WorldWideScience

Sample records for casualties

  1. Tsunami Casualty Model

    Science.gov (United States)

    Yeh, H.

    2007-12-01

    More than 4500 deaths by tsunamis were recorded in the decade of 1990. For example, the 1992 Flores Tsunami in Indonesia took away at least 1712 lives, and more than 2182 people were victimized by the 1998 Papua New Guinea Tsunami. Such staggering death toll has been totally overshadowed by the 2004 Indian Ocean Tsunami that claimed more than 220,000 lives. Unlike hurricanes that are often evaluated by economic losses, death count is the primary measure for tsunami hazard. It is partly because tsunamis kill more people owing to its short lead- time for warning. Although exact death tallies are not available for most of the tsunami events, there exist gender and age discriminations in tsunami casualties. Significant gender difference in the victims of the 2004 Indian Ocean Tsunami was attributed to women's social norms and role behavior, as well as cultural bias toward women's inability to swim. Here we develop a rational casualty model based on humans' limit to withstand the tsunami flows. The application to simple tsunami runup cases demonstrates that biological and physiological disadvantages also make a significant difference in casualty rate. It further demonstrates that the gender and age discriminations in casualties become most pronounced when tsunami is marginally strong and the difference tends to diminish as tsunami strength increases.

  2. Marine Casualty and Pollution Data for Researchers

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  3. Methods of Vessel Casualty Process Assessment

    Directory of Open Access Journals (Sweden)

    Jaroslaw Soliwoda

    2014-06-01

    Full Text Available Maritime casualty is an event of considerable economic and social impact. For this reason, implemented the reporting systems of accidents at sea, and the Administration was obligated to establish a Commission of Maritime Accidents. On the basis of casualty analysis and reports are developed proposals preventing similar casualties in the future. However, there is no uniform evaluation system which check references of existing regulations and recommendations to the occurred casualties. This paper presents a method to evaluate the used methods of casualty prediction with respect to the real incident and catastrophe.

  4. 33 CFR 173.55 - Report of casualty or accident.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Report of casualty or accident... (CONTINUED) BOATING SAFETY VESSEL NUMBERING AND CASUALTY AND ACCIDENT REPORTING Casualty and Accident Reporting § 173.55 Report of casualty or accident. (a) The operator of a vessel shall submit the casualty...

  5. 46 CFR 4.03-1 - Marine casualty or accident.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Marine casualty or accident. 4.03-1 Section 4.03-1... AND INVESTIGATIONS Definitions § 4.03-1 Marine casualty or accident. Marine casualty or accident means— (a) Any casualty or accident involving any vessel other than a public vessel that— (1) Occurs...

  6. Casualties distribution in human and natural hazards

    OpenAIRE

    Pinto, Carla M. A.; Lopes, A. Mendes; Machado, J. A. Tenreiro

    2014-01-01

    Catastrophic events, such as wars and terrorist attacks, big tornadoes and hurricanes, huge earthquakes, tsunamis, floods, and landslides, are always accompanied by a large number of casualties. The size distribution of these casualties have separately been shown to follow approximate power law (PL) distributions. In this paper, we analyze the number of victims of catastrophic phenomena, in particular, terrorism, and find double PL behavior. This means that the data set is bett...

  7. On the emergency reception of radiation casualties

    International Nuclear Information System (INIS)

    The U.K. National Health Services Emergency Reception of victims of accidents involving radiation was reviewed. A shortfall exists with inadequate provision of coordinated central funding, facilities and training. 50% of NAIR designated hospitals lacked a shower for decontamination. A Casualty Surgeons Association Broadsheet is presented which addresses some of these shortcomings. (Author)

  8. Yale and the Atomic Bomb Casualty Commission

    International Nuclear Information System (INIS)

    This is a description, based largely on personal discussions, of the contributions of men from the Yale University School of Medicine to the saga of the immediate and long-term studies on the medical effects of the atomic bombs at Hiroshima and Nagasaki. They played key roles in the immediate studies of bomb effects, in the creation of long-term studies of delayed effects, and in elevating the Atomic Bomb Casualty Commission after 1955 to a position of excellence in its studies and relations with the Japanese. The accumulation of the information presented in this paper derives from research for the preparation of the history of the Atomic Bomb Casualty Commission. In 1975, the commission was passed to Japanese leadership as the Radiation Effects Research Foundation

  9. Westinghouse GOCO conduct of casualty drills

    International Nuclear Information System (INIS)

    Purpose of this document is to provide Westinghouse Government Owned Contractor Operated (GOCO) Facilities with information that can be used to implement or improve drill programs. Elements of this guide are highly recommended for use when implementing a new drill program or when assessing an existing program. Casualty drills focus on response to abnormal conditions presenting a hazard to personnel, environment, or equipment; they are distinct from Emergency Response Exercises in which the training emphasis is on site, field office, and emergency management team interaction. The DOE documents which require team training and conducting drills in nuclear facilities and should be used as guidance in non-nuclear facilities are: DOE 5480.19 (Chapter 1 of Attachment I) and DOE 5480.20 (Chapter 1, paragraphs 7 a. and d. of continuing training). Casualty drills should be an integral part of the qualification and training program at every DOE facility

  10. The Atomic Bomb Casualty Commission in retrospect

    OpenAIRE

    Putnam, Frank W.

    1998-01-01

    For 50 years, the Atomic Bomb Casualty Commission (ABCC) and its successor, the Radiation Effects Research Foundation (RERF), have conducted epidemiological and genetic studies of the survivors of the atomic bombs and of their children. This research program has provided the primary basis for radiation health standards. Both ABCC (1947–1975) and RERF (1975 to date) have been a joint enterprise of the United States (through the National Academy of Sciences) and of J...

  11. Treatment effectiveness of complex casualty amputee patients

    OpenAIRE

    Farrar, Elizabeth D.

    2013-01-01

    Approved for public release; distribution is unlimited This study analyzes data from 182 Comprehensive Combat and Complex Casualty Care (C5) amputee patients with the goal to better understand the factors that influence their care. The data was provided from the Navy Bureau of Medicine and Surgery while visiting the Naval Medical Center at San Diego. The analysis examines two response variables, opiate drug usage and duration in the C5 program, as a function of a number of exploratory vari...

  12. Public experiences of mass casualty decontamination

    OpenAIRE

    Carter, Holly; Drury, John; Rubin, G James; Williams, Richard; Amlôt, Richard

    2012-01-01

    In this article, we analyze feedback from simulated casualties who took part in field exercises involving mass decontamination, to gain an understanding of how responder communication can affect people’s experiences of and compliance with decontamination. We analyzed questionnaire data gathered from 402 volunteers using the framework approach, to provide an insight into the public’s experiences of decontamination and how these experiences are shaped by the actions of emergency responders. Fac...

  13. Risk management for property casualty insurance companies

    OpenAIRE

    Mutenga, S.

    2001-01-01

    This thesis addresses the need to reduce inefficiencies in management of insurance company risk capital. The laxity in managing the cost of capital is a result of dysfunctional property/casualty risk classification and capital accumulation practices in the insurance industry. We reclassify risk based on both peril and financial functional features, in order to capture all the facets of risk affecting a firm and ultimately to achieve optimal capital allocation. With the purpose of reducing ine...

  14. Yale and the Atomic Bomb Casualty Commission.

    OpenAIRE

    Bowers, J. Z.

    1983-01-01

    This is a description, based largely on personal discussions, of the contributions of men from the Yale University School of Medicine to the saga of the immediate and long-term studies on the medical effects of the atomic bombs at Hiroshima and Nagasaki. They played key roles in the immediate studies of bomb effects, in the creation of long-term studies of delayed effects, and in elevating the Atomic Bomb Casualty Commission after 1955 to a position of excellence in its studies and relations ...

  15. The Bosphorus : Factors Contributing to Marine Casualties

    OpenAIRE

    Akten, Necmettin

    2002-01-01

    Abstract Ships trade in a complex and high-risk operating environment; hence very many shipping casualties still occur at sea as well as waters connected therewith. Any accident, whatever in nature, is every seafarer's nightmare and comes under the fierce scrutiny of the public. It may take different shapes - i.e from a single operational mishap to a possible major regional catastrophe. Should it occur in a channel or a strait, where the shipping traffic is dense, the sea-room is relati...

  16. The Casualty Actuarial Society: Helping Universities Train Future Actuaries

    Science.gov (United States)

    Boa, J. Michael; Gorvett, Rick

    2014-01-01

    The Casualty Actuarial Society (CAS) believes that the most effective way to advance the actuarial profession is to work in partnership with universities. The CAS stands ready to assist universities in creating or enhancing courses and curricula associated with property/casualty actuarial science. CAS resources for university actuarial science…

  17. Protective measures while treating CWA casualties

    International Nuclear Information System (INIS)

    When Chemical Warfare agent casualties are brought into a medical facility they are usually decontaminated before receiving treatment. The decontamination can range from simply undressing to complex entry/exit procedures for a collective protection medical shelter. It is expected that the decontamination has reduced the contamination to such a degree that there is no more hazard for the medical personnel from emanating CWA vapors. However there is quite some evidence that this is usually not the case and additional protective measures are required in order to have the medical staff operating unhindered and not endangered by albeit low but still hazardous CWA vapor concentrations that at the end of the day would have adverse effects on the capabilities of the medical staff. In the paper some simple but effective means will be described that will reduce the exposure of the medical staff to.(author)

  18. Treatment strategies for mass burn casualties

    Institute of Scientific and Technical Information of China (English)

    CHAI Jia-ke; SHENG Zhi-yong; YANG Hong-ming; HAO Dai-feng; SHEN Chuan-an; JIA Xiao-ming; LI Feng; JING Sa; LI Li-gen; SONG Hui-feng; JIA Chi-yu; TUO Xiao-ye; SUN Tian-jun; HU Quan

    2009-01-01

    Background Mass burn casualties are always a great challenge to a medical team because a large number of seriously injured patients were sent in within a short time. Usually a high mortality is impending. Experiences gained from successful treatment of the victims may be useful in guiding the care of mass casualties in an armed conflict.Methods Thirty-five burn victims in a single batch, being transferred nonstop by air and highway from a distant province,were admitted 48 hours post-injury. All patients were male with a mean age of (22.4±8.7) years. The burn extent ranged from 4% to 75% ((13.6±12.9)%) total body surface area. Among them, thirty-two patients were complicated by moderate and severe inhalation injury, and tracheostomy had been performed in 15 patients. Decompression incisions of burn eschar on extremities were done in 17 cases before transportation. All the thirty-five patients arrived at the destination smoothly via 4-hour airlift and road transportation. Among them, twenty-five patients were in critical condition.Results These thirty-five patients were evacuated 6 hours from the scene of the injury, and they were transferred to a local hospital for primary emergency care. The patients were in very poor condition when admitted to our hospital because of the severe injury with delayed and inadequate treatment. Examination of these patients at admission showed that one patient was suffering from sepsis and multiple organ dysfunction syndrome. Dysfunction of the heart, lung, liver,kidney, and coagulation were all found in the patients. Forty-eight operations were performed in the 23 patients during one month together with comprehensive treatment, and the function of various organs was ameliorated after appropriate treatment. All the 35 patients survived.Conclusions A well-organized team consisting of several cooperative groups with specified duties is very important. As a whole, the treatment protocol should be individualized, basing on the extent of

  19. Assessment of Hospital Pharmacy Preparedness for Mass Casualty Events

    OpenAIRE

    Awad, Nadia I.; Cocchio, Craig

    2015-01-01

    A cross-sectional survey of hospital pharmacies in New Jersey demonstrates a lack of general consensus regarding hospital pharmacy preparedness for mass casualty scenarios despite individualized institutional protocols for disaster preparedness.

  20. Preparedness for mass-casualty attacks on public transportation

    OpenAIRE

    Holgersson, Annelie

    2016-01-01

    Background: Public transportation constitutes a vulnerable sector in modern day society with a high probability of generating mass casualties if attacked. By preparing for mass-casualty attacks (MCAs), response can become more effective and public transportation can become a less rewarding target. However, preparedness for attacks, much like response, implies resource constraints, and this dissertation pinpoints some major dilemmas that inhibit achieving preparedness for MCAs on public transp...

  1. Modelling Mass Casualty Decontamination Systems Informed by Field Exercise Data

    OpenAIRE

    Richard Amlôt; Egan, Joseph R.

    2012-01-01

    In the event of a large-scale chemical release in the UK decontamination of ambulant casualties would be undertaken by the Fire and Rescue Service (FRS). The aim of this study was to track the movement of volunteer casualties at two mass decontamination field exercises using passive Radio Frequency Identification tags and detection mats that were placed at pre-defined locations. The exercise data were then used to inform a computer model of the FRS component of the mass decontamination proces...

  2. Traffic accidents involving fatigue driving and their extent of casualties.

    Science.gov (United States)

    Zhang, Guangnan; Yau, Kelvin K W; Zhang, Xun; Li, Yanyan

    2016-02-01

    The rapid progress of motorization has increased the number of traffic-related casualties. Although fatigue driving is a major cause of traffic accidents, the public remains not rather aware of its potential harmfulness. Fatigue driving has been termed as a "silent killer." Thus, a thorough study of traffic accidents and the risk factors associated with fatigue-related casualties is of utmost importance. In this study, we analyze traffic accident data for the period 2006-2010 in Guangdong Province, China. The study data were extracted from the traffic accident database of China's Public Security Department. A logistic regression model is used to assess the effect of driver characteristics, type of vehicles, road conditions, and environmental factors on fatigue-related traffic accident occurrence and severity. On the one hand, male drivers, trucks, driving during midnight to dawn, and morning rush hours are identified as risk factors of fatigue-related crashes but do not necessarily result in severe casualties. Driving at night without street-lights contributes to fatigue-related crashes and severe casualties. On the other hand, while factors such as less experienced drivers, unsafe vehicle status, slippery roads, driving at night with street-lights, and weekends do not have significant effect on fatigue-related crashes, yet accidents associated with these factors are likely to have severe casualties. The empirical results of the present study have important policy implications on the reduction of fatigue-related crashes as well as their severity. PMID:26625173

  3. Modelling Mass Casualty Decontamination Systems Informed by Field Exercise Data

    Directory of Open Access Journals (Sweden)

    Richard Amlôt

    2012-10-01

    Full Text Available In the event of a large-scale chemical release in the UK decontamination of ambulant casualties would be undertaken by the Fire and Rescue Service (FRS. The aim of this study was to track the movement of volunteer casualties at two mass decontamination field exercises using passive Radio Frequency Identification tags and detection mats that were placed at pre-defined locations. The exercise data were then used to inform a computer model of the FRS component of the mass decontamination process. Having removed all clothing and having showered, the re-dressing (termed re-robing of casualties was found to be a bottleneck in the mass decontamination process during both exercises. Computer simulations showed that increasing the capacity of each lane of the re-robe section to accommodate 10 rather than five casualties would be optimal in general, but that a capacity of 15 might be required to accommodate vulnerable individuals. If the duration of the shower was decreased from three minutes to one minute then a per lane re-robe capacity of 20 might be necessary to maximise the throughput of casualties. In conclusion, one practical enhancement to the FRS response may be to provide at least one additional re-robe section per mass decontamination unit.

  4. Mass Casualty Chemical Incident Operational Framework, Assessment and Best Practices

    Energy Technology Data Exchange (ETDEWEB)

    Greenwalt, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hibbard, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2016-08-09

    Emergency response agencies in most US communities are organized, sized, and equipped to manage those emergencies normally expected. Hospitals in particular do not typically have significant excess capacity to handle massive numbers of casualties, as hospital space is an expensive luxury if not needed. Unfortunately this means that in the event of a mass casualty chemical incident the emergency response system will be overwhelmed. This document provides a self-assessment means for emergency managers to examine their response system and identify shortfalls. It also includes lessons from a detailed analysis of five communities: Baltimore, Boise, Houston, Nassau County, and New Orleans. These lessons provide a list of potential critical decisions to allow for pre-planning and a library of best practices that may be helpful in reducing casualties in the event of an incident.

  5. Mass Casualty Chemical Incident Operational Framework, Assessment and Best Practices

    Energy Technology Data Exchange (ETDEWEB)

    Greenwalt, R. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hibbard, W. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2016-05-04

    Emergency response agencies in most US communities are organized, sized, and equipped to manage those emergencies normally expected. Hospitals in particular do not typically have significant excess capacity to handle massive numbers of casualties, as hospital space is an expensive luxury if not needed. Unfortunately this means that in the event of a mass casualty chemical incident the emergency response system will be overwhelmed. This document provides a self-assessment means for emergency managers to examine their response system and identify shortfalls. It also includes lessons from a detailed analysis of five communities: Baltimore, Boise, Houston, Nassau County, and New Orleans. These lessons provide a list of potential critical decisions to allow for pre-planning and a library of best practices that may be helpful in reducing casualties in the event of an incident.

  6. 33 CFR 174.107 - Contents of casualty or accident report form.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Contents of casualty or accident... System Requirements § 174.107 Contents of casualty or accident report form. Each form for reporting a vessel casualty or accident must contain the information required in § 173.57 of this chapter....

  7. 46 CFR 28.80 - Report of casualty.

    Science.gov (United States)

    2010-10-01

    ... GUARD, DEPARTMENT OF HOMELAND SECURITY UNINSPECTED VESSELS REQUIREMENTS FOR COMMERCIAL FISHING INDUSTRY... routine duties. (3) Loss of a vessel. (4) Damage to or by a vessel, its cargo, apparel or gear, except for... industry vessel must submit a report of each casualty involving that vessel to an organization listed...

  8. Preliminary quantitative assessment of earthquake casualties and damages

    DEFF Research Database (Denmark)

    Badal, J.; Vázquez-Prada, M.; González, Á.;

    2005-01-01

    Prognostic estimations of the expected number of killed or injured people and about the approximate cost associated with the damages caused by earthquakes are made following a suitable methodology of wide-ranging application. For the preliminary assessment of human life losses due to the occurrence...... of a relatively strong earthquake we use a quantitative model consisting of a correlation between the number of casualties and the earthquake magnitude as a function of population density. The macroseismic intensity field is determined in accordance with an updated anelastic attenuation law, and the...... take into account the local social wealth as a function of the gross domestic product of the country. This last step is performed on the basis of the relationship of the macroseismic intensity to the earthquake economic loss in percentage of the wealth. Such an approach to the human casualty and damage...

  9. Communication during mass casualty decontamination: highlighting the gaps

    OpenAIRE

    Carter, Holly; Drury, John; Rubin, G James; Williams, Richard; Amlot, Richard

    2013-01-01

    Following the World Trade Centre attacks of September 2001, there has been an increased focus in the emergency planning community on methods of managing chemical, biological, radiological and nuclear (CBRN) incidents. This has, necessarily, included consideration of methods and processes for rapid decontamination of large numbers of potentially contaminated people. Real-life decontamination incidents have suggested that some contaminated casualties may not comply with decontamination protocol...

  10. Volleyball injuries presenting in casualty: a prospective study.

    OpenAIRE

    Solgård, L; Nielsen, A B; Møller-Madsen, B; Jacobsen, B W; Yde, J; Jensen, J

    1995-01-01

    During 1986, all sports injuries (n = 5222) were prospectively recorded at the two casualty departments in Arhus, Denmark. Volleyball injuries (n = 278) accounted for 5.3% of all sports injuries. An evaluation of the rehabilitation period and the consequences of the injuries was undertaken by questionnaire three years after the injury. The injury incidence was 1.9 injuries/1000 inhabitants/year. Hand, finger, and ankle sprains were the most frequent injuries. Female players had significantly ...

  11. Investigation of work zone crash casualty patterns using association rules.

    Science.gov (United States)

    Weng, Jinxian; Zhu, Jia-Zheng; Yan, Xuedong; Liu, Zhiyuan

    2016-07-01

    Investigation of the casualty crash characteristics and contributory factors is one of the high-priority issues in traffic safety analysis. In this paper, we propose a method based on association rules to analyze the characteristics and contributory factors of work zone crash casualties. A case study is conducted using the Michigan M-94/I-94/I-94BL/I-94BR work zone crash data from 2004 to 2008. The obtained association rules are divided into two parts including rules with high-lift, and rules with high-support for the further analysis. The results show that almost all the high-lift rules contain either environmental or occupant characteristics. The majority of association rules are centered on specific characteristics, such as drinking driving, the highway with more than 4 lanes, speed-limit over 40mph and not use of traffic control devices. It should be pointed out that some stronger associated rules were found in the high-support part. With the network visualization, the association rule method can provide more understandable results for investigating the patterns of work zone crash casualties. PMID:27038500

  12. Multi-Injury Casualty Stream Simulation in a Shipboard Combat Environment.

    Science.gov (United States)

    D'Souza, Edwin; Wing, Vern; Zouris, James; Vickers, Ross; Lawnick, Mary; Galarneau, Michael

    2016-01-01

    Accurate forecasts of casualty streams are essential for estimating personnel and materiel requirements for future naval combat engagements. The scarcity of recent naval combat data makes accurate forecasting difficult. Furthermore, current forecasts are based on single injuries only, even though empirical evidence indicates most battle casualties suffer multiple injuries. These anticipated single-injury casualty streams underestimate the needed medical resources. This article describes a method of simulating realistic multi-injury casualty streams in a maritime environment by combining available shipboard data with ground combat blast data. The simulations, based on the Military Combat Injury Scale, are expected to provide a better tool for medical logistics planning. PMID:26741479

  13. Nuclear and radiological risk: contaminated mass casualties in the hospital

    International Nuclear Information System (INIS)

    The basic scenario for the medical response organization is the explosion of the dirty bomb in public places spreading radioactive material and contaminating casualties. The French plan gives precise directions for the organization of the emergency room and the simple protective measures for medical staff and equipment to avoid dissemination and contamination into the hospital. Decontamination consists of the undressing of the victims followed by showering. The detection of the contamination can limit the time-consuming unnecessary decontamination procedure and the radioactive waste. Medical and paramedical staff is trained to wear protective disposal paper suits and to direct the procedure of decontamination. (author)

  14. A Casualty in the Class War: Canada's Medicare

    OpenAIRE

    Evans, Robert G.

