2015, steadily increasing from 34 in 2001 to 125 in 2010. Acute care surgery implementation has not been uniform. Rural regions have limited ACS access, with hospitals in counties with greater than the 75th percentile population having 5.4 times higher odds (95% CI, 1.66-7.35) of implementing ACS than hospitals in counties with less than 25th percentile population. Communities with greater percentages of adults without a college degree also have limited ACS access (OR, 3.43; 95% CI, 1.81-6.48). However, incorporating EGS into ACS models may be a potential equalizer for poor, black, and Hispanic communities. Understanding and
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Directory of Open Access Journals (Sweden)
Sara Picchi
2016-06-01
Full Text Available Over the past ten years in Italy, Spain and France, the demographic pressure and the increasing women’s participation in labour market have fuelled the expansion of the private provision of domestic and care services. In order to ensure the difficult balance between affordability, quality and job creation, each countries’ response has been different. France has developed policies to sustain the demand side introducing instruments such as vouchers and fiscal schemes, since the mid of the 2000s. Massive public funding has contributed to foster a regular market of domestic and care services and France is often presented as a “best practices” of those policies aimed at encouraging a regular private sector. Conversely in Italy and Spain, the development of a private domestic and care market has been mostly uncontrolled and without a coherent institutional design: the osmosis between a large informal market and the regular private care sector has been ensured on the supply side by migrant workers’ regularizations or the introduction of new employment regulations . The analysis presented in this paper aims to describe the response of these different policies to the challenges imposed by the current economic crisis. In dealing with the retrenchment of public expenditure and the reduced households’ purchasing power, Italy, Spain and France are experiencing greater difficulties in ensuring a regular private sector of domestic and care services. In light of that, the paper analyses the recent economic conjuncture presenting some assumptions about the future risk of deeper inequalities rising along with the increase of the process of marketization of domestic and care services in all the countries under analysis.
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Factors Associated with Parental Satisfaction with a Pediatric Crisis Clinic (PCC).
Lee, Jonathan; Korczak, Daphne
2014-05-01
Little is known about parental satisfaction with pediatric crisis clinics (PCCs) that provide a single consultation to families in need of urgent psychiatric care. Parental satisfaction may improve long-term adherence to physician recommendations. To explore parental satisfaction with a PCC. Parental satisfaction was ascertained by a structured telephone interview following crisis consultation at the PCC of an academic, tertiary care centre. Parents of 71% (n = 124) of 174 pediatric patients seen in the PCC from 2007-2008 participated in the post-consultation interview. The majority of parents stated they were either somewhat satisfied (49/122, 40.2%) or very satisfied (49/122, 40.2%) with the PCC. Parental satisfaction correlated with time between referral and consultation (p<0.05), the degree to which parents felt listened to by the consultant (p<0.01), the amount of psychoeducation parents felt they received (p<0.01), and appointment length (p<0.001). Parents were satisfied overall with an urgent care service model. Satisfaction was correlated with the time between referral and consultation, degree to which they felt their consultant had listened to them, and the amount of information they received at the consultation's conclusion.
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Childress, Vincent W.
2009-01-01
There is a potential crisis looming related to the world's need for energy. On the one hand, energy demands are growing every day, and could double by 2050. On the other hand, burning of traditional fossil fuels to generate electricity is contributing to the increase in greenhouse gases. Would it be advisable to increase the number of nuclear…
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Romanian Health Care Reform in the Context of Economic Crisis
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Victoria Gheonea
2010-12-01
Full Text Available The effects of financial crisis are strongly felt in Romania, which already face with asignificant slowdown in economic growth or even economic recession. The current and internationalsituation remains still difficult, and requires high budget constraints. Under these conditions, thehealth system in Romania has become one of the most inefficient in Europe, mainly characterized bylack of transparency in the allocation of funds and inefficiency in resource use. The lack of clear andcoherent criteria to evaluate the performance of health institutions results in a difficultimplementation of efficient managerial systems to reward the efficient manager.
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Management of the mass casualty from the 2001 Jos crisis.
Ozoilo, K N; Kidmas, A T; Nwadiaro, H C; Iya, D; Onche, I I; Misauno, M A; Sule, A Z; Yiltok, S J; Uba, A F; Ramyil, V M; Dakum, N K; Ugwu, B T
2014-01-01
We report our experience in the hospital management of mass casualty following the Jos civil crisis of 2001. A retrospective analysis of the records of patients managed in the Jos civil crisis of September 2001, in Plateau State, Nigeria. Information extracted included demographic data of patients, mechanisms of injury, nature and site of injury, treatment modalities and outcome of care. A total of 463 crisis victims presented over a 5 day period. Out of these, the records of 389 (84.0%) were available and analyzed. There were 348 (89.5%) males and 41 females (10.5%) aged between 3 weeks and 70 years, with a median age of 26 years. Most common mechanisms of injury were gunshot in 176 patients (45.2%) and blunt injuries from clubs and sticks in 140 patients (36.0%). Debridement with or without suturing was the most common surgical procedure, performed in 128 patients (33%) followed by exploratory laparotomy in 27 (6.9%) patients. Complications were documented in 55 patients (14.1%) and there were 16 hospital deaths (4.1% mortality). Challenges included exhaustion of supplies, poor communication and security threats both within the hospital and outside. Most patients reaching the hospital alive had injuries that did not require lifesaving interventions. Institutional preparedness plan would enable the hospital to have an organized approach to care, with better chances of success. More effective means of containing crises should be employed to reduce the attendant casualty rate.
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Modified crisis intervention for personality disorder.
Rudnick, A
1998-01-01
This study proposes that the goal of crisis intervention for persons with personality disorders should be to return them to their pre-crisis level of functioning, even though this is maladaptive. This is contrasted with standard crisis intervention, which aims to return normal or neurotic persons to their pre-crisis normal or neurotic functioning, usually by means of few and short-term therapeutic encounters. The modification proposed costs more time and resources in persons with personality disorders in crisis and fits the intervention to the personality type. This is illustrated by the case of Eve, a patient in crisis, whose pre-crisis functioning was maladaptive because of a dependent personality disorder. The goal of (modified) crisis intervention in this case was to return the patient to her dependent lifestyle, by means of pharmacotherapy combined with intensive supportive psychotherapy during 3-4 months of partial (day) hospitalization. The special nature of crisis in personality disorders is discussed.
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DEFF Research Database (Denmark)
Mogensen, Kirsten
2014-01-01
The three social phenomena -- norms, trust, and crisis -- are in this paper combined into one model that illustrates their function and relationship. Crisis is seen as a reaction to serious violations of expectations that leave people disoriented, insecure about situational norms, and unable...... to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968), Alf Ross Directives and Norms (1967), and Arthur G. Neal National Trauma...
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Keramidou, Ioanna; Triantafyllopoulos, Loukas
2018-04-01
The influence of the financial crisis on the efficiency of Greek public hospitals has been widely debated. Despite this increasing interest in such research, the question of to what extent the recent reforms in the Greek National health care system were effective in establishing a health care structure and process that provide better results for patients has yet to be fully investigated. As a step in this direction, the paper focuses on patient's experience with public hospital care quality before and during the economic crisis. A questionnaire survey was carried out among 1872 patients discharged from 110 out of the total of 124 Greek public hospitals. Patients' perceptions were analysed using a structural equation modelling approach. The findings reveal that public hospital service quality is at a medium level (66.2 on a scale from 1 to 100) over 2007-2014, presenting a decreasing trend during the recession. Policies to address the crisis may have contributed to a reduction in hospital expenditures, but at the same time patients were increasingly dissatisfied with the technical care. Consequently, there is a need for reforms aimed at the achievement of productivity gains, responsibility, and transparency in the management of productive resources, by enabling health organisations to reduce their costs without a deterioration in the quality of care. Copyright © 2017 Elsevier B.V. All rights reserved.
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The Venezuelan oil crisis; La crisis del petroleo venezolano
Energy Technology Data Exchange (ETDEWEB)
Billig, Michelle [Council on Foreign Relations (United States)
2004-10-15
The last year, Washington was taken aback by the crisis in Caracas. Such crisis caused the crude oil prices were shot up and it exposed the United States' weak points with regard to both the forecast and the management of the possible threats to their energy supply. Both the government and the industry should do better for the next time. [Spanish] Washington fue tomado por sorpresa cuando se desato la crisis del ano pasado en Caracas, hecho que causo que se dispararan los precios del petroleo y expuso las fallas en la capacidad de Estados Unidos de pronosticar y poder manejar las amenazas a su suministro energetico. Tanto el gobierno como la industria deben hacerlo mejor la proxima vez.
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The rightful place of science science on the verge
2016-01-01
A crisis looms over the scientific enterprise. Not a day passes without news of retractions, failed replications, fraudulent peer reviews, or misinformed science-based policies. The social implications are enormous, yet this crisis has remained largely uncharted—until now. In Science on the Verge, luminaries in the field of post-normal science and scientific governance focus attention on worrying fault-lines in the use of science for policymaking, and the dramatic crisis within science itself. This provocative new volume in The Rightful Place of Science also explores the concepts that need to be unlearned, and the skills that must be relearned and enhanced, if we are to restore the legitimacy and integrity of science.
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En Alto Riesgo: La Crisis De La Salud Pública En El Instituto Materno Infantil De Bogotá.
Directory of Open Access Journals (Sweden)
César ernesto abadía barrero.
2006-12-01
Full Text Available This article examinesthe impact of the economic crisis of the instituto materno infantil, colombia, on patients and workers. Families comment on the quality and warmth of health care provided; however, healthcare workers act as buffers protecting patients from the full impact of the crisis. in addition, delays in workers' payments have worsened their quality of life and forced them to look for additional income. We discuss connections between the economic crisis of public hospitals and structural adjustment and conclude that the "problem" of financial viability of the hospitals needs to be analyzed with a political economy framework.
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Trantham, Doug; Sherry, Anne
2012-01-01
Mobile crisis management teams provide crisis prevention and intervention services in community settings. The Appalachian Community Services crisis management program shows how such teams can be used to effectively serve rural communities.
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Crisis, routine, consolidation: the politics of the Mediterranean migration crisis
Jeandesboz, J.; Pallister-Wilkins, P.
2016-01-01
The current ‘migration crisis’ is framed as a moment of reckoning in the EU’s dealings with its Mediterranean neighbourhood. Yet to what extent is crisis the most useful tool to account for migration and European border control practices in the current context? An exclusive focus on crisis, we
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International Nuclear Information System (INIS)
Rosa, L.P.
1984-01-01
Several aspects of the Brazilian energy policy are dealt with, regarding petroleum, electric energy and the nuclear question. Regional and international aspects relating to the energy crisis are discussed, and some alternatives for this crisis are suggested. (I. de C.R.) [pt
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DEFF Research Database (Denmark)
Juego, Bonn; Schmidt, Johannes Dragsbæk
The paper hopes to contribute to a reading of the political economy of the current global crisis with a focus on four interrelated themes. First, we discuss the constitutive role and functional character of crises in the evolution of neo-liberalism in particular and in capitalist reproduction...... opposing crisis responses—from multilaterals to regional organisations to global civil society—and realise that responses from either pro-neoliberal or anti-neoliberal forces are fundamentally the same through the years, simply re-articulating analyses and programmes that they have respectively...... pursued and advocated long before the global crisis. And fourth, in the context of East and Southeast Asia, we examine the tendencies of the global crisis vis-à-vis the strengthening and even acceleration of emergent authoritarian liberalism in the region despite and because of the global crisis....
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Wright-Reid, Alison
2018-01-01
Crisis situations are inherently uncertain and threatening. Although the primal stress reactions they provoke deliver some advantages, they so severely restrict intellect and behaviour that consultants observe crisis teams making the same mistakes over and again. Stress risks can be managed before, during and after a crisis. Crisis planning can select the right people, control the crisis team environment, and mitigate fatigue risks and memory demands. Because stress reactions are primitive, stress can be manipulated at a remarkably primitive level and teams can increase their resilience through such basics as sleep and breathing skills. Teams can learn to manipulate perceptions of danger, to tolerate uncertainty and to become comfortable making decisions which were reasonable at the time. Crisis leaders can frame the crisis as a challenge and options as gains, and can ensure the team avoids groupthink and challenges the paradigm. Where individuals are trained to apply critical thinking processes, intuitive decision-making is not only fast, but also accurate, and helps to challenge assumptions, predictions and groupthink. Crises are more easily recognised and managed where training has covered critical decision methods.
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Integrated crisis management exercises
International Nuclear Information System (INIS)
Callen, R.B.; DeHart, R.E.
1994-01-01
This paper describes some of the steps that Mobil has taken to enhance their crisis management capability and to improve their readiness. The approach stretches from the individual plant level to Mobil's Corporate offices in Fairfax, Virginia. Some of the lessons learned from several integrated crisis management exercises are outlined and some areas where additional industry co-operation in crisis management could pay dividends are suggested
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McCarty, Sean P.
2012-01-01
On any given day, principals could find themselves faced with a situation that could define their roles as crisis leaders. This dissertation research offers an exploratory study in the field of crisis response and educational leadership. From experts in the field of crisis response, the author compiled a list of crisis management competencies…
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Insights into the Ukrainian Crisis
Directory of Open Access Journals (Sweden)
Costel Daniel Arfire
2014-05-01
Full Text Available Political crises are increasingly frequent and devastating not only for the population of a state, but also for the international diplomacy. Such an example is the ongoing Ukrainian crisis. Starting from S. Fink‘s life cycle of a crisis and T.W. Coombs‘s crisis response strategies, I will analyse the evolution of the Ukrainian crisis and the crisis response strategies of three major international actors: Vladimir Putin, Barack Obama and Angela Merkel. The findings of my study will prove that the denial strategy prevails in Putin‘s statement, whereas Obama uses the diminish strategy and Merkel focuses on the bolstering strategy.
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Isaak, Robert Scott; Stiegler, Marjorie Podraza
2016-04-01
The practice of medicine is characterized by routine and typical cases whose management usually goes according to plan. However, the occasional case does arise which involves rare catastrophic emergencies, such as intraoperative malignant hyperthermia (MH), which require a comprehensive, coordinated, and resource-intensive treatment plan. Physicians are expected to provide expert quality care for routine, typical cases, but is it reasonable to expect the same standard of expertise and comprehensive management when the emergency involves a rare entity? Although physicians would like to say yes to this question, the reality is that no physician will ever amass the amount of experience in patient care needed to truly qualify as an expert in the management of a rare emergency entity, such as MH. However, physicians can become expert in the global process of managing emergencies by using the principles of crisis resource management (CRM). In this article, we review the key concepts of CRM, using a real life example of a team who utilized CRM principles to successfully manage an intraoperative MH crisis, despite there being no one on the team who had ever previously encountered a true MH crisis.
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Directory of Open Access Journals (Sweden)
Kirsten Mogensen
2014-06-01
Full Text Available The three social phenomena -- norms, trust, and crisis -- are in this paper combined into one model that illustrates their function and relationship. Crisis is seen as a reaction to serious violations of expectations that leave people disoriented, insecure about situational norms, and unable to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968, Alf Ross Directives and Norms (1967, and Arthur G. Neal National Trauma & Collective Memory (1998.
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Protecting Pakistan's health during the global economic crisis.
Jooma, R; Khan, A; Khan, A A
2012-03-01
The world is facing an unprecedented global economic crisis, with many countries needing to reconsider their level of health care spending. This paper explores the many consequences of the global economic turndown on Pakistan's health, including reduced government and donor spending and increased poverty with the consequent diversion of funds away from health. Nevertheless, these challenges may provide opportunities not only to mitigate the adverse effects of the economic crisis but also to institute some much-needed reforms that may not receive political support during more affluent times. Our suggestions focus on setting priorities based on the national disease burden, prioritizing prevention interventions, demanding results, curbing corruption, experimenting with innovative funding mechanisms, advocating for increased funding by presenting health spending as an investment rather than an expense and by selected recourse to civil society interventions and philanthropy to bridge the gap between available and needed resources.
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Morant, Nicola; Lloyd-Evans, Brynmor; Lamb, Danielle; Fullarton, Kate; Brown, Eleanor; Paterson, Beth; Istead, Hannah; Kelly, Kathleen; Hindle, David; Fahmy, Sarah; Henderson, Claire; Mason, Oliver; Johnson, Sonia
2017-07-17
Crisis resolution teams (CRTs) can provide effective home-based treatment for acute mental health crises, although critical ingredients of the model have not been clearly identified, and implementation has been inconsistent. In order to inform development of a more highly specified CRT model that meets service users' needs, this study used qualitative methods to investigate stakeholders' experiences and views of CRTs, and what is important in good quality home-based crisis care. Semi-structured interviews and focus groups were conducted with service users (n = 41), carers (n = 20) and practitioners (CRT staff, managers and referrers; n = 147, 26 focus groups, 9 interviews) in 10 mental health catchment areas in England, and with international CRT developers (n = 11). Data were analysed using thematic analysis. Three domains salient to views about optimal care were identified. 1. The organisation of CRT care: Providing a rapid initial responses, and frequent home visits from the same staff were seen as central to good care, particularly by service users and carers. Being accessible, reliable, and having some flexibility were also valued. Negative experiences of some referral pathways, and particularly lack of staff continuity were identified as problematic. 2. The content of CRT work: Emotional support was at the centre of service users' experiences. All stakeholder groups thought CRTs should involve the whole family, and offer a range of interventions. However, carers often feel excluded, and medication is often prioritised over other forms of support. 3. The role of CRTs within the care system: Gate-keeping admissions is seen as a key role for CRTs within the acute care system. Service users and carers report that recovery is quicker compared to in-patient care. Lack of knowledge and misunderstandings about CRTs among referrers are common. Overall, levels of stakeholder agreement about the critical ingredients of good crisis care were high, although
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Chaos and Crisis: Propositions for a General Theory of Crisis Communication.
Seeger, Matthew W.
2002-01-01
Presents key concepts of chaos theory (CT) as a general framework for describing organizational crisis and crisis communication. Discusses principles of predictability, sensitive dependence on initial conditions, bifurcation as system breakdown, emergent self-organization, and fractals and strange attractors as principles of organization. Explores…
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Humanson, Richard; Nordeman, Patrik
2017-01-01
Abstract Purpose: In a competitive and constituently changing global business environment, it is almost impossible for organizations to avoid crises of various types and magnitude. The objective of this study is to display relationships between perception of crisis awareness, crisis readiness and the organizations` actual crisis management initiatives against major industrial crises. This thesis also aims to clarify if the perception of crisis-awareness and crisis-readiness could ...
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Thyrotoxic crisis presenting with jaundice.
Wickramasinghe, R D S S; Luke, W A N V; Sebastiampillai, B S; Gunathilake, M P M L; Premaratna, R
2016-06-23
Thyrotoxic crisis is a medical emergency requiring early diagnosis and urgent management, which can be challenging due to its diverse clinical presentations. While common presentations include fever, sweating, palpitations, tremors and confusion, presence of jaundice is rare. We report a 35-year-old male who presented with jaundice due to cholestasis along with other features of thyrotoxic crisis due to Graves' disease. He had a good clinical recovery with resolution of cholestasis following treatment for thyrotoxic crisis. Jaundice can be a rare manifestation of thyrotoxic crisis, and should be considered in the differential diagnosis when other clinical features of thyrotoxic crisis are present. However secondary causes of jaundice should be looked into and excluded.
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The Nature of Crisis in Enterprise Activities
Directory of Open Access Journals (Sweden)
Kozachenko Ganna V.
2017-09-01
Full Text Available It is shown that the concept of enterprise anti-crisis management and its components should be based on the nature of crisis in enterprise activities, the idea of which is the fundamental basis of enterprise anti-crisis management and determines its object, subject, tasks, main guidelines and vectors. Examples of defining the concept “crisis in enterprise activities”, which testify to the lack of unity of views on its content, are given. There revealed the attributive nature of crisis in enterprise activities, according to which a crisis, being an attribute of the system “enterprise”, begins intensifying under the influence of driving forces and individual factors, which is identified by presence of disruptions in the performance by the enterprise of its functions. There substantiated the expediency of singling out manifestations of crisis in enterprise activities (crisis phenomena, crisis situation and crisis state depending on the level of disruptions in the performance by the enterprise of its functions, which is of great importance for determining the tasks of enterprise anti-crisis management. The crisis cycle in enterprise activities in any of its manifestations is analysed, features of the cycle are considered.
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The health crisis in Argentina.
Escudero, José Carlos
2003-01-01
The health crisis in Argentina is part of the larger crisis that has resulted from a collapse in the country's economic and political systems. After a brief review of the country's history over the last century, from international success story to economic failure, the author explains the health crisis in particular and the social crisis in general in terms of failed neoliberal policies imposed on Argentina by the United States and International Monetary Fund through the mediation of the country's political class.
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Johansson, Mikael
2017-01-01
The BP Deepwater Horizon crisis in 2010 was one the largest catastrophes in the history of the oil industry. BP was sued over the disaster, and lost several billion dollars. This study examines the crisis response strategies and/or image repair strategies, which can be found in BP's press releases following the Deepwater Horizon crisis. In particular, the study looks closer at what established crisis communication strategies could be discerned in the material, and how they are used discursive...
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Beldad, Ardion D.; van Laar, Ester; Hegner, Sabrina M.
2018-01-01
A scenario-based 2 (communication timing: stealing thunder vs. thunder) × 2 (pre-crisis reputation valence: positive vs. negative) × 2 (crisis type: product-harm vs. moral-harm) between-subjects experiment was implemented with 273 Dutch participants to address the question of whether or not the
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From Subprime and Eurozone Crisis with Full Speed into the Next Financial Crisis
Directory of Open Access Journals (Sweden)
Strašek Sebastjan
2017-09-01
Full Text Available This paper offers an analysis of the road from subprime and eurozone crisis to the elements of a new systemic crisis. Our aim is to research common issues that accompany each of these crises and to explore elements that hint that the financial systems are moving toward a new crisis. By holding short-term interest rates near zero, the central banks have encouraged malinvestment and speculation. Fuelling the bubble is the fear of missing out on trade. We find that actual events and movements on security markets follow a typical pattern, which indicates a serious threat for the next financial crisis. We also find enough signs that old crises lessons haven’t been learned.
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[Total quality management in times of crisis. The case of Argentina].
Larroca, Norberto
2003-01-01
Healthcare organizations were faced with so great a challenge following the financial slump that they were forced to 'sharpen their wits' in order to survive. Integrated Quality Management (in Spanish GIC), proved the ideal instrument. GIC has four foundational elements, the application of which allow for successful management of crisis situations. They are as follows: TRAINING of human resources EVALUATION of healthcare institutions SELF-EVALUATION by institutions QUALITY ACCREDITATION of institutions All our organizations have the appropriate tools to carry out these activities which form the basis of our project: CAES (Argentinean Chamber of Healthcare Institutions) -training-, CIDCAM (Inter-institutional Committee for Quality Development in Medical Care) -evaluation and self-evaluation-, CENAS (Specialist Centre for the Standardization and Accreditation in Health Care)-accreditation-. In times of crisis, we play an active part, that is, instead of withdrawing our efforts, we do our best to achieve the best and most adequate objective in order to meet the needs of the population through Integrated Quality Management. Eventually, when the results are examined, medical care that meets the best quality standards is found to be, after all, the most economical (that is best results, better satisfaction of healthcare users and providers as well as less mistakes).
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Directory of Open Access Journals (Sweden)
JiYeon Jeong
2015-08-01
Full Text Available For the purpose of enhancing organizational sustainability during a crisis, an organization takes a position in decision-making, how to respond toward its public, and that is supposed to determine which stance or tactic to employ. This study aims to examine whether publics’ perceptions of organizational crisis responsibility affect their expectations that an organization should choose certain stances and strategies toward the public in a crisis. To address these concerns, an experiment was conducted. As the specific public of this research, health journalists were selected, since they affect public perceptions significantly and public opinion can ultimately put pressure on an organization. Results from an analysis of the experimental data with health journalists confirm that they expect a more accommodative stance/strategy when they perceive that the organization is highly responsible for a health-related crisis. Conversely, when the journalists perceive that an organization has a low level of responsibility for a crisis, they expect a more advocative stance/strategy. By taking into account the health journalists’ expectations along with the needs of the organization, public relations practitioners are better able to make optimal decisions regarding their client organizations’ adopted stance and strategy, and finally, enhance organizational sustainability in a crisis.
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Smith, Eric R.A.N.; Carlisle, Juliet; Michaud, Kristy
2003-01-01
In every energy crisis the U.S. has faced—beginning with the first crisis in 1973—we have seen a common sequence of events, which has been labelled the “energy crisis cycle” (Smith 2002). The steps in the cycle are: (1) When the demand for energy exceeded the supply, energy prices rose sharply — starting the energy crisis cycle. (2) Along with increases in energy prices came large increases in the profits of energy producers. (3) Politicians and interest group advocates criticized the energy...
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Interprofessional intensive care unit team interactions and medical crises: a qualitative study.
Piquette, Dominique; Reeves, Scott; Leblanc, Vicki R
2009-05-01
Research has suggested that interprofessional collaboration could improve patient outcomes in the intensive care unit (ICU). Maintaining optimal interprofessional interactions in a setting where unpredictable medical crises occur periodically is however challenging. Our study aimed to investigate the perceptions of ICU health care professionals regarding how acute medical crises affect their team interactions. We conducted 25 semi-structured interviews of ICU nurses, staff physicians, and respiratory therapists. All interviews were audio-taped and transcribed, and the analysis was undertaken using an inductive thematic approach. Our data indicated that the nature of interprofessional interactions changed as teams passed through three key temporal periods around medical crises. During the "pre-crisis period", interactions were based on the mutual respect of each other's expertise. During the "crisis period", hierarchical interactions were expected and a certain lack of civility was tolerated. During the "post-crisis period", divergent perceptions emerged amongst health professionals. Post-crisis team dispersion left the nurses with questions and emotions not expressed by other team members. Nurses believed that systematic interprofessional feedback sessions held immediately after a crisis could address some of their needs. Further research is needed to establish the possible benefits of strategies addressing ICU health care professionals' specific needs for interprofessional feedback after a medical crisis.
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Directory of Open Access Journals (Sweden)
William I. Robinson
2015-08-01
Full Text Available As part of my research for a book manuscript on the crisis of global capitalism I recently finished writing (Robinson forthcoming, I decided to re-read the classic 1978 study conducted by the noted socialist and cultural theorist Stuart Hall and several of his colleagues, Policing the Crisis. The authors show in that book how the restructuring of capitalism as a response to the crisis of the 1970s - which was the last major crisis of world capitalism until the current one hit in 2008 -led in the United Kingdom and elsewhere to an "exceptional state," by which they meant a situation in which there was an ongoing breakdown of consensual mechanisms of social control and a growing authoritarianism.