    2012-01-01

    “There's class warfare, all right, but it's my class, the rich class, that's making war, and we're winning.” (Warren Buffett, five years ago.) Last year's Occupy Wall Street movement suggested that people are finally catching on. Note, making war: Buffett meant that there was deliberate intent and agency behind the huge transfer of wealth, since 1980, from the 99% to the 1%. Nor is the war metaphorical. There are real casualties, even if no body bags. Sadly, much Canadian commentary on inequa...

  15. Paper and people: the work of the casualty reception clerk.

    Science.gov (United States)

    Hughes, D

    1989-12-01

    This paper examines the exercise of discretion by casualty reception staff, focussing on the problems of accountability that arise when their judgements help shape the process of patient categorization that culminates in clinical diagnosis. Rules and guidelines which ostensibly relate to bureaucratic objectives, are applied in ways which reflect situational exigencies of reception work, and values embedded in organisational culture. But reception staff are reluctant to acknowledge the importance of their decisions, and, particularly where judgements relate to patient condition, present rule-use as a straightforward and certain activity in which interpretation plays little part. PMID:10304220

  16. 75 FR 60865 - Surety Companies Acceptable on Federal Bonds: Amendment-Allegheny Casualty Company

    Science.gov (United States)

    2010-10-01

    ..., at 75 FR 38192. FOR FURTHER INFORMATION CONTACT: Surety Bond Branch at (202) 874-6850. SUPPLEMENTARY INFORMATION: The underwriting limitation for Allegheny Casualty Company (NAIC 13285), which was listed in the... Fiscal Service Surety Companies Acceptable on Federal Bonds: Amendment-- Allegheny Casualty...

  17. 77 FR 8956 - Surety Companies Acceptable on Federal Bonds: Grange Mutual Casualty Company

    Science.gov (United States)

    2012-02-15

    ... Supplement No. 7 to the Treasury Department Circular 570, 2011 Revision, published July 1, 2011, at 76 FR... Fiscal Service Surety Companies Acceptable on Federal Bonds: Grange Mutual Casualty Company AGENCY.... 9305 to the following company: Grange Mutual Casualty Company (NAIC 14060). Business Address: 671...

  18. Medical strategies to handle mass casualties from the use of biological weapons

    OpenAIRE

    Koenig, Kristi L.; Kahn, C A; Schultz, C H

    2006-01-01

    This article reviews the definitions of biological weapons and mass casualties. In addition, it discusses the main operational and logistical issues of import in the medical management of mass casualties from the use of biological weapons. Strategies for medical management of specific biologic agents also are highlighted.

  19. On the Temporal Distribution of Casualties and Determination of Medical Logistical Requirements

    CERN Document Server

    Lauren, Michael Kyle

    2012-01-01

    It is demonstrated that World War II casualty data display statistical structure that would be expected from multifractal data. Given that the data displayed these properties, it is shown how the existence of power-law tails in the exceedence probability distributions can be used to estimate the likelihood of various casualty levels. Estimates made using this method matched the historical data well.

  20. 33 CFR 174.121 - Forwarding of casualty or accident reports.

    Science.gov (United States)

    2010-07-01

    ... accident reports. 174.121 Section 174.121 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... § 174.121 Forwarding of casualty or accident reports. Within 30 days of the receipt of a casualty or accident report, each State that has an approved numbering system must forward a copy of that report to...

  1. A Casualty in the Class War: Canada's Medicare.

    Science.gov (United States)

    Evans, Robert G

    2012-02-01

    "There's class warfare, all right, but it's my class, the rich class, that's making war, and we're winning." (Warren Buffett, five years ago.) Last year's Occupy Wall Street movement suggested that people are finally catching on. Note, making war: Buffett meant that there was deliberate intent and agency behind the huge transfer of wealth, since 1980, from the 99% to the 1%. Nor is the war metaphorical. There are real casualties, even if no body bags. Sadly, much Canadian commentary on inequality is pitiably naïve or deliberately obfuscatory. The 1% have captured national governments. The astronomical cost of American elections excludes the 99%. In Canada, parliamentary government permits one man to rule as a de facto dictator. The 1% don't like medicare. PMID:23372577

  2. Effect and Improvement Areas for Port State Control Inspections to Decrease the Probability of Casualty

    OpenAIRE

    Knapp, Sabine; Franses, Philip Hans

    2006-01-01

    textabstractThis report is the fourth part of a PhD project called "The Econometrics of Maritime Safety – Recommendations to Enhance Safety at Sea" and is based on 183,000 port state control inspections and 11,700 casualties from various data sources. Its overall objective is to provide recommendations to improve safety at sea. The fourth part looks into measuring the effect of inspections on the probability of casualty on either seriousness or casualty first event to show the differences acr...

  3. Occupational safety data and casualty rates for the uranium fuel cycle

    International Nuclear Information System (INIS)

    Occupational casualty (injuries, illnesses, fatalities, and lost workdays) and production data are presented and used to calculate occupational casualty incidence rates for technologies that make up the uranium fuel cycle, including: mining, milling, conversion, and enrichment of uranium; fabrication of reactor fuel; transportation of uranium and fuel elements; generation of electric power; and transmission of electric power. Each technology is treated in a separate chapter. All data sources are referenced. All steps used to calculate normalized occupational casualty incidence rates from the data are presented. Rates given include fatalities, serious cases, and lost workdays per 100 man-years worked, per 1012 Btu of energy output, and per other appropriate units of output

  4. Casualty Dynamics in Wars and Terrorism and the Scale-Free Organization of Social Systems

    OpenAIRE

    Piepers, Ingo

    2006-01-01

    In this paper I propose a 'mechanism' for the explanation of power-law characteristics of casualty dynamics in inter-state wars, intra-state wars and terrorist attacks: the scale-free physical organization of social systems. Other explanations - self-organized criticality (Cederman, 2003) and the redistribution of total attack capabilities (Johnson et al. 2006) - do not provide a consistent framework for the power-law characteristics of casualty dynamics. The development in time of the power-...

  5. RFID based patient registration in mass casualty incidents

    Directory of Open Access Journals (Sweden)

    Nestler, Simon

    2011-01-01

    Full Text Available In MCIs (mass casualty incidents the EMC (emergency medical chief has to gain an overview on all patients at the scene. When using paper based patient tags the patient-related information remains at the patients themselves and the information relay is complex. We propose a mobile, RFID based solution, which makes the local patient-related information available to all relief workers at the scene. As a consequence all processes in an MCI are more transparent and the resulting medication and transport of the injured is more efficient. The introduction of RFID enhanced patient tags leads to various usability challenges which are discussed in this paper. Furthermore, three different implementations show, how these challenges can be solved in the future. These solutions have been evaluated in a disaster control exercise in order to get an impression of the practical suitability of the proposed solutions. The future introduction of RFID tags in rescue and emergency services can be based on this work.

  6. Occupational safety data and casualty rates for the uranium fuel cycle. [Glossaries

    Energy Technology Data Exchange (ETDEWEB)

    O' Donnell, F.R.; Hoy, H.C.

    1981-10-01

    Occupational casualty (injuries, illnesses, fatalities, and lost workdays) and production data are presented and used to calculate occupational casualty incidence rates for technologies that make up the uranium fuel cycle, including: mining, milling, conversion, and enrichment of uranium; fabrication of reactor fuel; transportation of uranium and fuel elements; generation of electric power; and transmission of electric power. Each technology is treated in a separate chapter. All data sources are referenced. All steps used to calculate normalized occupational casualty incidence rates from the data are presented. Rates given include fatalities, serious cases, and lost workdays per 100 man-years worked, per 10/sup 12/ Btu of energy output, and per other appropriate units of output.

  7. How Norwegian casualty clinics handle contacts related to mental illness: A prospective observational study

    Directory of Open Access Journals (Sweden)

    Johansen Ingrid H

    2012-04-01

    Full Text Available Abstract Background Low-threshold and out-of-hours services play an important role in the emergency care for people with mental illness. In Norway casualty clinic doctors are responsible for a substantial share of acute referrals to psychiatric wards. This study’s aim was to identify patients contacting the casualty clinic for mental illness related problems and study interventions and diagnoses. Methods At four Norwegian casualty clinics information on treatment, diagnoses and referral were retrieved from the medical records of patients judged by doctors to present problems related to mental illness including substance misuse. Also, routine information and relation to mental illness were gathered for all consecutive contacts to the casualty clinics. Results In the initial contacts to the casualty clinics (n = 28527 a relation to mental illness was reported in 2.5% of contacts, whereas the corresponding proportion in the doctor registered consultations, home-visits and emergency call-outs (n = 9487 was 9.3%. Compared to other contacts, mental illness contacts were relatively more urgent and more frequent during night time. Common interventions were advice from a nurse, laboratory testing, prescriptions and minor surgical treatment. A third of patients in contact with doctors were referred to in-patient treatment, mostly non-psychiatric wards. Many patients were not given diagnoses signalling mental problems. When police was involved, they often presented the patient for examination. Conclusions Most mental illness related contacts are managed in Norwegian casualty clinics without referral to in-patient care. The patients benefit from a wide range of interventions, of which psychiatric admission is only one.

  8. Importance of banked tissues in the management of mass nuclear casualties

    International Nuclear Information System (INIS)

    Nuclear detonations are the most devastating of the weapons of mass destruction. There will be large number of casualties on detonation of nuclear weapon. Biological tissues like bone, skin, amniotic membrane and other soft tissues can be used for repair or reconstruction of the injured part of the body. Tissues from human donor can be processed and banked for orthopaedic, spinal, trauma and other surgical procedures. Radiation technology is used to sterilize the tissues to make them safe for clinical use. This paper highlights the importance of such banked tissues in the management of the casualties. (author)

  9. 49 CFR 1242.54 - Other and casualties and insurance (accounts XX-27-99 and 50-27-00).

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Other and casualties and insurance (accounts XX-27... RAILROADS 1 Operating Expenses-Equipment § 1242.54 Other and casualties and insurance (accounts XX-27-99 and... administration (account XX-27-01). Operating Expenses—Transportation train operations...

  10. 49 CFR 1242.72 - Other and casualties and insurance (accounts XX-52-99 and 50-52-00).

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Other and casualties and insurance (accounts XX-52... RAILROADS 1 Operating Expenses-Transportation § 1242.72 Other and casualties and insurance (accounts XX-52... separation of administration (account XX-52-01). train and yard operations common...

  11. 49 CFR 1242.82 - Other and casualties and insurance (accounts XX-55-99 and 50-55-00).

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Other and casualties and insurance (accounts XX-55... RAILROADS 1 Operating Expenses-Transportation § 1242.82 Other and casualties and insurance (accounts XX-55... separation of administration (account XX-55-01). Operating Expenses general and administration...

  12. 49 CFR 1242.65 - Other and casualties and insurance (accounts XX-51-99 and 50-51-00).

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Other and casualties and insurance (accounts XX-51... RAILROADS 1 Operating Expenses-Transportation § 1242.65 Other and casualties and insurance (accounts XX-51... separation of administration (account XX-51-01). yard operations...

  13. 49 CFR 1242.41 - Other and casualties and insurance (accounts XX-26-99 and 50-26-00).

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Other and casualties and insurance (accounts XX-26... RAILROADS 1 Operating Expenses-Equipment § 1242.41 Other and casualties and insurance (accounts XX-26-99 and... administration (account XX-26-01). freight cars...

  14. Effect and Improvement Areas for Port State Control Inspections to Decrease the Probability of Casualty

    NARCIS (Netherlands)

    S. Knapp (Sabine); Ph.H.B.F. Franses (Philip Hans)

    2006-01-01

    textabstractThis report is the fourth part of a PhD project called "The Econometrics of Maritime Safety – Recommendations to Enhance Safety at Sea" and is based on 183,000 port state control inspections and 11,700 casualties from various data sources. Its overall objective is to provide recommendati

  15. 76 FR 53364 - Recreational Vessel Propeller Strike and Carbon Monoxide Poisoning Casualty Prevention

    Science.gov (United States)

    2011-08-26

    ... regarding our public dockets in the January 17, 2008, issue of the Federal Register (73 FR 3316). D. Public... Department of Homeland Security ECOS Engine cut-off switches EPA Environmental Protection Agency FR Federal... recreational vessel and propeller strike-related casualties. See 60 FR 25191 (May 11, 1995) (Request...

  16. 27 CFR 25.282 - Beer lost by fire, theft, casualty, or act of God.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Beer lost by fire, theft... TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS BEER Refund or Adjustment of Tax or Relief From Liability § 25.282 Beer lost by fire, theft, casualty, or act of God. (a) General. The tax paid...

  17. Eating Order: A 13-Week Trust Model Class for Dieting Casualties

    Science.gov (United States)

    Jackson, Elizabeth G.

    2008-01-01

    Chronic dieting distorts eating behaviors and causes weight escalation. Desperation about losing weight results in pursuit of extreme weight loss measures. Instead of offering yet another diet, nutrition educators can teach chronic dieters (dieting casualties) to develop eating competence. Eating Order, a 13-week class for chronic dieters based on…

  18. Radiographic interpretation of the appendicular skeleton: A comparison between casualty officers, nurse practitioners and radiographers

    International Nuclear Information System (INIS)

    Aim: To assess how accurately and confidently casualty officers, nurse practitioners and radiographers, practicing within the emergency department (ED), recognize and describe radiographic trauma within an image test bank of 20 appendicular radiographs. Method: The participants consisted of 7 casualty officers, 13 nurse practitioners and 18 radiographers. All 20 radiographic examinations selected for the image test bank had been acquired following trauma and included some subtle, yet clinically significant abnormalities. The test bank score (maximum 40 marks), sensitivity and specificity percentages were calculated against an agreed radiological diagnosis (reference standard). Alternative Free-response Receiver Operating Characteristic (AFROC) analysis was used to assess the overall performance of the diagnostic accuracy of these professional groups. The variation in performance between each group was measured using the analysis of variance (ANOVA) test, to identify any statistical significant differences in the performance in interpretation between these groups. The relationship between the participants' perceived image interpretation accuracy during clinical practice and the actual accuracy of their image test bank score was examined using Pearson's Correlation Coefficient (r). Results: The results revealed that the radiographers gained the highest mean test bank score (28.5/40; 71%). This score was statistically higher than the mean test bank scores attained by the participating nurse practitioners (21/40; 53%) and casualty officers (21.5/40; 54%), with p < 0.01 and p = 0.02, respectively. When compared with each other, the scores from these latter groups showed no significant difference (p = 0.91). The mean 'area under the curve' (AUC) value achieved by the radiographers was also significantly higher (p < 0.01) in comparison to the AUC values demonstrated by the nurse practitioners and casualty officers, whose results, when compared, showed no significant

  19. K-plan for patient repatriation after mass casualty events abroad.

    Science.gov (United States)

    Duchateau, François-Xavier; Verner, Laurent

    2012-01-01

    In addition to requests for individual aeromedical evacuation (AE), medical assistance companies also may respond to mass casualty incidents abroad. The purpose of this report was to evaluate the effectiveness of our primary casualty plan, based on experience involving a January 2010 bus crash in southern Egypt. The main evaluative criterion was time elapsed from the initial call until the return of victims to their home country. Three critically injured patients underwent an initial AE to Cairo for advanced trauma care. After stabilization, they arrived back in their home country 42 hours after the initial call. The remaining group of patients arrived 27 hours later, or a total of 69 hours after the first call. These findings suggest that the "K-Plan" standardized operating process may be effective for rapid and appropriate repatriation of numerous victims. Some specific issues, such as efficiently locating a large-capacity charter aircraft, require further improvement. PMID:22386102

  20. Role of radiology in the study and identification of casualty victims

    International Nuclear Information System (INIS)

    Radiology is assuming an increasingly important role in the investigation of casualty victims. Radiographic screening for foreign bodies, personal effects, dental and surgical artifacts and occult skeletal injury has long been an established technique in forensic medicine. Positive radiographic identification of the victims by comparison with antemortem films and records in a more recent, important development. Large scale radiographic investigations may require improvised facilities posing unaccustomed technical and logistical problems. Radiologic experience gained from aviation accident investigation is found to apply in other casualty situations as well as in individual fatality investigations. Radiologic data may aid determination of the cause of incidents, resulting in improved safety procedures and design, as well as serving humanitarian and forensic functions. (orig.)

  1. A third-party casualty risk model for unmanned aircraft system operations

    International Nuclear Information System (INIS)

    Unmanned Aircraft System (UAS) integration into the National Airspace System (NAS) is an important goal of many members of the Aerospace community including stakeholders such as the military, law enforcement and potential civil users of UAS. However, integration efforts have remained relatively limited due to safety concerns. Due to the nature of UAS, safety predictions must look beyond the system itself and take the operating environment into account. A framework that can link UAS reliability and physical characteristics to the effects on the bystander population is required. This study proposes using a Target Level of Safety approach and an event tree format, populated with data from existing studies that share characteristics of UAS crashes to enable casualty prediction for UAS operations. - Highlights: • A framework for predicting bystander casualties caused by UAS mishaps. • A method to facilitate UAS integration by linking system reliability to system safety. • A tool to help develop UAS certification standards

  2. The association between demographic factors, user reported experiences and user satisfaction: results from three casualty clinics in Norway

    OpenAIRE

    Forland Oddvar; Garratt Andrew; Bjertnaes Oyvind A; Danielsen Kirsten; Iversen Hilde; Hunskaar Steinar

    2010-01-01

    Abstract Background User reported experiences and satisfaction are increasingly used as basis for quality indicators in the health sector. However, there is limited understanding of factors associated with user reported experiences and satisfaction with casualty clinics. Methods A random sample of 542 patients that had contacted any of three casualty clinics from mid April to mid May 2008 was mailed a questionnaire. A reminder was sent to non-respondents after six weeks. Descriptive statistic...

  3. Tactical Combat Casualty Care in the Canadian Forces: lessons learned from the Afghan war

    OpenAIRE

    Savage, Erin; Forestier, Colleen; Withers, Nicholas; Tien, Homer; Pannell, Dylan

    2011-01-01

    Tactical Combat Casualty Care (TCCC) is intended to treat potentially preventable causes of death on the battlefield, but acknowledges that application of these treatments may place the provider and even the mission in jeopardy if performed at the wrong time. Therefore, TCCC classifies the tactical situation with respect to health care provision into 3 phases (care under fire, tactical field care and tactical evacuation) and only permits certain interventions to be performed in specific phase...

  4. Greetings: 50 years of Atomic Bomb Casualty Commission–Radiation Effects Research Foundation studies

    OpenAIRE

    Shigematsu, Itsuzo

    1998-01-01

    The Atomic Bomb Casualty Commission was established in Hiroshima in 1947 and in Nagasaki in 1948 under the auspices of the U.S. National Academy of Sciences to initiate a long-term and comprehensive epidemiological and genetic study of the atomic bomb survivors. It was replaced in 1975 by the Radiation Effects Research Foundation which is a nonprofit Japanese foundation binationally managed and supported with equal funding by the governments of Japan and the United Sta...

  5. Effect of Hospital Staff Surge Capacity on Preparedness for a Conventional Mass Casualty Event

    Directory of Open Access Journals (Sweden)

    Welzel, Tyson B MD

    2010-05-01

    Full Text Available OBJECTIVES: To assess current medical staffing levels within the Hospital Referral System in the City of Cape Town Metropolitan Municipality, South Africa, and analyze the surge capacity needs to prepare for the potential of a conventional mass casualty incident during a planned mass gathering.METHODS: Query of all available medical databases of both state employees and private medical personnel within the greater Cape Town area to determine current staffing levels and distribution of personnel across public and private domains. Analysis of the adequacy of available staff to manage a mass casualty incident.RESULTS: There are 594 advanced pre-hospital personnel in Cape Town (17/100,000 population and 142 basic pre-hospital personnel (4.6/100,000. The total number of hospital and clinic-based medical practitioners is 3097 (88.6/100,000, consisting of 1914 general physicians; 54.7/100,000 and 1183 specialist physicians; 33.8/100,000. Vacancy rates for all medical practitioners range from 23.5% to 25.5%. This includes: nursing post vacancies (26%, basic emergency care practitioners (39.3%, advanced emergency care personnel (66.8%, pharmacy assistants (42.6%, and pharmacists (33.1%.CONCLUSION: There are sufficient numbers and types of personnel to provide the expected ordinary healthcare needs at mass gathering sites in Cape Town; however, qualified staff are likely insufficient to manage a concurrent mass casualty event. Considering that adequate correctly skilled and trained staff form the backbone of disaster surge capacity, it appears that Cape Town is currently under resourced to manage a mass casualty event. With the increasing size and frequency of mass gathering events worldwide, adequate disaster surge capacity is an issue of global relevance. [West J Emerg Med. 2010; 11(2:189-196.