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The Post-Crisis Healthcare System: Effects of the Economic Crisis in Romania
Directory of Open Access Journals (Sweden)
Marta Christina SUCIU
2012-05-01
Full Text Available The economic crisis is still on the lips of economic and political analysts from nations around the world, even more so in places where its effects continue to make themselves felt. Romania is among these troubled countries, having to deal with no just the aftermath but also signs of a possible relapse. This paper begins with a brief presentation of the economic crisis, focusing on the national specificities along with its EU member status and their effects on the evolution of the situation. Following that, the more important elements of the presented situation are identified and individually analyzed, with the purpose of identifying useful information for any possible future crisis. The final purpose of the paper is to determine the trajectory of a future crisis by taking into account inefficient management of the economic system and the strategies used to safeguard the economy, which have up until now failed to properly deal with the situation. In order to properly achieve this purpose, the analysis will attempt to identify the impact of the crisis on the healthcare system and its post-crisis configuration as well as the steps taken at the administrative level. The results of this interdisciplinary research are meant to be used as a source for a future expansion of the study and to bring attention to certain areas that can show a possible recurrence in the future.
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A state of emergency in crisis communication: An intercultural crisis communication research agenda
Diers-Lawson, AR
2016-01-01
This article seeks to provide an evidence-based set of recommendations for the development of an intercultural crisis communication research agenda with three goals. First, to provide an advancement in our understanding of the state of crisis communication research in general. Second, to offer a grounded introduction to crisis communication for intercultural scholars who may not be as familiar with the field. Finally to identify three broad evidence-based areas for developing intercultural cr...
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[Crisis management during obstetric surgery].
Okutomi, Toshiyuki
2009-05-01
Obstetric crisis includes hemorrhagic shock, embolisms and difficult airway. Life will be rapidly threatened with disseminated intravascular coagulation, multiple organ failure or systemic inflammatory response syndrome in these crises. In the face of the crisis, repeated evaluation of parturients and differential diagnosis are necessary along with fetal heart monitoring. For evaluation of bleeding, one should notice that the visual estimation of vaginal bleeding does not reflect the extent of intravascular volume deficit. Treatments for hemorrhagic shock include fluid replacement, blood transfusion as well as fresh frozen plasma, platelet, anticoagulants, anti-thrombin III, and protease inhibitors. When bleeding is still uncontrollable, arterial embolization or hysterectomy will be considered. Embolic disorders are another cause of maternal mortality. The signs and symptoms are all similar (dyspnea, cyanosis and sudden cardiovascular collapse). Strategies against the embolism will be basically symptomatic therapy. The physiological change with pregnancy results in the need of careful pre-anesthetic airway evaluation for parturients. A difficult or failed intubation drill is also extremely important. Recently, laryngeal mask airway has been successfully used in these parturients. During resuscitation of a pregnant woman, left uterine displacement is essential. For a patient who has not responded after 4 to 5 minutes of ACLS, immediate cesarean delivery should be considered.
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Cuba’s Critical Juncture: Main Challenges
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Vegard Bye
2017-11-01
Full Text Available Cuba is rapidly approaching a critical juncture, where a complete and generational change of leadership is unavoidable (between 2018 and 2021. The country and its Revolution is up against some unavoidable and complicated choices in the coming four years. With the rapidly approaching end of the Castro era, without any clear new leadership structure in sight, and with an apparently unsolvable economic crisis and rapidly shrinking confidence in the political power bloc particularly among the younger generations, a deep legitimacy crisis is looming. What are the principal challenges ahead, and how can and will they be solved?
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Care Wounds: Precarious Vulnerability and the Potential of Exposure.
Cubellis, Lauren
2018-04-07
What does it mean to offer care when the act of caring is wounding to its giver? For peer specialists-individuals with lived experience as patients in the psychiatric system-this question shapes how they use their own histories to provide support for individuals experiencing psychiatric crisis. Peer support is unique in the way it draws on empathetic resonance and depends on carefully deployed vulnerability; where one connects with others through the recognition of shared experience and mutual hurt. For peers, care works when this guidance, reassurance, and "being with"-all of which draw upon their own stories of traumatic history and variegated suffering-mitigate the present crisis being experienced by another. Drawing on twenty-eight months of fieldwork with a peer-staffed crisis respite center in the eastern United States, I argue that the peer specialist becomes the embodiment of a novel intersection of intimacy and compensation; one that poses vulnerability not as a consequence, casualty, or risk factor in the commodification of care, but as its principle vector of resonance and the assumption on which it is based. For peers, care that works-in that it creates a mutual resonance for the recipient-becomes simultaneously care that wounds its giver.
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Dückers, M.L.A.; Yzermans, C.J.; Jong, W.; Boin, A.
2017-01-01
Epidemiological research has documented the serious health issues that can affect the victims of disasters and major crises. Yet, the psychosocial dimension of crisis has received little attention in crisis management literature. This paper integrates psychosocial principles with a model of
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Crisis and Communication among Rural Poor People
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Agus Ganjar Runtiko
2015-07-01
Full Text Available The effect of the crisis is often multiple on people in rural poverty that secluded and away from the reach of government. Main factor cannot be ignored in crisis is communication. Prolonged crisis will occur when the channels of communication in society clogged. This study establishes three specific targets: (1 To obtain a comprehensive overview of the rural poor people’s knowledge about the crisis and the potential impact, (2 To discover crisis problems faced by the rural people poor, (3 To enlist communication problems in a crisis situation. This study used a qualitative method with a case study approach. Research data collect by conducting FGD of 40 informants selected based on purposive sampling, furthermore eight people were interviewed in depth, plus other supporting informant. The results of the research show people on those two locations have understood the crisis based on their experience of dealing with it. They believe the economic crisis as the first aspect that must be resolved. The completion of crisis should consider indigenous wisdom to avoid a new crisis.
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RESTRUCTURING COMPANIES UNDER CRISIS
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Hezi Aviram SHAYB
2016-12-01
Full Text Available Nobody is planning to fail, but many companies are failing because of lack of planning. Real business experience showed during the years that crisis can be prevented, avoided or limited. If detected in time, the risks associated with the crisis can be mitigated and the effects can be diminished, with the condition that the actions required are done fast, in a sharp and accurate manner. When it comes, a crisis brings an intense level of pressure and under these conditions there is no time or room for mistakes. Delays, losing focus and lack of planning will bring a company one step away from failure. The right way to deal with crisis, if required measures are not done in time, is to minimize the losses and reposition in the best way possible. Analysing the success stories of some of the biggest and strongest companies in the world, led to an important conclusion: the majority of these companies were in the situation to face huge crises which threatened their ability to survive in certain moments, on their way to success. With the right planning and by setting a proper organisational structure, the negative aspects of the crisis can be turned into benefits and opportunities for the company. The most critical challenge for management is to assess the level of exposure to risk of the company and identify the key points to focus on in order to overcome the crisis and create value. In order to set up a strong plan in dealing with crisis, a business organisation needs reliable, efficient and effective tools and this is what this article is all about.
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Mortari, Luigina
2004-01-01
The root of the ecological crisis lies in an ethic of nature consumption. In order to reconstruct our cultural framework, it is necessary to cultivate another ethical approach, an ethic of care. It is the responsibility of school to encourage students to learn how to care for not only the human world, but also for the natural world. This paper is…
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Crisis in the Curriculum? New Counselors' Crisis Preparation, Experiences, and Self-Efficacy
Morris, Carrie A. Wachter; Minton, Casey A. Barrio
2012-01-01
Professional counselors are responsible for providing crisis assessment, referral, and intervention (Council for Accreditation of Counseling and Related Educational Programs, 2009); however, little is known about their preparation and experiences in these areas. This study examined new professional counselors' (N= 193) crisis intervention…
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El derecho constitucional y la crisis = Constitutional law and the crisis
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Enrique Álvarez Conde
2013-09-01
Full Text Available La actual crisis económica, originada por una serie de sujetos activos con la pretensión de ocupar determinados espacios públicos, es una de las consecuencias de la llamada «globalización de la miseria». La misma esta poniendo en tela de juicio el modelo democrático de las democracias occidentales, produciendo una crisis institucional más grave aún que la propia crisis económica. Ello conduce a la necesidad imperiosa de proporcionar respuestas normativas adecuadas, que requieren la utilización de nuevas categorías dogmáticas. A este respecto, el Derecho constitucional, como Derecho común del ordenamiento jurídico y como Derecho principial, se encuentra en una posición prevalente para llevar a cabo, en colaboración con las demás disciplinas jurídicas, todo ese proceso de reconstrucción dogmática que ha de conducir, necesariamente, a una constitucionalización de lo privado. The current economic crisis, caused by a series of active subjects with the aim of occupying certain public spaces, is one of the consequences of the «globalization of poverty». It is putting into question the democratic model of Western democracies, causing a constitutional crisis even worse than the economic crisis itself. This leads to the imperative to provide appropriate policy responses, requiring the use of new categories dogmatic. In this regard, constitutional law, and common law legal system and as principial law, is prevalent in a position to carry out, in collaboration with other legal disciplines, all that dogmatic reconstruction process that must lead necessarily, a constitution for the private.
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The Welfare State as Crisis Manager: Explaining the Diversity of Policy Responses to Economic Crisis
DEFF Research Database (Denmark)
Starke, Peter; Kaasch, Alexandra; van Hooren, Franca
Written during an ongoing period of global economic crisis, The Welfare State as a Crisis Manager examines the practice and potential of using social policy to cope with crises. Through an in-depth analysis of social policy reactions in the wake of international economic shocks in four different...... welfare states, over a 40-year period, the book reveals the ways in which expansion and retrenchment are shaped by domestic politics and existing welfare state institutions. Moreover, the study addresses the kind of policy change triggered by economic crisis. In contrast to conventional wisdom...... and previous scholarship, reactions tend to be characterised by incrementalism and 'crisis routines' rather than fundamental deviations from earlier policy patterns. For the first time, the study of domestic political dynamics following crisis is systematically embedded in the transnational policy debate...
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Geiger, Karin
2010-01-01
The buzzword "crisis" has not only become omnipresent since the recent financial crisis. The term that originated in Ancient Greece underwent several different usages--quantitatively as well as qualitatively; especially in the Weimar Republic, the time period that has long been considered as the crisis era par excellence. Using the discourse about the "crisis of medicine" in the 1920s and the early 1930s as an example, the article attempts to provide a critical reflection on the concept of "crisis". The focus of this article is on the idea's construction, the different semantic usages of "crisis" and the motives of the different authors for their respective rhetorical applications of this term. The analysis of the examined publications on the "crisis of medicine", how they influenced other periods and the reconstruction of their origin show that the semantics of the word "crisis" went far beyond a simply negative connotation, and with regard to its rhetorical usage have oscillated between keyword and a meaningless but catchy buzzword.
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Veterans Crisis Line: 1-800-273-8255
Veterans Crisis Line Skip to Main Content SuicidePreventionLifeline.org Get Help Materials Get Involved Crisis Centers About Be There ... Line FAQs Veteran Suicide Welcome to the Veterans Crisis Line Website The Veterans Crisis Line connects Veterans ...
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Directory of Open Access Journals (Sweden)
Bilal Aziz
2012-07-01
Full Text Available This paper seeks to explain some main factors behind the Financial Crisis 2007–2009 with a special focus on the Real Estate Bubble and Transparency and Accountability Issues in US Financial System and how these two factors generated and worsen the crisis. Financial Crisis 2007–2009, which starts from the United States sub–prime mortgage market and spread to US financial sector and later on spread to the rest of world, is said to be an even bigger crisis than the Great Depression of 1929. This crisis is unique in this way and we haven’t seen such a bigger impact world wide from any other crisis. This paper would empirically prove the main causes which are right in the heart of the crisis and least discussed
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Kobak, Senol; Hacivelioglu, Servet; Gungor, Selen
2014-01-01
This paper presented a 28-year-old female with systemic sclerosis who developed scleroderma renal crisis and ovarian hyperstimulation syndrome following clomiphene administration. Urgent therapy including angiotensin-converting enzyme (ACE) inhibitors and supportive care resulted in regression and eventually resolution of all the clinical and laboratory symptoms. Although scleroderma renal crisis is a fatal complication of high-dose corticosteroids, rarely is this seen with the use of ACE inhibitors. This case report aimed to investigate the potential capacity of the selective oestrogen receptor modulator clomiphene to induce scleroderma renal crisis as well as corticosteroids. Copyright © 2012 Elsevier España, S.L. All rights reserved.
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The Roman Empire - The Third Century Crisis and Crisis Management
2012-04-04
December 2010. Hekster, Olivier, Gerda De Kleijn, and Danielle Slootjes. "Introduction." Impact of Empire. 7, (2006, June 1): 3-10. Koselleck...Crisis of the Third Century. Edited by Olivier Hekster, Gerda De Kleijn, and Danielle Slootjes. Vol. 7, Impact of EMpire. Boston: Brill Academic, 2012...1. Protagoras and John Nicols, Mapping the Crisis of the Third Century, ed. Olivier Hekster, Gerda De Kleijn, and Danielle Slootjes
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International Nuclear Information System (INIS)
Chanson, D.
2016-01-01
AREVA being an operator of nuclear facilities has to organize crisis exercises regularly. About 100 crisis exercises are performed each year in AREVA installations. These exercises allow the training of the staff, the assessing of material and humane means and the checking of the quality of the interfaces between all the participants (other AREVA teams or Nuclear Safety Authority or...). The management of nuclear crisis is based on anticipation and relies on 3 pillars: a referential gathering all the useful documents (emergency plans, procedures,...), the training and practice of AREVA staff in specific domains to cope with emergency situations, and various crisis exercises to keep fit all the teams. The basis emergency exercise lasts 2 hours and is organized into modules. First module: detecting abnormal conditions, alerting, rescuing and limiting the consequences; second module: launching the emergency plan; third module: understanding the situation and limiting the consequences; fourth module: communicating with other actors that intervene in a nuclear crisis (nuclear safety authority, state or local officials, the media...); and fifth module: anticipating the end of the emergency phase to prepare post-accidental management. (A.C.)
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The Dutch Crisis and Recovery Act: Economic Recovery and Legal Crisis?
Directory of Open Access Journals (Sweden)
J Verschuuren
2010-12-01
Full Text Available In the Netherlands, the 2010 Crisis and Recovery Act aims at speeding up decisionmaking on a wide variety of activities, hoping that after the financial and economic crisis has passed, development projects can immediately be carried out without any delay caused by legal procedures in court or elsewhere. The Act meets great criticism for many reasons: it allegedly curtails citizen's procedural rights because it focuses almost exclusively on environmental standards as "obstructing" standards that need to be removed, and it infringes international and European Union law. In this note, the legal critique on the Act is analysed. The conclusion is that the sense of urgency surrounding the design of legal measures to address the economic crisis enables the legislature to implement innovations and long-time pending amendments to existing legislation. Most issues have however not been fully or properly considered. Many legal questions will arise when implementing the Act, which will retard rather than expedite projects. It is difficult to predict whether the positive effects of the Crisis and Recovery Act would outweigh the negative aspects. Much depends on the manner in which the authorities will actually apply the Act. Should they implement the Act to its full potential, the effect of the Act in sum will be negative. In that case, the Act may help the economy to recover, but it will bring about a crisis in the legal system. It will, in all probability, also not contribute to sustainable development.
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Directory of Open Access Journals (Sweden)
Julián Sabogal Tamayo
2008-07-01
Full Text Available Se argumenta el contenido de la actual crisis mundial, entendida como propia del movimiento cíclico del sistema capitalista y no como una crisis particularmente financiera. Se sostiene que las crisis económicas son propias del sistema, mas no de la economía perse. Se sustenta su diferencia con respecto a la crisis cíclica de 1929-1933 con base los ciclos sistémicos y las características diferentes de los inicios y el final del ciclo; al final del ciclo el capital es en su mayor parte financiero. Finalmente se sostiene la tesis que las crisis cíclicas, por tener causas objetivas, son inevitables, la única alternativa es buscar otra forma de organizar la sociedad y la producción: pasar de la búsqueda de rentabilidad a la satisfacción de las necesidades de toda la comunidad.
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Directory of Open Access Journals (Sweden)
Idarmis González Benítez
2000-06-01
Full Text Available Con este trabajo nos propusimos actualizar el tema de las crisis familiares. Se pone de manifiesto que tanto los eventos propios del desarrollo, como los accidentales, dan lugar a la aparición de crisis en la familia. Queda esclarecido, que no necesariamente han de tener implicaciones negativas para la familia. Se hace énfasis en la valoración del evento por la familia y su significación. Se destaca el papel de los recursos familiares como protectores y moduladores de las crisis. Por último se señalan algunos pasos a seguir en la intervención familiarWith this paper we intend to update the topic of the family crises. It is shown that the own events of development as well as the accidental ones bring about the appearance of crises in the family. It is made clear that they not always have negative implications for the family. Emphasis is made on the assessment of the event for the family and its significance. The role played by the family resources as protective and modulators of the crisis is stressed. Finally, some of the steps to be taken in family intervention are mentioned
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Marketing in current financial crisis
Mariánek, Lukáš
2009-01-01
The paper is describing the effects of recessions and current financial crisis on companies and their marketing. The topic covers the history of marketing throughout the world biggest recessions and describes the current marketing efforts of Czech companies under the current financial crisis. A strategical analysis with the impacts of crisis on long-term strategy planning is provided at the end of the paper.
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The Role of Social Media in Crisis Communication and Crisis Management
Directory of Open Access Journals (Sweden)
Mustafa Emre Civelek
2016-04-01
Full Text Available Social media and social media tools have improved rapidly and started to influence society especially in recent years. This influence has forced businesses to revolutionize their communication with the external environment. The fact that Web 2.0 has an influence on consumer behavior, and that it makes the consumers stronger; requires faster, more flexible and more sensitive communication processes in businesses. Especially during a time of crisis, a business’ communication with the external environment is quite critical. For this reason, the way how the crisis communication is managed through social media is vital for businesses. In this article, the perceptions of how to manage businesses during a time of crisis so that they make minimum loss, is shared.
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Recent Issues in the Asian Currency Crisis
Directory of Open Access Journals (Sweden)
Jae Joon Lee
1998-09-01
Full Text Available Since the outbreak of the Asia exchange rate crisis last year, different analysts have attempted to analyze and explain the reason and the development of the crisis theoretically. But the present theory of the reason of the crisis is not account for the crisis, especially the evident feature that the Asia crisis appear to be infective, which seems to make the world economy to a stagnant degree. This thesis filed the present argumentations which helped to understand the Asia foreign exchange rate crisis and made a discussion at this level. This thesis first explained a certain contact between the secular trend of the capital movement and the appearance of the foreign exchange crisis, then extend to the theoretical explanation of the infective effect of the foreign exchange crisis. Meanwhile, as to the question the predictive possibility which is an important part related to foreign exchange theory, this thesis introduced former thesis which took Korea as the object of analysis.
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Directory of Open Access Journals (Sweden)
Nicola ZECH
2016-03-01
Full Text Available This research paper focuses on crisis management processes within the hotel industry – an industry which still seems reluctant in implementing profound and structured crisis management concepts. Responses to crisis situations are mostly intuitive and ad-hoc. In times of high competition in almost all destinations, categories and conceptions no opportunity of convincing guests as well as all other stakeholders of a trustworthy management shall be missed in order to gain competitive advantage. Each corporate crisis affects several or all stakeholder groups of the organisation – to a varying extent. Stakeholders might either affect or be affected by the hotel organisation and the respective crisis management processes. Taking the manifold opportunities for co-operation of a hotel organisation and its respective stakeholder groups into consideration, an integrated crisis management model for the hotel industry is evolved based both on theoretical foundations and empirical findings from the analysis of expert interviews as well as stakeholder surveys. The model neutralizes the deficits and discrepancies revealed between general crisis management literature and status quo respectively specific prerequisites for the hotel industry.
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International Nuclear Information System (INIS)
Holsti, O.R.
1989-01-01
This article presents evidence that the potential loss of control of events by officials who must operate under conditions that generate substantial stress is one of the central problems of crisis decision making. Examples of U.S. crises management and alliance management are reviewed, and possible tools for improving crisis management decisions are discussed. This article particularly focuses on crises which may lead to nuclear war
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Would We have had this Crisis if Women had been Running the Financial Sector?
I.P. van Staveren (Irene)
2012-01-01
markdownabstract__Abstract__ The two main ethical approaches, utilitarianism and deontology, have not been able to prevent some of the behaviors underlying the financial crisis. A third ethics, the ethics of care might have been more effective than the other two in preventing the last financial
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Refeeding syndrome in adults with celiac crisis: a case report.
Hammami, Sonia; Aref, Houda Lazreg; Khalfa, Messouda; Kochtalli, Ines; Hammami, Mohamed
2018-01-31
Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease. We report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock. Refeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis.
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Communication gap exacerbates health care crisis.
Cordero, C E
1993-03-01
Mercer-B&H survey shows employers, doctors, insurers, and workers do not understand each other's most basic concerns. For example, respondents disagree on such issues as how to define quality care and whether freedom to choose a doctor is important.
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PHARMACEUTICAL COMPANIES BETWEEN CRISIS AND COMPETITIVENESS - SECTORAL DIAGNOSIS
Directory of Open Access Journals (Sweden)
Mihaela\tBÎRSAN
2015-06-01
Full Text Available The evolution of the pharmaceutical industry was a positive constant with the indicators of industrial production even in years of crisis. Although the economic crisis in Romania decreased average growth rate of pharmaceutical companies, market value is expected to increase. The explanation comes from the fact that in order to boost productivity, pharmaceutical companies are turning to emerging countries with aging populations such as open new markets for future development. Add to this the recent health policies implemented by newly industrialized countries that are aimed at ensuring increased access to care. Analysts see the field phenomenon called "Farma-merger" a good chance for European pharmaceutical companies oriented to developing countries where drug sales should record a double-digit annual growth until 2017. In Erste Group reports stated that the impact of the crisis on the pharmaceutical industry should be limited markets for EU only their economic slowdown. This will be possible because the external indebtedness of pharmaceutical companies in the EU remains at a minimum, they are able to finance their investment plans without tapping financial markets, are not adversely affected by the current limited availability of credit resources. Therefore major pharmaceutical companies in the EU will remain a solid investment on the long term, the negative developments are limited due to high resistance to the crisis their business model segment "generic". The consequence of these developments is reflected in the recognition for the first time, the pharmaceutical sector as a strategic sector for the Romanian economy. In the context of public debate launching the National Strategy for Competitiveness 2014-2020, Generic Medicines Industry Association of Romania (APMGR local pharmaceutical industry reminds the Government proposals on correcting the current fiscal and operational regulatory framework, to allow unlocking investments in facilities
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Leferink, K; Bergold, J B
1996-11-01
With respect to the methodological problems concerning the outcome evaluation of crisis intervention centers the outlines of a social-ecological research approach are developed. It is suggested that this approach is more suitable to take into account the role of the network of mental health services. The data come from a research project which was designed to explain the historical and social aspects of the process of integration of a crisis intervention service. The results indicate that on the one hand the practice of the service strongly depends on what other services do and on the other hand influences them. The social integration of an institution into the network of other services is discussed as an alternative criterion of evaluation.
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Credibility and Crisis Stress Testing
Directory of Open Access Journals (Sweden)
Li Lian Ong
2014-02-01
Full Text Available Credibility is the bedrock of any crisis stress test. The use of stress tests to manage systemic risk was introduced by the U.S. authorities in 2009 in the form of the Supervisory Capital Assessment Program. Since then, supervisory authorities in other jurisdictions have also conducted similar exercises. In some of those cases, the design and implementation of certain elements of the framework have been criticized for their lack of credibility. This paper proposes a set of guidelines for constructing an effective crisis stress test. It combines financial markets impact studies of previous exercises with relevant case study information gleaned from those experiences to identify the key elements and to formulate their appropriate design. Pertinent concepts, issues and nuances particular to crisis stress testing are also discussed. The findings may be useful for country authorities seeking to include stress tests in their crisis management arsenal, as well as for the design of crisis programs.
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Treating Chronic Crisis Bearers and Their Families
Doyle, Averil Marie; Dorlac, Charles
1978-01-01
This article presents a method for family crisis intervention. The goal is extended from restoring the crisis bearing unit to its pre-crisis level of coping to a basic restructuring of maladaptive pre-crisis behaviors. It is aimed at general behavior change as well as resolution of the immediate situation. (Author)
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Crisis control - the background
International Nuclear Information System (INIS)
Young, R.E.
1983-01-01
The problems of destructive accidents and the need for a crisis management system to deal with every kind of emergency is discussed. Crisis control with regard to the ''Problem'' and the ''Outlook'' were covered, as well as the ''Development of an Incident''. (U.K.)
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Johnson, K
2000-01-01
While community based crisis response teams offer needed resources to schools impacted by crisis, they are often not asked to help. Reports from crisis team leaders at the school shooting incidents at James W. Parker Middle School, Edinboro, Pennsylvania and Columbine High School, Littleton, Colorado are contrasted regarding utilization of community resources. Factors limiting the usefulness of community based teams include unfamiliarity with school organization, culture, and procedures. Key differences in school vs. community team precepts, decision-making, and strategic paradigms render team coordination difficult. Successful cross training presents opportunities for school-community partnership and utilization of community teams for school duty.
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Campus Crisis Response at Viberg College
Eaker, Rachel; Viars, Jamie
2014-01-01
This fictional case study examines crisis response in higher education settings. Information about current crisis response procedures, plans, and trends was gathered from informational interviews, current crisis management literature, and multiple college and university websites. The information was synthesized into a fictional case study using…
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Clinical and Insurance Perspectives on Intermediate Levels of Care in Psychiatry.
Plakun, Eric M
2018-03-01
This column compares a clinical perspective on the continuum of care for mental health and substance use disorders with a different perspective derived from publicly available insurance company documents and experience dealing with managed care utilization reviewers. The latter perspective tends to determine the need for access to levels of care based on the need for crisis stabilization, whereas the generally accepted clinical standard is more nuanced than the need for crisis stabilization alone. The column proposes that this discrepancy in perspectives makes a substantial contribution to disagreements between treating clinicians, such as therapists, and insurance utilization reviewers concerning the medical necessity of various requested levels of care.
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Energy Technology Data Exchange (ETDEWEB)
Nohrstedt, Daniel
2007-04-15
This dissertation consists of three interrelated essays examining the role of crisis events in Swedish nuclear energy policymaking. The study takes stock of the idea of 'crisis exceptionalism' raised in the literature, which postulates that crisis events provide openings for major policy change. In an effort to explain crisis-induced outcomes in Swedish nuclear energy policy, each essay explores and develops theoretical assumptions derived from the Advocacy Coalition Framework (ACF). The introduction discusses the ACF and other theoretical perspectives accentuating the role of crisis in policymaking and identifies three explanations for crisis-induced policy outcomes: minority coalition mobilization, learning, and strategic action. Essay 1 analyzes the nature and development of the Swedish nuclear energy subsystem. The results contradict the ACF assumption that corporatist systems nurture narrow subsystems and small advocacy coalitions, but corroborate the assumption that advocacy coalitions remain stable over time. While this analysis identifies temporary openings in policymaking venues and in the advocacy coalition structure, it is argued that these developments did not affect crisis policymaking. Essay 2 seeks to explain the decision to initiate a referendum on nuclear power following the 1979 Three Mile Island accident. Internal government documents and other historical records indicate that strategic considerations superseded learning as the primary explanation in this case. Essay 3 conducts an in-depth examination of Swedish policymaking in the aftermath of the 1986 Chernobyl accident in an effort to explain the government's decision not to accelerate the nuclear power phaseout. Recently disclosed government documents show that minority coalition mobilization was insufficient to explain this decision. In this case, rational learning and strategic action provided a better explanation. The main theoretical contribution derived from the three
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International Nuclear Information System (INIS)
Nohrstedt, Daniel
2007-04-01
This dissertation consists of three interrelated essays examining the role of crisis events in Swedish nuclear energy policymaking. The study takes stock of the idea of 'crisis exceptionalism' raised in the literature, which postulates that crisis events provide openings for major policy change. In an effort to explain crisis-induced outcomes in Swedish nuclear energy policy, each essay explores and develops theoretical assumptions derived from the Advocacy Coalition Framework (ACF). The introduction discusses the ACF and other theoretical perspectives accentuating the role of crisis in policymaking and identifies three explanations for crisis-induced policy outcomes: minority coalition mobilization, learning, and strategic action. Essay 1 analyzes the nature and development of the Swedish nuclear energy subsystem. The results contradict the ACF assumption that corporatist systems nurture narrow subsystems and small advocacy coalitions, but corroborate the assumption that advocacy coalitions remain stable over time. While this analysis identifies temporary openings in policymaking venues and in the advocacy coalition structure, it is argued that these developments did not affect crisis policymaking. Essay 2 seeks to explain the decision to initiate a referendum on nuclear power following the 1979 Three Mile Island accident. Internal government documents and other historical records indicate that strategic considerations superseded learning as the primary explanation in this case. Essay 3 conducts an in-depth examination of Swedish policymaking in the aftermath of the 1986 Chernobyl accident in an effort to explain the government's decision not to accelerate the nuclear power phaseout. Recently disclosed government documents show that minority coalition mobilization was insufficient to explain this decision. In this case, rational learning and strategic action provided a better explanation. The main theoretical contribution derived from the three essays is to posit
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Basics of theory of ecological crisis management
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Stajić Ljubomir
2013-01-01
Full Text Available Today, it is clear that environmental accidents and processes represent, not only potential but also real causes of crises on which states must be aware of. The formation of the ecological crisis is growing exponentially, along with their consequences. The problem with the environmental crisisis lies not in the fact that they exist, but how we treat them. Exploring the causes of the crisis requires an interdisciplinary approach. At the micro level, this approach focuses on the role of individuals. At the middle level of research, focus is on organizational factors and processes that may play important role in causing the crisis. Macro level of approach lists possible causes that seem to make the crisis more or less inevitable and unavoidable features of the modern world. The crisis is also characterized by negative effects (perturbations, deregulation, conflict, confused action, intense stress, which leads to reckless actions and positive effects (mobilization, solidarity, cooperation, improved adaptation to the environment, experiential learning. Furthermore, ecological crisis represents an emergency situation whose beginning and duration are not predetermined. Anti-crisis measures have failed mainly because of the numerous factors influencing on one hand, on a complexity of the crisis and, on the other hand, because of its continuously changing factors throughout the duration of the crisis. Managing ecological crisis occurs, therefore, as a permanently professional inventive and complicated process which aims to prevent the escalation of the crisis, as well as the elimination of the expected and actual negative consequences of the crisis. Mismanagement of such crisis drains system resources, interferes with its function and organization, impacts on the financial opportunities while achieving positive goals. Extreme mismanagement can lead to the entropy of the system itself. The purpose of this paper is to elaborate basic facts of managing
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Central Banking after the Crisis
Frederick S. Mishkin
2013-01-01
This paper explores where central banking is heading after the recent financial crisis. First it discusses the central bank consensus before the crisis and then outlines the key facts learned from the crisis that require changes in the way central banks conduct their business. Finally, it discusses four main areas in which central banks are altering their policy frameworks: 1) the interaction between monetary and financial stability policies, 2) nonconventional monetary policy, 3) risk manage...
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The Ukraine Crisis: The Battle of Superpowers
Elmquist-Clausen, Caroline
2016-01-01
This project concerns the Ukraine crisis, and how the crisis can be explained as a battle between Russia and the West. The project takes it departure in neoclassical realism, and uses this theory to understand how the actors in the crisis balance each other. This project concerns the Ukraine crisis, and how the crisis can be explained as a battle between Russia and the West. The project takes it departure in neoclassical realism, and uses this theory to understand how the actors in the cri...
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Planner and nuclear crisis relocation
International Nuclear Information System (INIS)
Platt, R.H.
1984-01-01
Criticism of the Federal Emergency Management Agency (FEMA) plans to relocate two-thirds of the American people one week before a nuclear attack has been so intense that planners have renamed the crisis relocation plan to Integrated Emergency Management. A careful study of plans for the town of Greenfield, Massachusetts show that they are not only unworkable, but would seriously weaken the country even if no attack occurred. Recent warnings of a global climatic catastrophe and nuclear winter in the wake of a nuclear exchange underscore the need to denounce relocation policies as dangerous. Planners should take the lead in emphasizing the long-term consequences and informing the public that there is no civil defense against nuclear war. 7 references
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DEFF Research Database (Denmark)
Snaith, Holly; Rosamond, Ben
2015-01-01
of EU integration – namely the 1970s oil shocks and the more recent global financial crisis – in order to determine the extent to which these events have been contemporarily defined as providing opportunities to act, or simply challenges to the existing order. The paper provides an analysis of the way...... in which EU actors have mobilised the idea of ‘crisis’ in order to (a) exert control over endogenous and exogenous destabilising forces, (b) (re)define the EU as an object of both political engagement and academic study, and finally (c) make the case for further expansion and integration (particularly....... The comparative nature of the findings helps to contextualise current discourses around the global financial crisis, in order to evaluate the EU’s previous efforts at global repositioning, and the significance of crisis discourse to these efforts....
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Public relations in crisis management
Directory of Open Access Journals (Sweden)
Anna Dziadkiewicz
2012-12-01
Full Text Available The company crisis decreases its value. Undoubtedly, it ruins the company’s image, the stakeholders’ opinion and puts the company at a disadvantage on the market. It strikes very unexpectedly and destroys the company financially. Moreover, the company loses its credibility and limits its relations with the environment. It does effect the emotional sphere of the top management and employees, which is crucial for the company. This report presents the heart of crisis management. It defines such terms as issue and crisis management, as well as shows the most effective way to create the communications channel in case of crisis and its reduction. Apart from the academic aspect, there are also practical references concerning insurance agreement as a means of risk elimination.
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Directory of Open Access Journals (Sweden)
Тетяна Олександрівна Ставерська
2016-12-01
Full Text Available The analysis of existing research of the category essence of "anti-crisis strategy" is given, the main essential features are revealed. These features are best matching its content. Existing approaches to determine the definition of "anti-crisis strategy" are systematized and summarized. Based on the allocation of essential features of anti-crisis strategy, the author’s generalized definition of this category is formulated considering the trajectory of the turbulent processes in environment
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The Accounting Network: How Financial Institutions React to Systemic Crisis.
Puliga, Michelangelo; Flori, Andrea; Pappalardo, Giuseppe; Chessa, Alessandro; Pammolli, Fabio
2016-01-01
The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies' financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001-2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible regional aggregations show up with the Japanese and the US clusters dominating the community structure, although the presence of a geographically mixed community points to a gradual convergence of banks into similar supranational practices. Finally, a Principal Component Analysis procedure reveals the main economic components that influence communities' heterogeneity. Even using the most basic vector similarity hypotheses on the composition of the financial statements, the signature of the financial crisis clearly arises across the years around 2008. We finally discuss how the Accounting Networks can be improved to reflect the best practices in the financial statement analysis.
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The Accounting Network: How Financial Institutions React to Systemic Crisis
Puliga, Michelangelo; Flori, Andrea; Pappalardo, Giuseppe; Chessa, Alessandro; Pammolli, Fabio
2016-01-01
The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies’ financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001–2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible regional aggregations show up with the Japanese and the US clusters dominating the community structure, although the presence of a geographically mixed community points to a gradual convergence of banks into similar supranational practices. Finally, a Principal Component Analysis procedure reveals the main economic components that influence communities’ heterogeneity. Even using the most basic vector similarity hypotheses on the composition of the financial statements, the signature of the financial crisis clearly arises across the years around 2008. We finally discuss how the Accounting Networks can be improved to reflect the best practices in the financial statement analysis. PMID:27736865
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The Accounting Network: How Financial Institutions React to Systemic Crisis.
Directory of Open Access Journals (Sweden)
Michelangelo Puliga
Full Text Available The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies' financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001-2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio capable of trading off the size of the sample (coverage and the representativeness of the financial statements (accuracy. We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible regional aggregations show up with the Japanese and the US clusters dominating the community structure, although the presence of a geographically mixed community points to a gradual convergence of banks into similar supranational practices. Finally, a Principal Component Analysis procedure reveals the main economic components that influence communities' heterogeneity. Even using the most basic vector similarity hypotheses on the composition of the financial statements, the signature of the financial crisis clearly arises across the years around 2008. We finally discuss how the Accounting Networks can be improved to reflect the best practices in the financial statement analysis.
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Crisis Management Research Summaries
Brock, Stephen E., Ed.
2009-01-01
In this column, Crisis Management in the Schools Interest Group members summarize recent crisis management publications. The first article summarized was a meta-analysis of the risk factors associated with Posttraumatic Stress Disorder (PTSD) among adults. The second study looked at the presence of life stressors among students who were expelled…
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Long-term effects of youth unemployment on mental health: does an economic crisis make a difference?
Thern, Emelie; de Munter, Jeroen; Hemmingsson, Tomas; Rasmussen, Finn
2017-04-01
Ill health is a risk factor and a consequence of unemployment, which might vary depending on the national rate of unemployment. We investigated the long-term effect of youth unemployment on mental health and explored the possible interaction during periods of high (economic crisis) and low (non-crisis) unemployment rates. A register-linked population-based cohort study was conducted including individuals aged 17-24 years. The crisis cohort (n=6410) took part in the Labour Force Survey during the economic crisis (1991-1994) in Sweden and the non-crisis cohort (n=8162) took part in the same survey before the crisis (1983-1986). Follow-up was 19 years. Adjusted HRs and 95% CIs for an inpatient care discharge mental diagnosis with employed people as the reference group were calculated by Cox regressions models. In fully adjusted models, 6 months (2.70; 1.71 to 4.28) of unemployment were associated with increased risks of getting a mental diagnosis in the crisis cohort. In the non-crisis cohort the risks were: 1.92; 1.40 to 2.63, 2.60; 1.72 to 3.94 and 3.33; 2.00 to 5.57, respectively. No interactions between labour force status and level of unemployment were found. Youth unemployment is related to mental health problems, independent of the overall national rate of unemployment, which is important as the youth unemployment rates are currently at stable high level. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
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Corruption - a Relevant Factor in the International Economic Crisis
Directory of Open Access Journals (Sweden)
George DIMOFTE
2012-11-01
Full Text Available Corruption is divided into small low-level corruption and high-level corruption. Small level little corruption is defined as the area of corruption which does not prejudice the interests of the majority of individuals. This category can be covered by a health care professional, the corruption of a clerk, etc through their decisions is an individual or group of individuals at the expense of others, but this kind of injustice is limited in time and space. Corruption, means high-level corruption of a dignitary, clerk, etc. This kind of corruption and the main effect over the entire State characteristic and the individuals who compose it. The consequences of this kind of corruption can translate into direct and indirect costs that will be supported in the end by all taxpayers. The objectives of corruption are double: profit and power. The international economic crisis has its origin in the manifestations of high level corruption in the governments of different countries. All the state now have to fight against corruption in order to settle new rules to avoid the effects af the crisis and to prevent a deepening of this crisis with devastating effects upon tha population. Here we try to emphasize the importance that we all should give corruption and measures had to be taken by everyone.
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The anti-crisis mechanism diagnose risk of bankruptcy
Directory of Open Access Journals (Sweden)
Zhdanov Vasiliy Yuryevich
2011-11-01
Full Text Available The article provides analysis and systematization of such terms as "crisis", "insolvency", "inefficiency", "bankruptcy" of an enterprise in terms of the crisis theory. It also describes the scheme of the enterprise crisis development, which includes three periods: pre-crisis, crisis and chronic crisis, where the final point is the enterprise bankruptcy. The article also develops a mechanism of the bankruptcy risk diagnostic including an analysis of the enterprise in terms of four sections.
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Šontaitė-Petkevičienė, Miglė
2014-01-01
This paper analyses crisis management in relation to its effect on corporate reputation. It provides theoretical analysis of crises management actions that contribute to avoid damage for corporate reputation. Empirical research of the paper provides case analysis of retail chain “Maxima” crisis management in the Baltic countries. Even though retail chain “Maxima” has made several mistakes during crisis, in general crisis was managed properly so this case provides valuable insights how prevent...
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DEFF Research Database (Denmark)
del Palacio Gonzalez, Adriana; Clark, David A.
2015-01-01
Cognitive models of the pathogenesis of anxiety and depressive disorders identify looming cognitive style (LCS) and anxiety sensitivity (AS) as vulnerability factors specifically related to anxiety disorders, whereas hopelessness (HS) is considered more applicable to depression. Given...... their dimensional perspective most cognitive models of psychopathology may also be extended to explain normal emotional responses. To investigate the effect of cognitive vulnerability on the reactivity and regulation of negative emotion, 183 undergraduates were assigned to watch a sad or fearful movie clip. Then......, all participants retrieved positive memories in an expressive writing task. Hierarchical regression analyses revealed that LCS was uniquely associated with greater fear reactivity. AS and HS were significant predictors of greater fear and sadness after a down-regulation task, respectively...
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Preparing Nursing and Social Work Students to Care for Patients in Acute Alcohol Withdrawal.
Gates, Sharon A; Brown, James R
Alcohol and other drug abuse has become a national crisis with approximately 26% of general medical patients having alcohol-related problems. New nurses and social workers are often not prepared to care for patients with severe alcohol withdrawal symptoms because they lack experience in actual crisis situations. The purpose of this study was to prepare nursing and social work students to care for a patient undergoing an acute alcohol withdrawal process. Nine groups of 8-10 students participated in a 2.5-hour simulation event that included an alcohol withdrawal seizure, team meeting, and discharge of the patient. Students recognized the importance of all the professional roles and how each professional benefits patient care. Before the simulation, students thought they were prepared to care for patients experiencing alcohol withdrawal; however, the crisis of an alcohol seizure decreased the student's ability to perform skills and communicate effectively. These findings suggest that new nurses and social workers may not be prepared to care for the acute alcohol withdrawal patient.
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"Psychological Boarding" and Community-Based Behavioral Health Crisis Stabilization.
Mukherjee, Dhrubodhi; Saxon, Verletta
2018-01-27
This exploratory paper presents a case study where a community based mental health organization forging a partnership with a local hospital system to establish a crisis stabilization unit (CSU) to address behavioral health emergency care. The study takes a mixed methods case study approach to address two research questions; (a) did this approach reduce the overall length of stay in the hospital emergency departments? (b) What challenges did the taskforce face in implementing this CSU model? The paper shares recommendation from the findings.
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Eckholm, Erik P.
1975-01-01
For one-third of the world's people, the energy crisis means the daily scramble to find the wood they need to cook. The accelerating destruction of forests throughout Africa, Asia and Latin America and the utilization of manure as a firewood substitute may produce the most profound ecological crisis of this century. (BT)
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Knowledge communication: a key to successful crisis management.
Johansson, Anders; Härenstam, Malin
2013-09-01
A winning concept of crisis management can be summarized in 2 words: knowledge communication. If decision makers, communicators, experts, and the public understand what the crisis is about and share their knowledge, the process of handling it will be optimized. Effective crisis communication implies the necessity of an unhindered but purposeful exchange of information within and between authorities, organizations, media, involved individuals, and groups before, during, and after a crisis. This article focuses on the importance of the before, or prevention, part of a crisis since it holds a rich possibility to enhance the chances for successful crisis management of a bioterrorism incident. An extended perspective on crisis communication efficiently links to a more thorough understanding of risk perception with various stakeholders and the public, which also will be helpful for situational awareness. Furthermore, the grounded baseline for the dialogue type of crisis communication suitable in modern society and to modern social media is achieved by linking to those risk communication efforts that are made. The link between risk and crisis should be afforded more attention since, especially in biosecurity, there would be no crisis without risk negligence and poor or malfunctioning preventive efforts.
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Gilbert, Kathryn E
2013-02-01
Recent attempts to regulate Crisis Pregnancy Centers, pseudoclinics that surreptitiously aim to dissuade pregnant women from choosing abortion, have confronted the thorny problem of how to define commercial speech. The Supreme Court has offered three potential answers to this definitional quandary. This Note uses the Crisis Pregnancy Center cases to demonstrate that courts should use one of these solutions, the factor-based approach of Bolger v. Youngs Drugs Products Corp., to define commercial speech in the Crisis Pregnancy Center cases and elsewhere. In principle and in application, the Bolger factor-based approach succeeds in structuring commercial speech analysis at the margins of the doctrine.
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Timing crisis information release via television.
Wei, Jiuchang; Zhao, Dingtao; Yang, Feng; Du, Shaofu; Marinova, Dora
2010-10-01
When and how often to release information on television are important issues in crisis and emergency risk communication. There is a lot of crisis information, including warnings and news, to which people should have access, but most of it is not significantly urgent to interrupt the broadcasting of television programmes. Hence, the right timing for the release of crisis information should be selected based on the importance of the crisis and any associated communication requirements. Using recursive methods, this paper builds an audience coverage model of crisis information release. Based on 2007 Household Using TV (HUT) data for Hefei City, China, the optimal combination of broadcasting sequence (with frequencies between one and eight times) is obtained using the implicit enumeration method. The developed model is applicable to effective transmission of crisis information, with the aim of reducing interference with the normal television transmission process and decreasing the psychological effect on audiences. The same model can be employed for other purposes, such as news coverage and weather and road information. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.
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The risks of nation branding as crisis response
DEFF Research Database (Denmark)
Rasmussen, Rasmus Kjærgaard; Merkelsen, Henrik
2014-01-01
alternative strategies for handling crises based on 'societal models'. Through a case study of Denmark's so-called Cartoon Crisis we demonstrate how crisis communication falls short of coping aptly with the complexity of the crisis due to the branding-inspired translation from 'sudden' to 'ongoing' crisis. We......In this article, we investigate the limitations of organization-centric models for crisis communication in handling place crises. Two distinct types of place crisis are identified as what we respectively term the 'sudden' and the 'ongoing' type. We point out that place branding traditionally has...... been used to handle the latter type. We then demonstrate how the inspiration from corporate communication in place branding has led to a fixation on reputation, which becomes salient when place branding is used as crisis communication in sudden crisis. Here the corporate inspiration tends to rule out...
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Popa Diana
2011-01-01
This article captures a brief history of the negotiations of the Doha Development Agenda (DDA), analyzes its deadlock and offers some suggestions for a successful Doha deal. First, this study shows that the nearly decade-long negotiation stalemate is caused by the opposite perceptions between industrialized countries and developing ones on agriculture, as well as by the influences of economic crisis on the world trade. Subsequently, some proposals are presented to solve the current crisis fro...
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The psychology behind the crisis
Directory of Open Access Journals (Sweden)
Amalia PANDELICA
2010-05-01
Full Text Available This paper is an extensive analysis of bought international business press andacademic literature in the field about crisis management and related fields. The paperis grounded on the premise that the psychology of the crisis is an important componentof the present international context and psychological factors play an important part inthe alteration of consumer’s behavior. The question that generated our researchapproach in such conditions was at what extent peoples’ behavior is determined byindividual rational choices. The central message of this paper is that in the presenteconomic crisis conditions the factors that are playing an important role in shapingpeople’s behaviour are: risk perception and risk attitude. We consider that at presentmanagers should understand how their clients react in crisis conditions and how theirbehavior changes in order to handle successfully the present situation.
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Crisis and Environmental Philosophy
Directory of Open Access Journals (Sweden)
Peter Wolsing
2014-06-01
Full Text Available Environmental ethics began in the 1960s with a growing awareness of coming environmental problems such as pollution and the projected shortage of resources caused by an acceleration in human’s technically based exploitation of nature. In addition to becoming an issue in public debate and in politics since the 1970s, the environmental crisis, which can be laid at the door of industrialization, calls for a more basic consideration of man’s attitude to nature. In this paper I give a short presentation of the concept of crisis in a selection of the principal classical critical philosophies of history and suggest that they all connect crisis to the oppression of man’s inner nature. I go on to sketch the idea of environmental crisis as an oppression of outer nature (the natural environment suggesting that a new, more nuanced organic concept of nature is needed as a condition for ascribing value to life on earth as a whole, which is what most non-anthropocentric ethical theories to some extent do.
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Crisis behavior: An exploration of theories in concert.
McConnell, Jason B; Crudo, Christine
2015-01-01
How might prominent existing communication theory better explain behavior in a crisis context, when considered in concert with one another? This theoretical work highlights the insight to be gained using Situational Crisis Communication Theory and Bandura's notions of self-efficacy to heighten the explanatory power of the Theory of Planned Behavior as applied to communication during times of crisis. Situational Crisis Communication Theory better explains how past experience with crisis influences the attitudes and social norms of crisis behavior, while Bandura's notion of self-efficacy speaks more directly to the availability of resources as contributing factors to perceived behavioral control in a crisis situation. As such, the incorporation of these well-developed notions into the broader framework of the Theory of Planned Behavior affords greater understanding of the relationship between communication and behavior during a crisis. Further exploration of this theoretical relationship is warranted.
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Utz, S.; Schultz, F.
2013-01-01
Social media play in today's societies a fundamental role for the negotiation and dynamics of crises. However, classical crisis communication theories neglect the role of the medium and focus mainly on the interplay between crisis type and crisis communication strategy. Building on the recently
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Crisis communication as an important tool of corporate management
Francová, Martina
2009-01-01
Theory-metodological part: definition of basic terms as corporation -- corporation surroundings, corporate identity and image; extraordinary incident, crisis situation, crisis, crisis management; brief definition of legislative-juristic environment. Definition of the term communications -- common aspects and types of communication. Crisis communication, analysis of available methods of crisis communication in a company, analysis of available tools of crisis communication in a company. Practic...
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A family systems nursing intervention model for paediatric health crisis.
Tomlinson, Patricia Short; Peden-McAlpine, Cynthia; Sherman, Suzan
2012-03-01
This article discusses the development of a family systems nursing intervention for clinical use in health crisis. Although studies in paediatric critical care provide evidence that family stress is an important clinical phenomenon, studies have demonstrated that few nurses have the requisite family intervention skills to provide family members with adequate support during crisis. In addition, few intervention studies that focus on provider-family relationships with the goal of reducing stress have been reported. This article contributes to the literature by redressing this lack. Data sources. The literature search supporting this project spanned from 1980 to 2009 and included searches from classic nursing theory, family theory and relevant nursing research specific to the design of the intervention reported. The goal of the intervention is to provide a theoretical and practical foundation for explicit action that enhances relationships with caregivers thereby supporting the integrity of the family and enhancing their coping abilities. The intervention, based on the Family Systems Model and the family's understandings of the situation, defines specific goals and desired outcomes to guide strategic actions. Discussion of the conceptual foundation, procedural development and an example of the protocol is provided. Implications for nursing. The intervention is designed for nurses with limited knowledge in family theory to aid them to better help families dealing with stress. The proposed intervention can be used to increase nurses' skills in family centred nursing care. Although designed for use in paediatric critical care, it can, with modifications, be used in other nursing specialty areas. © 2011 Blackwell Publishing Ltd.
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ROMANIAN ECONOMY IN THE EUROPEAN CRISIS
Directory of Open Access Journals (Sweden)
Aurel Mihuţ
2012-01-01
Full Text Available European economy still faces today, one of the worst economic and financial crisis since the Second World War. Economic and financial crisis has spread worldwide with maximum speed, the economies of all Member States of the European Union encountering serious difficulties, both in the banking system and real economy. Romanian economic crisis started in 2008 and the uncertain deadline, is a matter of concern for many people. It is true that today we are witnessing the worst crisis in 80 years. We have an official explanation of the crisis, provided by public institutions, that the problem stems from inappropriate behavior of economic agents: selfishness, greed, speculation and market unable to function smoothly, ensuring proper allocation of resources: information asymmetry, liquidity trap , deflation, etc.On the other hand, most researchers, members of the academic, and private sector analysts argue that state intervention just planted seeds of financial turmoil that cross the present. The recipe prescribed by the authorities can result in mitigation of economic difficulties but, in contrary to their aggravation. The economic crisis is the result of several factors, which mainly include monetary policy errors, distorted economic incentives and pathology of the banking and financial regulatory policy.This paper is to highlight what triggered today's crisis in the Romanian economy, hoping to find a remedy to the problems of the economic, social and political that we face.
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International Monetary Fund
2013-01-01
The Nigerian financial system underwent a banking crisis in 2008–09, owing to the global financial crisis and domestic events. The decisive crisis response effectively stabilized the banking system, but the challenge now is to devise a credible exit strategy. The Central Bank of Nigeria (CBN) has a broad resolution toolkit, which was put to use during the crisis to resolve the intervened banks. The Nigerian authorities set up the Asset Management Corporation of Nigeria (AMCON) to purchase non...