  6. Coastal flood risks and seasonal tourism: analyzing the effects of tourism dynamics on casualty calculations

    OpenAIRE

    Kellens, W.; Neutens, T.; Deckers, P.; Reyns, J.; P. De Maeyer

    2012-01-01

    Since coastal tourism is one of the fastest growing sectors of tourism industry, coastal areas have become increasingly vulnerable in the case of flooding. While in recent years a number of different methods have been put forward to map coastal flood risks, the implications of tourism dynamics for the assessment of human casualties has remained largely overlooked in these models. This chapter examines to what extent the ignorance of ( residential) coastal tourism may bias the calculations of ...

  7. Sample Tracking in an Automated Cytogenetic Biodosimetry Laboratory for Radiation Mass Casualties

    OpenAIRE

    Martin, P.R.; Berdychevski, R.E.; Subramanian, U.; Blakely, W F; Prasanna, P.G.S.

    2007-01-01

    Chromosome aberration-based dicentric assay is expected to be used after mass casualty life-threatening radiation exposures to assess radiation dose to individuals. This will require processing of a large number of samples for individual dose assessment and clinical triage to aid treatment decisions. We have established an automated, high-throughput, cytogenetic biodosimetry laboratory to process a large number of samples for conducting the dicentric assay using peripheral blood from exposed ...

  8. Resource planning for ambulance services in mass casualty incidents: a DES-based policy model.

    Science.gov (United States)

    Rauner, Marion S; Schaffhauser-Linzatti, Michaela M; Niessner, Helmut

    2012-09-01

    Due to an increasing number of mass casualty incidents, which are generally complex and unique in nature, we suggest that decision makers consider operations research-based policy models to help prepare emergency staff for improved planning and scheduling at the emergency site. We thus develop a discrete-event simulation policy model, which is currently being applied by disaster-responsive ambulance services in Austria. By evaluating realistic scenarios, our policy model is shown to enhance the scheduling and outcomes at operative and online levels. The proposed scenarios range from small, simple, and urban to rather large, complex, remote mass casualty emergencies. Furthermore, the organization of an advanced medical post can be improved on a strategic level to increase rescue quality, including enhanced survival of injured victims. In particular, we consider a realistic mass casualty incident at a brewery relative to other exemplary disasters. Based on a variety of such situations, we derive general policy implications at both the macro (e.g., strategic rescue policy) and micro (e.g., operative and online scheduling strategies at the emergency site) levels. PMID:22653522

  9. Operationalizing Civilian Protection in Mali: The Case for a Civilian Casualty Tracking, Analysis, and Response Cell

    Directory of Open Access Journals (Sweden)

    Marla B. Keenan

    2013-06-01

    Full Text Available This practice note details an emerging best practice of civilian harm mitigation in armed conflict: namely, the creation of civilian casualty tracking, analysis and response processes by a warring party or peace operation force. It asserts that in Iraq, Afghanistan and soon Somalia, these processes to better understand civilian harm and address consequences have positively shaped mission tactics, training, and overall operations. In both Iraq and Afghanistan, tracking and analysis has lead to a marked decrease in civilian casualties and facilitated the making of amends for any civilian losses. The paper argues that for warring parties to achieve their mission—particularly one with a protection of civilians mandate as with the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA—they must fully understand the impact of their actions on the civilian population, positive or negative. For this reason, a Civilian Casualty Tracking, Analysis, and Response Cell should be created for MINUSMA to improve its ability mitigate risk to civilians as required by its Security Council mandate.

  10. Investigating the Relationship Between Drone Warfare and Civilian Casualties in Gaza

    Directory of Open Access Journals (Sweden)

    Dr. Ann Rogers

    2014-12-01

    Full Text Available Unmanned aerial vehicles (UAVs, better known as drones, are increasingly touted as ‘humanitarian’ weapons that contribute positively to fighting just wars and saving innocent lives. At the same time, civilian casualties have become the most visible and criticized aspect of drone warfare. It is argued here that drones contribute to civilian casualties not in spite of, but because of, their unique attributes. They greatly extend war across time and space, pulling more potential threats and targets into play over long periods, and because they are low-risk and highly accurate, they are more likely to be used. The assumption that drones save lives obscures a new turn in strategic thinking that sees states such as Israel and the US rely on large numbers of small, highly discriminating attacks applied over time to achieve their objectives. This examination of Israel’s 2014 war in Gaza argues that civilian casualties are not an unexpected or unintended consequence of drone warfare, but an entirely predictable outcome.

  11. Factors influencing injury severity score regarding Thai military personnel injured in mass casualty incident April 10, 2010: lessons learned from armed conflict casualties: a retrospective study

    Directory of Open Access Journals (Sweden)

    Boonthep Nuttapong

    2012-01-01

    Full Text Available Abstract Background Political conflicts in Bangkok, Thailand have caused mass casualties, especially the latest event April 10, 2010, in which many military personnel were injured. Most of them were transferred to Phramongkutklao Hospital, the largest military hospital in Thailand. The current study aimed to assess factors influencing Injury Severity Score (ISS regarding Thai military personnel injured in the mass casualty incident (MCI April 10, 2010. Methods A total of 728 injured soldiers transferred to Phramongkutklao Hospital were reviewed. Descriptive statistics was used to display characteristics of the injuries, relationship between mechanism of injury and injured body regions. Multiple logistic regressions were used to calculate the adjusted odds ratio (adjusted OR of ISS comparing injured body region categories. Results In all, 153 subjects defined as major data category were enrolled in this study. Blast injury was the most common mechanism of injury (90.2%. These victims displayed 276 injured body regions. The most common injured body region was the extremities (48.5%. A total of 18 patients (11.7% had an ISS revealing more than 16 points. Three victims who died were expected to die due to high Trauma and Injury Severity Score (TRISS. However, one with high TRISS survived. Factors influencing ISS were age (p = 0.04, abdomen injury (adjusted OR = 29.9; 95% CI, 5.8-153.5; P P P Conclusions Blast injury was the most common mechanism of injury among Thai military personnel injured in the MCI April 10, 2010. Age and injured body region such as head & neck, chest and abdomen significantly influenced ISS. These factors should be investigated for effective medical treatment and preparing protective equipment to prevent such injuries in the future.

  12. Clinical Framework and Medical Countermeasure Use During an Anthrax Mass-Casualty Incident.

    Science.gov (United States)

    Bower, William A; Hendricks, Katherine; Pillai, Satish; Guarnizo, Julie; Meaney-Delman, Dana

    2015-12-01

    In 2014, CDC published updated guidelines for the prevention and treatment of anthrax (Hendricks KA, Wright ME, Shadomy SV, et al. Centers for Disease Control and Prevention expert panel meetings on prevention and treatment of anthrax in adults. Emerg Infect Dis 2014;20[2]. Available at http://wwwnc.cdc.gov/eid/article/20/2/13-0687_article.htm). These guidelines provided recommended best practices for the diagnosis and treatment of persons with naturally occurring or bioterrorism-related anthrax in conventional medical settings. An aerosolized release of Bacillus anthracis spores over densely populated areas could become a mass-casualty incident. To prepare for this possibility, the U.S. government has stockpiled equipment and therapeutics (known as medical countermeasures [MCMs]) for anthrax prevention and treatment. However, previously developed, publicly available clinical recommendations have not addressed the use of MCMs or clinical management during an anthrax mass-casualty incident, when the number of patients is likely to exceed the ability of the health care infrastructure to provide conventional standards of care and supplies of MCMs might be inadequate to meet the demand required. To address this gap, in 2013, CDC conducted a series of systematic reviews of the scientific literature on anthrax to identify evidence that could help clinicians and public health authorities set guidelines for intravenous antimicrobial and antitoxin use, diagnosis of anthrax meningitis, and management of common anthrax-specific complications in the setting of a mass-casualty incident. Evidence from these reviews was presented to professionals with expertise in anthrax, critical care, and disaster medicine during a series of workgroup meetings that were held from August 2013 through March 2014. In March 2014, a meeting was held at which 102 subject matter experts discussed the evidence and adapted the existing best practices guidance to a clinical use framework for the

  13. Research approaches to mass casualty incidents response:development from routine perspectives to complexity science

    Institute of Scientific and Technical Information of China (English)

    Shen Weifeng; Jiang Libing; Zhang Mao; Ma Yuefeng; Jiang Guanyu; He Xiaojun

    2014-01-01

    Objective To review the research methods of mass casualty incident (MCI) systematically and introduce the concept and characteristics of complexity science and artificial system,computational experiments and parallel execution (ACP) method.Data sources We searched PubMed,Web of Knowledge,China Wanfang and China Biology Medicine (CBM) databases for relevant studies.Searches were performed without year or language restrictions and used the combinations of the following key words:“mass casualty incident”,“MCI”,“research method”,“complexity science”,“ACP”,“approach”,“science”,“model”,“system” and “response”.Study selection Articles were searched using the above keywords and only those involving the research methods of mass casualty incident (MCI) were enrolled.Results Research methods of MCI have increased markedly over the past few decades.For now,dominating research methods of MCI are theory-based approach,empirical approach,evidence-based science,mathematical modeling and computer simulation,simulation experiment,experimental methods,scenario approach and complexity science.Conclusions This article provides an overview of the development of research methodology for MCI.The progresses of routine research approaches and complexity science are briefly presented in this paper.Furthermore,the authors conclude that the reductionism underlying the exact science is not suitable for MCI complex systems.And the only feasible alternative is complexity science.Finally,this summary is followed by a review that ACP method combining artificial systems,computational experiments and parallel execution provides a new idea to address researches for complex MCI.

  14. Sociological Features of the Casualties from the 1996 Ms 7. 0 Lijiang Earthquake, Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    Li Yongqiang; Yang Jieying; Yang Dongsheng

    2012-01-01

    A statistics analysis was conducted on the basic information about fatalities from the Lijiang Ms 7.0 earthquake in 1996. The factors include age, gender, educational background, occupation, cause of death, death place, etc. We found that even though deaths caused by the Lijiang earthquake had some common features with those from earthquakes in other places in China, it also showed some specific features because of the multiracial and economically-underdeveloped situation of Lijiang area. The results reached in the paper can serve as a reference for studying the features of casualties caused by future strong earthquakes in Yunnan, and for the delicate and human-oriented emergency treatment.

  15. [Model and enlightenment from rescue of August 2nd Kunshan explosion casualty].

    Science.gov (United States)

    Tan, Q; Qiu, H B; Sun, B W; Shen, Y M; Nie, L J; Zhang, H W

    2016-01-01

    On August 2nd, 2014, a massive dust explosion occurred in a factory of Kunshan, resulting in a mass casualty involving 185 burn patients. They were transported to 20 medical institutions in Jiangsu province and Shanghai. More than one thousand of medical personnel of our country participated in this emergency rescue, and satisfactory results were achieved. In this paper, the characteristics of this accident were analyzed, the positive effects of interdisciplinary cooperation were affirmed, and the contingency plan, rescue process and pattern, and reserve, organization and management of talents during this rescue process were reviewed retrospectively. PMID:27426066

  16. Military casualties in Baranja and east Slavonia during the first 9 months of the war in Croatia.

    Science.gov (United States)

    Ropac, D; Milas, J

    1999-09-01

    The total number of Croatian Army soldiers killed in the period from the beginning of July 1991 until the end of March 1992 was 487. The number of severely wounded was 1,160, and 1,141 soldiers were slightly wounded. The ratio of the killed to wounded was 1:5, except in the municipality of Osijek, where it was 1:2.5. The number of casualties increased continually and culminated during November 1991, the period of fiercest fighting in this territory, followed by a gradual decrease. The most common mechanism of injury was explosives, which were responsible for almost half of all casualties (47.9%). An equal number of soldiers were killed by explosives and infantry weapons (46.4% and 44.9%, respectively). Casualties caused by motor vehicle crashes are not to be ignored, especially after the cease-fire agreement. Car crashes frequently resulted in death (from 4.5%-12.4%). PMID:10495635

  17. The effect of an out-of-hours reform on attendance at casualty wards. The Danish example

    DEFF Research Database (Denmark)

    Vedsted, Peter; Christensen, Morten Bondo

    2001-01-01

    increase in the attendance rate with casualty wards after the reform was statistically insignificant. CONCLUSIONS: The decrease in the total number of contacts with the out-of-hours primary health care after the reform was not met by a corresponding increase in casualty ward contacts. A clear......OBJECTIVE: A reorganisation of the out-of-hours general practice service in Denmark was launched in January 1992. The biggest changes were in a mandatory telephone triage staffed by GPs and the replacement of small rota systems with county-based health centres. We aimed to analyse the effect of...... this out-of-hours reform on the number of contacts with the casualty wards. DESIGN: A register-based ecologic time-trend study of the mean number of annual contacts per inhabitant from 1988 to 1997. SETTING: The County of Aarhus. SUBJECTS: All 630000 inhabitants in the county. MAIN OUTCOME MEASURES...

  18. Civilian casualties of Iraqi ballistic missile attack to Tehran, capital of Iran

    Institute of Scientific and Technical Information of China (English)

    Ali Khaji; Shoaodin Fallahdoost; Mohammad Reza Soroush; Vafa Rahimi-Movaghar

    2012-01-01

    Objective: To determine the pattern of causalities of Iraqi ballistic missile attacks on Tehran,the capital of Iran,during Iraq-Iran war.Methods: Data were extracted from the Army Staff Headquarters based on daily reports of Iranian army units during the war.Results: During 52 days,Tehran was stroked by 118 Al-Hussein missiles (a modified version of Scud missile).Eighty-six missiles landed in populated areas.During Iraqi missile attacks,422 civilians died and 1579 injured (4.9 deaths and 18.3 injuries per missile).During 52 days,8.1 of the civilians died and 30.4 injured daily.Of the cases that died,101 persons (24%) were excluded due to the lack of information.Among the remainders,179 (55.8%) were male and 142 (44.2%) were female.The mean age of the victims was 25.3 years±19.9 years.Our results show that the high accuracy of modified Scud missiles landed in crowded areas is the major cause of high mortality in Tehran.The presence of suitable warning system and shelters could reduce civilian casualties.Conclusion: The awareness and readiness of civilian defense forces,rescue services and all medical facilities for dealing with mass casualties caused by ballistic missile attacks are necessary.

  19. Using the Design for Demise Philosophy to Reduce Casualty Risk Due to Reentering Spacecraft

    Science.gov (United States)

    Kelley, R. L.

    2012-01-01

    Recently the reentry of a number of vehicles has garnered public attention due to their risk of human casualty due to fragments surviving reentry. In order to minimize this risk for their vehicles, a number of NASA programs have actively sought to minimize the number of components likely to survive reentry at the end of their spacecraft's life in order to meet and/or exceed NASA safety standards for controlled and uncontrolled reentering vehicles. This philosophy, referred to as "Design for Demise" or D4D, has steadily been adopted, to at least some degree, by numerous programs. The result is that many programs are requesting evaluations of components at the early stages of vehicle design, as they strive to find ways to reduce the number surviving components while ensuring that the components meet the performance requirements of their mission. This paper will discuss some of the methods that have been employed to ensure that the consequences of the vehicle s end-of-life are considered at the beginning of the design process. In addition this paper will discuss the technical challenges overcome, as well as some of the more creative solutions which have been utilized to reduce casualty risk.

  20. Challenges for rear hospital care of Wenchuan Earthquake casualties: experience from West China Hospital

    Institute of Scientific and Technical Information of China (English)

    SHI Ying-kang; WANG Lan-lan; LIN Yi-dan; PEI Fu-xing; KANG Yan

    2010-01-01

    To review the challenges and countermeasures in the hospital care for Wenchuan earthquake casualties and draw lessons for the protective response in the future. Medical records and laboratory findings of the victims admitted in West China Hospital (WCH) were retrospectively analyzed. Related data were compared between beforemath and aftermath of the earthquake and between WCH and frontier county hospitals. One thousand and thirty-one earthquake survivors were hospitalized, 1358 victims underwent surgery and 142 victims were transferred to intensive care unit. The incidence of infection, crush syndrome and multiple organ dysfunction syndrome (MODS)was 39.6%, 20.7% and 2.3% respectively. Wound classification showed that the incidence of extremity damage was 72%, while the incidence of chest trauma, abdominal trauma and brain trauma was less than 10% respectively. Isolating rates of environmental pathogens were increased in the aftermath of earthquake, and the spectrum of the pathogens and related antibiotic sensitivities were quite different from those in the beforemath of earthquake. The social economic and population conditions in the earthquake-stricken areas affected the composition of the victims and the geographic features restricted the efficiency of rescue. Trauma-induced MODS, crush syndrome and severe infections all constituted the dilemma for the hospital care, to resolve whether the multidiscipline team work was proved to be an optimizing choice. For a more effective disaster protective response in the future,the study on rescue plan and the ladder therapies for massive casualties should be potentiated.

  1. The influence of car registration year on driver casualty rates in Great Britain.

    Science.gov (United States)

    Broughton, Jeremy

    2012-03-01

    A previous paper analysed data from the British national road accident reporting system to investigate the influence upon car driver casualty rates of the general type of car being driven and its year of first registration. A statistical model was fitted to accident data from 2001 to 2005, and this paper updates the principal results using accident data from 2003 to 2007. Attention focuses upon the role of year of first registration since this allows the influence of developments in car design upon occupant casualty numbers to be evaluated. Three additional topics are also examined with these accident data. Changes over time in frontal and side impacts are compared. Changes in the combined risk for the two drivers involved in a car-car collision are investigated, being the net result of changes in secondary safety and aggressivity. Finally, the results of the new model relating to occupant protection are related to an index that had been developed previously to analyse changes over time in the secondary safety of the car fleet. PMID:22269528

  2. Bird casualties and wind turbines near the Kreekrak sluices of Zeeland

    International Nuclear Information System (INIS)

    The impact of wind turbines on birds was investigated for an estuary, situated near the North Sea coast in the Dutch province of Zeeland, with large amount of bird migration. Five 250 kW, three-bladed 25m, 40 rpm turbines were installed on the western side of a dike. The distance between the turbines is 125 m. Since 1 April 1990 the turbines have been in action almost continuously. The study on the title subject was set up to investigate the number of bird casualties caused by the five wind turbines near the sluices of Kreekrak and the number that may be expected to be caused by a total of 20 turbines. The study also focused on the number of casualties among rare birds in relation to those among the common birds as a result of the wind turbines in the Kreekrak area. An area of 125 x 125 m around each wind turbine, consisting partly of land and partly of water, was searched for dead birds every other day during a period of one year (28 April 1990 - 29 April 1991). During this one-year period, the bodies of 26 birds of 17 different species were found; six birds were certainly or almost certainly killed by the turbines. In three other cases, the birds may have died because of the turbines, while in the case of eight birds, it was not possible to determine the cause of death. The remaining nine birds were not killed by the wind turbines. The annual number of bird victims expected following the installation of 20 wind turbines was estimated at a minimum of 7 and a maximum of 142. For each species a correlation was found between the number of victims and the estimated number of visitors to the area. This suggests that the rare species among the birds were not excessively endangered by the turbines. The number of bird casualties per turbine was low in comparison with the results of other Dutch investigations. On the basis of these results, it is concluded that there is no reason to advise against increasing the number of wind turbines near the sluices of Kreekrak to 20. 3

  3. Slope Failure Prediction and Early Warning Awareness Education for Reducing Landslides Casualty in Malaysia

    Science.gov (United States)

    Koay, S. P.; Tay, L. T.; Fukuoka, H.; Koyama, T.; Sakai, N.; Jamaludin, S. B.; Lateh, H.

    2015-12-01

    Northeast monsoon causes heavy rain in east coast of Peninsular Malaysia from November to March, every year. During this monsoon period, besides the happening of flood along east coast, landslides also causes millions of Malaysian Ringgit economical losses. Hence, it is essential to study the prediction of slope failure to prevent the casualty of landslides happening. In our study, we introduce prediction method of the accumulated rainfall affecting the stability of the slope. If the curve, in the graph, which is presented by rainfall intensity versus accumulated rainfall, crosses over the critical line, the condition of the slope is considered in high risk where the data are calculated and sent from rain gauge in the site via internet. If the possibility of slope failure is going high, the alert message will be sent out to the authorities for decision making on road block or setting the warning light at the road side. Besides road block and warning light, we propose to disseminate short message, to pre-registered mobile phone user, to notify the public for easing the traffic jam and avoiding unnecessary public panic. Prediction is not enough to prevent the casualty. Early warning awareness of the public is very important to reduce the casualty of landslides happening. IT technology does not only play a main role in disseminating information, early warning awareness education, by using IT technology, should be conducted, in schools, to give early warning awareness on natural hazard since childhood. Knowing the pass history on landslides occurrence will gain experience on the landslides happening. Landslides historical events with coordinate information are stored in database. The public can browse these historical events via internet. By referring to such historical landslides events, the public may know where did landslides happen before and the possibility of slope failure occurrence again is considered high. Simulation of rainfall induced slope failure mechanism

  4. Daily variation in natural disaster casualties: information flows, safety, and opportunity costs in tornado versus hurricane strikes.

    Science.gov (United States)

    Zahran, Sammy; Tavani, Daniele; Weiler, Stephan

    2013-07-01

    Casualties from natural disasters may depend on the day of the week they strike. With data from the Spatial Hazard Events and Losses Database for the United States (SHELDUS), daily variation in hurricane and tornado casualties from 5,043 tornado and 2,455 hurricane time/place events is analyzed. Hurricane forecasts provide at-risk populations with considerable lead time. Such lead time allows strategic behavior in choosing protective measures under hurricane threat; opportunity costs in terms of lost income are higher during weekdays than during weekends. On the other hand, the lead time provided by tornadoes is near zero; hence tornados generate no opportunity costs. Tornado casualties are related to risk information flows, which are higher during workdays than during leisure periods, and are related to sheltering-in-place opportunities, which are better in permanent buildings like businesses and schools. Consistent with theoretical expectations, random effects negative binomial regression results indicate that tornado events occurring on the workdays of Monday through Thursday are significantly less lethal than tornados that occur on weekends. In direct contrast, and also consistent with theory, the expected count of hurricane casualties increases significantly with weekday occurrences. The policy implications of observed daily variation in tornado and hurricane events are considered. PMID:23126406

  5. Evaluation of a CT triage protocol for mass casualty incidents: results from two large-scale exercises

    Energy Technology Data Exchange (ETDEWEB)

    Koerner, Markus; Kroetz, Michael M.; Wirth, Stefan; Boehm, Holger F.; Reiser, Maximilian; Linsenmaier, Ulrich [University Hospital Munich, Department of Clinical Radiology, Munich (Germany); Huber-Wagner, Stefan; Kanz, Karl-Georg [University Hospital Munich, Department of Surgery, Munich (Germany)

    2009-08-15

    The purpose of this study was to evaluate the feasibility, stability, and reproducibility of a dedicated CT protocol for the triage of patients in two separate large-scale exercises that simulated a mass casualty incident (MCI). In both exercises, a bomb explosion at the local soccer stadium that had caused about 100 casualties was simulated. Seven casualties who were rated ''critical'' by on-site field triage were admitted to the emergency department and underwent whole-body CT. The CT workflow was simulated with phantoms. The history of the casualties was matched to existing CT examinations that were used for evaluation of image reading under MCI conditions. The times needed for transfer and preparation of patients, examination, image reconstruction, total time in the CT examination room, image transfer to PACS, and image reading were recorded, and mean capacities were calculated and compared using the Mann-Whitney U test. We found no significant time differences in transfer and preparation of patients, duration of CT data acquisition, image reconstruction, total time in the CT room, and reading of the images. The calculated capacities per hour were 9.4 vs. 9.8 for examinations completed, and 8.2 vs. 7.2 for reports completed. In conclusion, CT triage is feasible and produced constant results with this dedicated and fast protocol. (orig.)

  6. Mining and milling sectors of the nuclear fuel cycle: an approach to placement of property and casualty insurance

    International Nuclear Information System (INIS)

    Uranium mining and milling are sectors of the fuel cycle in which the nuclear insurance pools are not involved; property and casualty insurance is placed in the conventional insurance markets. The underwriter will need to understand uranium mining and milling operations. Qualities which are desirable in a written presentation for an underwriter's review are described

  7. Blast overpressure and fallout radiation dose models for casualty assessment and other purposes. Rev. ed.

    International Nuclear Information System (INIS)

    The determination of blast overpressures and fallout radiation doses at points on a sufficiently fine grid, for any part or for the whole of the UK, and for any postulated attack, is an essential element in the systematic assessment of casualties, the estimation of numbers of homeless, and the evaluation of life-saving measures generally. Models are described which provide the required blast and dose values and which are intended to supersede existing models which were introduced in 1971. The factors which affect blast and, more particularly, dose values are discussed, and the way in which various factors are modelled is described. The models are incorporated into separate computer programs which are described, the outputs of which are stored on magnetic tape for subsequent use as required. (author)

  8. Rehabilitation of the Combat Casualty: Lessons Learned from Past and Current Conflicts.

    Science.gov (United States)

    Pasquina, Paul F; Shero, John C

    2016-01-01

    The field of rehabilitation is deeply rooted in military medicine, especially in promoting the restoration of function and community reintegration of injured service members returning from war. Since military operations began in Iraq and Afghanistan over a decade ago, rehabilitative care programs have been integral in supporting the Military Healthcare System in providing high quality comprehensive care for combat casualties and their families, particularly those with complex blast injuries resulting in conditions such as amputation and other limb dysfunction, traumatic brain injury, and spinal cord injury. Fundamental to a successful rehabilitation program is the coordination of interdisciplinary care that not only crosses multiple medical specialties and disciplines, but also promotes ongoing education, research, quality improvement and readiness. This brief article is intended to highlight some of the most important lessons learned from current and past conflicts in delivering the highest quality rehabilitative care to our nation's heroes. PMID:27215872

  9. CBRNE TC3: A Hybrid Approach to Casualty Care in the CBRNE Environment.

    Science.gov (United States)

    Strain, John W

    2013-01-01

    The implementation of Tactical Combat Casualty Care (TCCC) guidelines for the Operation Enduring Freedom and Operation Iraqi Freedom contingency operations has dramatically reduced preventable combat deaths. A study of these principles and their application to medical treatment in the chemical, biological, radiological, nuclear, and high-yield explosives (CBRNE), weapons of mass destruction (WMD) environment is presented as a potential readiness and force multiplier for units engaged in this area of operations. Preparing medical operators for support of WMD sampling and mitigation missions requires extensive preventive medicine and post-exposure and downrange trauma threat preparedness. Training and equipping CBRN operators with treatment skills and appropriate interventional material requires pre-implementation planning specific to WMD threats (e.g., anthrax, radiation, organophosphates, and contaminated trauma). A scenario-based study reveals the tactics, techniques, and procedures for training, resourcing, and fielding the CBRN operator of the future. PMID:23817878

  10. Casualty Insurance Pure Premium Estimation Using Two-Stage Regression Tree

    Science.gov (United States)

    Nishi, Kumiko; Takeuchi, Ichiro

    We study a regression tree algorithm tailored to casualty insurance pure premium estimation problems. Casualty insurance premium is mainly determined by the expected amount that the insurance companies have to pay for the contract. Therefore, casualy insurance companies have to estimate the expected insurance amount on the basis of insurance risk factors. This problem is formulated as a regression problem, i.e. estimation of conditional mean E[Y|x], where Y is insurance amounts and x is risk factors. In this paper, we aim to implement the regression problem in regression tree framework. The difficulty of the problem lies in the fact that the distribution of insurance amount P(Y|x) is highly skewed and exhibits a long-tail toward positive direction. Conventional least-square-error regression tree algorithm is notoriously unstable under such long-tailed error distribution. On the other hand, several types of robust regression trees, such as least-absolute-error regression tree, are neither appropriate in this situation because they yields significant bias to conditional mean E[Y|x]. In this paper, we propose a two-stage tree fitting algorithm. In the first stage, the algorithm constructs a quantile tree, a kind of robust regression tree, which is stable but biased to conditional mean E[Y|x]. In the second stage, the algorithm corrects the bias using least-square error regression tree. We discuss the theoretical background of the algorithm and empirically investigate the performances. We applied the proposed algorithm to a car insurance data set of 318,564 records provided from a north-american insurance company and obtained significantly better results than conventional regression tree algorithm.

  11. Relation between both oxidative and metabolic-osmotic cell damages and initial injury severity in bombing casualties

    Directory of Open Access Journals (Sweden)

    Vučeljić Marina

    2006-01-01

    Full Text Available Background/Aim. We have recently reported the development of oxidative cell damages in bombing casualties within a very early period after the initial injury. The aim of this study, was to investigate malondialdehyde (MDA, as an indicator of lipid peroxidation, and osmolal gap (OG, as a good indicator of metabolic cell damages and to assess their relationship with the initial severity of the injury in bombing casualties. Methods. The study included the males (n = 52, injured during the bombing with the Injury Severity Score (ISS ranging from 3 to 66. The whole group of casualties was devided into a group of less severely (ISS < 25, n = 24 and a group of severely (ISS ≥ 26, n = 28 injured males. The uninjured volunteers (n = 10 were the controls. Osmolality, MDA, sodium, glucose, urea, creatinine, total bilirubin and total protein levels were measured in the venous blood, sampled daily, within a ten-day period. Results. In both groups of casualties, MDA and OG levels increased, total protein levels decreased, while other parameters were within the control limits. MDA alterations correlated with ISS (r = 0.414, p < 0.01, while a statistically significant correlation between OG and ISS was not obtained. Interestingly, in spite of some differences in MDA and OG trends, at the end of the examined period they were at the similar level in both groups. Conclusion. The initial oxidative damages of the cellular membrane with intracellular metabolic disorders contributed to the gradual development of metabolic-osmotic damages of cells, which, consequently caused the OG increase. In the bombing casualties, oxidative cell damages were dependent on the initial injury severity, while metabolic-osmotic cell damages were not.

  12. The effects of congestion charging on road traffic casualties: a causal analysis using difference-in-difference estimation.

    Science.gov (United States)

    Li, Haojie; Graham, Daniel J; Majumdar, Arnab

    2012-11-01

    This paper aims to identify the impacts of the London congestion charge on road casualties within the central London charging zone. It develops a full difference-in-difference (DID) model that is integrated with generalized linear models, such as Poisson and Negative Binomial regression models. Covariates are included in the model to adjust for factors that violate the parallel trend assumption, which is critical in the DID model. The lower Bayesian Information Criterion value suggests that the full difference-in-difference model performs well in evaluating the relationship between road accidents and the London congestion charge as well as other socio-economic factors. After adjusting for a time trend and regional effects, the results show that the introduction of the London congestion charge has a significant influence on the incidence of road casualties. The congestion charge reduces the total number of car accidents, but is associated with an increase in two wheeled vehicle accidents. PMID:23036415

  13. Patient safety culture in Norwegian primary care: a study in out-of-hours casualty clinics and GP practices

    OpenAIRE

    2014-01-01

    Objective. This study aimed to investigate patient safety attitudes amongst health care providers in Norwegian primary care by using the Safety Attitudes Questionnaire, in both out-of-hours (OOH) casualty clinics and GP practices. The questionnaire identifies five major patient safety factors: Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, and Working conditions. Design. Cross-sectional study. Statistical analysis included multiple linear regression and indepen...

  14. Patient safety culture in Norwegian primary care: a study in out-of-hours casualty clinics and GP practices

    OpenAIRE

    Bondevik, Gunnar Tschudi; Hofoss, Dag; Hansen, Elisabeth Holm; Deilkås, Ellen Catharina Tveter

    2014-01-01

    Abstract Objective. This study aimed to investigate patient safety attitudes amongst health care providers in Norwegian primary care by using the Safety Attitudes Questionnaire, in both out-of-hours (OOH) casualty clinics and GP practices. The questionnaire identifies five major patient safety factors: Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, and Working conditions. Design. Cross-sectional study. Statistical analysis included multiple linear regression an...

  15. Mass Casualty Decontamination in a Chemical or Radiological/Nuclear Incident with External Contamination: Guiding Principles and Research Needs

    OpenAIRE

    Cibulsky, Susan M; Sokolowski, Danny; Lafontaine, Marc; Gagnon, Christine; Blain, Peter G.; RUSSELL, David; Kreppel, Helmut; Biederbick, Walter; Shimazu, Takeshi; Kondo, Hisayoshi; Saito, Tomoya; Jourdain, Jean- René; Paquet, Francois; Li, ChunSheng; Akashi, Makoto

    2015-01-01

    Hazardous chemical, radiological, and nuclear materials threaten public health in scenarios of accidental or intentional release which can lead to external contamination of people.  Without intervention, the contamination could cause severe adverse health effects, through systemic absorption by the contaminated casualties as well as spread of contamination to other people, medical equipment, and facilities.  Timely decontamination can prevent or interrupt absorption into the body and minimize...

  16. Patient safety culture in Norwegian primary care: A study in out-of-hours casualty clinics and GP practices

    OpenAIRE

    2014-01-01

    Abstract Objective. This study aimed to investigate patient safety attitudes amongst health care providers in Norwegian primary care by using the Safety Attitudes Questionnaire, in both out-of-hours (OOH) casualty clinics and GP practices. The questionnaire identifies five major patient safety factors: Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, and Working conditions. Design. Cross-sectional study. Statistical analysis included multiple linear regression an...

  17. Methodology of detecting internal radiation on paraffin embedded materials of Nagasaki atomic bomb casualties and DNA damage

    International Nuclear Information System (INIS)

    For the purpose to establish a methodology in the title, expression of 53BP1, a tumor suppressing p53 related-DNA checkpoint protein, was examined in paraffin embedded specimens of the liver and spleen of a thorotrast (T) patient, 7 Nagasaki A-bomb exposed casualties and 2 non-exposed subjects. The 53BP1 protein was detected by immuno-fluorescent staining. Focal 53BP1 was seen in cells around T granules in liver, epithelium of bile duct and spleen of the patient. It was also observed in cells of liver and bile duct epithelium of casualties and the expression was particularly high in those outdoor-exposed at 0.5 km distance from the hypocenter and with shortest surviving period. 53BP1 foci were reported to be the indicator of genome instability in A-bomb casualties. The foci were found to be formed by T in this study, suggesting that DNA double strand had been broken by internal radiation exposure and its repair mechanism had been operated. Thus 53BP1 can be an indicator of internal exposure. (T.T.)

  18. DESIGN AND SELECTION OF HINGE JOINT CONCEPT FOR CASUALTY EVACUATION BACKPACK STRETCHER USING IPD TOOLS LIKE QFD

    Directory of Open Access Journals (Sweden)

    PREM CHAND GUPTA

    2012-01-01

    Full Text Available Casualty Evacuation (Casevac Stretcher plays an important role in the casualty evacuation chain. The designs of existing stretcher are single or double fold and heavy therefore difficult to carry. For the present war scenario, a strong need to design the multifold backpack Casualty Evacuation Stretcher is felt since it will be easy to carry use and store. To make the stretcher backpack, hinge joint is the most suitable method to meet the functional requirements. Various engineering considerations are required to design the hinge joint for the stretcher. The functional requirements of the hinge joint are worked out from the market survey conducted for stretcher.For the present work, an attempt is made to design the stretcher hinge joint by using Integrated Product Design Approach and tools like QFD (Quality Functions Deployment and CAD. (Computer Aided Design. The application of CAD is dovetailed to QFD to generate and visualize the shape, size, weight and assembly of the hinge joint with stretcher, in addition to the stress analysis. To evaluate and select the right design, QFD tool is applied since it is a convenient technique to deal with the various objectives like voice of customer (what’s, voice of engineers (how’s and technical difficulties to achieve the target values.

  19. A lightning multiple casualty incident in Sequoia and Kings Canyon National Parks.

    Science.gov (United States)

    Spano, Susanne J; Campagne, Danielle; Stroh, Geoff; Shalit, Marc

    2015-03-01

    Multiple casualty incidents (MCIs) are uncommon in remote wilderness settings. This is a case report of a lightning strike on a Boy Scout troop hiking through Sequoia and Kings Canyon National Parks (SEKI), in which the lightning storm hindered rescue efforts. The purpose of this study was to review the response to a lightning-caused MCI in a wilderness setting, address lightning injury as it relates to field management, and discuss evacuation options in inclement weather incidents occurring in remote locations. An analysis of SEKI search and rescue data and a review of current literature were performed. A lightning strike at 10,600 feet elevation in the Sierra Nevada Mountains affected a party of 5 adults and 7 Boy Scouts (age range 12 to 17 years old). Resources mobilized for the rescue included 5 helicopters, 2 ambulances, 2 hospitals, and 15 field and 14 logistical support personnel. The incident was managed from strike to scene clearance in 4 hours and 20 minutes. There were 2 fatalities, 1 on scene and 1 in the hospital. Storm conditions complicated on-scene communication and evacuation efforts. Exposure to ongoing lightning and a remote wilderness location affected both victims and rescuers in a lightning MCI. Helicopters, the main vehicles of wilderness rescue in SEKI, can be limited by weather, daylight, and terrain. Redundancies in communication systems are vital for episodes of radio failure. Reverse triage should be implemented in lightning injury MCIs. Education of both wilderness travelers and rescuers regarding these issues should be pursued. PMID:25281586

  20. Greetings: 50 years of Atomic Bomb Casualty Commission-Radiation Effects Research Foundation studies.

    Science.gov (United States)

    Shigematsu, I

    1998-05-12

    The Atomic Bomb Casualty Commission was established in Hiroshima in 1947 and in Nagasaki in 1948 under the auspices of the U.S. National Academy of Sciences to initiate a long-term and comprehensive epidemiological and genetic study of the atomic bomb survivors. It was replaced in 1975 by the Radiation Effects Research Foundation which is a nonprofit Japanese foundation binationally managed and supported with equal funding by the governments of Japan and the United States. Thanks to the cooperation of the survivors and the contributions of a multitude of scientists, these studies flourish to this day in what must be the most successful long-term research collaboration between the two countries. Although these studies are necessarily limited to the effects of acute, whole-body, mixed gamma-neutron radiation from the atom bombs, their comprehensiveness and duration make them the most definitive descriptions of the late effects of radiation in humans. For this reason, the entire world relies heavily on these data to set radiation standards. As vital as the study results are, they still represent primarily the effects of radiation on older survivors. Another decade or two should correct this deficiency and allow us to measure definitively the human risk of heritable mutation from radiation. We look to the worldwide radiation and risk community as well as to the survivors who have contributed so much to what has been done already to accomplish this goal. PMID:9576897

  1. Medical examination of A-bomb survivors on Nagasaki A-bomb Casualty

    International Nuclear Information System (INIS)

    Medical examination of A-bomb survivors was described and discussed on history, time change of examinee number, action for subjects not examined, change of prevalence, cancer examination, examination for the second generation, and education and enlightenment. Free examination of the survivors was begun in 1953 and the present casualty was made in 1958 on the law for medical care for the survivors. Systematic examination started from 1967 and the examination for the 2nd generation, from 1974. Cancer examination was from 1988. The number of the survivors was the maximum of 82,439 in 1974 and decreased to 61,388 in 1994, when the actual number of examinees, which being rather settled recently, was 32,294 and their average age was 64 y. The examination is done by tour or at the Center. Subjects receive the information of the examination twice by mail. Hematopoietic diseases like anemia, hepatic ones, metabolic and endocrinic ones like diabetes, renal impairment and others (mostly hyperlipidemia) are increasing recently. The number of examinees for cancer is increasing. Lung cancer is examined by the direct roentgenography, gastric cancer by transillumination, and other cancers like myeloma, those in large bowel, uterus and mammary gland, by the respective suitable methods. Health education and enlightenment have been conceivably effective. (H.O.)