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The European Crisis Management: An Organizational Narrative
Directory of Open Access Journals (Sweden)
Patrícia Kaplánová
2016-12-01
Full Text Available The debate of scholars in the field of international relations in last years has put the European Union’s role into the consideration. The European Foreign and Security Policy has positioned itself through its development to the constructive and normative line of research of world politics. With this respect, this article examines a character of crisis management of the European Common Foreign Policy based on the institutional development. Besides the European Union does not possess a unified foreign and security policy, regardless one army and single institutional mechanism, the recent crisis management actions have shaped the policies into a comprehensive nature. The paper overviews briefly the history of Common Foreign and Security Policy as well as Common Security and Defence Policy and focuses on crisis management of civilian and military missions. The author claims that the development has a significant impact on a character of crisis management analyzed from the institutional and financial capacities of the European Security and Defence Policy. Consequently, the character of crisis management performs complex mechanisms of responsive, political/administrative, legal, economic and human help to crisis-affected territories in the world. Respectfully, the character of crisis management has thus more pre-crisis nature of a resilience.
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Enhancing crisis leadership in public health emergencies.
Deitchman, Scott
2013-10-01
Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.
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Emmanuel Igbawase Abanyam; Paul Aondona Angahar
2015-01-01
This paper examines the effect of global financial crisis and the sovereign debt crisis on public sector accounting. The global financial crisis and sovereign debt crisis were contextually analysed bringing out clearly its effect on public sector accounting which include accounting issues related to public sector intervention, accounting for recapitalization of investment, accounting for fiscal support, accounting for financial guarantees. The paper found out that, the unresolved fiscal and d...
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Leadership in a (permanent) crisis.
Heifetz, Ronald; Grashow, Alexander; Linsky, Marty
2009-01-01
The current economic crisis is not just another rough spell. Today's mix of urgency, high stakes, and uncertainty will continue even after the recession ends. The immediate crisis--which we will get through with policy makers' expert technical adjustments--sets the stage for a sustained, or even permanent, crisis, a relentless series of challenges no one has encountered before. Instead of hunkering down and relying on their familiar expertise to deal with the sustained crisis, people in positions of authority--whether they are CEOs or managers heading up a company initiative--must practice what the authors call adaptive leadership. They must, of course, tackle the underlying causes of the crisis, but they must also simultaneously make the changes that will allow their organizations to thrive in turbulent environments. Adaptive leadership is an improvisational and experimental art, requiring some new practices. Like Julie Gilbert, who overcame internal resistance to reorient Best Buy toward female purchasers, adaptive leaders get things done to meet today's challenges and then modify those things to thrive in tomorrow's world. They also embrace disequilibrium, using turbulence as an opportunity to build crucial new capacities, as Paul Levy did to rescue Beth Israel Deaconess Medical Center from a profound financial crisis. Finally, adaptive leaders, such as Egon Zehnder, the founder of an executive search firm, draw out the leadership skills that reside deep in the organization, recognizing the interdependence of all employees and mobilizing everyone to generate solutions.
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Experience in the management of the mass casualty from the January 2010 Jos Crisis.
Ozoilo, K N; Amupitan, I; Peter, S D; Ojo, E O; Ismaila, B O; Ode, M; Adoga, A A; Adoga, A S
2016-01-01
On the 17 of January 2010, a sectarian crisis broke out in Jos the capital of Plateau state, Nigeria. It created a mass casualty situation in the Jos University Teaching Hospital. We present the result of the hospital management of that mass casualty incident. To share our experience in the management of the mass casualty situation arising from the sectarian crisis of Jos in January 2010. We retrospectively reviewed the hospital records of patients who were treated in our hospital with injuries sustained in the Jos crisis of January 2010. A total of 168 patients presented over a four day period. There were 108 males (64.3%) and 60 females (35.7%). The mean age was 26 ± 16 years. Injury was caused by gunshots in 68 patients (40.5%), machete in 56 (33.3%), falls in 22 (13.1%) and burning in 21 (13.1%). The body parts injured were the upper limbs in 61(36.3%) patients, lower limbs 44 (26.2%) and scalp 43 (25.6%). Majority, 125 (74.4%) did not require formal operative care. Fourteen (8.3%) patients had complications out of which 10 (6.0%) were related to infections. There were 5 (3.1%) hospital mortalities and the mean duration of hospital stay was 4.2 days. The hospital operations returned to routine 24 hours after the last patient was brought in. As a result of changes made to our protocol, management proceeded smoothly and there was no stoppage of the hospital response at any point. This civil crisis involved mostly young males. Injuries were mainly lacerations from machete and gunshot injuries. Majority of the victims did not require formal surgical operations beyond initial care. Maintaining continuity in the positions of the Incident commander and the mass casualty commander ensure a smooth disaster response with fewer challenges.
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Crisis phenomena and sources of instability
International Nuclear Information System (INIS)
Ball, D.; Bethe, H.A.; Blair, B.G.; Bracken, P.; Carter, A.B.; Dickinson, H.; Garwin, R.L.; Holloway, D.; Kendall, H.W.
1988-01-01
What are the most likely paths that might carry a crisis to nuclear war between the superpowers? Are those paths marked by critical junctures or patterns that recur and are amenable to analysis? These questions form the crux of this study, but history provides a meager data base for answering them. Only once, during the Cuban Missile Crisis, did nuclear war appear to be a conceivable consequence of steps already taken or under serious consideration. To prepare a springboard for that extrapolation, we must first examine the settings in which leaders have coped with crises, and identify features that are likely to recur in future confrontations. These features include the environment that in the past has differentiated crisis from peace and war; the dominant factors that have been (or should have been) assessed either at the outbreak of crisis or as events unfolded; the human dimension of crisis; domestic and alliance politics; intelligence; and the trade-offs between diplomacy and military measures that have chronically perplexed leaders during a crisis. The authors of this paper consider confrontations of an intensity with which the world has no experience: direct conflict, either conventional or nuclear, between the superpowers
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Organisational socialisation in a crisis context.
Lalonde, Carole
2010-04-01
The objective of this paper is to highlight the dimensions characterising the socialisation process in a crisis context. Based on the definition of organisational socialisation advanced by Van Maanen and Schein (1979) and employed later by Jones (1986), a crisis is presented as a passage from a 'normal' situation to an 'exceptional' situation. A crisis represents a socialisation context in the sense that it is a novel state in which actors must develop a different way of mobilising their knowledge, utilising their skills, and practicing their trade or profession. The paper discusses certain findings that have emerged from the literature on organisational socialisation, as well as from the testimony of actors who participated in efforts to manage the Quebec ice-storm crisis of early 1998. It is hoped that this exploratory study's data will give rise to fruitful interaction between the field of organisational socialisation and that of crisis management.
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Crisis management: Planning for the inevitable
Directory of Open Access Journals (Sweden)
Niyaz Aboudzadeh
2014-06-01
Full Text Available The aim of this study is to identify important factors influencing organizational readiness to deal with the crisis in business organizations. The study designs a questionnaire in Likert scale and distributes it among some experts who work for Mapna company in Iran. The study uses the method developed by Mitroff (2005 [Mitroff, I. I. (2005. Why some companies emerge stronger and better from a crisis: 7 essential lessons for surviving disaster. AMACOM Div American Mgmt Assn.], which investigates the effects of four factors including job satisfaction, increase in income, cost reduction and change in strategies on crisis management. Using Pearson correlation ratio, the study has confirmed a positive and meaningful relationship between crisis management and three factors including increase in income, cost reduction and change in strategies. However, the study did not find any evidence to support the relationship between job satisfaction and crisis management.
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Raccontare la storia al tempo delle crisi
La Valle, Paolo
2015-01-01
La ricerca analizza il tema della relazione tra storia e narrazione nella letteratura degli ultimi quindici anni in tre contesti nazionali: Italia, Spagna e Portogalo. Per indagare un campo così vasto si sono identificate tre direttrici principali connesse tra loro, coincidenti con tre "crisi": la crisi del rapporto tra letteratura e mercato, la crisi del concetto di verità e la crisi dello stato nazione. Attraverso le riflessioni sul postmoderno (Lyotard, Jameson Hutcheon) e l’analisi di...
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The 2008 Financial Crisis and Taxation Policy
Thomas Hemmelgarn; Gaetan Nicodeme
2010-01-01
The 2008 financial crisis is the worst economic crisis since the Great Depression of 1929. It has been characterised by a housing bubble in a context of rapid credit expansion, high risk-taking and exacerbated financial leverage, ending into deleveraging and credit crunch when the bubble burst. This paper discusses the interactions between tax policy and the financial crisis. In particular, it reviews the existing evidence on the links between taxes and many characteristics of the crisis. Fin...
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Buggink, J W; de Goeij, M C M; Otten, F W J; Kunst, A
2016-01-01
International research suggests an impact of economic crises on population health, with different effects among different socioeconomic groups. Since the end of 2008 the Netherlands experienced a period of economic crisis. Our study explores how inequalities in perceived general and mental health, and alcohol and tobacco use changed after the recession started. Cross-sectional study using routinely collected data from surveys of the Dutch population. We used data from the Dutch Health Interview Surveys: 2006-2008 (pre-crisis period) and 2009-2013 (crisis period). Respondents aged 25-64 were divided into socioeconomic groups based on labour status, income level and income change. Inequalities in health and stimulant use among these socioeconomic groups were described by period and changes between the pre-crisis and crisis period were investigated using logistic regression models. Most inequalities did not change, with some exceptions. For perceived general health, inequalities between employed persons and persons not in the labour force were larger in the crisis-period (unfavourable trends for those not in the labour force). For smoking, inequalities between unemployed and employed persons were larger in the crisis period (decreasing smoking rates only for those employed), as did inequalities between persons with low and high income levels (decreasing smoking rates for those with higher income levels). Excessive drinking decreased among employed persons and persons with a decrease in income, while it remained stable among persons not in the labour force and among persons with an increase in income. The widening of some socioeconomic inequalities in health and stimulant use might suggest an enhanced vulnerability of lower socioeconomic groups to the post-2008 crisis.
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Bruggink, Jan-Willem; de Goeij, Moniek C M; Otten, Ferdy; Kunst, Anton E
2016-10-01
International research suggests an impact of economic crises on population health, with different effects among different socioeconomic groups. Since the end of 2008 the Netherlands experienced a period of economic crisis. Our study explores how inequalities in perceived general and mental health, and alcohol and tobacco use changed after the recession started. We used data from the Dutch Health Interview Surveys: 2006-2008 (pre-crisis period) and 2009-2013 (crisis period). Respondents aged 25-64 were divided into socioeconomic groups based on labour status, income level and income change. Inequalities in health and stimulant use among these socioeconomic groups were described by period and changes between the pre-crisis and crisis period were investigated using logistic regression models. Most inequalities did not change, with some exceptions. For perceived general health, inequalities between employed persons and persons not in the labour force were larger in the crisis period (unfavourable trends for those not in the labour force). For smoking, inequalities between unemployed and employed persons were larger in the crisis period (decreasing smoking rates only for those employed), as did inequalities between persons with low and high income levels (decreasing smoking rates for those with higher income levels). Excessive drinking decreased among employed persons and persons with a decrease in income, while it remained stable among persons not in the labour force and among persons with an increase in income. The widening of some socioeconomic inequalities in health and stimulant use might suggest an enhanced vulnerability of lower socioeconomic groups to the post-2008 crisis. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
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Waters, Amanda; Sands, Natisha; Keppich-Arnold, Sandra; Henderson, Kathryn
2015-06-01
Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community and mental health services in many Australian and international health services, facilitating access to assessment, treatment, and admission to hospital. No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning. The aim of the present study was to identify the nature and types of information transferred during these handovers, and to explore how these guides initial care planning. An observational, exploratory study design was used. A 20-item handover observation tool was used to observe 19 occasions of handover. A prospective audit was undertaken on clinical documentation arising from the admission. Clinical information, including psychiatric history and mental state, were handed over consistently; however, information about consumer preferences was reported less consistently. The present study identified a lack of attention to consumer preferences at handover, despite the current focus on recovery-oriented models for mental health care, and the centrality of respecting consumer preferences within the recovery paradigm. © 2014 Australian College of Mental Health Nurses Inc.
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Coombs, W. Timothy; Holladay, Sherry J.
2002-01-01
Explains a comprehensive, prescriptive, situational approach for responding to crises and protecting organizational reputation: the situational crisis communication theory (SCCT). Notes undergraduate students read two crisis case studies from a set of 13 cases and responded to questions following the case. Validates a key assumption in SCCT and…
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ITO Takatoshi; HASHIMOTO Yuko
2007-01-01
This paper analyzes the bank restructuring process in Malaysia from the currency crisis of 1997 to present. Even though the banking sector in Malaysia had relatively lower NPLs compared to other Asian countries, financial sector suffered financial crisis and various problems emerged. This paper covers topics such as setting up financial restructuring agencies, a scheme of capital injection to weak banks, and a corporate restructuring process conducted by the Malaysian government. Plans of Mer...
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40 CFR 166.45 - Duration of crisis exemption.
2010-07-01
... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Duration of crisis exemption. 166.45... EXEMPTION OF FEDERAL AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.45 Duration of crisis exemption. A crisis exemption may be authorized for: (a) Only as long as is...
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ANALYSIS OF CRISIS LEVEL IN REGIONS OF UKRAINE
Directory of Open Access Journals (Sweden)
Irina Abramova
2017-12-01
Full Text Available The purpose of the paper is to identify the crisis level in regions of Ukraine in 2013–2015. The article also determines features, causes, and development of crisis situations in the regions of Ukraine and proposes measures to prevent the emergence and development of crisis situations or their disposal. Methodology. The basis for assessing the level of crisis in the socio-economic development of the region is to determine the level of deviation of actual indicators from the threshold values of socio-economic security. Such an assessment needs justification for the deviation of the actual indicators from the threshold values of socioeconomic security, which will correspond to a certain state of the depth of the crisis. The non-crisis zone characterizes the region as a powerful territorial centre of the country in the social and economic aspects. Actual indicators of the socio-economic development of this region are higher than the threshold values. Given the slowdown in the region’s development, the lack of innovative mechanisms for increasing economic potential, and the expansion of social programs for the population, this region may become a pre-crisis zone. A quantitative indicator of the zone of pre-crisis state, its threshold is numerical measurements, characterized by a 25-percent deviation from the threshold level of the non-crisis zone, which corresponds to the limits of indicators from 1.0 to 0.75. The growth of the same pace of socio-economic development, the implementation of effective measures of crisis management will lead to the transition of the region into a non-crisis zone. With a further fall in the level of socio-economic development, the region will fall into a zone of moderate crisis. In order to return to a precrisis state, regional authorities should develop a reactive anti-crisis strategy and effective rehabilitation programs. A quantitative indicator of this zone, its threshold is numerical measurements, which
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Are you ready? Crisis leadership in a hyper-VUCA environment.
Alkhaldi, Khaldoon H; Austin, Meredith L; Cura, Boris A; Dantzler, Darrell; Holland, Leslie; Maples, David L; Quarrelles, Jamie C; Weinkle, Robert K; Marcus, Leonard J
The current hyper-volatile, -uncertain, -complex, and -ambiguous (VUCA) threat environment demands a more cohesive support structure for crisis leaders who may be faced with crises of increasing magnitude and frequency and, in some instances, multiple crisis events simultaneously. The project team investigates the perceptions of crisis leaders regarding establishing a crisis leader advisor position for crisis leaders to benefit from their experience while prosecuting crisis response activities. The team linked hyper-VUCA crises, crisis response frameworks, meta-leadership, crisis leader attributes, and advisor attributes. The overall goal of the project is to increase the ability of the crisis leaders to more effectively and efficiently navigate crisis events resulting in more efficient and effective response and recovery. Three research questions were developed to assess the following: thoughts of integrating a crisis leader advisor position; development of a crisis leader advisor certification program; and attributes of crisis leader advisors. A qualitative research methodology using a phenomenological approach was employed. Forty-one participants were purposefully selected and administered a short, on-line survey consisting of 11 questions. Data were analyzed using percentage analysis,weighted sums, and inductive thematic analysis. The project team found an overwhelming support for the crisis leader advisor position and the crisis leader advisor certification program. Additionally, experience and trustworthiness ranked among the top sought after attributes of a crisis leader advisor. The team recommendations included (1) implement a crisis leaders advisor guide/framework; (2) create a formal crisis leader advisor position in national incident management system; (3) implement a crisis leader advisor certification framework; (4) benchmark established advisor programs; and (5) implement a framework to match leaders and advisors.
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LESSONS FROM THE CRISIS – TURKISH BANKING CRISIS OF 2000-2001
Directory of Open Access Journals (Sweden)
Gabriela PICIU
2015-04-01
Full Text Available In the past two decades or so the Turkish banking system has experienced many changes especially with the liberalization of the financial markets, financial inovations, inovations in the information technology and the increase in the number of financial transactions. With consolidations, competition has grown among banks and they are now competing for smaller profit margins. With all these changes, there has also been a change in the type of risks to which banks are now exposed. If the banking system in Turkey is following the right path as the authorities in Turkey claim then how did the country get into the grip of the banking crisis of 2000-2001? What went wrong and why bank loans turned into bad debts must be examined. The Turkish Experience resulting from the financial crisis of 2000-2001 shows that the country has learned the lesson. The financial crisis of 2008 hadn't an impact so great in Turkey compared with other countries.
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SUBPRIME CRISIS AND FINANCIAL CONTAGION: EVIDENCE FROM TUNISIA
Directory of Open Access Journals (Sweden)
Mongi GHARSELLAOUI
2013-01-01
Full Text Available The purpose of this paper is to study the subprime crisis while focusing on the phenomenon of financial contagion. Subprime crisis is a crisis that has hit the U.S. mortgage sector and helped to trigger the financial crisis of 2007-2009. In the context of this study, we are interested in exposing the subprime crisis and the contagion first point. The second point will be reserved for the transmission channels of contagion and the third point; we will try to assess the impact of liquidity on the capital market returns. This study shows that the Tunisian financial market does not seem to be very influenced by the subprime crisis. This can be explained by the intrinsic characteristics of the Tunisian market, an underdeveloped market and elemental thing that can make him more or less immune to that crisis.
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Vázquez, María Luisa; Vargas, Ingrid; Aller, Marta-Beatriz
2014-06-01
Despite the economic crisis, the immigrant population of Spain continues to be high, with 5.7 million persons (11.4%). This population, whose health needs are similar to those of the general population, is more vulnerable due to their exposure to worse social determinants (living and working conditions together with a higher risk of exclusion from social services). In this article, we analyze how the economic crisis affects or can affect the health of the immigrant population in Spain by examining distinct population-specific or institutional factors that influence the effects of the crisis and the available data. The available evidence is limited, but several effects can be identified: firstly, some social determinants, such as higher unemployment rates and worse working conditions, have deteriorated, which can be expected to lead to a worsening of health status. These consequences have already been described for mental health or have been estimated for infectious diseases. Secondly, political decisions have had a direct impact, excluding-with some exceptions-undocumented immigrants from the right to health care. Finally, the lower priority given to adapting health services to the specific characteristics of the immigrant population (most of whom are documented) together with the introduction of new barriers, has hampered or will hamper access to health care. As a result, the economic crisis can be expected to have a greater impact on the immigrant population. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.
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Directory of Open Access Journals (Sweden)
Yiannis Mylonas
2012-07-01
Full Text Available This article critically studies the hegemonic discursive construction of the EU’s current (2012 economic crisis, as it is articulated by political and economic elites and by mass media. The study focuses on the political economy of the particular crisis and through the critical concept of reification, the study emphasizes the hegemonic naturalization of the economic crisis by the “free market” economistic ideology. The article problematizes the positioning of Greece as the “crisis epicentre” in Europe, understanding Greece as a scapegoat and as a laboratory where political strategies of capitalist restructuring of the EU are performed. Through the frame analysis of Bild-zeitung’s headlines on the coverage of crisis-struck Greece, the article discusses a the “culturalization” of the crisis and the diversion from a structural public debate on the global economic crisis b the disciplinary function of crisis’ publicity, related to social control and the production of new, neoliberal social subjectivities c the alienating effect of the culturalist crisis discourses to transnational publics, resulting to the misrecognition of the ideological and structural reasons of the given crisis, the misrecognition of the effects of the crisis and crisis-politics in people’s lives, the misrecognition of popular socio-political struggles in countries worse struck by crisis politics, and the eclipse of transnational solidarity and identification to the common issues that European people in particular are facing.
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Communicating through Crisis: A Strategy for Organizational Survival.
Sturges, David L.
1994-01-01
Suggests that crisis communication should be a part of the larger issues of communication policy and strategy. Builds a case for the need to consider crisis communication in a larger context. Proposes a model of crisis communication content that may serve as a framework for research into the efficacy of communication during crisis episodes. (RS)
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Agrofuels, Food Sovereignty, and the Contemporary Food Crisis
Rosset, Peter
2009-01-01
In this article, agrofuels are examined in the context of the world food price crisis and the "food sovereignty" proposal for addressing the crisis. Both short- and long-term causes of the crisis are examined, and while agrofuels are presently not a prime causal factor they are clearly contraindicated by the crisis. Food sovereignty,…
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Glomerular function in sickle cell disease patients during crisis.
Aderibigbe, A; Arije, A; Akinkugbe, O O
1994-06-01
An 8 month prospective study was carried out in 20 adult sickle cell disease (SCD) patients 16 sickle cell anaemia (Hbss) and 4 sickle cell Hbc disease (Hbsc); who had vaso-occlusive crises within the study period to determine the extent of the effect of sickle cell crisis on glomerular function in SCD patients during crisis. The male: female ratio was 1:57 and their mean age was 21.1 +/- 7.9 years. Creatinine clearance (CCr), as an index of glomerular function, was determined at the pre-crisis, crisis, 2 and 4 weeks post-crisis and at the end of the study period. The mean values of their CCr dropped from 113.37 +/- 33.80mls/min at pre-crisis stage to 96.39 +/- 30.13mls/min during crisis (p pre-crisis stage (p > 0.05). It is concluded that glomerular dysfunction in SCD patients during crisis is potentially reversible.
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School Crisis Management Manual: Guidelines for Administrators. Second Edition.
Smith, Judie
This three-part manual is intended for principals and other administrators responsible for developing and managing school crisis plans. Part 1, preparation for a school crisis, includes sections on the selection and training of members of the school crisis team, steps in developing a school crisis plan, and four crisis scenarios to train team…
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A CLEAR Plan for School Crisis Management.
Moriarty, Anthony; And Others
1993-01-01
Although many school formulas for crisis management are well coordinated internally, many are also shortsighted in recognizing when a school crisis falls simultaneously into law enforcement's domain. An Illinois high school has devised CLEAR, a crisis management plan delineating cognizance of personnel, the linkages they establish, accountability…
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Digging deeper: crisis management in the coal industry
Energy Technology Data Exchange (ETDEWEB)
Miller, B.M.; Horsley, J.S. [Elon University, Elon, NC (United States)
2009-07-01
This study explores crisis management/communication practices within the coal industry through the lens of high reliability organization (HRO) concepts and sensemaking theory. In-depth interviews with industry executives and an analysis of an emergency procedures manual were used to provide an exploratory examination of the status of crisis management within this industry, a context in which crisis management/communication may be viewed as an opportunity to improve existing negative perceptions or generate more favorable attitudes among stakeholders. Findings suggest that although companies place great emphasis on the technical response to a crisis, the lack of crisis communication components in overall planning strategies prevents some companies from being able to adequately respond to a crisis situation.
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Crisis-counselor perceptions of job training, stress, and satisfaction during disaster recovery.
Bellamy, Nikki D; Wang, Min Qi; McGee, Lori A; Liu, Julie S; Robinson, Maryann E
2018-05-03
The United States Crisis Counseling Assistance and Training Program (CCP; authorized by the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 1974/2013) aims to provide disaster-recovery support to communities following natural or human-caused disasters through outreach. Job satisfaction among the crisis counselors the CCP employs may affect the delivery of outreach services to survivors and their communities. The present study was conducted to gain insight into CCP crisis counselors' experiences with job training and work-related stress as predictors of job satisfaction. Data was collected from 47 CCP service-provider agencies, including 532 completed service-provider feedback surveys to examine the usefulness of the CCP training they had received, the support and supervision provided by program management, the workload and its duration, resources provided, and the stress experienced. Quantitative and qualitative data were examined, and a multiple linear regression was calculated to predict job satisfaction based on training usefulness, job stress, gender, age, race, full- or part-time status, highest level of education achieved, and supervisory position. The overall regression equation was significant, F(8, 341) = 8.428, p job training was rated as useful (p job stress (p job satisfaction. Findings suggest that proper training and management of stress among crisis counselors are necessary for influencing levels of staff job satisfaction. Where self-care and stress management were not adequately emphasized, more stress was reported. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Research on crisis communication of nuclear and radiation safety
International Nuclear Information System (INIS)
Cao Yali; Zhang Ying
2013-01-01
Insufficient public cognition of nuclear and radiation safety and absence of effective method to handle crisis lead to common crisis events of nuclear and radiation safety, which brings about unfavorable impact on the sound development of nuclear energy exploring and application of nuclear technology. This paper, based on crisis communication theory, analyzed the effect of current situation on nuclear and radiation safety crisis, discussed how to handle crisis, and tried to explore the effective strategies for nuclear and radiation safety crisis handling. (authors)
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Directory of Open Access Journals (Sweden)
Mat Tazin Saidathul Nizah
2017-01-01
Full Text Available This is an exploratory study into understanding the dominant coalition perspectives on role and values of public relations in crisis management in an energy company in Malaysia. In this study, the senior public relations of the energy company reports directly to the crisis commander (CC in times of crisis thus, the CC was chosen as a sample where an in-depth interview was conducted. Notably, the CC perceptions represents the dominant coalition with the power to shape organisation policies and provide directions to public relations practice in managing media and communication in crisis management. Theory of excellence within the outlook of public relations empowerment was examined. The findings of this study have significantly confirmed that the patterns of the CC perceptions on role and values of public relations in crisis management are similar to other dominant coalition literature across the globe. This phenomenon needs changes to drive public relations to strive harder to be a problem solver and a strategic thinker in crisis management. This study is a significant attempt to understand the perception of the dominant coalition on public relations in crisis management and can be replicated in other sectors in Malaysia.