  2. Pain in an era of armed conflicts: Prevention and treatment for warfighters and civilian casualties.

    Science.gov (United States)

    George, E; Elman, I; Becerra, L; Berg, Sheri; Borsook, D

    2016-06-01

    Chronic pain is a common squealae of military- and terror-related injuries. While its pathophysiology has not yet been fully elucidated, it may be potentially related to premorbid neuropsychobiological status, as well as to the type of injury and to the neural alterations that it may evoke. Accordingly, optimized approaches for wounded individuals should integrate primary, secondary and tertiary prevention in the form of thorough evaluation of risk factors along with specific interventions to contravene and mitigate the ensuing chronicity. Thus, Premorbid Events phase may encompass assessments of psychological and neurobiological vulnerability factors in conjunction with fostering preparedness and resilience in both military and civilian populations at risk. Injuries per se phase calls for immediate treatment of acute pain in the field by pharmacological agents that spare and even enhance coping and adaptive capabilities. The key objective of the Post Injury Events is to prevent and/or reverse maladaptive peripheral- and central neural system's processes that mediate transformation of acute to chronic pain and to incorporate timely interventions for concomitant mental health problems including post-traumatic stress disorder and addiction We suggest that the proposed continuum of care may avert more disability and suffering than the currently employed less integrated strategies. While the requirements of the armed forces present a pressing need for this integrated continuum and a framework in which it can be most readily implemented, this approach may be also instrumental for the care of civilian casualties. PMID:27084355

  3. Assessment of the Casualty Risk of Multiple Meteorological Hazards in China

    Science.gov (United States)

    Xu, Wei; Zhuo, Li; Zheng, Jing; Ge, Yi; Gu, Zhihui; Tian, Yugang

    2016-01-01

    A study of the frequency, intensity, and risk of extreme climatic events or natural hazards is important for assessing the impacts of climate change. Many models have been developed to assess the risk of multiple hazards, however, most of the existing approaches can only model the relative levels of risk. This paper reports the development of a method for the quantitative assessment of the risk of multiple hazards based on information diffusion. This method was used to assess the risks of loss of human lives from 11 types of meteorological hazards in China at the prefectural and provincial levels. Risk curves of multiple hazards were obtained for each province and the risks of 10-year, 20-year, 50-year, and 100-year return periods were mapped. The results show that the provinces (municipalities, autonomous regions) in southeastern China are at higher risk of multiple meteorological hazards as a result of their geographical location and topography. The results of this study can be used as references for the management of meteorological disasters in China. The model can be used to quantitatively calculate the risks of casualty, direct economic losses, building collapse, and agricultural losses for any hazards at different spatial scales. PMID:26901210

  4. Assessment of the Casualty Risk of Multiple Meteorological Hazards in China.

    Science.gov (United States)

    Xu, Wei; Zhuo, Li; Zheng, Jing; Ge, Yi; Gu, Zhihui; Tian, Yugang

    2016-02-01

    A study of the frequency, intensity, and risk of extreme climatic events or natural hazards is important for assessing the impacts of climate change. Many models have been developed to assess the risk of multiple hazards, however, most of the existing approaches can only model the relative levels of risk. This paper reports the development of a method for the quantitative assessment of the risk of multiple hazards based on information diffusion. This method was used to assess the risks of loss of human lives from 11 types of meteorological hazards in China at the prefectural and provincial levels. Risk curves of multiple hazards were obtained for each province and the risks of 10-year, 20-year, 50-year, and 100-year return periods were mapped. The results show that the provinces (municipalities, autonomous regions) in southeastern China are at higher risk of multiple meteorological hazards as a result of their geographical location and topography. The results of this study can be used as references for the management of meteorological disasters in China. The model can be used to quantitatively calculate the risks of casualty, direct economic losses, building collapse, and agricultural losses for any hazards at different spatial scales. PMID:26901210

  5. Data-driven Casualty Estimation and Disease Nonbattle Injury/Battle Injury Rates in Recent Campaigns.

    Science.gov (United States)

    Wojcik, Barbara E; Humphrey, Rebecca J; Hosek, Barbara J; Stein, Catherine R

    2016-01-01

    To ensure Soldiers are properly equipped and mission capable to perform full spectrum operations, Army medical planners use disease nonbattle injury (DNBI) and battle injury (BI) admission rates in the Total Army Analysis process to support medical deployment and force structure planning for deployed settings. For more than a decade, as the proponent for the DNBI/BI methodology and admission rates, the Statistical Analysis Cell (previously Statistical Analysis Branch, Center for Army Medical Department Strategic Studies) has provided Army medical planners with DNBI/BI rates based upon actual data from recent operations. This article presents the data-driven methodology and casualty estimation rates developed by the Statistical Analysis Cell and accredited for use by 2 Army Surgeon Generals, displays the top 5 principal International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) diagnoses for DNBI/BI in Operation Iraqi Freedom/Operation New Dawn (OIF/OND), and discusses trends in DNBI rates in OIF/OND during the stabilization period. Our methodology uses 95th percentile daily admission rates as a planning factor to ensure that 95% of days in theater are supported by adequate staff and medical equipment. We also present our DNBI/BI estimation methodology for non-Army populations treated at Role 3 US Army medical treatment facilities. PMID:27215860

  6. Organization and implementation of medical rescue of mass casualties during earthquake

    Directory of Open Access Journals (Sweden)

    Yan-ling ZHANG

    2012-01-01

    Full Text Available Over the past century, there were more than 40 earthquakes greater than 7 magnitude occurred worldwide, 10 of which in China, which killed 600 thousand people accounting for 53% of global earthquake deaths. On May 12, 2008, an 8.0-magnitude earthquake occurred in Wenchuan, Sichuan Province, causing 69000 deaths, 18000 missings, and 370000 injuries. Among 10 thousand severe injuries, most were traumatic injuries, 74% of which were fracture. On April 14, 2010, a 7.1-magnitude earthquake occurred in Yushu, Qinghai Province. There were 2698 deaths, 270 missings and 11000 injuries. Among 3100 severe injuries, fracture accounted for 58.4%. After each earthquake, the Chinese Army Medical Services took actions and made quick response according to the law. They sent out elites with efficient command and scientific organization, fully participating in the medical rescue operations. After Wenchuan earthquake, 397 mobile medical service units and 7061 health workers were sent out. A total of 69000 people were treated, and 22000 cases of surgeries were performed. After Yushu earthquake, a total of 25 mobile medical service units and 2025 health workers were sent. They performed 1635 cases of surgeries with a miracle of "zero death" in mass earthquake casualties and altitude diseases in cold highlands. After each earthquake, injuries cured within 1 week accounted for 60% of the total, and patients evacuated accounted for 80% of the total, which owed to the effective first aid in site of Chinese Army Medical Service. They effectively played the role as the main force, making significant contributions for the final victory of earthquake relief. From the practice of medical rescue revelation after the two earthquakes, what Chinese Army Medical Services Services learned are: firstly, the theory of medical relief should be innovated; secondly, military and civilian organizations should be coordinated; thirdly, professional rescue force should be strengthened

  7. Rural casualty crashes on the Kings Highway: A new approach for road safety studies.

    Science.gov (United States)

    Alian, Sahar; Baker, R G V; Wood, Stephen

    2016-10-01

    This paper will consider the contribution that changes in road geometry and driver visual information make to the incidence and distribution of road casualties in different driving environments. This relationship will be explored specifically for the Kings Highway, a major arterial road connecting Queanbeyan with coastal southern New South Wales, Australia. It introduces and suggests a new empirical approach of plotting crashes with road segmentation, calculating sinuosity indices and grades as key features of road geometry, and critical visual points as a behavioural component of road curvature, within a GIS context. It is an approach that might be used when detailed road geometry data is not available. The visualisation and segmentation approach in this research might be used for summarising crash rates and road geometry factors, and for comparing day/night and eastbound/westbound driving conditions. The results suggest some early interpretations for detailed road safety studies that might be considered at local or national levels. The rate of crashes increases according to changes in road geometry factors during the day and for eastbound travel. This is not the case for night driving where the incidence of crashes is similar on both straight and curved roads segments due to the headlight effect and limited background visual field. Crash clusters at day-time may be due to the stronger effect of road geometry (e.g. combination of curvature and vertical grade) on driver behaviour travelling eastbound. The outcomes suggest that it might be essential to consider the effect of environmental factors in any road safety and crash analysis studies. PMID:27372441

  8. Epidemiology of Emergency Medical Services-Assessed Mass Casualty Incidents according to Causes.

    Science.gov (United States)

    Park, Ju Ok; Shin, Sang Do; Song, Kyoung Jun; Hong, Ki Jeong; Kim, Jungeun

    2016-03-01

    To effectively mitigate and reduce the burden of mass casualty incidents (MCIs), preparedness measures should be based on MCIs' epidemiological characteristics. This study aimed to describe the epidemiological characteristics and outcomes of emergency medical services (EMS)-assessed MCIs from multiple areas according to cause. Therefore, we extracted the records of all MCIs that involved ≥ 6 patients from an EMS database. All patients involved in EMS-assessed MCIs from six areas were eligible for this study, and their prehospital and hospital records were reviewed for a 1-year period. The EMS-assessed MCIs were categorized as being caused by fire accidents (FAs), road traffic accidents (RTAs), chemical and biological agents (CBs), and other mechanical causes (MECHs). A total of 362 EMS-assessed MCIs were identified, with a crude incidence rate of 0.6-5.0/100,000 population. Among these MCIs, 322 were caused by RTAs. The MCIs involved 2,578 patients, and 54.3% of these patients were women. We observed that the most common mechanism of injury varied according to MCI cause, and that a higher number of patients per incident was associated with a longer prehospital time. The highest hospital admission rate was observed for CBs (16 patients, 55.2%), and most patients in RTAs and MECHs experienced non-severe injuries. The total number of deaths was 32 (1.2%). An EMS-assessed MCI database was established using the EMS database and medical records review. Our findings indicate that RTA MCIs create a burden on EMS and emergency department resources, although CB MCIs create a burden on hospitals' resources. PMID:26955248

  9. Acute psychiatric admissions from an out-of-hours Casualty Clinic; how do referring doctors and admitting specialists agree?

    Directory of Open Access Journals (Sweden)

    Hansen Vidje

    2006-03-01

    Full Text Available Abstract Background Over the last decades there has been an increasing pressure on the acute psychiatric wards in Norway. The major contributor to psychiatric acute admissions at the University Hospital of North Norway in the city of Tromsø in 2001 was the GP-based Tromsø Casualty Clinic, only open out-of-hours. We explored all acute psychiatric referrals from Tromsø Casualty Clinic in 2001. The purpose of the study was to characterize the admissions and assess the agreement between the referring doctors and the hospital specialists according to the need for hospitalization, agreement on application of the law and the diagnostic evaluation to assess whether the admissions were appropriate. Methods Retrospective, record based, descriptive study comprising 101 psychiatric acute referrals from the Tromsø Casualty Clinic to the psychiatric acute wards at the University Hospital of North Norway. Results The specialists accepted all referrals except one, they mostly agreed upon the diagnoses suggested by the referring doctors and they mostly confirmed the application of the law. Seventy-five percent of the admissions took place during weekends, public holidays or nighttimes. Diagnoses of psychoses or suicidal attempts accounted for 76 % of the total referrals. Substance abuse was noted for 43 %, and in 22 % of all admissions the patients had stopped taking their psychopharmacological medication. The police assisted the referring doctors in one third of all admissions, and was the legal representative in 52 out of 59 involuntary admissions. Thirty percent of the admissions were first- time admissions. Thirty-two percent of the hospital stays lasted for three days or less. Median length of stay was 6.5 days. Conclusion The casualty clinic physicians and the hospital specialists mostly agreed in their evaluation of patients indicating that most of the admissions were appropriate. The police was more often involved in the involuntary admissions than

  10. Driver inattention and driver distraction in serious casualty crashes: data from the Australian National Crash In-depth Study.

    Science.gov (United States)

    Beanland, Vanessa; Fitzharris, Michael; Young, Kristie L; Lenné, Michael G

    2013-05-01

    Driver inattention and driver distraction represent a major problem in road safety. Although both are believed to contribute to increased crash risk, there is currently limited reliable information on their role in crashes. The current study used in-depth data from the Australian National Crash In-depth Study to investigate the role of driver distraction and inattention in serious casualty crashes. The sample included 856 crashes from 2000 to 2011, in which at least one party was admitted to hospital due to crash-related injuries. Crashes were coded using a taxonomy of driver inattention that delineates five inattention subtypes: restricted attention, misprioritised attention, neglected attention, cursory attention, and diverted attention (distraction). Approximately 45% of crashes could not be coded due to insufficient information while in an additional 15% the participant indicated the "other driver was at fault" without specifying whether inattention was involved. Of the 340 remaining cases, most showed evidence of driver inattention (57.6%) or possible inattention (5.9%). The most common subtypes of inattention were restricted attention, primarily due to intoxication and/or fatigue, and diverted attention or distraction. The most common types of distraction involved voluntary, non-driving related distractions originating within the vehicle, such as passenger interactions. The current study indicates that a majority of serious injury crashes involve driver inattention. Most forms of inattention and distraction observed are preventable. This study demonstrates the feasibility of using in-depth crash data to investigate driver inattention in casualty crashes. PMID:23499981

  11. Indoor fire in a nursing home : evaluation of the medical response to a mass casualty incident based on a standardized protocol

    NARCIS (Netherlands)

    Koning, S. W.; Ellerbroek, P. M.; Leenen, L. P. H.

    2015-01-01

    This retrospective study reports the outcome of a mass casualty incident (MCI) caused by a fire in a nursing home. Data from the medical charts and registration system of the Major Incident Hospital (MIH) and ambulance service were analyzed. The evaluation reports from the MIH and an independent res

  12. Engaging Active Bystanders in Mass Casualty Events and Other Life-Threatening Emergencies: A Pilot Training Course Demonstration.

    Science.gov (United States)

    Smith, Tracey O; Baker, Susan D; Roberts, Kathryn; Payne, Skip A

    2016-04-01

    Emerging research indicates the critical role members of the public can play in saving lives and reducing morbidity at the scene in the immediate aftermath of a disaster. It is anticipated that with training, more members of the public will be ready and able to assist should they be present at mass casualty events or other circumstances in which there are serious injuries or potential loss of life. This article describes a training course developed by multiple federal and nonfederal partners aimed at preparing the public to become "active bystanders" followed by a pilot demonstration project conducted by Medical Reserve Corps Units. The outcomes of the project indicated that the training was comprehensive and appropriate for members of the public with little or no first aid knowledge. National availability of the "Becoming an Active Bystander" training course is currently being planned. PMID:26841861

  13. Mobilized progenitor cells as a bridging therapy for radiation casualties: a brief review of tocopherol succinate-based approaches.

    Science.gov (United States)

    Singh, Vijay K; Singh, Pankaj K; Wise, Stephen Y; Seed, Thomas M

    2011-07-01

    Nuclear detonation through either military or terrorist action would most likely lead to a mass-casualty scenario involving victims with varying degrees of exposure to ionizing radiation. As a result of radiation injury to the hematopoietic system, victims would suffer from a lack of red blood cells that deliver oxygen, immune cells that detect and eliminate infectious agents, and blood platelets that promote blood clot formation. In part, these symptoms are generally referred to as acute radiation syndrome (ARS). While some victims of moderate to high levels of radiation will be beyond saving, most will have received enough radiation to injure but not kill their bone marrow cells completely. Such people will recover from their injuries but face a 30-60day period during which they cannot fully fight infections and are prone to uncontrolled bleeding and anemia. To keep them alive until their hematopoietic system recovers, they must receive supportive care. Recently, using experimental animal models of ARS, transfusion of myeloid progenitor cells have been tried as a bridging therapy for radiation-exposed animals. Such cells have been shown to be effective in protecting animals exposed to lethal doses of radiation. These myeloid progenitors (along with of other hematopoietic progenitor cell types) can be mobilized out of the bone marrow into the blood for the reconstitution of hematopoiesis. This review discusses various approaches to the mobilization of progenitors using different mobilizing agents, and their utility as a bridging therapy for radiation casualties. We suggest that α-tocopherol succinate (TS) is an optimal mobilizing agent for progenitors. The extent of progenitor mobilization TS elicits in experimental mice is comparable to clinically used drugs such as recombinant granulocyte-colony stimulating factor rhG-CSF/Neupogen® and the bicyclam AMD3100 (plerixafor/Mozobil); therefore, we propose that TS be considered for further translational development

  14. Radiation protection - Performance criteria for laboratories performing cytogenetic triage for assessment of mass casualties in radiological or nuclear emergencies - General principles and application to dicentric assay

    International Nuclear Information System (INIS)

    The potential for nuclear and radiological emergencies involving mass casualties from accidental or malicious acts or terrorism requires generic procedures for emergency dose assessment to help the development of medical response capabilities. A mass-casualties incident is defined here as an event that exceeds the local medical resources. Biological dosimetry, based on cytogenetic analysis using the dicentric assay, typically applied for accidental dose assessment, has been defined in ISO 19238. Cytogenetic triage is the use of chromosome damage to evaluate and assess approximately and rapidly radiation doses received by individuals in order to supplement the clinical categorization of casualties. This International Standard focuses on the use of the dicentric assay for rapid cytogenetic triage involving mass-casualty incidents. The primary purpose of this International Standard is to provide a guideline to all laboratories in order to perform the dicentric-bioassay - cytogenetic triage for dose assessment using documented and validated procedures. Secondly, it can facilitate the application of cytogenetic biodosimetry networks to permit comparison of results obtained in different laboratories. Finally, it is expected that laboratories newly commissioned to carry out the cytogenetic triage conform to this International Standard in order to perform the triage reproducibly and accurately. This International Standard is written in the form of procedures to adopt for dicentric-bioassay - cytogenetic triage biological dosimetry for overexposures involving mass radiological casualties. The criteria required for such measurements usually depend on the application of the results: medical management when appropriate, radiation-protection management, record keeping and medical/legal requirements. For example, selected cases can be analysed to produce a more accurate evaluation of high partial-body exposure; secondly, doses can be estimated for persons exposed below the

  15. Infographics as Eye Candy: Review of World War II in Numbers: An Infographic Guide to the Conflict, Its Conduct, and Its Casualties by Peter Doyle (2013)

    OpenAIRE

    Joel Best

    2016-01-01

    Peter Doyle. World War II in Numbers: An Infographic Guide to the Conflict, Its Conduct, and Its Casualties, illustrated by Lindsey Johns (Buffalo NY: Firefly Books, 2013). 224 pp. ISBN: 177085195X. Doyle’s book contains dozens of graphs of statistical data dealing with World War II. Many of these graphs are visually striking. However, they often violate fundamental graphing principles, in that they distort quantitative relationships, use unidentified scales, and often make it difficult ...

  16. Air MEDEVAC in case of multiple casualties – The experience of civilian-military cooperation in RoAF

    Directory of Open Access Journals (Sweden)

    Dragoș C. Tudose

    2016-07-01

    Full Text Available Introduction: Starting September 2010 in Romania was created the Military Emergency Medical Service (SMMU by the Ministry of National Defense, which has as main mission to provide first aid and save the lives of military personnel during military operations using special equipped MEDEAVC aircraft. Nationwide exist the national emergency system which operates thru 112- SMURD acting in support of the civilian population. In case of accidents with multiple victims the experience has shown the need for collaboration between the two systems, in order to save lives. In the last 5 years there has been an increasing Airlift missions (MEDEVAC with multiple victims executed by joint civil-military medical teams using military aircraft. Material and methods. This paper provides a review of the most important aspects of particularities, advantages and disadvantages of this type of medical transport using the MEDEVAC missions based study carried out by the Air Force in recent years. Results and conclusions. Performing these tasks presents challenges to mission planning, use of medical equipment and procedures, command-control system, exercise programs jointly joint medical teams and, of course, managing a large number of patients in flight. The large number of patients transported safely and in the shortest time, regardless of weather conditions recommends this type of medical intervention. Given the Romanian military presence in various theaters and that NATO strategic medical evacuation is a national responsibility, the capacity of air transport in case multiple casualties is a priority.

  17. Design and characterisation of a novel in vitro skin diffusion cell system for assessing mass casualty decontamination systems.

    Science.gov (United States)

    Matar, H; Larner, J; Kansagra, S; Atkinson, K L; Skamarauskas, J T; Amlot, R; Chilcott, R P

    2014-06-01

    The efficient removal of contaminants from the outer surfaces of the body can provide an effective means of reducing adverse health effects associated with incidents involving the accidental or deliberate release of hazardous materials. Showering with water is frequently used by first responders as a rapid method of mass casualty decontamination (MCD). However, there is a paucity of data on the generic effectiveness and safety of aqueous decontamination systems. To address these issues, we have developed a new in vitro skin diffusion cell system to model the conditions of a common MCD procedure ("ladder pipe system"). The new diffusion cell design incorporates a showering nozzle, an air sampling port for measurement of vapour loss and/aerosolisation, adjustable (horizontal to vertical) skin orientation and a circulating manifold system (to maintain a specified flow rate, temperature and pressure of shower water). The dermal absorption characteristics of several simulants (Invisible Red S, curcumin and methyl salicylate) measured with the new in vitro model were in good agreement with previous in vitro and in vivo studies. Moreover, these initial studies have indicated that whilst flow rate and water temperature are important factors for MCD, the presence of clothing during showering may (under certain circumstances) cause transfer and spreading of contaminants to the skin surface. PMID:24412538

  18. Mass Casualties and Health Care Following the Release of Toxic Chemicals or Radioactive Material—Contribution of Modern Biotechnology

    Directory of Open Access Journals (Sweden)

    Åke Sellström

    2011-12-01

    Full Text Available Catastrophic chemical or radiological events can cause thousands of casualties. Such disasters require triage procedures to identify the development of health consequences requiring medical intervention. Our objective is to analyze recent advancements in biotechnology for triage in mass emergency situations. In addition to identifying persons “at risk” of developing health problems, these technologies can aid in securing the unaffected or “worried well”. We also highlight the need for public/private partnerships to engage in some of the underpinning sciences, such as patho-physiological mechanisms of chemical and radiological hazards, and for the necessary investment in the development of rapid assessment tools through identification of biochemical, molecular, and genetic biomarkers to predict health effects. For chemical agents, biomarkers of neurotoxicity, lung damage, and clinical and epidemiological databases are needed to assess acute and chronic effects of exposures. For radiological exposures, development of rapid, sensitive biomarkers using advanced biotechnologies are needed to sort exposed persons at risk of life-threatening effects from persons with long-term risk or no risk. The final implementation of rapid and portable diagnostics tools suitable for emergency care providers to guide triage and medical countermeasures use will need public support, since commercial incentives are lacking.

  19. A Review of Socio-Economic Consequences, Losses and Human Casualties of the 1977 Vrancea, Romania Earthquake

    Directory of Open Access Journals (Sweden)

    Emil-Sever GEORGESCU

    2011-01-01

    Full Text Available Although its socio-economic disaster pattern was obvious, the March 4, 1977 Vrancea, Romania earthquake was studied mainly in seismological and earthquake engineering terms. In 1977, the loss data released in Romania, referred to 32,900 collapsed or heavily damaged dwellings, 35,000 homeless families, thousands of damaged buildings, many other damages and destructions in industry and economy, 1,578 people killed, 11,321 people injured (with 90% of the killed and 67% of the injured being in the city of Bucharest. The Romanian government reported the economic losses from this event in December 1977, as being US$ 2 billion. For a long time, the evaluation of human casualties vs. collapse pattern of buildings in 1977 was not addressed and we still miss integral data. The recovery and reevaluation of economic and social impacts of the 1977 disaster was a concern of the authors, with the intent to better understand its consequences and prepare a new strategy of seismic risk reduction in view of future earthquakes in Romania, and in order to fill that gap the authors recovered many unpublished and obscure data.