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Crisis interventions in online psychological counseling
Directory of Open Access Journals (Sweden)
Juliana Amaral Medeiros da Silva
2015-12-01
Full Text Available Introduction: The world's population is often assailed by crises of various orders. Disasters caused by nature and by humans themselves also impact on people's mental health. Psychological crises, such as suicide attempts, represent a growing problem in mental health. When faced with such scenarios, specific strategies of crisis intervention are both appropriate and necessary. Objective: To conduct a systematic review of the literature dealing with online psychological crisis intervention, describing and discussing their operational design, specific characteristics and applications. Method: A systematic review of literature indexed on the PubMed, PsycINFO, and SciELO databases identified by searches conducted from January to June of 2014. Results: The searches identified 17 empirical studies about online crisis interventions which were reviewed. Three crisis contexts emerged: 1 disasters, 2 risk/prevention of suicide, and 3 trauma. Eleven different intervention programs were described and the predominant treatment approach was cognitive behavioral therapy. The results showed that research into online psychological crisis intervention has been conducted in several different countries, especially the Netherlands and Australia, and that the users of these tools benefit from them. Conclusion: Online crisis interventions have been developed and researched in many countries around the world. In Brazil, there is still a lack of investment and research in this area.
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THE IMPACT OF ECONOMIC CRISIS ON PUBLIC SERVICES OF SOCIAL VALUE IN ROMANIA
Directory of Open Access Journals (Sweden)
Milin Anda Ioana
2013-07-01
equal opportunities, financial security during illness not as simple care of the sick. The paper includes analysis related to: the structure of social protection in our country, the scope of these services, the relationship between social protection and poverty, the way and the degree to which social protection deepens or contribute to poverty reduction. The economic crisis triggered in Europe in 2008that also affects Romania, negatively influenced the evolution of social funds in key areas of public interest, education, health and social care. This results from: decreasing share of social spending in the state budget, decreasing share of these expenses in the total family budget due to lower purchasing power and thus the obligation of individual to reduce or waive some costs of this kind, central and local government bodies inability to meet certain service requirements such at the level of the population and especially low-income population groups. Located in the crisis situation the state must seek solutions to keep social services at an appropriate level because the quantity and quality of these services have an impact upon quality of life and standard of living of many individuals. The results of the analysis indicates us a reduced benefit for this type of service, in our country, with negative effects over the entire society. The conclusions aim to support the fact that social policy from our country is insufficient in relation to the real needs of the population, being strongly influenced by domestic economic situation and the size of the global economic crisis.
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La crisis económica en España : la crisis del sistema bancario
Pachón Gallegos, Ana Luna
2014-01-01
El trabajo profundiza en los factores determinantes que favorecieron la aparición de la crisis economica en España, haciendo una especial mención al desarrollo de dicha crisis en el sistema bancario nacional. Departamento de Economía Aplicada Grado en Marketing e Investigación de Mercados
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The Socio-Economic Impact of the Global Financial Crisis on Sudan
Directory of Open Access Journals (Sweden)
Khalid Hassan Elbeely
2014-05-01
Regarding the political impact of GFC, the study finds that the limited means of mass mobilization, and looming uncertainty surrounding Sudan's security and political future should popular protests topple the regime, has disrupted the upsurge of mass protests amongst the grieving citizens, and thus preventing the country to follow the footsteps of its neighboring countries of Egypt and Libya, which were the first Arab countries in the region to witness what has been called the "Arab Spring".
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How to solve the cost crisis in health care.
Kaplan, Robert S; Porter, Michael E
2011-09-01
U.S. health care costs currently exceed 17% of GDP and continue to rise. One fundamental reason that providers are unable to reverse the trend is that they don't understand what it costs to deliver patient care or how those costs compare with outcomes. To put it bluntly, few health care providers measure the actual costs for treating a given patient with a given medical condition over a full cycle of care, or compare the costs they incur with the outcomes they achieve. What isn't measured cannot be managed or improved, and this is all too true in health care, where poor costing systems mean that effective and efficient providers go unrewarded, and inefficient ones have little incentive to improve. But all this can be remedied by exploring the concept of value in health care and carefully measuring costs. This article describes a new way to analyze costs that uses patients and their conditions--not organizational units or narrow diagnostic treatment groups--as the fundamental unit of analysis for measuring costs and outcomes. The new approach, called time-driven activity-cased costing, is currently being implemented in pilots at the Head and Neck Center at MD Anderson, the Cleft Lip and Palate Program at Children's Hospital in Boston, and units performing knee replacements at Schön Klinik in Germany and Brigham & Women's Hospital in Boston. As providers and payors better understand costs, they will be positioned to achieve a true "bending of the cost curve" from within the system, not in response to top-down mandates. Accurate costing also unlocks a whole cascade of opportunities, such as process improvement, better organization of care, and new reimbursement approaches that will accelerate the pace of innovation and value creation.
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Laliotis, Ioannis; Ioannidis, John P A; Stavropoulou, Charitini
2016-12-01
Greece was one of the countries hit the hardest by the 2008 financial crisis in Europe. Yet, evidence on the effect of the crisis on total and cause-specific mortality remains unclear. We explored whether the economic crisis affected the trend of overall and cause-specific mortality rates. We used regional panel data from the Hellenic Statistical Authority to assess mortality trends by age, sex, region, and cause in Greece between January, 2001, and December, 2013. We used Eurostat data to calculate monthly age-standardised mortality rates per 100 000 inhabitants for each region. Data were divided into two subperiods: before the crisis (January, 2001, to August, 2008) and after the onset of the crisis (September, 2008, to December, 2013). We tested for changes in the slope of mortality by doing an interrupted time-series analysis. Overall mortality continued to decline after the onset of the financial crisis (-0·065, 95% CI -0·080 to -0·049), but at a slower pace than before the crisis (-0·13, -0·15 to -0·10; trend difference 0·062, 95% CI 0·041 to 0·083; pperiod after the onset of the crisis with extrapolated values based on the period before the crisis, we estimate that an extra 242 deaths per month occurred after the onset of the crisis. Mortality trends have been interrupted after the onset of compared with before the crisis, but changes vary by age, sex, and cause of death. The increase in deaths due to adverse events during medical treatment might reflect the effects of deterioration in quality of care during economic recessions. None. Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.
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International Cooperation and Energy/Environment crisis
International Nuclear Information System (INIS)
Clo, A.
2009-01-01
A combination of old and new tensions led to a new energy crisis. This crisis is very difficult to solve due to the multiple interests and the global and sovranational nature of its interdependent dimensions (economic, political and environmental). In a deep global economic crisis context, the challenges posed to the modern world by energy and the environment have to be faced with the international cooperation and dialogue, as it was in the past. [it
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Strategic Management in Times of Crisis
Groh, Maximilian
2014-01-01
This aim of this article is to identify unusual strategic-management matters in times of crisis. The research scope is strategic management processes, the characteristics of the processes and methods of strategic crisis management. The study reports research on the contemporary state of strategic crisis-management problems and provides an analysis of some theoretical and methodological principles. The analysis includes a classification of the main problems which must be solved for efficient, ...
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Avčin, Bojana Avguštin; Kučina, Andrea Užmah; Sarotar, Brigita Novak; Radovanović, Mirjana; Plesničar, Blanka Kores
2011-09-01
The global financial and economic crisis starting in 2007 led to a deterioration of several socio-economic determinants of mental health. The aim of this cross-sectional study was to examine the impact of the present economic crisis on the depression and anxiety levels of the employed in the private and public sector in Slovenia. Altogether 1592 employees completed an internet based self-reported questionnaire. Data about perceived impact of the economic crisis, several socio-demographic, socioeconomic, and health parameters were collected. Depression symptoms were assessed by the Center for Epidemiological Studies-Depression Scale and anxiety symptoms by the Spielberger State-Inventory. Regression models were used 1) to explore the associations of the economic crisis with the level of depression and anxiety symptoms while controlling for some sociodemographic and work characteristic variables, and 2) to understand the relationship between some potentially important socioeconomic variables and the perception of the economic crisis. Depressive and anxiety scores were significantly increased among 590 (46.6%) employees being affected by the economic crisis. The level of depressive symptoms was significantly associated with perceived impact by the crisis, recent sick leave, reported injuries sustained at work, benzodiazepine and analgesic use, the lack of emotional support, and trust in crisis telephone lines. The level of anxiety symptoms yielded the robust association with the level of depression symptoms, reported injuries sustained on the way to work and education. The economic crisis poses an additional risk factor for mental health problems which clinicians should internalize and become more aware of them. Symptoms of depression and anxiety can be masked in high-utilizers of medical care with physical complaints or psychoactive drug use.
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Organizational Learning and Crisis Management
Wang, Jia
2007-01-01
The impact of crises on organizations has been stronger than ever. This article explores the role of organizational learning in crisis management, an area that has received little attention from HRD community. Recognizing the dynamics and interconnectedness of crisis management, organizational learning, and organizational change, the article…
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Varieties of capitalism in crisis?
DEFF Research Database (Denmark)
Bruff, Ian; Horn, Laura
2012-01-01
In this introduction to the special issue, we provide a brief overview of the two distinct but connected meanings of the phrase ‘varieties of capitalism in crisis’: (1) the crisis of empirical political economies under conditions of capitalist diversity; and (2) the crisis of the institutionalist...
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Regulating Finance After the Crisis
DEFF Research Database (Denmark)
Moschella, Manuela; Tsingou, Eleni
2013-01-01
It is now widely recognized that regulatory failures contributed to the onset of the global financial crisis. Redressing such failures has, thus, been a key policy priority in the post-crisis reform agenda at both the domestic and international levels. This special issue investigates the process ...
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Religious existentialists about the phenomenon of the crisis
Directory of Open Access Journals (Sweden)
S. H. Karpova
2014-04-01
M. Buber distinguishes sociological nature of the crisis and the crisis of the spirit. It focuses attention on the relationship «loneliness – a crisis». Analyzing contemporary anthropological crisis, he associates it with the theme of technological progress and decline of spirituality. So the philosopher comes to clarify three areas of human life, which manifests itself through the crisis of the human soul. There is such area of life: technology, economy and political practice. They, said M. Buber, formed in the human soul loneliness and emptiness. Marcel and Jaspers also drew attention to the problem of the relationship of «man – machinery». They noted the influence of the existence of such a relationship crisis and decline in spirituality.
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Polanco-Martínez, J. M.; Fernández-Macho, J.; Neumann, M. B.; Faria, S. H.
2018-01-01
This paper presents an analysis of EU peripheral (so-called PIIGS) stock market indices and the S&P Europe 350 index (SPEURO), as a European benchmark market, over the pre-crisis (2004-2007) and crisis (2008-2011) periods. We computed a rolling-window wavelet correlation for the market returns and applied a non-linear Granger causality test to the wavelet decomposition coefficients of these stock market returns. Our results show that the correlation is stronger for the crisis than for the pre-crisis period. The stock market indices from Portugal, Italy and Spain were more interconnected among themselves during the crisis than with the SPEURO. The stock market from Portugal is the most sensitive and vulnerable PIIGS member, whereas the stock market from Greece tends to move away from the European benchmark market since the 2008 financial crisis till 2011. The non-linear causality test indicates that in the first three wavelet scales (intraweek, weekly and fortnightly) the number of uni-directional and bi-directional causalities is greater during the crisis than in the pre-crisis period, because of financial contagion. Furthermore, the causality analysis shows that the direction of the Granger cause-effect for the pre-crisis and crisis periods is not invariant in the considered time-scales, and that the causality directions among the studied stock markets do not seem to have a preferential direction. These results are relevant to better understand the behaviour of vulnerable stock markets, especially for investors and policymakers.
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Impact of Global Financial Crisis on Nigerian Stock Market | Onuoha ...
African Journals Online (AJOL)
Impact of Global Financial Crisis on Nigerian Stock Market. ... that the global financial crisis measured by currency crisis, credit crisis, liquidity crisis, ... relevant regulatory authorities should use the financial stress index (FSI) as proposed by ...
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The Many Crises of Western Journalism
DEFF Research Database (Denmark)
Nielsen, Rasmus Kleis
of professional journalism in existential terms; the second focuses on the weaknesses of the professional model itself; the third defines the crisis in symbolic terms, as a morally problematic relation among journalists, citizens, and power holders. These three crisis frameworks raise different questions...... and professionally relatively robust countries like Finland and Germany, where symbolic issues loom large; to countries like the US, where economic, professional, and symbolic crises seem to coincide -- and are interpreted in large part through the lens of technology; to countries like France, Italy, and the UK......, where crises are seen to coincide but where the roots of crises are seen as predating the rise of the internet and the erosion of existing business models for journalism. Each interpretation of the crisis in Western journalism points to different solutions, from appeals to state intervention in several...
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Lunar phases and crisis center telephone calls.
Wilson, J E; Tobacyk, J J
1990-02-01
The lunar hypothesis, that is, the notion that lunar phases can directly affect human behavior, was tested by time-series analysis of 4,575 crisis center telephone calls (all calls recorded for a 6-month interval). As expected, the lunar hypothesis was not supported. The 28-day lunar cycle accounted for less than 1% of the variance of the frequency of crisis center calls. Also, as hypothesized from an attribution theory framework, crisis center workers reported significantly greater belief in lunar effects than a non-crisis-center-worker comparison group.
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Communication crisis and its solution through crises management
Directory of Open Access Journals (Sweden)
Nicoleta DĂNESCU
2011-06-01
Full Text Available Crises are never convenient as they are destructive. Any institution or organization may face a crisis situation, able to endanger its normal activity and reputation. Some crises are predictable and can be prevented, others cannot be grasped and thus prevented. Experience proved that, despite all technical, economical, financial or educational cautions taken to stop or control a crisis, it can get out of control and develop. In these circumstances, the crisis can bring serious prejudices to the organization if not properly managed from all points of view. Communication during crisis is extremely important, aiming at generating changes and taking action against the crisis. Above all, crises management consists in interpersonal relations. Management activity in crises situations develops a constant and complex communication process with the aid of which, the manager, the crisis cell, the entire staff interact in order to find the optimal strategies to survive the crisis situation.
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Political Limits to the Processing of Policy Problems
Directory of Open Access Journals (Sweden)
Peter J. May
2013-07-01
Full Text Available This contribution addresses political limits to the processing of policy problems in the United States. Our foci are the forces that limit policymakers' attention to different aspects of problems and how this affects the prospects for problem resolution. We theorize about three sets of forces: interest engagement, linkages among relevant institutions for policymaking, and partisan conflict. We show how the interplay of these forces limits efforts to address complex problems. Based on secondary accounts, we consider these underlying dynamics for ten complex problems. These include the thorny problems of the financial crisis, climate change, and health care; the persistent problems of K-12 education, drug abuse, and food safety; and the looming problems associated with critical infrastructure, the obesity epidemic, ocean health, and terrorism and extreme events. From these accounts we identify different patterns that we label fractured, allied, bureaucratic, and anemic policymaking.
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International Nuclear Information System (INIS)
Ferone, G.
2008-01-01
The ecological crisis will happen on 2030. A combination of climatic change, energy problems, increase in population, will mix up. The author debates about true questions on the economy: how to get quickly towards renewable energies use, how much will it cost, must we generalize the carbon tax, what about economic giant as India and China, what about the technology development to solve the crisis? (A.L.B.)
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Crisis and Employment: The Case of Korea
Cho, Dongchul; Shin, Sukha
2012-01-01
This paper examines Korea's employment dynamics and analyzes how adverse impacts could be mitigated during the recent economic crisis in comparison with the 1997 to 1998 Asian crisis. A clear lesson is that policies to mitigate adverse impacts of financial crisis on the macroeconomic level should be given priority for preserving employment. In…
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International Nuclear Information System (INIS)
Hamburg, D.A.; George, A.L.
1984-01-01
Renewed interest in crisis management is caused by a growing recognition that a failure of communication between the superpowers in the face of a crisis provoked by some third party could issue in a nuclear war, other causes of this renewed interest are the fear of miscalculation and runaway escalation if the US and Soviet Union are drawn into a regional war in which each had vital interests and a concern that a missile might be fired on either side by accident or without proper authorization despite precautions. The authors, stating that crisis prevention should be viewed as an objective, not as a strategy, support the establishment of a joint US-Soviet nuclear risk control center designed to carry out four functions: (1) to facilitate communications between the two countries, (2) to avert nuclear confrontations during periods of accelerating tension, (3) to serve as an exchange of confidence building information during normal periods, and (4) to serve as a joint management center to plan for responses to terrorist or other third party group
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Challenges of the management of mass casualty: lessons learned from the Jos crisis of 2001.
Ozoilo, Kenneth N; Pam, Ishaya C; Yiltok, Simon J; Ramyil, Alice V; Nwadiaro, Hyacinth C
2013-10-28
Jos has witnessed a series of civil crises which have generated mass casualties that the Jos University Teaching Hospital has had to respond to from time to time. We review the challenges that we encountered in the management of the victims of the 2001 crisis. We reviewed the findings of our debriefing sessions following the sectarian crisis of September 2001 and identified the challenges and obstacles experienced during these periods. Communication was a major challenge, both within and outside the hospital. In the field, there was poor field triage and no prehospital care. Transportation and evacuation was hazardous, for both injured patients and medical personnel. This was worsened by the imposition of a curfew on the city and its environs. In the hospital, supplies such as fluids, emergency drugs, sterile dressings and instruments, splints, and other consumables, blood and food were soon exhausted. Record keeping was erratic. Staff began to show signs of physical and mental exhaustion as well as features of anxiety and stress. Tensions rose between different religious groups in the hospital and an attempt was made by rioters to attack the hospital. Patients suffered poor subsequent care following resuscitation and/or surgery and there was neglect of patients on admission prior to the crisis as well as non trauma medical emergencies. Mass casualties from disasters that disrupt organized societal mechanisms for days can pose significant challenges to the best of institutional disaster response plans. In the situation that we experienced, our disaster plan was impractical initially because it failed to factor in such a prolongation of both crisis and response. We recommend that institutional disaster response plans should incorporate provisions for the challenges we have enumerated and factor in peculiarities that would emanate from the need for a prolonged response.
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Crisis of Youth or Youth in Crisis? Education, Employment and Legitimation Crisis
Simmons, Robin; Smyth, John
2016-01-01
This paper uses the Habermasian concept of legitimation crisis to critique the relationship between post-compulsory education and training and the chronic levels of youth unemployment and under-employment which now characterise post-industrial Western economies, such as the UK. It draws on data from an ethnographic study of the lives of young…
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Substantiation of Strategic Problem Concept in Anti-Crisis Management
Inna Irtyshcheva; Svitlana Minakova
2014-01-01
The article is devoted to the definition of the essence, objectives and characteristics of strategic crisis management. The interrelation of rank anti-crisis strategy in the hierarchy of the company strategies, depending on the identity of the company local, systemic or strategic crisis is analysed. The anti-crisis strategies are defined on the grounds of common characteristics. The types of tactics in crisis management are defined.
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The debt crisis: a re-appraisal
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Carlos Alberto Cinquetti
2005-09-01
Full Text Available The 1980s' debt crisis is a landmark in developing economies' growth and stabilization. According to the most quoted empirical articles, external shocks and vicissitudes gave rise to crisis just because of delays in stabilization policies, engendered by internal conflicts and institutional immaturity. I review some of these papers, and find out some problems - in the measurement of shocks and foreign indebtedness, namely - whose corrections lead to opposite results: external shocks and foreign indebtedness explain that crisis regardless of domestic policies. At the same time, the strong correlation of income distribution to terms of trade changes and foreign indebtedness suggest that inequality may have contributed differently to that crisis: either through an economic channel, or through a political channel based on delays in reforms.
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Functioning of the IPSN Crisis Technical Center (CTC) inside the Crisis National Organisation
International Nuclear Information System (INIS)
Cernes, A.
1995-01-01
A forethought about the organization and counter-actions to follow in case of reactor accident crisis has been carried out by the French nuclear partners (operators and public authorities). This forethought has led to the creation of a Crisis National Organization which determines the responsibilities and missions of each partner. Inside this organization, the IPSN (Institute for Nuclear Protection and Safety) plays the role of technical support and expert for the Safety Authority. To carry out these missions, a Crisis Technical Center has been installed for ten years in Fontenay-aux-Roses CEA center. This document is a presentation of the CTC activities and evolutions in the framework of the existing National Organization. The main axes along which this activity will evolve in the future are summarized. (J.S.). 3 figs
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Palliative care in Argentina: perspectives from a country in crisis.
De Simone, Gustavo G
2003-01-01
Argentina is a large South American country with a high prevalence of chronic disease-related mortality and a clear need for implementation of palliative care. Primary concerns related to palliative care are cultural, socio-economic and educational. Increasing poverty, patients and families receiving inadequate information about their diagnosis or prognosis, drug availability and costs, and insufficient knowledge by health care providers are obstacles to palliative care. Palliative care programs are developing throughout the country and methods by which they are meeting their needs are described. Several Argentinean palliative care initiatives are described and the role of the Pallium Latinomérica training program is discussed.
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Nature Cure and Non-Communicable Diseases: Ecological Therapy as Health Care in India.
Alter, Joseph S; Nair, R M; Nair, Rukmani
2017-12-07
With rapidly increasing rates of non-communicable diseases, India is experiencing a dramatic public health crisis that is closely linked to changing lifestyles and the growth of the middle-class. In this essay we discuss how the practice of Nature Cure provides a way of understanding the scale and scope of the crisis, as it is embodied, and a way to understand key elements of a solution to problems that the crisis presents for institutionalized health care. As institutionalized in contemporary India, Nature Cure involves treatment and managed care using earth, air, sunlight, and water as well as a strict dietary regimen. In this regard, the essay shows how Nature Cure's bio-ecological orientation toward public health, which is grounded in the history of its modern incorporation into India, provides an expansionist, ecological model for holistic care that counters the reductionist logic of bio-medical pharmaceuticalization.
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Values of financial services professionals and the global financial crisis as a crisis of ethics
Hoorn, André van
2013-01-01
Many attribute the global financial crisis (GFC) to the ethical values of the people involved, financial services professionals (FSPs) such as stockbrokers or fund managers. The crisis-of-ethics debate is important, concerning one of the main policy challenges of our times, but is based on popular
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Resolving the International Monetary Fund's Legitimacy Crisis
DEFF Research Database (Denmark)
Seabrooke, Leonard
2006-01-01
Since the Asian financial crisis of 1997-1998 the International Monetary Fund (the Fund) has been embroiled in an international crisis of legitimacy. Assertions of a crisis are premised on the notions that the Fund's voting system is unfair, and that the Fund enforces homogenous policies onto...... borrowing member states and that loan programs tend to fail. Seen this way, poor institutional and policy design has led to a loss of legitimacy. But institutionalised inequalities or policy failure is not in itself sufficient to constitute an international crisis of legitimacy. This article provides...... a conceptually-driven discussion of the sources of the Fund's international crisis of legitimacy by investigating how its formal "foreground" institutional relations with its member states have become strained, and how informal "background" political and economic relationships are expanding in a way...
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Leadership during Crisis: Threat Identifcation and Solution Proposal
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Lukáš Mazánek
2016-01-01
Full Text Available Purpose of the article: In the current dynamic market environment, companies are vulnerable to many problems of different character, which could result into a real business crisis. The submitted study summarizes possible approaches to leading through crisis situation. Therefore proposal of solutions which tools leader could use during crisis was made. Purpose of this study is to create theoretical background for the future research, in the field of application right leadership concept during crisis. Methodology/methods: For the purpose of the illustration possible threats which can lead to a business crisis was chosen the Ishikawa diagram. Next up review of scientific publication focused on leadership during crisis was made. With emphasis especially on research studies published in last 10 years in the Leadership Quarterly Journal. These results was precisely analyzed and then the most useful informations synthesized into proposed solutions. Scientific aim: The aim of this study, is to identify possible threats which could be a source of corporate crises. Subsequently propose solutions within the competence of corporate leader, how to prevent those threats or lower the intensity of crisis which already occur Findings: Proposed solutions was found in the field of HR leadership, crisis communication, leader´s behavior connected with leadership style used during crisis and increasing effectivity of leading crisis team. The application of mentioned approaches, contribute to preparedness on the possible negative future development and reduce the intensity of crisis, which has already af-fected the corporation. Conclusions: The contribution of this study is creation of synoptic overview of corporate threats and proposal of corresponding solutions of those. The implication is to summarize results from previous empirical studies to create enough theoretic foundation for the future research.
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Directory of Open Access Journals (Sweden)
Stefano Lucarelli
2013-07-01
Full Text Available The article continues the debate on the "crisis within the crisis" that characterises Italy's economy. The authors argue that while the international and specifically the European crisis greatly contributed to the deterioration of Italy's economic prospects, the country is affected by longer term issues of its own. To analyse such problems, the article focuses on the growing inability of the Italian private sector to innovate. It does so by analysing in a comparative perspective private sector expenditure for fixed investments and for research and development. The policy conclusions are surprising in so far as a surge of investments would seriously risk to negatively contribute to Italy's current account, thus further aggravating.
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Crisis in Context Theory: An Ecological Model
Myer, Rick A.; Moore, Holly B.
2006-01-01
This article outlines a theory for understanding the impact of a crisis on individuals and organizations. Crisis in context theory (CCT) is grounded in an ecological model and based on literature in the field of crisis intervention and on personal experiences of the authors. A graphic representation denotes key components and premises of CCT,…
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Crisis management teams in health organisations.
Canyon, Deon V
2012-01-01
Crisis management teams (CMT) are necessary to ensure adequate and appropriate crisis management planning and response to unforeseen, adverse events. This study investigated the existence of CMTs, the membership of CMTs, and the degree of training received by CMTs in Australian health and allied health organisations. This cross-sectional study draws on data provided by executive decision makers in a broad selection of health and allied health organisations. Crisis management teams were found in 44.2 per cent of the health-related organisations surveyed, which is ten per cent lower than the figure for business organisations. Membership of these CMTs was not ideal and did not conform to standard CMT membership profiles. Similarly, the extent of crisis management training in health-related organisations is 20 per cent lower than the figure for business organisations. If organisations do not become pro-active in their crisis management practices, the onus is on government to improve the situation through regulation and the provision of more physical, monetary and skill resources to ensure that the health services of Australia are sufficiently prepared to respond to adverse events.