  20. Mass Casualties and Health Care Following the Release of Toxic Chemicals or Radioactive Material—Contribution of Modern Biotechnology

    Science.gov (United States)

    Göransson Nyberg, Ann; Stricklin, Daniela; Sellström, Åke

    2011-01-01

    Catastrophic chemical or radiological events can cause thousands of casualties. Such disasters require triage procedures to identify the development of health consequences requiring medical intervention. Our objective is to analyze recent advancements in biotechnology for triage in mass emergency situations. In addition to identifying persons “at risk” of developing health problems, these technologies can aid in securing the unaffected or “worried well”. We also highlight the need for public/private partnerships to engage in some of the underpinning sciences, such as patho-physiological mechanisms of chemical and radiological hazards, and for the necessary investment in the development of rapid assessment tools through identification of biochemical, molecular, and genetic biomarkers to predict health effects. For chemical agents, biomarkers of neurotoxicity, lung damage, and clinical and epidemiological databases are needed to assess acute and chronic effects of exposures. For radiological exposures, development of rapid, sensitive biomarkers using advanced biotechnologies are needed to sort exposed persons at risk of life-threatening effects from persons with long-term risk or no risk. The final implementation of rapid and portable diagnostics tools suitable for emergency care providers to guide triage and medical countermeasures use will need public support, since commercial incentives are lacking. PMID:22408587

  1. Recognition and Treatment of Nerve Agent Casualties: Evidence of Reduced Learner Engagement During Video-based Training.

    Science.gov (United States)

    Bukoski, Alex; Uhlich, Rindi; Tucker, Johnny; Cooper, Chris; Barnes, Steve

    2016-05-01

    Changes in electrodermal activity (EDA) correlate with arousal and stress during stimulating experiences. We hypothesized that associations exist between short-term performance gains and changes in EDA. A total of 187 combat medics were randomly assigned to simulation (S), live tissue (L), or video (V) based training in the recognition and treatment of nerve agent casualties. Change in EDA from baseline to training was quantified for tonic and phasic responses and was categorized as positive (>+10%), no change (±10%), or negative (psychomotor skills assessments were applied before and after the baseline/training period to quantify short-term performance changes. Statistically significant differences in both EDA arousal measures between training modalities (p S ∼ V) were observed. Notably, larger proportions of trainees experienced negative changes in tonic (67%) and phasic (21%) EDA measures in the V group when compared to the L and S groups. Regardless of training modality, negative tonic and phasic EDA responses were associated with lower psychomotor performance gains and this finding approached statistical significance (tonic: p = 0.056, phasic: p = 0.08). No significant differences were noted in pre- to post-training cognitive performance between EDA response categories. As quantified by EDA response to training, reduced arousal was associated with lower short-term psychomotor, but not cognitive, performance gains. PMID:27168569

  2. Mutation, radiation, and species survival: The genetics studies of the Atomic Bomb Casualty Commission in Hiroshima and Nagasaki, Japan

    International Nuclear Information System (INIS)

    This is an analysis of the work of the Atomic Bomb Casualty Commission, an American agency which studied the effects of radiation on survivors of the atomic bombings at Hiroshima and Nagasaki, Japan, 1947-1975. Funded by the U.S. Atomic Energy Commission and directed by the National Academy of Sciences-National Research Council, the ABCC was the largest and longest medical study of the estimated 300,000 survivors. The morphological genetics study dominated the ABCCs first decade. James Neel and his principal collaborator William J. Schull tracked more than 76,000 pregnancies. Their results (1956) suggested the bombs radiation had no detectable impact on the offspring of survivors. Though geneticists knew that radiation caused heritable mutations in experimental organisms such as Drosophila, and believed it caused mutations in humans, the Neel-Schull findings were not a surprise. The practical difficulties of the study, and the relatively small increase in abnormal births to be expected, made a finding of significant effects unlikely. The Neel-Schull approach reflected the scientific debate over genetic load, and the Muller-Dobzhansky classical-balance controversy. Yet the findings also reflected the post-war debate over atomic energy and weapons testing. Many extra-scientific forces militated against a finding of positive effects at Hiroshima and Nagasaki. Negative findings were consistent with the needs of the Atomic Energy Commission, the State Department and the U.S. military. This dissertation explores how both the scientific debate about genetic load, and the political debate about atmospheric weapons testing, shaped this complex epidemiological study

  3. Deployed US Army soldiers' knowledge and use of personal protection measures to prevent arthropod-related casualties.

    Science.gov (United States)

    Gambel, J M; Brundage, J F; Kuschner, R A; Kelley, P W

    1998-12-01

    The recommendation to use personal protection measures (PPMs) to prevent arthropod-related diseases and nuisance bites is a common element of travel medicine consultation.1-3 Prevention of arthropod-related casualties is especially important to the military, given the often intense exposure of service members to biting arthropods and the threat of personnel losses to mission success. In the 1980s, 75% deet (N,N-diethyl-m-toluamide) was the US military-issue insect repellent for use on skin and clothing. Collaboration between military and civilian researchers led to the implementation in 1991 of the current US military system of PPMs which has three components: topical application of 33% extended-duration deet, treatment of field uniforms with permethrin, and proper wearing of field uniforms.4-6 Compared to military-issue 75% topical deet, 33% extended-duration deet prevents bites up to three times longer (as long as 12 hours), is less greasy, and has lower plasticizing properties. Field uniforms treated with the contact toxicant, permethrin, are also necessary to minimize bites from crawling arthropods such as ticks and chiggers. Implementation of all three components of this system is a safe and effective means of reducing the threat posed by biting arthropods.7 We conducted a questionnaire survey to assess the degree of deployed soldiers' knowledge of the US military's system of PPMs and use of PPMs in general. Survey results may promote the development of better ways to advise and teach military and civilian travelers about the proper use of PPMs given the multitude of available products and practices. PMID:9876199

  4. An Engineer’s Mathematical Approach to Designing an Emergency Room Decontamination Area for Weapons of Mass Destruction Casualties

    Directory of Open Access Journals (Sweden)

    Eldo E. Frezza

    2007-01-01

    Full Text Available This study will focus on the potential requirements for an emergency response facility in case of weapons of mass destruction casualties proposing mathematical models. A complete emergency room layout will be designed taking the following analyses and requirements into consideration: quality function development (QFD and product layout; average number of patients in the system, average time in the system, average number of patients in the waiting queue and average time waiting in the queue. Our analysis showed that, assuming 150 patients per day for 2 days with average service time of 14 minutes with two lines running. λ = 75 arrivals/day = 0.0521 arrivals/min. µ = 2 patients/14min = 0.1429 patients/min. Average number of patients in system (waiting and being served. Ls = λ / (µ - λ = 0.574 patients. Average time in system (waiting and service time Ws = 1 / (µ - λ = 11.02 min. Average number of patients waiting in queue. Lq = λ2 / µ (µ - λ = 0.209 patients Average time waiting in queue, Wq = λ / µ (µ - λ = 4.016 min. From our model, we conclude to set up an engineer’s perfect ER response we need: Having a stable patient and unstable patient track will make it easy to respond to the emergency. Patients requiring the emergency track feature would be dropped off before the vehicle shower at contaminated stabilizing rooms. Time of service: waiting 14 minutes with an average of 2 patients waiting in line to be served. This is an initial study having a flow of 150 patients arriving over a long time period and it is an attempt to apply a mathematical model to a multidisciplinary approach to a clinical potential discussion.

  5. The role of SVS volunteer vascular surgeons in the care of combat casualties: results from Landstuhl, Germany.

    Science.gov (United States)

    Bush, Ruth L; Fairman, Ronald M; Flaherty, Stephen F; Gillespie, David L

    2009-01-01

    With a shortage of active duty vascular surgeons in the military, Society for Vascular Surgery (SVS) members have been called upon to perform short-term rotations at Landstuhl Regional Medical Center (LRMC), the US military's receiving facility for combat injuries sustained in the Iraq and Afghanistan conflicts. From September 2007 to May 2008, 20 SVS vascular surgeons have performed 2-week rotations at LRMC through American Red Cross and US Army sponsorship. Volunteers were surveyed for previous military and/or trauma experience. In addition to reporting number and types of procedures performed, volunteers were queried on their experience and impression of the rotation. Several volunteers have had prior military experience and all have had vascular trauma experience through residency, fellowship, and current practices. With most definitive vascular repairs being done in theater, SVS members were most often called upon for clinical expertise in the care of combat casualties and evaluation of revascularization procedures. The volunteers contributed to daily rounds, patient care, and teaching conferences, as well as actively participated in surgical procedures with the most common being wound examinations under anesthesia for which intraoperative vascular consultation was occasionally requested (5-20 per volunteer). Additional procedures that volunteers performed included: inferior vena cava (IVC) filter placement, thrombectomy, revision of lower and upper extremity interposition vein grafts, retroperitoneal spine exposures, diagnostic and therapeutic angiograms, iliac stenting, and duplex ultrasound scan interrogation of vascular repairs, suspected arterial injuries, and deep vein thrombosis. All volunteers described the experience as valuable and will return if needed. With a limited number of military vascular surgeons and the unpredictable need for a vascular specialist at LRMC, civilian volunteers are playing an important role in providing high-quality vascular

  6. The grave is wide: the Hibakusha of Hiroshima and Nagasaki and the legacy of the Atomic Bomb Casualty Commission and the Radiation Effects Research Foundation.

    Science.gov (United States)

    O'Malley, Gerald F

    2016-07-01

    Following the atomic bomb attacks on Japan in 1945, scientists from the United States and Japan joined together to study the Hibakusha - the bomb affected people in what was advertised as a bipartisan and cooperative effort. In reality, despite the best efforts of some very dedicated and earnest scientists, the early years of the collaboration were characterized by political friction, censorship, controversy, tension, hostility, and racism. The 70-year history, scientific output and cultural impact of the Atomic Bomb Casualty Commission and the Radiation Effects Research Foundation are described in the context of the development of Occupied Japan. PMID:27158765

  7. Investigation on Emergency Rescuing Mode for Mass Casualties in Hospital%城市成批伤员院内应急救护模式的探讨

    Institute of Scientific and Technical Information of China (English)

    张宝胜; 桂莉; 崔宏冰; 席淑华

    2012-01-01

    Objective To explore an emergency rescuing mode,so as to enhance hospitals' capacity in rescuing urban mass casualties orderly,efficiently and safely. Methods Forty victims were rescued timely by establishing nurse first diagnosis responsibility, emergency departments diagnosis and ward billabong rescue model of this hospital, who were wounded in a rear-end accident of Shanghai subway. Then the rescuing experience of mass casualties was summed up. Results With timely triage and treatment, the general rescue effectiveness was quite good and all the wounded were discharged after recovery. Conclusion The hospital's rescuing model to mass casualties has successful experiences to follow in timely triage and treatment, while the hospitals' capacity of mass casualties should be further enhanced by optimizing rescue scheme.%目的 探讨城市成批伤员的救护模式,以提高医院有序、高效、安全救护城市成批伤员的能力.方法 对第二军医大学长征医院运用"护士首诊负责、急诊科室诊治、病房收治分流"的救护模式实施某次地铁追尾事故的救护过程进行总结与分析.结果 40名伤员均得到了及时的分流及诊治,整体救护效果较为满意,患者均康复出院.结论 在城市成批伤救护中采用"护士首诊负责、急诊科室诊治、病房收治分流"的救护模式能使伤员快速分流、及时得到诊断及收治,值得临床推广应用,但需对救护方案进行优化,以进一步提高医院对成批伤员救护的能力.

  8. Infographics as Eye Candy: Review of World War II in Numbers: An Infographic Guide to the Conflict, Its Conduct, and Its Casualties by Peter Doyle (2013

    Directory of Open Access Journals (Sweden)

    Joel Best

    2016-01-01

    Full Text Available Peter Doyle. World War II in Numbers: An Infographic Guide to the Conflict, Its Conduct, and Its Casualties, illustrated by Lindsey Johns (Buffalo NY: Firefly Books, 2013. 224 pp. ISBN: 177085195X. Doyle’s book contains dozens of graphs of statistical data dealing with World War II. Many of these graphs are visually striking. However, they often violate fundamental graphing principles, in that they distort quantitative relationships, use unidentified scales, and often make it difficult to compare quantities. Graphic software makes it easy to create imaginative images, but these can fail to communicate the very information that is the graph’s purpose.

  9. Analysis of Casualty Risk per Police-Reported Crash for Model Year 2000 to 2004 Vehicles, using Crash Data from Five States

    Energy Technology Data Exchange (ETDEWEB)

    Wenzel, Tom

    2011-03-20

    In this report we compare two measures of driver risks: fatality risk per vehicle registration-year, and casualty (fatality plus serious injury) risk per police-reported crash. Our analysis is based on three sets of data from five states (Florida, Illinois, Maryland, Missouri, and Pennsylvania): data on all police-reported crashes involving model year 2000 to 2004 vehicles; 2005 county-level vehicle registration data by vehicle model year and make/model; and odometer readings from vehicle emission inspection and maintenance (I/M) programs conducted in urban areas of four of the five states (Florida does not have an I/M program). The two measures of risk could differ for three reasons: casualty risks are different from fatality risk; risks per vehicle registration-year are different from risks per crash; and risks estimated from national data are different from risks from the five states analyzed here. We also examined the effect of driver behavior, crash location, and general vehicle design on risk, as well as sources of potential bias in using the crash data from five states.

  10. Mass casualty management of a large-scale bioterrorist event: an epidemiological approach that shapes triage decisions.

    Science.gov (United States)

    Burkle, Frederick M

    2002-05-01

    The threat of a BT event has catalyzed serious reflection on the troublesome issues that come with event management and triage. Such reflection has had the effect of multiplying the efforts to find solutions to what could become a catastrophic public health disaster. Management options are becoming more robust, as are reliable detection devices and rapid access to stockpiled antibiotics and vaccines. There is much to be done, however, especially in the organizing, warehousing, and granting/exercising authority for resource allocations. The introduction of these new options should encourage one to believe that, in time, evolving standards of care will make it possible to rethink the currently unthinkable consequences. Unfortunately the cost of such preparedness is high and out of reach of most governments. Most of the developing world has neither the will nor the means to plan for BT events and remains overwhelmed with basic public health concerns (i.e., water, food, sanitation, shelter) that must take priority. Therefore, developed countries will be expected to respond using international exogenous resources to mitigate the effects of such a disaster. As a result, the state capacity of the effected government will be severely compromised. If triage and management of casualties is further compromised, terrorists will have met their goals. One could argue that health sciences will continue for decades to play catch up with the advanced technology driving potential bioagent weaponry. If one lesson was learned from the review of the former Soviet Union's biological weapons program, it is that the unthinkable remains an option to terrorists who have comparable expertise. It is crucial to develop realistic strategies for a BT event. Triage planning (the process of establishing criteria for health care prioritization) permits society to see cases in the context of diverse moral perspectives, limited resources, and compelling health care demands. This includes a competent

  11. Method paper--distance and travel time to casualty clinics in Norway based on crowdsourced postcode coordinates: a comparison with other methods.

    Directory of Open Access Journals (Sweden)

    Guttorm Raknes

    Full Text Available We describe a method that uses crowdsourced postcode coordinates and Google maps to estimate average distance and travel time for inhabitants of a municipality to a casualty clinic in Norway. The new method was compared with methods based on population centroids, median distance and town hall location, and we used it to examine how distance affects the utilisation of out-of-hours primary care services. At short distances our method showed good correlation with mean travel time and distance. The utilisation of out-of-hours services correlated with postcode based distances similar to previous research. The results show that our method is a reliable and useful tool for estimating average travel distances and travel times.

  12. Very early increase in nitric oxide formation and oxidative cell damage associated with the reduction of tissue oxygenation is a trait of blast casualties

    Directory of Open Access Journals (Sweden)

    Žunić Gordana

    2005-01-01

    Full Text Available Background. In our previous experimental studies, we found evidence for the increase of nitric oxide (NO formation immediately after blast injury. In the present study we investigated whether NO overproduction was a trait for the period immediately after blast injury in humans. Concomitant metabolic disturbances were also studied, and compared to the alterations in other traumatized patients. Methods. Blast casualties (group B, n = 13, surgical patients with the hip replacement or fractures, not exposed to blast effects (group S, n = 7 and healthy volunteers as controls (group C, n = 10, were examined. Both arterial and venous blood samples were taken within 6 hours, and 24 hours after blast injuries or surgical procedures, respectively. Plasma levels of nitrite/nitrate (NOx, superoxyde anion (O2.-, sulfhydrils (SH, malondialdehyde (MDA as well as acid-base status and other biochemical parameters (glucose, urea, creatinine, total proteins, albumin were measured. Results. Significant, but transient increase in plasma NOx levels occurred only in group B. It was associated with the significant increase of hemoglobin oxygen (sO2 saturation of the venous blood and the concomitant decrease of its arterial - venous difference. In group S the venous sO2 decreased, its arterial - venous difference increased, while NOx levels were within the control limits. In both groups, other parameters of arterial acid-base status were kept within the control limits throughout the examined period. The decrease of SH levels were similar in the examined groups, while the increase of O2 .- was greater in group B. Conclusion. Early NO overproduction was a trait of blast injuries in humans, contributing to the reduction of tissue the oxygenation and intensifying the oxidative cell damage that had to be considered in the therapy of casualties with blast injuries. These alterations were different from those observed in other surgical patients without blast injuries.

  13. Focusing on hospital emergency plan for mass casualty%重视批量伤员医院救治应急预案

    Institute of Scientific and Technical Information of China (English)

    张连阳; 马明炎

    2016-01-01

    批量伤员常由突发公共卫生事件造成。应急预案是医院针对各种突发公共卫生事件,在院外和院内对个体或群体伤员实施及时有效的救援措施,以挽救生命、减轻损害为目的而制订的行动计划。本文结合笔者参与2015年1月30日一起高速公路交通事故批量伤员医院内救援情况,阐述了批量伤员医院救治应急预案目前的现状、制订与演练过程中相关技术细节,以期有助于提高医院救治批量伤员能力。%Mass casualty is often caused by sudden public health events. The hospital emergency plan aims to provide timely and effective rescue for individual or group wounded outside the hospital and in the hospital, so as to save lives and reduce the damage for all kinds of public health emergencies. In this paper, the authors described their participation in the intra-hospital rescue of a highway traffic accident happened on 30 January, 2015 and pointed out the present situation of emergence plan and the related technical details in the process of the training, so as to improve the ability of the hospital to treat the mass casualty.

  14. 49 CFR 1242.33 - Other expenses and casualties and insurance (accounts XX-17-99, XX-18-99, XX-19-99, 50-17-00, 50...

    Science.gov (United States)

    2010-10-01

    ... (accounts XX-17-99, XX-18-99, XX-19-99, 50-17-00, 50-18-00, and 50-19-00). 1242.33 Section 1242.33....33 Other expenses and casualties and insurance (accounts XX-17-99, XX-18-99, XX-19-99, 50-17-00, 50... separation of administrative—other (account XX-19-06). Operating Expenses—Equipment locomotives...

  15. Emergency imaging after a mass casualty incident: role of the radiology department during training for and activation of a disaster management plan.