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FEATURES OF CRISIS MANAGEMENT IN ENTERPRISES
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K. D. Busygin
2014-01-01
Full Text Available The article considers the value of preventive management in modern conditions. The global fi nancial and economic crisis of 2008-2010. sharpened interest in the problems of crisis management. This interest is manifested at the level of individual businesses, and at the level of the economy as a whole. At the same time revealed a signifi cant drawback: the development of crisis management theory lags behind practice. Non-compliance of the existing theory to modern requirements leads to the fact that the known approaches are not based on theoretical positions and empirical evidence and best practices, and, consequently, do not diff er systematically, because of this requires further research in this direction. The analysis shows that crisis management is a complex control system, which has its own specifi c features. Feature development solutions in crisis situations caused by the fact that they can only wear improving change with the obligatory account the limiting parameters of sustainable livelihoods enterprise (structure funds, personnel, activity profi le, the main products, and others.
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The Economic Crisis and Several Effects on Global Economy
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Florina BRAN
2011-01-01
Full Text Available The main mechanism of profit making is not production according to the outcomes of several analyses of the current economic crisis. This mechanism is circulation and exchange. Starting with this observation the paper goes through a number of aspects regarding the relation between crisis and economy at global level. These aspects consist in the recent financial turmoil; who pays for the crisis; stabilizing the financial sector; recession and the financial crisis; the internationalization of the crisis; commodities and the ecological crisis; an end to neo-liberalism; what should socialists demand. We notice and comment on how important current development in the wake of the banking crisis is for the transmission of that crisis to the rest of the economy and its interaction with the more general economic crisis now emerging. It was concluded that there are good chances that the current economic order to be broken. The future shape of the order will depend more on vision of managers than on the influence of the so called objective factors.
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Heath, Melissa Allen; Sheen, Dawn
2005-01-01
When a student is in dire need of emotional support, caring adults in the school can make a difference. This essential resource helps practitioners prepare all school personnel to respond sensitively and effectively to children and adolescents in crisis. Packed with user-friendly features--including over 50 reproducible tools--the book provides…
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Gelman, Andrew; Geurts, Hilde M
There is currently increased attention to the statistical (and replication) crisis in science. Biomedicine and social psychology have been at the heart of this crisis, but similar problems are evident in a wide range of fields. We discuss three examples of replication challenges from the field of social psychology and some proposed solutions, and then consider the applicability of these ideas to clinical neuropsychology. In addition to procedural developments such as preregistration and open data and criticism, we recommend that data be collected and analyzed with more recognition that each new study is a part of a learning process. The goal of improving neuropsychological assessment, care, and cure is too important to not take good scientific practice seriously.
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Crisis Management in the Health Sector: Qualities and characteristics of health crisis managers
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Manwlidou Zacharoula
2009-01-01
Full Text Available The rapidly evolving nature of today’s health systems and the need to adapt to modern demands,require that these systems are staffed with skilled health crisis managers. Based on that scenario, crisis managerswith good knowledge and training, adequate experience, as well as virtues of excellent organizational skills,operational planning, mental power and social sensitivity, can play a key role in dealing successfully with crisesin the health sector.
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Conceptual framework for proactive crisis enterprise management
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G. S. Merzlikina
2017-01-01
Full Text Available There has been a significant increase in requests for recognition of the debtor insolvent, this situation actualize proactive crisis management in combination with low rehabilitation potential of the institution of bankruptcy since 2014. The crisеs in the development of enterprises are inevitable, moreover it can have positive aspects, for example, increase the company's susceptibility to progress and prevention of more serious crises, so the main objective of proactive crisis management isn`t the avoidance of crisis but optimization of the crisis process. Optimization of process involves the correlation of the costs of implementation of preventive measures and available resources to allocated resources are sufficient for implementation of all phases of proactive crisis solutions, but at the same time, the company has not incurred unreasonably high costs. The authors conducted a comparative analysis of definitions of “proactivecrisis management” and specified the content of this concept. The adoptionprocess of proactive crisis solutions should be clearly structured, so the authors highlighted and discussed in detail the process of adoption of proactivecrisis solutions, which includes 4 stages: obtaining information about the internal and external enterprise environment, the stage of processing the gathered information and taking necessary proactive crisis decisions, the implementation of the adopted decisions and control their implementation.Modern tools of proactivecrisis management are varied and take into account the specifics of modern Russian system of market relations, because they include analysis of internal and external enterprise environment, quantitative and qualitative indicators. The authors suggest to consider innovation as one of the possible instruments of preventive crisis management.
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FINANCIAL CRISIS FROM THE MACROECONOMIC LEVEL TO THE MICROECONOMIC LEVEL
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SANDA GHEORGHE GABRIEL
2014-08-01
Full Text Available The current economic and financial crisis, beyond the problems it generates both at micro and macro level, should determine an adaptation of the mechanisms, institutions and monetary / financial policies to the real economy we are facing. The issue of financial crises is extremely complex, including a series of quantitative and qualitative factors, financial, economic, social, ethical, technological and human, which can intervene and influence the financial operations in a country or several countries simultaneously. We believe that it is difficult to appreciate that a traditional model might explain a financial crisis, given that every context of occurrence, conditions of development and crisis settlement programs are unique and unrepeatable. Every crisis has in its structure certain issues that may be capitalized and can lead to success. Perhaps more obvious are the ways that can lead to total failure of the organization. Finding and capitalizing the potential success is the essence of the crisis management. The essence of the mismanagement of the crisis is to worse situation. The successful management of a crisis involves admitting that you are facing a crisis, taking reasonable measures to remedy the situation, to be seen taking them and heard saying the right words. The issue at this stage of crisis management is that perception becomes true reality. Crisis management is a set of factors designed to combat the crisis and reduce the damage caused by the crisis. In other words, crisis management attempts to prevent or reduce the negative effects of the crisis and protect the organization, the public involved and the specific field by the possible damages. The effective management of the crisis includes crisis communication. This is an essential component through which the organization faced with the difficult situation can rehabilitate it’s publicly image or even to improve it. The crisis communication occurs between the organization and
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F. Gerard Adams
2009-01-01
The world financial crisis of 2008 is a consequence of new financial technologies, new accounting methods and new international linkages. These developments have come at a time when governments have returned to an old-fashioned freemarket philosophy. This paper links the systemic financial/economic crisis of 2008 to the new economy developments, globalisation and policy philosophy perspectives of recent decades. It raises the question of how to re-establish confidence once traditional thinkin...
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Korea's Post-Crisis Monetary Policy Reforms
Donghyun Park; Junggun Oh
2005-01-01
Korea's financial crisis of 1997–1998 was brought about by the unsustainable combination of large capital inflows and an inefficient financial system. The Bank of Korea contributed to the crisis primarily through its failures as the regulator of the financial system rather than as the conductor of monetary policy. Our paper explores the role of the two major monetary policy reforms Korea has implemented in response to the crisis — the establishment of a new financial regulator and the adoptio...
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Crisis, Resilience and Communication in Organizations
DEFF Research Database (Denmark)
Simonsen, Daniel Morten
2012-01-01
A significant part of modern crises management and crisis communication research is based on a normative research tradition aiming at anticipating future crises and developing crisis management plans that fit the scenarios (cf. Johansen & Frandsen, 2007; Coombs, 2007). In recognition...... of the limitations of this approach and the organizations' inability to foresee all potential crises in a world of constant change, the concept of resilience is starting to gain ground in crisis studies (cf. Weick & Sutcliff, 2007; Somers, 2009; Powley, 2009). This ncreased interest in resilience can be traced back...... to a discussion initiated by Wildavsky (1988), concerning whether organizational crises is best handled proactively by anticipating and planning in relation to potential crises, or whether to work with the organization reactive abilities when the crisis has manifested itself. This discussion has not diminished...
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The Euro Crisis in Online Media
DEFF Research Database (Denmark)
Uldam, Julie; Kaun, Anne
2013-01-01
While Scandinavian countries may be coping with the Euro crisis relatively better than most other European countries, they are far from unaffected. Nonetheless, the mainstream media have represented Scandinavia and Sweden as prime examples of resilience at a governmental level (i.e. the ability...... of a national economy to withstand, adapt and overcome the financial crisis), disregarding the consequences of growing inequalities and the dismantling of welfare state. Consequently, reports on resilience at the civil society level (i.e. the ability of citizens and communities to withstand, adapt and overcome...... the financial crisis) remain largely absent from mainstream media reports. Instead, civil society initiatives that respond to the consequences of the crisis have to rely on self-representation and sharing of resources in online media. One example is the Swedish grassroots organisation, Megafonen....
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THE INDONESIAN STOCK MARKET PERFORMANCE DURING ASIAN ECONOMIC CRISIS AND GLOBAL FINANCIAL CRISIS
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MARIA PRAPTININGSIH
2011-04-01
Full Text Available Volatility in the stock market had strongly affected by the movement of publicly or even inside information. The movements of this information will generate the perspectives and expectations of investors in decision-making. How strong is the level of market efficiency in determining the movement of stock market, especially to achieve stability in the stock market during the economic crisis? How effective are the policies of central banks in controlling the movement of the stock market? This study aims to measure the factors that influence changes in the movement of stock price in Indonesian stock market in terms of market efficiency hypothesis. This research also aims to investigate the effectiveness of central bank policy in controlling and stabilizing the movement of stocks in Indonesia. The research will focus on the economic crisis in 1997 and the global crisis in 2008 as case studies. Thepaperutilizesthe vector error-correction model, impulse responses and variance decomposition in measuring the contribution of the factors that affect the movement of stock and determine the effectiveness of central bank policy. The findings are beneficialto central banks, governments, companies and investors in strengthening the Indonesian Stock Market particularly in facing the threat of financial crisis.
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Theoretical Grounds of Enterprise Anti-crisis Financial Management
Directory of Open Access Journals (Sweden)
Berest Maryna M.
2014-03-01
Full Text Available The goal of the article lies in specification and deepening of the essence and theoretical grounds of the enterprise anti-crisis financial management (EAFM. The article analyses and generalises literature, devoted to anti-crisis management problems, marks out and characterises main structural elements of the enterprise anti-crisis financial management: goal, task, object and subject. It shows that tasks of the enterprise anti-crisis financial management should show its essence in the context of preventive, stabilising and anti-crisis components. The article groups and clarifies the concept of functions and principles of the enterprise anti-crisis financial management. It marks basic, specific and integration functions and provides their description. It also marks out and characterises individual principles, which identify the EAFM process, justify development and realisation of anti-crisis solutions and measures and also characterise EAFM organisation at an enterprise. Prospects of further developments in this direction are overview, analysis and improvement of methodical instruments of realisation of the specified EAFM tasks on the basis of the considered theoretical aspects.
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CRISIS COMMUNICATION: A STUDY OF MALAYSIA AIRLINES' RESPONSE TO THE MH17 CRISIS
King, Laura Holdt; Kitchen, Nikolaj Howard; Misimovic, Elvin; Rasmussen, Anne H.W.; Andersen, Kamilla Haugaard
2015-01-01
This project investigates Malaysia Airlines communicative efforts in the MH17-crisis. The theoretical frame consists of W. Timothy Coombs’ Situational Crisis Communication Theory (SCCT) and Image Restoration Theory by William L. Benoit. The Coombs’ analysis entails looking at the contextual factors to develop relevant strategies. Benoit is used as a framework in the textual analysis to explore which strategies MAS employed - scrutinising press releases from the first 48 hours. We compare the ...
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The Socio-Political Crisis of the Siberian Region in the Post-February Period of the 1917 Revolution
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Mikhail I. Vtorushin
2017-12-01
Full Text Available The paper considers the problem of the Siberian region general crisis of the 1917 spring. The internal and external contradictions of the transformation process of socio-economic and political relations in Siberia are examined in terms of the post-February all- Russian revolutionary crisis development. The understanding of the socio-political Russian crisis in the spring of 1917, emerging after the February political coup, is essential in studying the revolutionary соnversion process of the early twentieth century Russian society, as this crisis has generally become the turning point in the country’s history and objectively led to the October political coup. The Russian revolutionary crisis constituents, its foreign and domestic manifestations require careful investigation in the issue formulation presented in the paper. The development specifics of the revolutionary crisis in the spring of 1917 in the trans-Uralian agricultural colony of the Russian Empire is of scientific interest, as well as the finding of its anti-crisis development scenarios in the paper presented period. The development of the nationwide crisis in Russia in the early twentieth century, due to the complex and contradictory processes of Russian society modernization in completing the industrial civilization and transition to the imperialist development stage, was complicated by the “Siberian historical issues” in the Siberian region. A set of these issues include the incompleteness of the regional peasantry land management, the contradictions between the old peasantry and Stolypin migrants, and also between the peasantry and the privileged regional Cossacks, the agricultural products export problems from Siberia to domestic and foreign markets, or marketing crisis, the contradictions between the regional and metropolis bourgeoisie, or the issue of the Siberians economic inequality, the local industry underdevelopment and the complete dependence of the local
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The current international financial crisis: how much is new?
Steven B. Kamin
1999-01-01
The paper surveys a broad array of data to compare the scope and impact of three emerging-market financial crises: the debt crisis of the 1980s, the Mexican financial crisis of 1994-95, and the current international financial crisis. While certain conventional views regarding the three episodes are supported by the data examined in this paper, we find that in several respects, the current crisis is more similar to prior emerging-market crisis episodes than is commonly believed.
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Education and Our Ecological Crisis
Klimas, John
1970-01-01
Discusses causes of our ecological crisis and suggests that in order to overcome the crisis we have to sprinkle our teaching with a sense of wonder, impress upon the youth that there is nothing difficult or mysterious about the ecological viewpoint, give youth an awareness of the diversity of things in our environment, stress interrelationships…
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Supervision Experiences of Professional Counselors Providing Crisis Counseling
Dupre, Madeleine; Echterling, Lennis G.; Meixner, Cara; Anderson, Robin; Kielty, Michele
2014-01-01
In this phenomenological study, the authors explored supervision experiences of 13 licensed professional counselors in situations requiring crisis counseling. Five themes concerning crisis and supervision were identified from individual interviews. Findings support intensive, immediate crisis supervision and postlicensure clinical supervision.
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Crisis Situations in Engineering Product Development
DEFF Research Database (Denmark)
Muenzberg, Christopher; Hammer, Jens; Brem, Alexander
2016-01-01
approaches reduce the problem identification time and increase the efficiency of crisis management. The goal of this research is to identify methods which are able to support the crisis management process successfully. Therefore, a literature-based analysis of developing methods, especially TRIZ is conducted......Crisis situations are special situations during the development process. They are characterized by time and handling pressure. Therefore, it is necessary to identify and apply a methodical problem solving approach to overcome these situations. Due to their prescriptive character, problem solving...
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Crisis and Regional Integration
DEFF Research Database (Denmark)
Dosenrode, Søren
, Tunisia, Egypt …. ), where the crisis referred to could be humanitarian, environmental, economic, political … Europe, too, has also according to mass media, been a victim of a crisis, the financial one. Could ‘crisis’ be a beginning of enhanced regional integration? This paper will try to look...... at the processes of regional integration in relation to ‘crisis’ in Africa and Europe. First, this paper will look at the concept of ‘crisis’, before it moves on to discuss ‘regional integration’ and the correlation between the two, emphasizing the approaches of neo-functionalism and federal theory....... This is the basis for two short case studies of African and European regional integration. The paper tentative answers to the question: will the crisis in Africa and Europe respectively further or block regional integration? With a ‘that depends’. But the use of Federalism theory and neo-functionalism is seen...
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[The crisis of medicine or the antimedicine crisis].
Foucault, M
1976-01-01
In this lecture, Professor Michel Foucault makes an in-depth study of the problems currently afflicting medical institutions and the medical practice. He deals with the thesis set forth by Ivan Illich in his book Medical Nemesis--The expropriation of Health, as well as the 1942 Beveridge Plan, but goes even further back in history to discover the origin of the medical crisis common throughout the world--back to the XVIII century roots of the social practice of medicine. He also describes the phases through which medical activity has passed from then until now and deals with what he calls the political economy of medicine. Finally, he reaches the conclusion that what matters is not so much the present crisis of medicine, which he considers to be a false concept, but the discipline's historical model dating from the XVIII century and serving to determine to what extent it can be modified.
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The Ongoing U.S. Health Care Crisis: A Data Update.
Himmelstein, David U; Woolhandler, Steffie; Almberg, Mark; Fauke, Clare
2018-04-01
While efforts to repeal the Affordable Care Act were narrowly defeated, grave problems in health care persist. Twenty-eight million remain uninsured, a number that is likely to increase. Millions more who have coverage cannot afford care because of high cost-sharing requirements. Meanwhile, the corporate takeover of medical care in the United States is at a gallop. This article provides a brief précis of recent data on U.S. health policy.
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Neo-liberalism, Crisis and the Contradictions of Depoliticisation
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Peter Burnham
2017-10-01
Full Text Available This paper develops a political economy analysis of depoliticisation in the context of the crisis of neo-liberalism in Western Europe. Following a discussion of the theoretical foundations of the concept, it emphases that whilst depoliticisation strategies are often associated with neo-liberalism, such strategies have a longer trajectory existing even within Keynesian regimes. The paper then details the many forms taken by depoliticisation within neo-liberal governing regimes focusing on the reorganisation of civil society and the state from the late 1970s to the present primarily with examples from the UK. It suggests, contrary to much popular discussion, that there is a significant degree of continuity in the form of economic manage-ment followed before, during and after the recent financial crisis of 2008/09. Both in terms of ideology and practice, many governments have maintained and even deepened their commitment to depoliticised gov-erning principles. However it seems clear that attempts to depoliticise neo-liberal economic policy have not enabled state managers to avoid the emergence of crisis at the level of the state. Contrary to accounts which argue in simplistic fashion that `economic’ crisis produces `political’ crisis, this paper suggests that crisis is best understood as expressed simultaneously in both economic and political forms. Crisis at the level of the state precipitated in part by the entrenchment of depoliticised governing strategies is not simply the result of economic crisis but is an aspect of that crisis contributing to its depth and apparent insolubility. In this way the paper challenges some critiques of depoliticisation which have suggested (Hay 2014, 303 that the concept is in part both fatalistic and functionalist removing much of the political contingency of the moment of crisis itself.
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Currency Crisis in Sudan in 2012: An Econometric Analysis
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Alamedin Bannaga, Dr.
2015-06-01
Full Text Available The Sudan currency crisis in 2012 occurred when the Sudanese pound lost 66 percent of its value against the US dollar. In this article we adopt statistical methods such as the signal approach and econometric methods such as the Probit Model for identifying and evaluating the currency crisis. We utilize some economic indicators that have the ability to predict the crisis. We examined the capability of these indicators in generating an early warning system for Sudan currency crisis. The study confirms that the incidence of currency crisis in Sudan increases by increase in inflation rate, increase in import percentage of GDP, rise in claims against the central government, reduction in external reserves and existence of political crisis. Moreover, the study finds that the most important predictor of currency crisis in Sudan is decline in external reserves.
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The Greek crisis: Causes and implications
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Vlamis Prodromos
2010-01-01
Full Text Available This paper presents and critically discusses the origins and causes of the Greek fiscal crisis and its implications for the euro currency as well as the SEE economies. In the aftermath of the 2007-2009 financial crisis the enormous increase in sovereign debt has emerged as an important negative outcome, since public debt was dramatically increased in an effort by the US and the European governments to reduce the accumulated growth of private debt in the years preceding the recent financial turmoil. Although Greece is the country member of the eurozone that has been in the middle of this ongoing debt crisis, since November 2009 when it was made clear that its budget deficit and mainly its public debt were not sustainable, Greece’s fiscal crisis is not directly linked to the 2007 US subprime mortgage loan market crisis. As a result of this negative downturn the Greek government happily accepted a rescue plan of 110 billion euros designed and financed by the European Union and the IMF. A lengthy austerity programme and a fiscal consolidation plan have been put forward and are to be implemented in the next three years.
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Solar architecture and energy policies in France: from the oil crisis to the solar crisis
International Nuclear Information System (INIS)
Chauvin-Michel, Marion
2013-01-01
In 1973, the oil crisis creates a focus on energy efficiency policy. Public institutions implement studies on solar architecture and launch experiments and training campaigns to promote the solar equipment. But the presidential election of 1981 leads to a change in energy policy, plunging the solar sector in crisis, causing the disappearance of solar architecture
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CRISIS IMPACT UPON THE ROMANIAN COMPANIES
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Marius GUST
2014-04-01
Full Text Available The paper aims at investigating the economic and financial crisis impact which has occurred in the Romanian economy, upon the Romanian companies since 2008. Specifically, its effects are taken into account regarding the number of economic players, the labor force, and the results of business performance: enterprise turnover or gross outcomes. Additionally, this research paper aims at assessing the crisis consequences on corporate behavior in the insecure environment of the crisis regarding the investment process and the value rendered by enterprises. The investigation is made exclusively on the secondary and tertiary sectors of the Romanian economy: industry, construction, trade and services, both from an overall and a sectoral perspective. The analysis also envisages the correlation of progress per the aforementioned economic segments with the overall development of the Romanian economy in terms of economic and financial crisis.
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Crisis exercises with simulated media pressure
International Nuclear Information System (INIS)
Bouchot, E.; Robin, M.
2016-01-01
Communication in a nuclear crisis presents always a certain degree of psychic tension due to collective stress, a multiplicity of the actors, the complexity of the situation, and a lot of requests from media, NGO or local elected officials. A bad communication in a crisis situation can jeopardize the trust in the authorities and discourage population to follow sanitary recommendations and the efficiency of the protective measures can then be threatened. So training in crisis communication has become a necessity and is now fully integrated in crisis exercises. Simulated media pressure (SMP) is wielded by a specialized agency that will test the clarity, consistency and the relevancy of the pieces of information released by the communication cells through interviews, press statements, official releases or messages to social networks. A feedback analysis is always made to point out the weaknesses. (A.C.)
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FRAGMENTATION OF CRISIS MANAGEMENT IN AN ENTERPRISE
Directory of Open Access Journals (Sweden)
Jarema Batorski
2011-11-01
Full Text Available The communiqué presents some methodological assumptions of research into organizational crisismanagement. The subject of research, both theoretical and empirical, is crisis management in anenterprise from the point of view of organizational learning. There are some paradoxes in crises andin using common practices during a crisis. These paradoxes constitute the research field forrecomposition of various models of crisis management in enterprises.
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Post-crisis financial intermediation
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Ilie MIHAI
2015-09-01
Full Text Available The recent financial crisis that begun in 2007 in the US, which then swept around the world, has left deep scars on the already wrinkled face of the global economy. Some national and regional economies, which had money for expensive makeup, or created money[1], managed to blur or hide the scars left by the crisis, others are still facing difficulties in overcoming the effects of this. The rapacity of banks, their greed and risk ignorance, were the origin of the outbreak of the last major economic and financial crisis but unfortunately those who were responsible or, rather, irresponsible, paid little or nothing at all for the burden of their bad loan portfolio. This cost has been supported by the population, either directly by paying high interest and fees [Mihai I., 2007], or indirectly, through the use of public budgets to cover the losses of banks, most of which had private capital. In this context, we intend to examine the state of financial intermediation in Romania in the post-crisis period, and to primarily follow: (i The structure and evolution of the banking system; (ii Non-government credit situation; (iii The level of savings; (iiii Loan-deposit ratio; (v The degree of financial intermediation and disintegration phenomenon etc., and to articulate some conclusions and suggestions on the matters that have been explored.
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When Patients Divorce: The Family Physician's Legal Position
Mesbur, Ruth E.
1983-01-01
When divorce and family disintegration loom, the family physician is often the first outsider on the scene. The family physician may, indeed, have a critical role to play in handling the crisis; he may advise, refer to other professionals like therapists or lawyers, or appear in court as an expert witness. The physician must consider his legal position. Is reconciliation counselling confidential, privileged information? Can he recommend a lawyer for a patient? What is the physician's vulnerab...
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Light fidelity (Li-Fi): towards all-optical networking
Tsonev, Dobroslav; Videv, Stefan; Haas, Harald
2013-01-01
Motivated by the looming radio frequency (RF) spectrum crisis, this paper aims at demonstrating that optical wireless communication (OWC) has now reached a state where it can demonstrate that it is a viable and matured solution to this fundamental problem. In particular, for indoor communications where most mobile data traffic is consumed, light fidelity (Li-Fi) which is related to visible light communication (VLC) offers many key advantages, and effective solutions to the issues that have be...
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Directory of Open Access Journals (Sweden)
Leandro da Rosa Borges
2012-09-01
Full Text Available O objetivo do estudo foi conhecer a visão da equipe de enfermagem sobre o atendimento à crise psíquica em uma unidade de emergência de um Pronto-Socorro. Trata-se de um estudo de abordagem qualitativa que utilizou, como técnica para coleta de dados, a aplicação de entrevistas semiestruturadas com dois enfermeiros e três técnicos de enfermagem que trabalhavam na unidade de emergência durante o turno da manhã e tarde. A análise dos dados foi orientada a partir da análise de conteúdo com formação das seguintes categorias temáticas, que permitiram a melhor visualização dos resultados: o conceito de crise para a equipe do pronto-socorro e as diferentes expressões do sofrimento e os recursos terapêuticos para o enfrentamento e a minimização dos encargos da crise. Evidenciou-se que a equipe de enfermagem costuma justificar as dificuldades de atendimento à crise psíquica pela falta de tempo, inadequação do espaço físico e despreparo da mesma.El presente estudio tuvo como objetivo conocer la visión del equipo de enfermería sobre la atención a la crisis psíquica en una unidad de urgencias. Se trata de un estudio de abordaje cualitativo que utilizó, como técnica de recolección de datos, entrevistas semiestructuradas. Participaron de la investigación dos enfermeras y tres técnicos de enfermería que trabajaban en la unidad de urgencias durante las mañanas y las tardes. El análisis de datos fue orientado a partir de las siguientes temáticas: el concepto de crisis para el equipo de una unidad de urgencias y las diferentes expresiones del sufrimiento y los recursos terapéuticos para el enfrentamiento y disminución de los encargos de la crisis. Suele justificar las dificultades de atención a la crisis por la falta de tiempo, inadecuación de espacio físico y la falta de preparación de la misma.This study was aimed at finding out the nursing staff's view about psychic crisis care in an emergency room unit. This is a
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University crisis and social responsibility
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José Camilo dos Santos Filho
2016-01-01
Full Text Available The purpose of this study was to investigate the repercussion of the recent crisis of the university on its mission and responsibility and, from this reflection, to propose ways for the consolidation of this responsibility. The three main crisis faced by the university from the middle of the XXth century identified by Boaventura Souza Santos as crisis of hegemony, of legitimacy and institutional, constituted the framework of discussion of the problem of social responsibility of the university. Although true for the universities of the advanced countries, the loss of hegemony in the area of research still does not occur in Brazilian university. To overcome the crisis of legitimacy, the creation of advanced academic and professional training institutions for the cultivation of the intellectual and professional elite of the country, as well as of non university institutions of mass higher education for the cultural and technological formation of the youth is justified. To make possible the access to these institutions by discriminated socioeconomic segments of society, the adoption of the policy of affirmative action in the form of quotas is justified. The overcoming of the institutional crisis will be achieved when the State respect the specificity of the universities and when the evaluation criteria of her functions be adequate to her specific nature and the titularity of the evaluation belong to the institutions themselves assuring the external evaluation by effective pairs and not by pairs coopted by the State.
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I.R.Iran Strategies for Crisis Management in Soft War
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Shahrooz Shariati
2014-12-01
Full Text Available Although the nature of the cultural crises is totally different from that of disasters like fire, flood and earthquake, it seems that cultural crises must be considered among those which require a careful management as they cause uncompensable damages to the social assets of the nations in mid- and long-terms. Meanwhile, since the entity of culture has had an undeniable role in the victory of Islamic Revolution of Iran and its continuation, and acts as a pivotal and dominant entity in every social affiliation and reform, the enemies of the Islamic Republic of Iran continuously struggle to make crisis in the country by spreading the Western Culture and through changing the beliefs of the people and thus endanger the independence of the country as well as the outcomes of the revolution. This is while no comprehensive strategies have been provided to realize the management of the cultural crises or immunize the society against the invading cultures. This paper aims to provide optimized strategies for crisis management and immunizing the society against alien cultural invasions. As a case study, and using the field method, after studying various viewpoints and opinions, an environmental study by sending questionnaires, and taking interviews, the weaknesses and strengths, the cultural vulnerabilities, and the threats and opportunities were counted using the Delphi technique and crisis management strategies and immunizing the society against the invading cultures were provided.
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Reynolds, Barbara; Quinn Crouse, Sandra
2008-10-01
During a crisis, an open and empathetic style of communication that engenders the public's trust is the most effective when officials are attempting to galvanize the population to take a positive action or refrain from a harmful act. Although trust is imperative in a crisis, public suspicions of scientific experts and government are increasing for a variety of reasons, including access to more sources of conflicting information, a reduction in the use of scientific reasoning in decision making, and political infighting. Trust and credibility--which are demonstrated through empathy and caring, competence and expertise, honesty and openness, and dedication and commitment--are essential elements of persuasive communication.
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Crisis y Derecho del Trabajo: viejos conocidos
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Oscar Ermida Uriarte
2014-04-01
Full Text Available Buenas noches: Mi papel aquí es el de hacer una presentación general del tema que sirva de introducción a lo que luego profundizarán los Profesores Rosenbaun y Loustaunau, tanto en lo que tiene que ver con la negociación colectiva, como en lo relacionado con las experiencias concretas que se han dado en nuestro país.Para hacer ese planteamiento panorámico inicial, vamos a tratar cinco puntos: Primeramente, abordaremos la crisis y el Derecho del trabajo como una relación que de algún modo es vieja y conocida, aunque cada vez se plantea con alguna novedad. En segundo lugar haremos referencia a algunas particularidades de la crisis actual. En tercer lugar, señalaremos los efectos específicos de las crisis económicas sobre el Derecho del trabajo. En cuarto término, intentaremos introducir una sistematización de los instrumentos laborales de enfrentamiento a la crisis, respondiendo a la pregunta ¿qué instrumentos tiene el Derecho del trabajo para enfrentar la crisis? Y en quintolugar, nos referiremos a las medidas extra laborales de enfrentamiento de la crisis, es decir, aquello que se puede hacer para enfrentar las crisis, no solo desde el Derecho del trabajo, sino desde fuera del Derecho del Trabajo.
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Optimal Advertising When Envisioning a Product-Harm Crisis
Olivier Rubel; Prasad A. Naik; Shuba Srinivasan
2011-01-01
How should forward-looking managers plan advertising if they envision a product-harm crisis in the future? To address this question, we propose a dynamic model of brand advertising in which, at each instant, a nonzero probability exists for the occurrence of a crisis event that damages the brand's baseline sales and may enhance or erode marketing effectiveness when the crisis occurs. Because managers do not know when the crisis will occur, its random time of occurrence induces a stochastic co...
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Thailand: Post-Crisis Rebalancing
Chalongphob Sussangkarn; Deunden Nikomborirak
2012-01-01
Since the Asian financial crisis in 1997, Thailand has become highly dependent on exports as the main engine of economic growth. In 2008, the ratio of export to GDP was about 76.5 percent. The global economic crisis triggered by the sub-prime loans debacle in the United States has prompted Thailand to rethink its high dependence on export. This paper examines the options for external and internal economic rebalancing strategies for Thailand. External rebalancing will require Thailand to rely ...
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¿Crisis internacional o crisis del capitalismo?.
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Daniel Hawkins.
2010-01-01
Full Text Available The present global recession that sprung out of the US banking and Real Estate sectors in 2007 has its roots in the massive State and financial upheavals implemented in the face of the 1970s crisis of over accumulation. These transformations had as their objective the reneging of the Keynesian, tripartite model of regulation and its association with the ‘Welfare State’. As such, the post-1970 neo-liberal financial order can be best seen as a ‘class project’ to reassert the dominance of grand capital, especially financial capital, both in the political and economic fields. Examining the intricate links between the present crisis and the structural governance changes enacted over the past 30 years, principally in the United States, the fallacies of ultra-growth and the speculative model become obvious as do their class dimensions and impact. However, despite the seeming ideological death of neo-liberalism, on close inspection, the policies so far enacted by the Obama administration make no concerted move out of the past era of financial sector hegemony.
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ECONOMIC CRISIS AND ECONOMIC DISPARITIES IN EUROPEAN UNION
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Rodica CRUDU
2015-09-01
Full Text Available The impact of the economic and financial crisis is still being felt. It started as an acute crisis of the banking system, but then quickly affected the real economy, causing a substantial slump in business investment, household demand and output. The current economic crisis has affected almost all European countries but the countries of the European south and the former eastern socialist republics have suffered the most. The objective in this paper is to quantify economic disparities as expressed by several growth indicators, such as GDP per capita, employment/unemployment rates, labour productivity rates and use them to compare the economic performances before and after the crisis. EU took several measures to recover from the economic crisis. Nevertheless, its ability to adjust to widely diverse national and local contexts that have been impacted differently by the effects of the crisis, and to support the different patterns of economic growth that will result from it, is yet to be seen.
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[Social crisis, spontaneous groups and group order].
Edelman, Lucila; Kordon, Diana
2002-12-01
Argentina has gone through very difficult times during the last years and, in particularly, new kinds of social practices have emerged in order to cope with the crisis. This situation demands and urges a new type of reflection upon the double role of groups, as tools to transform reality and as a way to elaborate those processes regarding subjectivity. In this paper we analyse some topics regarding the groupal field (considering spontaneous groups as well as groupal devices that allow to elaborate the crisis). We consider social bond to be the condition of possibility for the existence of the psyche and of time continuity, and that it also makes possible personal and social elaboration of trauma, crisis and social catastrophe. We develop some aspects of an specific device (the reflection group), which we have already depicted in another moment, showing it's usefulness to cope with social crisis and to promote the subjective elaboration of crisis.
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Financial Crisis and the Central Bank System
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RICHARD POSPISIL
2015-05-01
Full Text Available The financial crisis that began in 2008 gradually developed into a global economic crisis and continues to this day. There is a lot of causes standing behind the creation, depth and process of the crisis, which is the deepest since the thirties of last centrury. One of the reasons can be found in the risky behavior of commercial banks, especially in the excessive lending of credits and mortgages. Its share on the financial crisis have central banks and their failure as the financial supervisory authority. But there is a lot of another causes of failures in the commercial banking system. And some of the causes lies outside the banking system and monetary policy. Its share of the blame has also become from state and its expenditure on the social policy.This article analyzes the role of the commercial banking system and the central banks on the financial crisis including prevention options and measures.
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FINANCIAL CRISIS AND THE CENTRAL BANK SYSTEM
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Richard POSPISIL
2015-07-01
Full Text Available The financial crisis that began in 2008 gradually developed into a global economic crisis and continues to this day. There is a lot of causes standing behind the creation, depth and process of the crisis, which is the deepest since the thirties of last centrury. One of the reasons can be found in the risky behavior of commercial banks, especially in the excessive lending of credits and mortgages. Its share on the financial crisis have central banks and their failure as the financial supervisory authority. But there is a lot of another causes of failures in the commercial banking system. And some of the causes lies outside the banking system and monetary policy. Its share of the blame has also become from state and its expenditure on the social policy.This article analyzes the role of the commercial banking system and the central banks on the financial crisis including prevention options and measures.
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Holonic Crisis Handling Model for Corporate Sustainability
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Levente Bakos
2017-12-01
Full Text Available The new approaches of risk and crisis management of organizations point to corporate responsibility and corporate sustainability. In the ‘Internet of Everything’ era, when the new media and social networks create the possibility to ruin in a few seconds the reputation of a company built in decades, it is important to afford the maximum attention to risk management and crisis communication. Long-term sustainability requires a transparent, trustful communication in due time. In our study, we propose a crisis management model that leads to sustainable corporate behaviour. We consider organizations as complex systems, and we use the holonic multiagent modelling concept to depict the emergent behaviour of these systems. This theoretical paper has as its main result a crisis communication model, based on the adaptability feature of holons. In our non-linear approach for unpredictable situations we merged some findings of sustainability theory, corporate social responsibility (CSR management, crisis communication, the holonic manufacturing concept and the latest security standards in computer communication.
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Mobilization of the south against food crisis
Directory of Open Access Journals (Sweden)
Laurent Delcourt
2009-06-01
Full Text Available “Creemos que a esta crisis alimentaria hay que darle un nombre más exacto. Todavía no damos con ese nombre. Pero no es una crisis de alimentos,es una crisis de valores en las empresas transnacionales, en los gobiernos y en la cooperación internacional”, Sinforiano Cáceres, presidente de la Federación nacional de cooperativas, Nicaragua (Envío, 2008.
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The role of national security culture in crisis management : the case of Kardak crisis
Savaş, Özlem
2008-01-01
Ankara : The Department of International Relations, Bilkent University, 2008. Thesis (Master's) -- Bilkent University, 2008. Includes bibliographical references leaves 94-103. This thesis analyzes the role of national security culture in crisis management. The use and significance of national security culture in the management of a crisis is the main concern discussed throughout this study. It is assumed that national security culture serves as the main guideline of states d...
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Crisis management and crisis prevention
International Nuclear Information System (INIS)
Wallensteen, P.
1988-01-01
This paper reports that many proposals have come forth to ease the tension between East and West. Some focus on arms developments, others take up diplomatic issues. In addition, some have raised the question of crisis management and crisis prevention. Can crises be prevented even before they have taken place? The Palme Commission on Disarmament and Security suggested, in its 1982 report, ways of restraining superpower involvement in Third World conflicts. Such conflicts, it was argued, could escalate and ultimately result in nuclear confrontation between the United States and the Soviet Union. Certainly, the commission also paid attention to conflicts over issues in Europe and to problems in Eastern or in Western Europe. However, the commission raised a question that lately has received increasing attention: the dangers of superpower confrontation over Third World issues. In his statement to the United Nations on 24 October 1985, President Regan pointed to the need for settling regional conflicts as they play a large role in building suspicions and tensions. Regan's initiative explicitly concerned Afghanistan, Cambodia, Ethiopia, Angola and Nicaragua. It included negotiations with the Soviet Union over Afghanistan, and, at a later stage, also over other issues. The goal, he the, was not to force a settlement on the parties. The initiative concerned issues that have for the American public, justified armaments and reduced Soviet credibility
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Household debt and consumption during the financial crisis
DEFF Research Database (Denmark)
Andersen, Asger Lau; Duus, Charlotte; Jensen, Thais Lærkholm
2014-01-01
We use data for nearly 800,000 Danish families to examine whether high household leverage prior to the financial crisis may have amplified the reduction in household spending over the course of the crisis. We find a strong negative correlation between pre-crisis leverage and the change in non...
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Оrganization of anti-crisis personnel management in agricultural enterprises
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Mylyar T.S.
2017-06-01
Full Text Available The research deals with the basic principles of the use of anti-crisis personnel management in enterprises of agriculture. The paper theoretically proves the implementation efficiency of anti-crisis personnel management in enterprises of agriculture. Nowadays many enterprises are constantly faced with the impact of crises of different nature. HR management is urgent and a priority to improve the efficiency of the administrative process for all organizations. The actual basis for the introduction of anti-crisis management in enterprises is timely detection and correct response to crisis situations by human resources. The basis of anti-crisis personnel management is an organization work with the staff, aimed at creating conditions for the effective activity planning at the company, the selection of strategies for implementation, development of anti-crisis program, selection of appropriate instruments to use. However, it is important to take into account the human factor, based on the psychological readiness of skilled company personnel to work in conditions of stress and crisis. Much attention is paid to the overview of main factors that are necessary for personnel in the organization of anti-crisis management. The principles of anti-crisis personnel management are systematized. It should be noted that the principles can be individual, that is specific to the crisis in the enterprises, as the staff in this case is in serious social and psychological environment. It is determined that anti-crisis management has specific characteristics. The article studies the place of the personnel policy in the anti-crisis management system. The paper gives the valuable information on the way of improving the effectiveness of anti-crisis management, which is the implementation of the internal anti-crisis control group, and the functions of the group are the ability to anticipate crises in the future and provide everything necessary to prevent their appearance.
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Crisis homes for adult psychiatric patients
DEFF Research Database (Denmark)
Aagaard, Jørgen; Freiesleben, Michael; Foldager, Leslie
2008-01-01
INTRODUCTION: Inspired by the Crisis Home programme in Madison, we have adapted and evaluated the programme at the Community Mental Health (CMH) Centre in Tønder, Denmark. MATERIAL AND METHODS: Procedures and schedules from the Crisis Home programme were applied in this open trial. Questionnaire...... data concerning satisfaction with the stay and registration data concerning the admissions and bed days two years before and two years after the first stay were obtained. RESULTS: During four years, 52 different patients had a total of 187 stays in a crisis home. Twenty (38.5%) of the patients were...... attached to the ACT team. The average duration of the stays was 4.0 days. The number of readmissions and bed days after the first stay showed a significant downward tendency for the subgroup of patients with a more severe mental disorder, but not for the whole group. The patients, the crisis homes families...
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An Identity Crisis of Architectural Critique
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Kostas Tsiambaos
2014-05-01
Full Text Available Over the last three years Greece has been facing one of its worst crises since the 1950s, a crisis which most understand to be a financial one. The word crisis (from the Greek κρίσις has a double meaning in the Greek language. Its first meaning indicates a radical — usually negative — change in the sum of conditions or flow of events, while its second refers to an opinion, a theory, a personal judgment or point of view towards a specific subject. I will argue that the current crisis is not just financial, but deeply cultural. An examination of the history of architectural discourse in Greece will help us better understand the cultural identity of the recent crisis by illuminating its core: the ambivalent relationship between Greece and Europe, from the establishment of the Greek state until today.
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Effects of the Global Financial Crisis on Health in High-Income Oecd Countries: A Narrative Review.
Karanikolos, Marina; Heino, Pia; McKee, Martin; Stuckler, David; Legido-Quigley, Helena
2016-01-01
A growing body of evidence documents how economic crises impact aspects of health across countries and over time. We performed a systematic narrative review of the health effects of the latest economic crisis based on studies of high-income countries. Papers published between January 2009 and July 2015 were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. Ultimately, 122 studies were selected and their findings summarized. The review finds that the 2008 financial crisis had negative effects on mental health, including suicide, and to a varying extent on some non-communicable and communicable diseases and access to care. Although unhealthy behaviors such as hazardous drinking and tobacco use appeared to decline during the crisis, there have been increases in some groups, typically those already at greatest risk. The health impact was greatest in countries that suffered the largest economic impact of the crisis or prolonged austerity. The Great Recessions in high-income countries have had mixed impacts on health. They tend to be worse when economic impacts are more severe, prolonged austerity measures are implemented, and there are pre-existing problems of substance use among vulnerable groups. © The Author(s) 2016.
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The Refugee Crisis as a European Democratic Crisis
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Chryssoula Kapartziani
2016-07-01
Full Text Available The institutional European Union is facing two types of crisis. On the one hand, it needs to manage the current refugee’s influx efficiently and on the other hand it needs to deal with the democratic deficit that emerged by Europe’s incapacity to make the required decisions and gain the justification of its actions from its own people. This article aims firstly to highlight the legal framework (rule of law that governs the asylum and migration procedures as well as the democratic gap that these provisions created in the different member states, as a crystal clear example of how a national competence became supranational. Furthermore, it illustrates the refugee profile, as a human being with acquired human rights through the theories of H. Arendt and the U. Beck. Lastly, the cosmopolitan approach is suggested in order to overcome the refugee crisis but a well-established integration should be the long term goal of Europe.
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A seamless ubiquitous emergency medical service for crisis situations.
Lin, Bor-Shing
2016-04-01
In crisis situations, a seamless ubiquitous communication is necessary to provide emergency medical service to save people's lives. An excellent prehospital emergency medicine provides immediate medical care to increase the survival rate of patients. On their way to the hospital, ambulance personnel must transmit real-time and uninterrupted patient information to the hospital to apprise the physician of the situation and provide options to the ambulance personnel. In emergency and crisis situations, many communication channels can be unserviceable because of damage to equipment or loss of power. Thus, data transmission over wireless communication to achieve uninterrupted network services is a major obstacle. This study proposes a mobile middleware for cognitive radio (CR) for improving the wireless communication link. CRs can sense their operating environment and optimize the spectrum usage so that the mobile middleware can integrate the existing wireless communication systems with a seamless communication service in heterogeneous network environments. Eventually, the proposed seamless mobile communication middleware was ported into an embedded system, which is compatible with the actual network environment without the need for changing the original system architecture. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
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Staff Association
2015-01-01
To all CERN staff: your rights are at risk! We invite you to come to a crisis meeting on Thursday 7th May 2015 at 9 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned!
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Attribution Theory and Crisis Intervention Therapy.
Skilbeck, William M.
It was proposed that existing therapeutic procedures may influence attributions about emotional states. Therefore an attributional analysis of crisis intervention, a model of community-based, short-term consultation, was presented. This analysis suggested that crisis intervention provides attributionally-relevant information about both the source…
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OPINIONS ON INTERNATIONAL RESERVES MANAGEMENT - POST CRISIS
MERCEA (HANDRO) PATRICIA AMALIA
2017-01-01
The recent crisis demonstrated once again the importance of maintaining an adequate level of the international reserves as part of the defense of a country against the shocks internationally transmitted. Liquidity buffers aided the good functioning of financial systems, and allowed countries to cope with sudden foreign capital stops or to manage massive outflows without facing a costly crisis. This logic has been strengthened in the context of the crisis from 2008, when countries ...
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Directory of Open Access Journals (Sweden)
Petr Koráb
2015-01-01
Full Text Available We investigate the impact of the financial crisis on the access of small and medium-sized enterprises in the Czech Republic to external financing. We apply the non-parametric kernel density estimation on a firm-level measure of financing constraints and evaluate its distribution on a balanced panel of SMEs. We focus on financing constraints related to financial health of companies since they determine the commercial banks’ lending behaviour. Our results reveal that firms were more constrained during the crisis and their financing constraints did not largely improve after the end of financial crisis. We argue that enterprises were financially constrained during the crisis because of reduced cash-flow and cash holdings.
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Wiese, C H R; Vagts, D A; Kampa, U; Pfeiffer, G; Grom, I-U; Gerth, M A; Graf, B M; Zausig, Y A
2011-02-01
At the end of life acute exacerbations of medical symptoms (e.g. dyspnea) in palliative care patients often result in emergency medical services being alerted. The goals of this study were to discuss cooperation between emergency medical and palliative care structures to optimize the quality of care in emergencies involving palliative care patients. For data collection an open discussion of the main topics by experts in palliative and emergency medical care was employed. Main outcome measures and recommendations included responses regarding current practices related to expert opinions and international literature sources. As the essential points of consensus the following recommendations for optimization of care were named: (1) integration of palliative care in the emergency medicine curricula for pre-hospital emergency physicians and paramedics, (2) development of outpatient palliative care, (3) integration of palliative care teams into emergency medical structures, (4) cooperation between palliative and emergency medical care, (5) integration of crisis intervention into outpatient palliative emergency medical care, (6) provision of emergency plans and emergency medical boxes, (7) provision of palliative crisis cards and do not attempt resuscitation (DNAR) orders, (8) psychosocial aspects concerning palliative emergencies and (9) definition of palliative patients and their special situation by the physician responsible for prior treatment. Prehospital emergency physicians are confronted with emergencies in palliative care patients every day. In the treatment of these emergencies there are potentially serious conflicts due to the different therapeutic concepts of palliative medical care and emergency medical services. This study demonstrates that there is a need for regulated criteria for the therapy of palliative patients and patients at the end of life in emergency situations. Overall, more clinical investigations concerning end-of-life care and unresponsive
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Crisis? What Crisis? The Normality of the Current Food Crisis
Lang, T.
2010-01-01
The 2005–8 food crisis was a shock to political elites, but in some respects the situation was normal. Food policies are failing to respond adequately to the squeeze on land, people, health and environment. Strong evidence of systems failure and stress, termed here New Fundamentals, ought to reframe twenty-first century food politics and effort. Yet so far, international discourse is too often narrow and technical. The paper suggests that 2005–8 reinforced how the dominant twentieth century p...
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Introduction to the theory and practice of crisis intervention
Poal, Pilar
1990-01-01
En los años transcurridos desde que Lindemann publicó su estudio clásico sobre las reacciones de duelo, la teoría de las crisis emocionales y las formas de intervención psicológica en situaciones de crisis se han desarrollado de forma significativa. En este trabajo se analiza la contribución de varios autores al desarrollo de una teoría de las crisis emocionales y se describen los tipos, elementos y etapas de una crisis. Se revisa la relación entre la teoría de las crisis emocionales y la int...
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Staff Association
2014-01-01
To all CERN staff: your rights are at risk ! We invite you to come to a crisis meeting on Wednesday 2nd April at 10:30 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned !
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Epping-Jordan, JoAnne E; van Ommeren, Mark; Ashour, Hazem Nayef; Maramis, Albert; Marini, Anita; Mohanraj, Andrew; Noori, Aqila; Rizwan, Humayun; Saeed, Khalid; Silove, Derrick; Suveendran, T; Urbina, Liliana; Ventevogel, Peter; Saxena, Shekhar
2015-01-01
Major gaps remain - especially in low- and middle-income countries - in the realization of comprehensive, community-based mental health care. One potentially important yet overlooked opportunity for accelerating mental health reform lies within emergency situations, such as armed conflicts or natural disasters. Despite their adverse impacts on affected populations' mental health and well being, emergencies also draw attention and resources to these issues and provide openings for mental health service development. Cases were considered if they represented a low- or middle-income country or territory affected by an emergency, were initiated between 2000 and 2010, succeeded in making changes to the mental health system, and were able to be documented by an expert involved directly with the case. Based on these criteria, 10 case examples from diverse emergency-affected settings were included: Afghanistan, Burundi, Indonesia (Aceh Province), Iraq, Jordan, Kosovo, occupied Palestinian territory, Somalia, Sri Lanka, and Timor-Leste. These cases demonstrate generally that emergency contexts can be tapped to make substantial and sustainable improvements in mental health systems. From these experiences, 10 common lessons learnt were identified on how to make this happen. These lessons include the importance of adopting a longer-term perspective for mental health reform from the outset, and focusing on system-wide reform that addresses both new-onset and pre-existing mental disorders. Global progress in mental health care would happen more quickly if, in every crisis, strategic efforts were made to convert short-term interest in mental health problems into momentum for mental health reform.
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The Crisis Management Practices of Australian Construction Companies
Directory of Open Access Journals (Sweden)
M Loosemore
2012-11-01
Full Text Available Recent world events in the international relations arena and the subsequent knock-on affect on the insurance industry, have sent shock-waves through Australia’s business community,elevating crisis management to the top of the managerial agenda. This paperpresents the findings of exploratory research, which investigated the crisis managementpractices of construction companies. Using a diagnostic model of crisis preparednesswhich has been developed and tested across a broad range of industries, it concludes thatif the sample surveyed is typical, then crisis planning is rudimentary and undertaken in aninsular, informal, fragmented fashion, supported by few resources and little strategicguidance. Consequently, many construction companies will have an inadequate understandingof their crisis exposure, of how to cope with crises when they happen and of howto learn and recover from their aftermath.
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Aftershocks : Economic Crisis and Institutional Choice
Hemerijck, Anton; Knapen, Ben; Doorne, van Ellen
2009-01-01
Aftershocks werd geschreven op het hoogtepunt van de grootste economische crisis sinds de grote depressie. Hoewel het voorbarig zou zijn aan te nemen dat de gevolgen van de crisis al in volle omvang duidelijk zijn, is het overduidelijk dat zij ingrijpende effecten zal hebben op politiek, economisch
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Corruption and political crisis in Ukraine
Ivanov, Alexei; Bogun, Ivan
2014-01-01
The article reviews issues of corruption and political crisis in Ukraine in the context of international organisations reports that estimate corruption levels and entrepreneurial climate worldwide. The article examines countries of the European Union and member states of the Customs Union, asseses the political crisis in Ukraine.
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Iran. Nuclear crisis: towards an overrun?
International Nuclear Information System (INIS)
Cherief, Hamza
2012-01-01
In this article, the author first shows that the Iranian crisis is a failure of the struggle against nuclear proliferation as Iran seems to possess the technical and scientific abilities to produce nuclear weapons on a medium term. He also notices that this crisis is characterised by a deadlock of legal mechanisms of control of the Iranian nuclear programme: despite UN resolutions and sanctions, the IAEA will not be able able to visit Iranian facilities until Iran decides to enter negotiations again, and the decision by the UN of military actions seems not very likely, at least because of the opposition of China and Russia. In the second part, the author analyses the strategic and geopolitical stakes of the Iranian crisis: the will of Iran to become a regional leader and to counterbalance the Israeli nuclear deterrence, differences of regional interests between western countries, domestic evolutions in Iran. According to the author, both parties share a common interest in a smooth crisis recovery
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Ischemic stroke risk factors during Greek economic crisis.