    Science.gov (United States)

    Berger, Ferco H; Körner, Markus; Bernstein, Mark P; Sodickson, Aaron D; Beenen, Ludo F; McLaughlin, Patrick D; Kool, Digna R; Bilow, Ronald M

    2016-05-01

    In the setting of mass casualty incidents (MCIs), hospitals need to divert from normal routine to delivering the best possible care to the largest number of victims. This should be accomplished by activating an established hospital disaster management plan (DMP) known to all staff through prior training drills. Over the recent decades, imaging has increasingly been used to evaluate critically ill patients. It can also be used to increase the accuracy of triaging MCI victims, since overtriage (falsely higher triage category) and undertriage (falsely lower triage category) can severely impact resource availability and mortality rates, respectively. This article emphasizes the importance of including the radiology department in hospital preparations for a MCI and highlights factors expected to influence performance during hospital DMP activation including issues pertinent to effective simulation, such as establishing proper learning objectives. After-action reviews including performance evaluation and debriefing on issues are invaluable following simulation drills and DMP activation, in order to improve subsequent preparedness. Historically, most hospital DMPs have not adequately included radiology department operations, and they have not or to a little extent been integrated in the DMP activation simulation. This article aims to increase awareness of the need for radiology department engagement in order to increase radiology department preparedness for DMP activation after a MCI occurs. PMID:26781837

  16. The influence of the pre-hospital application of non-invasive measurements of carboxyhemoglobin in the practice of emergency medical services in multiple and mass casualty incidents (MCI – A case report

    Directory of Open Access Journals (Sweden)

    Robert Gałązkowski

    2014-04-01

    Full Text Available In 2013 a fire broke out in the Nursing Home (NH in the Henryszew village 5 km away from the district hospital in Żyrardów. At the time of the incident 52 residents and 16 staff members were present in the building. Due to a large number of casualties, the occurrence was classified as a potentially mass casualty incident (MCI. Troops of the State Fire Brigade, Paramedic Rescue Squads, choppers of the Helicopter Emergency Medical Service, the Police, and the NH staff took part in the rescue operation. The priority was given to the evacuation of the NH residents carried out by the NH staff and firefighters, extinguishing the fire, as well as to primary and secondary survey triage. Due to the pre-accident health state of the victims, the latter posed a considerable difficulty. A decisive role was played by the need to conduct non-invasive measurements of carboxyhemoglobin in all the casualties, which then made it possible to adequately diagnose the patients and implement proper procedures. The rescue operation was correctly followed although it proved to be a serious logistical and technical undertaking for the participating emergency services. The residents were not found to be suffering from carbon monoxide poisoning, therefore 46 of the residents safely returned to the building. The fact that all the Paramedic Rescue Squads were equipped with medical triage sets and were able to conduct non-invasive measurements of carboxyhemoglobin made it possible to introduce effective procedures in the cases of suspected carbon monoxide poisoning and abandon costly and complicated organisational procedures when they proved to be unnecessary. Med Pr 2014;65(2:289–295

  17. Casualty Searching, Evacuation and Telemedicine System Based on BeiDou Navigation Satellite System%基于北斗卫星定位的伤员搜救与后送、远程医疗系统

    Institute of Scientific and Technical Information of China (English)

    邬小军; 汪陈应; 刘志; 李学成; 赵军平

    2011-01-01

    Objective To develop a casualty searching, evacuation and telemedicine system to make the soldiers accompanied by medical support. Methods Based on telemedicine technology and locating & two-way communication ability of BeiDou Navigation Satellite System, the hierarchy of the system was designed. Remits The design plan of the casualty searching, evacuation and telemedicine system based on BeiDou Navigation Satellite System was put forward. Conclusion The Casualty precision location, rescue and evacuation are realized for medical support of military operationsother than war.[Chinese Medical Equipment Journal,2011,32(12):9-12]%目的:研制适合于一线救护的伤员搜救与后送、远程医疗系统,最大限度地实现医疗与士兵同在.方法:立足军队现有远程医疗技术,利用北斗卫星同时具备定位与双向通信的能力,设计一整套伤员搜寻、后送与远程医疗体系架构.结果:构建了基于北斗卫星定位的伤员搜救、后送与远程医疗平台设计方案.结论:解决了战场伤员精确定位、援救与后送的难题,满足了非战争军事行动卫勤保障的需要.

  18. Impact of the AD 79 explosive eruption on Pompeii, II. Causes of death of the inhabitants inferred by stratigraphic analysis and areal distribution of the human casualties

    Science.gov (United States)

    Luongo, Giuseppe; Perrotta, Annamaria; Scarpati, Claudio; De Carolis, Ernesto; Patricelli, Giovanni; Ciarallo, Annamaria

    2003-08-01

    Detailed descriptions of the effects of explosive eruptions on urban settlements available to volcanologists are relatively rare. Apart from disease and starvation, the largest number of human deaths caused by explosive eruptions in the twentieth century are due to pyroclastic flows. The relationship between the number of victims related to a specific hazard and the presence of urban settlements in the area covered by the eruption has been shown. However, pyroclastic falls are also extremely dangerous under certain conditions. These conclusions are based on archaeological and volcanological studies carried out on the victims of the well-known AD 79 eruption of Vesuvius that destroyed and buried the Roman city of Pompeii. The stratigraphic level in the pyroclastic deposit and the location of all the casualties found are described and discussed. The total number of victims recovered during the archaeological excavations amounts to 1150. Of these, 1044 well recognisable bodies plus an additional group of 100 individuals were identified based on the analysis of several groups of scattered bones. Of the former, 394 were found in the lower pumice lapilli fall deposit and 650 in the upper stratified ash and pumice lapilli pyroclastic density currents (PDCs) deposits. In addition, a tentative evaluation suggests that 464 corpses may still be buried in the unexcavated part of the city. According to the reconstruction presented in this paper, during the first phase of the eruption (August 24, AD 79) a huge quantity of pumice lapilli fell on Pompeii burying the city under 3 m of pyroclastic material. During this eruptive phase, most of the inhabitants managed to leave the city. However, 38% of the known victims were killed during this phase mainly as a consequence of roofs and walls collapsing under the increasing weight of the pumice lapilli deposit. During the second phase of the eruption (August 25, AD 79) 49% of the total victims were on the roadways and 51% inside

  19. Estimation of the number of casualties in catastrophic earthquake%强震巨灾后受伤人数的估计方法研究

    Institute of Scientific and Technical Information of China (English)

    刘爱兵; 郑静晨; 刘晓军; 张金红; 曲国胜; 宁宝坤; 刘庆; 张庆江; 李向晖

    2012-01-01

    目的 探讨强震巨灾后早期估算受伤人数的方法,为灾难应急准备奠定科学依据.方法 选 取10个亚洲强震巨灾震例伤亡人员数据和中国汶川地震各地区伤亡人员数据,统计伤亡比.结果 10个 震例伤亡比变异较大,最低0.80,最大8.31,平均3.70.中国汶川地震各地伤亡比变异也很较大,最低 1.00、最大254.4,平均3.67,两组伤亡比均值近似,均约为4:1.结论 以多个震例的伤亡比均值作为预测参 数,可建立线性函数关系式:N=K×M.此函数模型需要进一步研究区域系数和受伤程度等参数.%Objective To explore the evaluation model of the total number of injuries after catastrophic earthquake and lay the scientific basis for disaster emergency preparation. Methods The numbers of deaths and injuries in the 10 catastrophic earthquake cases in Asia and those in different areas in the Wenchuan earthquake case in China were selected to analyze the mean wounded/death ratios. Results The wounded/death ratios in different earthquake cases were highly variable, with the lowest ratio of 0.80, the highest ratio of 8.3, and the mean of 3.70. Similarly, the wounded/death ratios in different areas in the Wenchuan earthquake case was highly variable too, with the lowest ratio of 1.00, the highest ratio of 254.4, and the mean of 3.67. However, the mean wounded/death ratio of the group of foreign Asian countries was similar to that of the Wenchuan earthquake, both being 4:1. Conclusion A linear function equation for estimating the number of casualties, namely N=KxM, has been established based on the mean wounded/death ratio. However, the parameters, such as region factor and trauma degree, remain to be studied so as to correct the equation.

  20. Efectividad a corto plazo de las intervenciones breves realizadas en pacientes lesionados por accidente de tráfico con alcoholemia positiva Short-term effectiveness of brief interventions in alcohol-positive traffic casualties

    Directory of Open Access Journals (Sweden)

    Alicia Rodríguez-Martos

    2005-02-01

    Full Text Available Objetivos: Investigar la efectividad de las intervenciones breves para reducir el consumo de alcohol en los pacientes lesionados por accidente de tráfico con alcoholemia positiva. Métodos: Se cribó la presencia de alcohol en 948 lesionados en accidente de tráfico (el 97,6% de los elegibles de un universo de 1.106, con 126 (13,3% positivos. Se intervino en 85 individuos, aleatoriamente distribuidos en intervención mínima (consejo simple e intervención breve (intervención de tipo motivacional, y se programó un seguimiento telefónico a los 3, 6 y 12 meses. En este trabajo se presentan los resultados del seguimiento a los 3 meses. Resultados: A los 3 meses se ha seguido a 57 pacientes (67%. EL 73,7% ha reducido el consumo, porcentaje que fue mayor en el grupo intervención breve (p = 0,06; tamaño del efecto, 0,5 y en los incluidos en la categoría de los bebedores de riesgo (p Objectives: To investigate the effectiveness of brief interventions to reduce alcohol intake in traffic casualties with a positive blood alcohol concentration. Methods: Nine hundred forty-eight eligible casualties (97.6% of eligible casualties within a universe of 1106 were screened for alcohol and 126 (13.3% were identified as positive. Interventions were performed in 85, randomly allocated to a minimal intervention (simple advice or a brief intervention (motivational intervention. Telephone follow-up was scheduled for months 3, 6 and 12. The present study reports the results of follow-up at month 3. Results: Fifty-seven patients (67% were followed up at month 3. A total of 73.7% had reduced their alcohol intake and this percentage was greater in the group who underwent the brief intervention (p = 0.06; effect size 0.5 and among heavy drinkers (p < 0.05. Conclusions: The data indicate the effectiveness of the brief intervention, although the sample size does not allow definitive conclusions to be drawn.

  1. Analysis of accidental casualty occurred at terminal area in the Capital Airport%首都机场航站区意外伤害死亡事件分析

    Institute of Scientific and Technical Information of China (English)

    王霁; 王春伟; 张海; 张小梅; 董艳荣

    2013-01-01

    目的:通过对首都机场航站区近几年意外伤害死亡事件的分析,引起相关单位高度重视和改进工作。方法对首都机场航站区2008年1月至2012年12月各种意外伤害死亡事件进行分析。结果目前,抑郁症和公共区域设施安全是导致首都机场旅客和员工意外伤害死亡的主要原因。结论为了减少旅客和员工意外伤害事件,抑郁症应成为政府公共精神卫生管理的重要内容,机场管理机构应不断提高机场公共设施设备的安全管理水平。%Objective To analyze those cases of accidental casualty occurred in the capital airport terminal area in the recent years, and appeal for an joint effort to improve the abilities to cope with the situation. Methods An analysis was conducted on the accidental injury and death cases taken place in the terminal area in between January 2008 and December 2012. Results It reflected that both melancholia that victims suffered from and current management of the facility structure. Conclusion In order to eliminate travelers and the airport staff’ s accidental casualty, it is suggested that the public mental health authorities pay attention on increased number of victims who suffered from melancholia. On the other hand, the safety management in public facilities like airport also needs to be improved.

  2. Análisis de la analgesia en la baja de combate: Experiencia de la Sanidad Militar española Analgesia in the management of the combat casualty: Experience of the Spanish Medical Service

    Directory of Open Access Journals (Sweden)

    R. Navarro Suay

    2012-03-01

    Full Text Available Antecedentes y Objetivos: La analgesia del herido ha jugado un papel trascendental en la medicina militar. En la actualidad, continúa siendo un reto médico, táctico y logístico dentro del tratamiento integral de la baja en combate. El objetivo de este estudio es valorar la homogeneidad de los fármacos analgésicos administrados, del momento de inicio del tratamiento, del número y tipos de vías de acceso para administración de analgesia, así como del tipo de anestesia realizada en las bajas por arma de fuego o por artefacto explosivo atendidas en el ROLE 2E español de Herat (Afganistán entre 2005 y 2008, siguiendo un índice de gravedad anatómico (NISS de las lesiones. Material y métodos: Se realiza un estudio observacional, retrospectivo, obteniendo una muestra de 256 pacientes. Resultados: Los fármacos analgésicos más empleados fueron los AINEs (73%, seguidos de los mórficos mayores (44%, coadyuvantes (29%, mórficos menores (21% y ketamina (12%. La analgesia se realizó a nivel prehospitalario en un 61% y a nivel intrahospitalario en un 31% de los casos. La vía de administración más frecuente fue la intravenosa (79%. En el 75% sólo se consiguió un acceso para medicación analgésica. El procedimiento anestésico más empleado fue la anestesia general (32%. Conclusiones: El tratamiento analgésico prestado a las bajas en combate de la muestra es homogéneo en cuanto a los fármacos empleados, el tipo y número de vías de administración conseguidas. Sin embargo es heterogéneo en cuanto al tipo de AINE elegido y al inicio en la administración de los fármacos analgésicos.Antecedents and Objectives: The analgesia of the wounded has played a vital role in military medicine. Nowadays it still is a medical, tactical and logistical challenge in the integral management of the combat casualty. The objective of this study is to evaluate the homogeneity of the analgesic drugs used, starting point of the treatment, number and

  3. Ananalysis on the characteristics of Casualties occurred terrorist attacks since 2010%2010年来全球恐怖活动伤亡特点的分析

    Institute of Scientific and Technical Information of China (English)

    高杨; 陈活良; 周开园; 鱼敏

    2013-01-01

    目的 恐怖主义既是当代世界的一大公害,又是一个相当复杂的政治和社会问题,它是全人类文明社会的共同敌人,是危害世界和平与安全,经济发展与社会进步的毒瘤.方法 查阅美国国家反恐中心数据库2010年9月~2011年9月间的资料,对一年间恐怖主义事件进行统计分析.结果 本文对2010年9月~2011年9月间,全球恐怖袭击事件的数量、杀伤性、袭击方式以及打击目标的进行全面分析.结论 目前反恐怖袭击形势依然严峻,而恐怖袭击手段主要以武装袭击、爆炸为主,平民仍然是恐怖袭击的主要受害者.%Objective Today, terrorism has become a public hazard and the enemy to the whole world which threatens the peace and safety of the world. Methods A statistical analysis was performed on the record of terrorist attacks collected at the United States National Counterterrorism Center Database from September 2010 to September 2011. Results The number of terrorist attacks, casualties and their objectives were analyzed. Conclusion Bomb and armed attacks are considered as the major methods for terrorist attacks. Civilians are the target in terrorist attacks.

  4. 昆山“8·2”爆炸事故存活伤员损伤特点及救治分析%Features of survived casualties and treatment strategies in Kunshan "August 2" explosion aaccident

    Institute of Scientific and Technical Information of China (English)

    刘军; 赵富丽; 吴健; 吴曙华; 杨爱祥; 李晓英; 彭霄; 常新; 程宏宇

    2015-01-01

    目的 回顾性分析昆山“8·2”爆炸事故伤员损伤特点,探讨爆炸事故伤员的救治策略.方法 以“8·2”爆炸事故送至南京医科大学附属苏州医院ICU集中救治的40例伤者为对象,详细记录伤者性别、年龄、损伤类型、烧伤面积、深度等信息,分析伤后90 d内器官损伤的类型、感染部位及病原体、器官功能支持及医疗救治效果等.结果 爆炸事故后收住本院的伤者40例,男性28例,女性12例;创伤类型包括烧伤、吸入性损伤、爆震伤、颅脑损伤和骨折等;所有伤者均存在烧伤,平均烧伤面积为(92±14)%体表面积(TBSA),其中深Ⅱ度烧伤占(14±10)% TBSA,Ⅲ度烧伤占(77±19)% TBSA;病程中34例(85.0%)伤者出现多器官功能不全综合征(MODS),主要累及呼吸、循环、肝脏、胃肠道、肾脏及凝血功能;患者住院期间最常见的感染部位为创面、血液及肺,致病菌主要为革兰阴性菌(占91.3%),前5位致病菌分别为奇异变形杆菌、鲍曼不动杆菌、铜绿假单胞菌、肺炎克雷伯菌、阴沟肠杆菌;积极救治后28 d死亡8例(病死率20.0%),90d死亡25例(病死率62.5%),主要死亡原因是感染性休克及MODS.结论 昆山“8·2”爆炸事故现场存活者主要呈大面积烧伤,以Ⅲ度烧伤为主,病程中多数伤者出现多器官功能不全综合征及合并感染.%Objective To retrospectively analyze the injury features of survived casualties and treatment strategies in the explosion accident on 2 August 2014 in Kunshan city (Kunshan "August 2" explosion accident).Methods A total of 40 survived victims in Kunshan "August 2" Explosion Accident were studied retrospectively.The age,gender,type of injury,burned extent and depth of the patients were recorded.Data of organ function,infection sites and strains of bacteria,treatment strategies and prognosis of the burned victims were analyzed.Results (1) A total of 40 victims were admitted to our hospital

  5. Tissue banking for management of nuclear casualties

    International Nuclear Information System (INIS)

    The proliferation of nuclear material and technology has made the acquisition and adversarial use more probable than ever. Devastating medical consequences would follow a nuclear detonation due to the thermal, blast and radiation effects of the weapon. Atomic explosions at Hiroshima and Nagasaki demonstrated the human agonies on vast scale. A full range of medical modalities are required to decrease the morbidity and mortality as a result of the use of nuclear weapons. Biological tissues from human donor like bone, skin, amniotic membrane and other soft tissues can be used for repair or reconstruction of the injured part of the body. Tissues from human donor can be processed and banked for orthopaedic, spinal, trauma and other surgical procedures. Processed tissues can be provided by the tissue banks and can be of great assistance in the treatment of injuries due to the nuclear weapon. The use of allograft tissue avoids the donor site morbidity and reduces the operating time, expense and trauma associated with the acquisition of autografts. Further, allografts have the added advantage of being available in large quantities. This has led to a global increase in allogeneic transplantation and development of tissue banking. The aim of the tissue bank is to provide a wide range of processed biological tissues free from any transmissible disease, that help to restore the growth and function of the damaged tissues. Skin dressings or skin substitutes like allograft skin, xenograft skin and amniotic membrane can be used for the treatment of thermal burns and radiation induced skin injuries. Bone allografts can be used for reconstructive approaches to the skeletal system. Tissue banking would thus ensure health care to the military personnel and population following a nuclear detonation. (author)

  6. Medical management of mass radiological casualties

    International Nuclear Information System (INIS)

    Full text: Radiation accidents, are extreme situations involving one or many individuals. The general public and also emergency workers could be overexposed to radiation or be contaminated as a consequence of malicious acts involving radioactive material. The international view is that the likelihood of use of radiological and nuclear terrorism is low, but the impact could be high. This represents a new challenge for emergency responders and medical community. Without adequate preparedness for radiation emergencies, medical management of situation could be ineffective. Experience has shown that in many radiation emergencies, the severity and extent of the health consequences could be restricted by general response and, in particular medical triage. This article looks at the medical management of radiation accidents to derive principles for organizing and acting the medical community in cases of mass radiation accidents

  7. A Triage Model for Chemical Warfare Casualties

    Directory of Open Access Journals (Sweden)

    Khoshnevis

    2015-08-01

    Full Text Available Context The main objectives of triage are securing patient safety during the process of emergency diagnosis and treatment, and reduction of waiting time for medical services and transport. To date, there is no triage system for nerve agent victims. Evidence Acquisition This systematic review proposes a new triage system for patients exposed to nerve agents. Information regarding clinical signs and symptoms of intoxication with nerve agents, primary treatments, and classification of patients were extracted from the literature. All related articles were reviewed. Subsequently, specialists from different disciplines were invited to discuss and draft protocols. Results Finalized triage tables summarizing the classification methods and required protocols in the field were designed after several meetings. Conclusions The proposed triage protocol encompasses aspects from most of the existing triage systems to create a single overarching guide for unifying the triage process. The proposed protocol can serve as a base for the designing future guidelines.

  8. Lehman Brothers - A Casualty of Constructive Ambiguity?

    OpenAIRE

    Flaaten, Gerhard

    2009-01-01

    This thesis seeks to explain the US Government's role in the bankruptcy of Lehman Brothers in September 2008. It asks why Lehman did not find a solution in the market before it was too late, and why the Government did not bail Lehman out. The empirical account suggests that Lehman could have found a solution if this was its preference, and that the government did indeed, counter to the official explanation, have the power to rescue Lehman from bankruptcy. The thesis' stylized game theoretical...

  9. CASUALTIES TRAFFIC ORGANIZATION DURING MASS DECONTAMINATION

    OpenAIRE

    PICH ROBERT; MACIEJEWSKI PAWEŁ; WRZESIŃSKI JANUSZ ADAM

    2011-01-01

    Эффективная реализация ликвидации загрязнений требует соответствующей подготовки сил и средств для выполнения этой задачи. Это особенно важно при массовой ликвидации заражённых людей, которые в большинстве случаев будут самостоятельно проводить „самостоятельное обеззараживание” на подготовленной площадке ликвидации загрязнений (например, приятие душа). Поэтому важно, чтобы участники процесса были соответственно проинструктированы, правильно выполняли требуемые действия на отдельных этапах лик...

  10. Bio-Terrorism Threat and Casualty Prevention

    Energy Technology Data Exchange (ETDEWEB)

    NOEL,WILLIAM P.

    2000-01-01

    The bio-terrorism threat has become the ''poor man's'' nuclear weapon. The ease of manufacture and dissemination has allowed an organization with only rudimentary skills and equipment to pose a significant threat with high consequences. This report will analyze some of the most likely agents that would be used, the ease of manufacture, the ease of dissemination and what characteristics of the public health response that are particularly important to the successful characterization of a high consequence event to prevent excessive causalities.