Katsanos, Aristeidis H; Fiolaki, Aidonio; Markou, Sofia; Markoula, Sofia; Kosmidou, Maria; Kyritsis, Athanassios P; Giannopoulos, Sotirios
2016-02-01
The impact of Greece's economic crisis on healthcare is of great concern. The aim of the present study was to assess the impact of economic crisis on the prevention of cerebral ischemic events. Retrospective analysis of patients with ischemic stroke (IS) or transient ischemic attack (TIA) admitted to a tertiary neurological department in northwestern Greece during the period 2008-2014. Using 2011 as the transitional year IS/TIA patients were dichotomized according to their admission date in two subgroups: the "before economic crisis" subgroup and the "after economic crisis" subgroup. Logistic regression analyses were performed to identify predictor variables of statin/antihypertensive pretreatment. Patients admitted after the economic crisis outbreak (mean age: 57.6 ± 13.5 years) were found to have lower waist periphery measurements (p = 0.001), lower incidence of diabetes (p = 0.028), hyperlipidemia (p = 0.002) and metabolic syndrome(p crisis (mean age: 59.6 ± 11.1 years). However, between the two subgroups were no significant differences in the rates of untreated patients with hyperlipidemia (p = 0.189) and/or hypertension (p = 0.313). Even though statin pretreatment prior to stroke onset was found to be reduced during economic crisis compared to the period before the crisis, (OR = 0.58, 95%CI: 0.34-0.95, p = 0.032), this association did not retain statistical significance in the multivariate logistic regression analysis (OR = 1.69, 95%CI = 0.83-3.42, p = 0.143). Our study supports that at present financial crisis has not significantly affected the prevention of cerebrovascular events in the citizens of a provincial city area. Data from other regions and time-periods are needed for the final verdict. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
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Exploring Crisis Management in U.S. Small Businesses
Williams, Jon
As a critical infrastructure, the US electricity grid supplies electricity to 340 million people within eight separate regions. The power infrastructure is vulnerable to many types of disasters capable of severing supplies of electricity. The impact on the employees and communities when small- and medium-size enterprises are shut down due to disasters can be severe. The purpose of the quantitative comparative study was to explore small- and medium-size enterprises crisis management strategies in the case of power infrastructure vulnerabilities. Perceptions of small business leaders were probed about crisis management planning relevant to three secondary factors: prior experience of crises, threat perceptions, and planning self-efficacy. Participants completed an adapted questionnaire instrument based on a five-point Likert scale for six sub-factors including resilience through planning, financial impact, operational crisis management, the perfect storm, the aftermath of survival, and atrophy. The instrument also measured three additional factors to include, prior experience of crises, threat perceptions, and planning self-efficacy, across seven types of crises. The results of this study indicated that of the 276 respondents, 104 had no crisis plans, but 172 did have crisis plans. Of those who had implemented crisis plans, 19% had specific provisions to address power outages or attacks on the electrical grid. Of the respondents who had not planned for power outages nor experienced significant losses of power, a statistically significant number acknowledged an external threat to their business. The majority of respondents indicated that long-term planning was related to resilience; however, the migration of crisis understanding into the planning process or implementation was not implemented. This heightened awareness of potential crises without the corresponding development and implementation of mitigation crisis plans requires additional research to understand
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Institute of Scientific and Technical Information of China (English)
王文秀; 陆云清; 陈贺胜; 马明全; 竹有章; 何大韧
2002-01-01
A new kind of crisis, which is marked by a sudden change of a strange repeller, is observed in an electronicrelaxation oscillator. Firstly, by its simplified piecewise linear model, we show analytically that a strange repellerappears after a hole-induced crisis, and that the fractal dimension of the strange repeller and the average lifetimeof the iterations in the region occupied by the original attractor suddenly change at the critical parameter valuewhen the repeller disappears. Our numerical investigation convinces us that the corresponding phenomenon canbe found in the original electronic relaxation oscillator.
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Preliminary evaluation of crisis-relocation fallout-shelter options. Volume 2. Detailed analysis
International Nuclear Information System (INIS)
Santini, D.J.; Clinch, J.M.; Davis, F.H.; Hill, L.G.; Lynch, E.P.; Tanzman, E.A.; Wernette, D.R.
1982-12-01
This report presents a preliminary, detailed evaluation of various shelter options for use if the President orders crisis relocation of the US urban population because of strong expectation of a nuclear war. The availability of livable shelter space at 40 ft 2 per person (congregate-care space) by state is evaluated. Options are evaluated for construction of fallout shelters allowing 10 ft 2 per person - such shelters are designed to provide 100% survival at projected levels of radioactive fallout. The FEMA concept of upgrading existing buildings to act as fallout shelters can, in principle, provide adequate shelter throughout most of the US. Exceptions are noted and remedies proposed. In terms of upgrading existing buildings to fallout shelter status, great benefits are possible by turning away from a standard national approach and adopting a more site-specific approach. Existing FEMA research provides a solid foundation for successful crisis relocation planning, but the program can be refined by making suitable modifications in its locational, engineering, and institutionally specific elements
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Directory of Open Access Journals (Sweden)
MSc. Jusuf Qarkaxhija
2011-03-01
Full Text Available The most recent developments in economy are a clear indicator of many changes, which are a result of this high rate pacing, which also demonstrates as such. Market economy processes occur as a result of intertwining of many potential technological and human factors, thereby creating a system of numerous diver-gences and turbulences. Economics, a social science, is characteri-sed with movements from a system to another system, and is har-monized with elements or components which have impacted the development and application of economic policies as a result. This example can be illustrated with the passing from a commanded system (centralized to a self-governing (decentrali-zed system, while the movement from a system to another is known as transi-tion. Such transition in its own nature bears a number of problems of almost any kind (political, economic, social, etc., and is charac-terised with differences from a country to another. Financial crisis is a phenomenon consisting of a perception of economic policies and creation of an economic and financial stabi-lity in regional and global structures. From this, one may assume that each system has its own changes in its nature, and as a result of these changes, we have the crisis of such a system. Even in the economic field, if we look closely, we have such a problem, where development trends both in human and technological fields have created a large gap between older times and today, thereby crea-ting dynamics with a high intensity of action. If we dwell on the problem, and enter into the financial world, we can see that the so-called industrialized countries have made giant leaps in deve-lopment, while countries in transition have stalled in many fields, as a result of a high rate of corruption and unemployment in these countries, and obviously these indicators are directly connected, thereby stroking the financial system in these countries. Corruption is an element, which directly and indirectly
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Veterans Crisis Line: Videos About Reaching out for Help
Full Text Available ... About About the Veterans Crisis Line FAQs Veteran Suicide Spread the Word Videos Homeless Resources Additional Information ... About About the Veterans Crisis Line FAQs Veteran Suicide The Veterans Crisis Line text-messaging service does ...
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Costs of treating patients with schizophrenia who have illness-related crisis events
Directory of Open Access Journals (Sweden)
Peng Xiaomei
2008-08-01
Full Text Available Abstract Background Relatively little is known about the relationship between psychosocial crises and treatment costs for persons with schizophrenia. This naturalistic prospective study assessed the association of recent crises with mental health treatment costs among persons receiving treatment for schizophrenia. Methods Data were drawn from a large multi-site, non-interventional study of schizophrenia patients in the United States, conducted between 1997 and 2003. Participants were treated at mental health treatment systems, including the Department of Veterans Affairs (VA hospitals, community mental health centers, community and state hospitals, and university health care service systems. Total costs over a 1-year period for mental health services and component costs (psychiatric hospitalizations, antipsychotic medications, other psychotropic medications, day treatment, emergency psychiatric services, psychosocial/rehabilitation group therapy, individual therapy, medication management, and case management were calculated for 1557 patients with complete medical information. Direct mental health treatment costs for patients who had experienced 1 or more of 5 recent crisis events were compared to propensity-matched samples of persons who had not experienced a crisis event. The 5 non-mutually exclusive crisis event subgroups were: suicide attempt in the past 4 weeks (n = 18, psychiatric hospitalization in the past 6 months (n = 240, arrest in the past 6 months (n = 56, violent behaviors in the past 4 weeks (n = 62, and diagnosis of a co-occurring substance use disorder (n = 413. Results Across all 5 categories of crisis events, patients who had a recent crisis had higher average annual mental health treatment costs than patients in propensity-score matched comparison samples. Average annual mental health treatment costs were significantly higher for persons who attempted suicide ($46,024, followed by persons with psychiatric hospitalization in
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Being PREPaREd for Crisis in Northern Colorado
Hancock, Kathy; Malvey, Michelle; Rastatter, Dennis
2010-01-01
The Thompson School District recognized after the Columbine incident in the spring of 1999 that it was lacking an adequate plan for crisis response. Colorado legislation led to a mandate for having a crisis response plan so the district purchased a "canned" crisis response plan that served the needs of response in a very immediate but…
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Veterans Crisis Line: Videos About Reaching out for Help
Veterans Crisis Line Skip to Main Content SuicidePreventionLifeline.org Get Help Materials Get Involved Crisis Centers About Be There ... see more videos from Veterans Health Administration Veterans Crisis Line -- After the Call see more videos from ...
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Impact of the financial crisis on COPD burden: Greece as a case study
Directory of Open Access Journals (Sweden)
Ourania S. Kotsiou
2018-01-01
Full Text Available Poverty and low socioeconomic status have been associated with chronic obstructive pulmonary disease (COPD. The current financial crisis has forced millions back into poverty. Greece is one of the countries hit the hardest, and is in the middle of a deep ongoing collapse. There have been early reports stating the apparent effects of the Greek downturn on respiratory health. This review summarises the overall impact of the financial crisis on COPD burden throughout the period of economic downturn by analysing the case study of Greece. In all levels of the healthcare system, current economic restrictions have reduced the capacity to prevent, diagnose and treat COPD in parallel with current higher detection rates of COPD. Remarkably, expenditure on healthcare has been reduced by >25%, resulting in major healthcare equipment shortages. Lower wages (by up to 20% and higher co-payments of up to 25% of a drug's purchase price have led to patients struggling to afford inhaled medications. Treatment nonadherence has been reported, resulting in 11.5% more exacerbations and 14.1% more hospitalisations annually, while the mean cost per severe COPD exacerbation has been approximated as €2600. Greece is a noteworthy example illustrating how COPD burden, quality of care and patients' outcome can be affected by economic crisis.
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Influences on call outcomes among Veteran callers to the National Veterans Crisis Line
Britton, Peter C.; Bossarte, Robert M.; Thompson, Caitlin; Kemp, Janet; Conner, Kenneth R.
2016-01-01
This evaluation examined the association of caller and call characteristics with proximal outcomes of Veterans Crisis Line calls. From October 1-7, 2010, 665 Veterans with recent suicidal ideation or a history of attempted suicide called the Veterans Crisis Line, 646 had complete data and were included in the analyses. A multivariable multinomial logistic regression was conducted to identify correlates of a favorable outcome, either a resolution or a referral, when compared to an unfavorable outcome, no resolution or referral. A multivariable logistic regression was used to identify correlates of responder-rated caller risk in a subset of calls. Approximately 84% of calls ended with a favorable outcome, 25% with a resolution and 59% with a referral to a local health care provider. Calls from high-risk callers had greater odds of ending with a referral than without a resolution or referral, as did weekday calls (6:00 am to 5:59 pm EST, Monday through Friday). Responders used caller intent to die and the absence of future plans to determine caller risk. Findings suggest that the Veterans Crisis Line is a useful mechanism for generating referrals for high-risk Veteran callers. Responders appeared to use known risk and protective factors to determine caller risk. PMID:23611446
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Midlife crisis perceptions, experiences, help-seeking, and needs among multi-ethnic malaysian women.
Wong, Li Ping; Awang, Halimah; Jani, Rohana
2012-01-01
In the present study, researchers explored attitudes toward midlife crises, experience with midlife crises, help-seeking, and needs among multi-ethnic Malaysian women. A total of 14 focus group discussions were conducted with 89 Malaysian women of different ages and socioeconomic backgrounds. Women expressed concern over physical aging and decline in their physical functional health. Having a midlife crisis was frequently reported. Issues that were frequently reported to trigger a midlife crisis, such as empty nest syndrome, impact of aging on sexual and reproductive function, extended parenthood, caring for aging or ill parents, and career challenges were noted by the study participants (listed here in order of most to least frequently reporting of these themes across the group discussions). Overall, these issues were associated with attitudes about aging. A comparatively less open attitude toward sexual attitudes and help-seeking for sexual problems were found among the Malay and Indian women. This may imply that intervention to increase positive attitudes concerning both sexuality and help-seeking intentions should be culturally specific. The use of religious coping for comfort and consolation was frequently reported; therefore, those providing midlife crisis prevention and intervention programs should consider involving faith-based interventions in the Malaysian setting.
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Aantjes, Carolien J; Simbaya, Joseph; Quinlan, Tim K C; Bunders, Joske F G
2016-11-01
Aim We present the evolution of primary-level HIV and AIDS services, shifting from end of life to chronic care, and draw attention to the opportunities and threats for the future of Zambia's nascent chronic care system. Although African governments struggled to provide primary health care services in the context of a global economic crisis, civil society organisations (CSO) started mobilising settlement residents to respond to another crisis: the HIV and AIDS pandemic. These initiatives actively engaged patients, families and settlement residents to provide home-based care to HIV-infected patients. After 30 years, CHBC programmes continue to be appropriate in the context of changing health care needs in the population. The study took place in 2011 and 2012 and was part of a multi-country study. It used a mixed method approach involving semi-structured interviews, focus group discussions, structured interviews, service observations and a questionnaire survey. Findings Our research revealed long-standing presence of extensive mutual support amongst residents in many settlements, the invocation of cultural values that emphasise social relationships and organisation of people by CSO in care and support programmes. This laid the foundation for a locally conceived model of chronic care capable of addressing the new care demands arising from the country's changing burden of disease. However, this capacity has come under threat as the reduction in donor funding to community home-based care programmes and donor and government interventions, which have changed the nature of these programmes in the country. Zambia's health system risks losing valuable capacity for fulfilling its vision 'to bring health care as close to the family as possible' if government strategies do not acknowledge the need for transformational approaches to community participation and continuation of the brokering role by CSO in primary health care.
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Effects of Global Economic Crisis on Travel Agencies and Crisis Management Practices in Turkey
AVCI, Nilgün; KÜÇÜKUSTA, Deniz
2014-01-01
AbstractCrisis management has become a requirement for businesses particularly in tourism industry. In spite of the limited studies carried out in this field in Turkey, the survey of the subject has significance in practices undergone by travel agencies, which are the backbones of the tourism industry. In this context we aim to analyze the measures and practices adopted by travel agencies during periods of crisis; determine the frequency of utilization of these measures and practices during p...
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Effects of Global Economic Crisis on Travel Agencies and Crisis Management Practices in Turkey
AVCI, Nilgün; KÜÇÜKUSTA, Deniz
2015-01-01
AbstractCrisis management has become a requirement for businesses particularly in tourism industry. In spite of the limited studies carried out in this field in Turkey, the survey of the subject has significance in practices undergone by travel agencies, which are the backbones of the tourism industry. In this context we aim to analyze the measures and practices adopted by travel agencies during periods of crisis; determine the frequency of utilization of these measures and practices during p...
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THE EVOLUTION OF ECONOMIC GLOBALIZATION DURING THE CURRENT GLOBAL CRISIS
Sabina Tuca
2013-01-01
The current economic crisis constitutes a serious test for the process of globalization. The purpose of this study is to analyze the influence of the current global crisis on economic globalization. To assess the impact of the current crisis on economic globalization, this paper examines the KOF Index of Globalization, before and during the crisis. The findings generally support the idea that economic globalization has been, in fact, weakened, after the onset of the current crisis. However, t...
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Stevens, Louis-Mathieu; Cooper, Jeffrey B; Raemer, Daniel B; Schneider, Robert C; Frankel, Allan S; Berry, William R; Agnihotri, Arvind K
2012-07-01
Cardiac surgery demands effective teamwork for safe, high-quality care. The objective of this pilot study was to develop a comprehensive program to sharpen performance of experienced cardiac surgical teams in acute crisis management. We developed and implemented an educational program for cardiac surgery based on high realism acute crisis simulation scenarios and interactive whole-unit workshop. The impact of these interventions was assessed with postintervention questionnaires, preintervention and 6-month postintervention surveys, and structured interviews. The realism of the acute crisis simulation scenarios gradually improved; most participants rated both the simulation and whole-unit workshop as very good or excellent. Repeat simulation training was recommended every 6 to 12 months by 82% of the participants. Participants of the interactive workshop identified 2 areas of highest priority: encouraging speaking up about critical information and interprofessional information sharing. They also stressed the importance of briefings, early communication of surgical plan, knowing members of the team, and continued simulation for practice. The pre/post survey response rates were 70% (55/79) and 66% (52/79), respectively. The concept of working as a team improved between surveys (P = .028), with a trend for improvement in gaining common understanding of the plan before a procedure (P = .075) and appropriate resolution of disagreements (P = .092). Interviewees reported that the training had a positive effect on their personal behaviors and patient care, including speaking up more readily and communicating more clearly. Comprehensive team training using simulation and a whole-unit interactive workshop can be successfully deployed for experienced cardiac surgery teams with demonstrable benefits in participant's perception of team performance. Copyright © 2012 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
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IMPACT OF ECONOMIC CRISIS ON FDI
Directory of Open Access Journals (Sweden)
Elena V. CHIRILA DONCIU
2014-04-01
Full Text Available The economic crisis has had a severe impact on the economy worldwide. The investment activity has strongly felt the crisis and caused dramatic changes in the hierarchy of large investors. The financial system did not have availability for credits and funding from companies' own resources was extremely limited in terms of reducing profits. The purpose of the paper is the analysis of global foreign direct investment under the effect of the largest financial and economic crisis. The research results show a dramatic decline in foreign direct investments flows perceived and generated in 2009, and the fact that since 2010 there has been an easy comeback.
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Civil–military cooperation in crisis management in Africa
DEFF Research Database (Denmark)
Olsen, Gorm Rye
2011-01-01
Cooperation between civilian and military actors has become a catchphrase in international crisis management and development policy in the 21st century. This paper examines the crisis management policies adopted in Africa by the United States and the European Union (EU), respectively....... It is hypothesised that both actors’ crisis management policies are likely to be path dependent, despite recent significant changes in policy preferences. It is shown that the priority combining civilian and military resources in American crisis management is only implemented to a limited degree. It is consistent...... with the persistent predominance of the Pentagon and of the military instruments in US Africa policy. It illustrates the conspicuous institutional path dependency of US Africa policy, which by some is described as ‘militarised’. The EU has been able to apply both civilian and military instruments in crisis management...
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LENR/"Cold Fusion" and Modern Physics: A Crisis Within a Crisis
Mallove, Eugene F. E.
2004-03-01
The primary theorists in the field of Cold Fusion/LENR have generally assumed that the excess heat phenomena is commensurate with nuclear ash (such as helium), whether already identified or presumed to be present but not yet found, and moreover that it can be explained by hydrided metal lattice structures acting coherently. Though this was an excellent initial hypothesis, the commensurate nuclear ash hypothesis has not been proved, and appears to be approximately correct in only a few experiments. At the same time, compelling evidence has also emerged for other microphysical sources of energy that were unexpected by accepted physics. The exemplars have been the work Dr. Randell Mills and his colleagues at BlackLight Power Corporation and Dr. Paulo and Alexandra Correa in Canada.This has led to a crisis within a crisis: Neither "cold fusion" nor "Modern Physics" will be able to explain the full range of experimental data now available---not even the data within "mainstream" cold fusion/LENR per se--- by insisting that the fundamental paradigms of Modern Physics are without significant flaw. The present crisis is of magnitude comparable to the Copernican Revolution. Neither Modern Physics nor Cold Fusion/LENR will survive in their present forms when this long delayed revolution has run its course.
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Research on the crisis of public relation in library
International Nuclear Information System (INIS)
Liu Shanyong
2010-01-01
In modem society, a variety of organizations including libraries will inevitably encounter all kinds of crises. Organizations can pull through and create good impression if they deal with correctly the crisis of public relation. The article defines the crisis, the crisis of public relation, and analyzes the characteristics and types of the crises in library. Finally the article emphasizes the contents and six strategies of the crisis of public relation in library. (authors)
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Providing psychological care using crisis helpline to adolescents with suicidal intent
Directory of Open Access Journals (Sweden)
O.V. Vihristyuk
2014-08-01
Full Text Available We consider the possibility of a crisis psychological aid to children with suicidal intentions by means of telephone counseling. We shows the profile of a typical adolescent, requesting assistance from the hotline on suicidal thoughts, intentions: it is an introverted girl aged 14 to 18 years, in a depressed mood with a predominance of anxiety, fears, related to traumatic situation, experiencing feelings of hopelessness, loneliness, thinking of the situation as hopeless, going through a break in romantic relationships. The most characteristic motifs of suicide is the desire to “get away from the pain” and/or to revenge the others, make them regret about her. We specified the main tasks of a helpline specialist solved in the course of counseling: prevention of suicidal behavior, information on the possible forms of psychological aid, direct work with a customer requesting aid on his formed suicidal intent.
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Economic crisis and oil market balances
International Nuclear Information System (INIS)
Duquesnoy, S.; Rozenberg, J.; Hourcade, J.Ch.
2011-01-01
One might intuitively think that an economic crisis would at least relieve the pressure on oil supply since it slows energy demand. From the model of the oil market DYSMO, we show that an economic crisis may on the contrary increase tension, as it postpones investment in oil supply. (authors)
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Making Sense of Financial Crisis and Scandal
DEFF Research Database (Denmark)
Hansen, Per H.
2012-01-01
fall from the top of society of these icons and of their role in the collapse of their banks. I view the sense-making process as centered on the construction of narratives that explain the crisis and enable or constrain institutional response to the crisis. To conclude, I argue that the process...... of sense-making in the case of Landmandsbanken can be generalized as the way in which society enforces norms and values in cases of dramatic financial crisis and scandal....
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Directory of Open Access Journals (Sweden)
Kočović Jelena
2011-01-01
Full Text Available This article deals with the impact of the global financial crisis on the scale and structure of investment portfolios of insurance companies, with respect to their difference compared to other types of financial institution, which derives from the specific nature of insurance activities. The analysis includes insurance companies’ exhibited and expected patterns of behavior as investors in the period before, during, and after the crisis, considering both the markets of economically developed countries and the domestic financial market of Serbia. The direction of insurers’ investments in the post-crisis period should be very carefully examined in terms of their future implications for the insurance companies’ long-term financial health, and defined in a broader context of managing all risks to which they are exposed, taking into account the interdependence of these risks. Pertinent recommendations in this regard have arisen from research of relevant past experience and current trends, and also from an analysis and comparison of views on this subject presented by a number of authors.
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Crisis Communication in the Area of Risk Management: The CriCoRM Project.
Scarcella, Carmelo; Antonelli, Laura; Orizio, Grazia; Rossmann, Costanze; Ziegler, Lena; Meyer, Lisa; Garcia-Jimenez, Leonarda; Losada, Jose Carlos; Correia, Joao; Soares, Joana; Covolo, Loredana; Lirangi, Enrico; Gelatti, Umberto
2013-09-02
stakeholders in health crisis communication. The development of web 2.0 tools, providing rapid responses will allow real-time verification of awareness of social trends and citizens' response. Furthermore, the project would like to offer these resources to the EU Public Health Institutions and EU citizens to improve their interaction, and hence reinforce citizens' right to patient-centred health care. The project proposal has been designed in accordance with the general principles of ethics and the EU Charter of Fundamental Rights with regard to human rights, values, freedom, solidarity, and better protection of European citizens.
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Veterans Crisis Line: Videos About Reaching out for Help
Full Text Available Veterans Crisis Line Skip to Main Content SuicidePreventionLifeline.org Get Help Materials Get Involved Crisis Centers About Be There ... see more videos from Veterans Health Administration Veterans Crisis Line -- After the Call see more videos from ...
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Help, Resources and Information: National Opioids Crisis
... Search Search Help, Resources and Information National Opioids Crisis Search Search Need Help? Call the National Helpline ... HHS 5-POINT STRATEGY TO COMBAT THE OPIOIDS CRISIS BETTER ADDICTION PREVENTION, TREATMENT, AND RECOVERY SERVICES BETTER ...
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Analysing English metaphors of the economic crisis
Directory of Open Access Journals (Sweden)
Filippo-Enrico Cardini
2014-07-01
Full Text Available Abstract - The present article reports the findings of an investigation into the metaphorical expressions adopted by English-language magazines to describe the latest economic/financial crisis. The corpus used for the investigation was about 100,000 words large, with texts taken from The Economist and from The International Economy. All the articles selected from these two magazines were published between Fall 2008 and Winter 2012. The main aim of the inquiry was to offer a more detailed and comprehensive classification of economic-crisis-metaphors than those proposed in previous research. In this respect, a total number of forty different types of such metaphors was identified. Alongside the theoretical classification, a quantitative analysis of the data was also carried out in order to find out which kinds of metaphorical expression are used most frequently. Results suggest that the economic/financial crisis is predominantly conceptualized in terms of something negative about a human being, about an object, and about a motion. In particular, viewing a state of economic/financial crisis as a damaged or destroyed object appears to be the most widely adopted metaphor. Results also suggest that different economics magazines can vary significantly in the amount of metaphorical language used.Keywords: metaphor, economic crisis, semantics, pragmatics, journalistic styles. Sommario – Questo articolo riporta i risultati di una ricerca sulle metafore adottate da riviste in lingua inglese per descrivere la recente crisi economica e finanziaria. Il corpus utilizzato per l’indagine è stato di circa 100.000 parole, con testi reperiti dal The Economist e dal The International Economy. Tutti gli articoli selezionati da queste due riviste sono stati pubblicati tra l’autunno 2008 e l’inverno 2012. Lo scopo principale dell’indagine è stato quello di fornire una classificazione delle metafore della crisi economica più dettagliata ed esauriente di
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Your money or your life: strong medicine for America's health care system
National Research Council Canada - National Science Library
Cutler, David M
2004-01-01
...; doctors who are frustrated by in surance restrictions; more than 40 million people without health in surance. "Medical care is in crisis," we are repeatedly told, and so it is. Barely one in five Americans thinks the medical system works well. 1 For all the talk about crisis, however, health reform has proven painfully difficult. President Bill Cl...