  11. Análisis del agente lesivo en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán Analysis of the injuring agent in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan

    Directory of Open Access Journals (Sweden)

    R. Navarro Suay

    2011-03-01

    Full Text Available Introducción: El conocimiento sobre aspectos relacionados con el armamento mejoran el diagnóstico y el tratamiento global del herido, sobretodo en el caso del médico militar. Se exponen los agentes lesivos de los principales conflictos recientes. El objetivo del estudio es el análisis del agente lesivo de las bajas atendidas en el Hospital Militar (ROLE 2 de Herat (Afganistán entre 2005 y 2008. Material y método: Se ha diseñado un estudio descriptivo, transversal sobre todo el personal civil y militar que hubiese recibido herida por arma de fuego o por artefacto explosivo en la Región Oeste de Afganistán, y fuese atendido por el ROLE 2 español de Herat (Afganistán durante los años 2005-2008. Resultados: El número total de casos analizados fue de 256. La mayor parte de los pacientes fueron heridos por artefacto explosivo, como los "Improvised Explosive Device" (IEDs (n = 183, 71%, mientras que el resto presentó lesiones por proyectiles de arma de fuego (n = 73, 29%. Conclusiones: En nuestro estudio, el mecanismo lesivo predominante ha sido el explosivo, seguido de las armas de fuego. Este dato es semejante al obtenido en otros estudios anglosajones sobre las bajas en combate durante los conflictos en Irak y Afganistán.Introduction: The medical officer's knowledge about armament-related aspects improves the diagnosis and medical care of the casualty. In this article the injuring agents in the main recent conflicts are presented. The objective of this study is the analysis of the injuring agent in the casualties received in the military hospital in Herat (Afghanistan between 2005 and 2008. Materials and methods: A descriptive, transversal study was carried out including all civilian and military personnel wounded by firearms or explosive devices in the West Region of Afghanistan, and taken care of in the Spanish Role 2 in Herat (Afghanistan during the years 2005-2008. Results: The total number of cases was 256. The majority of the

  12. Análisis de la topografía lesional en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán Analysis of the lesional topography in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan

    Directory of Open Access Journals (Sweden)

    R. Navarro Suay

    2011-06-01

    officers deployed in the military hospital in Herat (Afghanistan about the body parts injured in combat casualties from 2005 to 2008. Materials and Methods: A descriptive, transversal study was carried out including all civilian and military personnel wounded by explosive artifacts or firearms in the West Region of Afghanistan and taken care of in the Spanish Role 2 from 2005 to 2008. Results: The total number of cases analyzed was 256. In the studied casualties the most affected area was the lower limbs (n=123; 48%, followed by the upper limbs (n=99; 39% and abdomen (n=56; 22%. The anatomical area where explosives (n=85 and firearms (n=38 have caused more injuries is the lower limbs. A little more than half the casualties (n=142; 55% presented only one affected area: 59 (23%. Conclusions: In our study the lower and upper limbs have been the anatomical areas most affected by explosives as well as firearms. These data coincides with the results obtained in other series.

  13. Research on the application of the improved emergency care system in clinical medical aid of casualties occurred during hurricane disasters%改进应急救护系统用于海岛暴风雨灾害临床急救的研究

    Institute of Scientific and Technical Information of China (English)

    符小玲; 张华

    2015-01-01

    Objective To investigate the efficiency of the improved emergency care system in urgent medical aid of casualties occurred during hurricane disasters.Methods Four hundred patients who received urgent medical care during hurricane disasters were used as our research subjects, and they were randomly divided into the control and experimental groups.Retrospective survey and analysis were made on the general conditions of the casualties at the time of the hurricane disaster relief, urgent medical response time, the surviving conditions of the casualties and satisfaction to the application of the improved emergency care system.Results Significant differences could be noted in the clinical effects of urgent medical care during hurricane disaster relief, when comparisons were made with or without the application of the improved emergency care system.Urgent medical response time of the control group was 17 to 75 minutes, averaging (37.3 ± 13.13) minutes, while that of the experimental group was 6 to 49 minutes, averaging (19.8 ± 6.9) minutes.Significant statistics could be found, when comparisons were made between them(P < 0.05).The mortality rate of the experimental group was 1.5%, which was significantly lower than 5.0% of the control group (P <0.05).The satisfaction rate on the part of the patients in the experimental group was 95.5%, which was significantly higher than 83.5% of the control group(P < 0.05).Conclusions The improved emergency care system could significantly improve clinical emergency preparedness, pre-disaster prevention, disaster relief, as well as disaster predication.The improved system could enable medical facilities to provide in-time, accurate and effective medical care to the victims during hurricane disasters, and was obviously beneficial to the medical aid and recovery of casualties.%目的 探讨改进应急救护系统用于暴风雨灾害临床急救的效果.方法 以海口市暴风雨应急救护的患者400例作为研究

  14. Development of a Fuzzy Model for Iranian Marine Casualties Management

    OpenAIRE

    Ali Moradi; Akbar Etebarian; Alireza Shirvani; Iraj Soltani

    2014-01-01

    Marine Accident investigation multidimensional and complex, so this study aimed to provide a systematic approach to determining the degree of the most influential parameters (dimensions) in accident occurrence in order to improve marine safety in the direction of good governance. In this paper, two-phase procedures are proposed. The first stage utilizes the fuzzy Delphi method (FDM) to determine the critical factors of Marine Accident Investigation by interviewing the pertinent authorities. I...

  15. Development of a Fuzzy Model for Iranian Marine Casualties Management

    Directory of Open Access Journals (Sweden)

    Ali Moradi

    2014-09-01

    Full Text Available Marine Accident investigation multidimensional and complex, so this study aimed to provide a systematic approach to determining the degree of the most influential parameters (dimensions in accident occurrence in order to improve marine safety in the direction of good governance. In this paper, two-phase procedures are proposed. The first stage utilizes the fuzzy Delphi method (FDM to determine the critical factors of Marine Accident Investigation by interviewing the pertinent authorities. In the second stage, the fuzzy analytic hierarchy process (FAHP is applied to pair fuzzy numbers as measurable indices and finally to rank by degree each influential criterion within accident investigation. This study considers 1 goal, 4 aspects, and 31 criteria (parameters and establishes a ranking model that allows decision-makers to assess the prior ordering of reasons and sort by the most effective parameters involved in marine accident occurrence. The empirical study indicated that People, working and living conditions, effect is considered the highest ranking aspect, and Ability, skills, and knowledge of workers is considered the most important evaluation criterion overall by experts. These results were derived from fuzzy Delphi analytical hierarchy processing (FDAHP. A demonstration of the prior ordering of accident-causing parameters by authorities was addressed as well. Therefore, ranking the priority of every influential criterion (parameter will help marine transportation decision makers emphasize the areas in which to improve in order to prevent future marine accidents.

  16. Blocking Methods Applied to Casualty Records from the Syrian Conflict

    OpenAIRE

    Sadosky, Peter; Shrivastava, Anshumali; Price, Megan; Steorts, Rebecca C.

    2015-01-01

    Estimation of death counts and associated standard errors is of great importance in armed conflict such as the ongoing violence in Syria, as well as historical conflicts in Guatemala, Per\\'u, Colombia, Timor Leste, and Kosovo. For example, statistical estimates of death counts were cited as important evidence in the trial of General Efra\\'in R\\'ios Montt for acts of genocide in Guatemala. Estimation relies on both record linkage and multiple systems estimation. A key first step in this proces...

  17. Department of Defense (DOD) Military Casualty/Wounded Warrior

    Data.gov (United States)

    Social Security Administration — SSA initiated this agreement with the Department of Defense (DOD) to transmit to SSA information that will identify military personnel injured or taken ill while in...

  18. Management protocol for irradiated and contaminated casualty in hospital

    International Nuclear Information System (INIS)

    Tokaimura episode of September 1999 evoked enormous public concern about radiation accidents and exposures in Japan. Although a nuclear accident may occur only rarely, it can happen anywhere in the world. It might occur within the hospital's own radiology department. The increasing use of radioisotopes and radiation devices would increase the possibility of radiation accident. Thus even those hospitals that are isolated from nuclear power plants or radiologic laboratories should develop a plan to handle radiation injury. This report describes the protocol for emergent treatment of a radiation victim and its rationale. (author)

  19. 76 FR 8788 - Riverside Casualty, Inc.; Notice of Application

    Science.gov (United States)

    2011-02-15

    .../search/search.htm or by calling (202) 551-8090. Applicant's Representations 1. The Haskell Company (``THC..., construction, real estate and facility management services. All of the outstanding shares of THC's common stock are owned by The Haskell Company Employee Stock Ownership Trust (``THC ESOP''); Preston H. Haskell...

  20. THE PRICE OF FANATICISM: THE CASUALTIES OF THE BULHOEK MASSACRE

    Directory of Open Access Journals (Sweden)

    D.H. Makobe

    2012-02-01

    Full Text Available The Bulhoek massacre is a well-known event in popular memory of many black South Africans and a standard feature in accounts of South African history. Despite this fact historians have not yet established the exact number of Israelites who were killed as a result of their attack on the Police on 24 May 1921. It is the purpose of this article to establish a reliable number of Israelites who were killed during the Bulhoek massacre. The Union Defence medical personnel that accompanied the Police force to Bulhoek consisted of Major M. Welsh (in charge, Sergeant Major W. Richardson, Sergeant S. Allan, Sergeant Wallace, Private Kriel and Driver Valentine with one motor ambulance and field equipment. En route from Pretoria to Queenstown, the team was joined by Private Sutton from Tempe hospital in Bloemfontein. On their arrival at Queenstown the medical personnel accompanied Colonel Truter to an interview with the senior Magistrate of Queenstown E.C.A. Welsh. The latter stressed the seriousness of the situation and warned that the Police would not be able to carry out the Government's instructions without bloodshed. The medical personnel became convinced that bloodshed was unavoidable. They decided to ascertain the exact number of available accommodation at the Frontier Hospital in Queenstown. They found that only about 25 Europeans and up to 40 Africans could be accommodated. After checking available accommodation at Frontier Hospital, they erected a tent hospital at the show grounds of Queenstown.

  1. THE BULHOEK MASSACRE: ORIGINS, CASUALTIES, REACTIONS AND HISTORICAL DISTORTIONS

    Directory of Open Access Journals (Sweden)

    D.H. Makobe

    2012-02-01

    Full Text Available The Bulhoek massacre remains a standard feature in accounts of South African history. Historians who wrote on the incident before the birth of the Popular or Peoples history movement and evidence submitted to Sir Thomas Graham, the presiding judge at the trial of the Israelites, made it clear beyond all doubt that the Israelites were religious fanatics who were driven by their fanaticism and blind faith in Enoch Mgijima's words to attack the Police. In the 1980s, with the birth of the Popular history movement, the massacre was reinterpreted by social historians, especially those associated with the University of Witwatersrand (Wits History Workshop to fit into the perspective of the Popular history approach. The Israelites were seen as political heroes who stood against an oppressive system. The two different approaches to the massacre leads to the historical distortions of the event.

  2. Early Atomic Bomb Casualty Commission perceptions and planning

    International Nuclear Information System (INIS)

    A description of the kind of research carried on by the Manhattan Project during World War II is presented. At that time scientists were trying to identify acceptable radiation levels, and to ascertain whether any immediate research was needed to support such levels. The author briefly outlines activities to determine any immediate effects of radiation that occurred after the nuclear strikes in Hiroshima and Nagasaki

  3. Estimating Casualties for Large Earthquakes Worldwide Using an Empirical Approach

    Science.gov (United States)

    Jaiswal, Kishor; Wald, David J.; Hearne, Mike

    2009-01-01

    We developed an empirical country- and region-specific earthquake vulnerability model to be used as a candidate for post-earthquake fatality estimation by the U.S. Geological Survey's Prompt Assessment of Global Earthquakes for Response (PAGER) system. The earthquake fatality rate is based on past fatal earthquakes (earthquakes causing one or more deaths) in individual countries where at least four fatal earthquakes occurred during the catalog period (since 1973). Because only a few dozen countries have experienced four or more fatal earthquakes since 1973, we propose a new global regionalization scheme based on idealization of countries that are expected to have similar susceptibility to future earthquake losses given the existing building stock, its vulnerability, and other socioeconomic characteristics. The fatality estimates obtained using an empirical country- or region-specific model will be used along with other selected engineering risk-based loss models for generation of automated earthquake alerts. These alerts could potentially benefit the rapid-earthquake-response agencies and governments for better response to reduce earthquake fatalities. Fatality estimates are also useful to stimulate earthquake preparedness planning and disaster mitigation. The proposed model has several advantages as compared with other candidate methods, and the country- or region-specific fatality rates can be readily updated when new data become available.

  4. THE BULHOEK MASSACRE: ORIGINS, CASUALTIES, REACTIONS AND HISTORICAL DISTORTIONS

    OpenAIRE

    D.H. Makobe

    2012-01-01

    The Bulhoek massacre remains a standard feature in accounts of South African history. Historians who wrote on the incident before the birth of the Popular or Peoples history movement and evidence submitted to Sir Thomas Graham, the presiding judge at the trial of the Israelites, made it clear beyond all doubt that the Israelites were religious fanatics who were driven by their fanaticism and blind faith in Enoch Mgijima's words to attack the Police. In the 1980s, with the birth of the Popular...

  5. Vulnerability Situations associated with Flash Flood Casualties in the United States

    Science.gov (United States)

    Terti, G.; Ruin, I.; Anquetin, S.; Gourley, J. J.

    2015-12-01

    In the United States (U.S.) flash flooding (FF hereafter) is one of the leading cause of weather-related deaths. Because FF events can be distinguished from riverine floods by their fast response to rainfall and resulting impacts signature, analyzing FF-specific impact datasets seems a good way to identify the juxtaposition of social and physical circumstances leading to those impacts. This communication focuses on conceptual and methodological developments allowing testing hypotheses on FF-specific vulnerability factors through the analysis of human impact datasets. We hypothesize that the intersection of the spatio-temporal context of the FF phenomena with the distribution of people and their characteristics across space and time reveals various paths of vulnerability through the expression of different accidents' circumstances (i.e., vehicle-related, inside buildings, open-air, campsites). We argue that vulnerability and the resulting impacts vary dynamically throughout the day according to the location/situation under concern. In order to test FF-specific contextual vulnerability factors at the scale of the continental US, 1075 fatalities reported between 1996 and 2014 in the Storm Data publication of the U.S. National Climatic Data Center (NCDC) are analyzed to statistically explore the timing, the duration and the location of the FF event, and the age and gender of the victims and the circumstance (i.e. location/activity) of their death. In this objective, a re-classification of the individual fatality circumstances and a discretization of the time in qualitative time-steps are performed to obtain possible trends and patterns in the occurrence of fatalities in certain circumstances and time (e.g., day vs night). The findings highlight the importance of situation-specific assessment of FF fatalities to guide the development of FF-specific vulnerability and impacts prediction modeling. Such analysis can provide valuable knowledge when the National Weather Service issues FF warning and emergencies. This is because targeted warnings can be communicated when we can relate the location of risky incidents in space (e.g., roads, campsites, mobile homes) with specific vulnerable groups (e.g., certain age groups, gender).

  6. Managing Annual Accounting Reports to Avoid State Taxes: An Analysis of Property-Casualty Insurers

    OpenAIRE

    Kathy R. Petroni; Douglas A. Shackelford

    1998-01-01

    We hypothesize that, in their annual accounting reports, insurers allocate premiums and losses from multistate policies to reduce total state taxes. To test this prediction, we examine firm-level data, collected from the publicly-available statutory reports used to compute tax bases and filed with each state government. If insurers manage allocations to avoid taxes, we anticipate an inverse relation between the tax rate and the premium-to-loss ratio, which is the industry's standard measure o...

  7. Evaluation of a Scalable Information Analytics System for Enhanced Situational Awareness in Mass Casualty Events

    Science.gov (United States)

    Yang, Zhuorui; Ciottone, Gregory

    2016-01-01

    We investigate the utility of DIORAMA-II system which provides enhanced situational awareness within a disaster scene by using real-time visual analytics tools and a collaboration platform between the incident commander and the emergency responders. Our trials were conducted in different geographical areas (feature-rich and featureless regions) and in different lighting conditions (daytime and nighttime). DIORAMA-II obtained considerable time gain in efficiency compared to conventional paper based systems. DIORAMA-II time gain was reflected in reduction of both average triage time per patient (up to 34.3% average triage time reduction per patient) and average transport time per patient (up to 76.3% average transport time reduction per red patient and up to 66.3% average transport time reduction per yellow patient). In addition, DIORAMA-II ensured that no patients were left behind or transported in the incorrect order compared to the conventional method which resulted in patients being left behind and transported in the incorrect order. PMID:27433161

  8. The Boston Marathon Bombings Mass Casualty Incident: One Emergency Department's Information Systems Challenges and Opportunities.

    Science.gov (United States)

    Landman, Adam; Teich, Jonathan M; Pruitt, Peter; Moore, Samantha E; Theriault, Jennifer; Dorisca, Elizabeth; Harris, Sheila; Crim, Heidi; Lurie, Nicole; Goralnick, Eric

    2015-07-01

    Emergency department (ED) information systems are designed to support efficient and safe emergency care. These same systems often play a critical role in disasters to facilitate real-time situation awareness, information management, and communication. In this article, we describe one ED's experiences with ED information systems during the April 2013 Boston Marathon bombings. During postevent debriefings, staff shared that our ED information systems and workflow did not optimally support this incident; we found challenges with our unidentified patient naming convention, real-time situational awareness of patient location, and documentation of assessments, orders, and procedures. As a result, before our next mass gathering event, we changed our unidentified patient naming convention to more clearly distinguish multiple, simultaneous, unidentified patients. We also made changes to the disaster registration workflow and enhanced roles and responsibilities for updating electronic systems. Health systems should conduct disaster drills using their ED information systems to identify inefficiencies before an actual incident. ED information systems may require enhancements to better support disasters. Newer technologies, such as radiofrequency identification, could further improve disaster information management and communication but require careful evaluation and implementation into daily ED workflow. PMID:24997562

  9. Conducted electrical weapons or stun guns: a review of 46 cases examined in casualty.

    Science.gov (United States)

    Becour, Bertrand

    2013-06-01

    Low-lethality weapons are intended to neutralize a person with maximum security and with minimal risk of injury or death to the user of the weapon, the person arrested, and the witnesses. Under the same circumstances, the use of a firearm is causing mortality of 50%. Marketed since 1974, the Taser X26 is currently staffing services in the French police and gendarmerie. The Taser device has 3 damaging mechanisms: the direct effect of electric current on the tissues, the conversion of electrical energy into thermal energy, and the injuries caused by the general muscle contraction and resulting fall. The study aimed to analyze the specificities of the conducted electrical weapon-related injuries treated in a emergency department on a series of 46 cases. The study population was predominantly middle-aged men. The circumstances of use of the Taser X26 were most often related to an arrest. The frequency of consultation after a shot by Taser X26 was stable. The management is essentially an outpatient because of frequent and benign lesions. The impacts of electrical impulse mainly affect the chest and abdomen. This distribution of impact zones is inhomogeneous, depending on the circumstances of use. PMID:23574872

  10. Caring for people during mass casualty – the dengue case in Rio de Janeiro, Brazil

    OpenAIRE

    Isabel CF da Cruz

    2008-01-01

    Although the nurse’s role during a disaster, or a epidemy as dengue, may vary, the nursing care focuses on essential care from a perspective of what is best for all patients. Triage is pointed out as one of the tasks that the nurse can manage with success.

  11. 17 CFR 210.12-18 - Supplemental information (for property-casualty insurance underwriters).

    Science.gov (United States)

    2010-04-01

    ... ACT OF 1933, SECURITIES EXCHANGE ACT OF 1934, PUBLIC UTILITY HOLDING COMPANY ACT OF 1935, INVESTMENT COMPANY ACT OF 1940, INVESTMENT ADVISERS ACT OF 1940, AND ENERGY POLICY AND CONSERVATION ACT OF 1975 Form... claim adjustment expenses Discount, if any, deducted in column C 4 Unearned premiums Earned premiums...

  12. Implantable cardioverter defibrillator clinic casualties: inadvertent reprogramming during routine implantable cardioverter defibrillator follow-up.

    Science.gov (United States)

    Ozahowski, T P; Greenberg, M L; Mock, P; Holzberger, P T; Gerling, B; Zalinger, C; Perry, C

    1996-10-01

    On one occasion during a busy ICD follow-up clinic, the preceding patient's parameters for rate, PDF, and delay were inadvertently programmed into the subsequent patient's generator using the CPI Programmer Model 2035. This occurred after capacitor reformation, without pressing the "Program" button. The source of this reprogramming error was failure to clear the programmer memory of the previous patient's data, usually achieved by turning the programmer off between patients (or selecting "New Patient" from the menu). At our next ICD follow-up clinic, we purposely did not turn off the programmer between two sets of patients. On both occasions the above finding was repeated and confirmed. These observations indicate the potential for serious reprogramming errors that can occur simply by not clearing the programmer's memory between clinic patients. PMID:8904549

  13. Bone densitometry by gamma ray attenuation measurement. Development of an apparatus for use on medullary casualties

    International Nuclear Information System (INIS)

    We proposed to follow changes in the bone mineral content of medullary damage cases by measuring the attenuation of a monoenergetic gamma ray according to the Cameron and Sorenson technique. Apart from their high cost, existing instruments are not designed for this bedside observation of patients. Our aim was therefore to design and develop an easily portable, inexpensive apparatus. The γ radiation is supplied by a sealed 125I source fitted with a narrow collimator. The battery-operated scintillation detector is that used to detect post-operative phlebites after injection of radio-fibrinogen. The source-detector unit can move to allow a transverse bone mineral content measurement. Data from the detector are processed electronically and the results given: - either graphically on a tracing board which gives an area proportional to the bone mineral content, - or numerically by means of an integrator computing this area and supplying the linear bone density directly. Experiments carried out in vivo showed the apparatus to be sensitive and the measurements reproducible, the results obtained being comparable with those of other authors. Using pieces of embalmed bone moreover an excellent correlation was observed between the bone mineral content obtained after incineration and the results displayed by our apparatus, which can therefore be calibrated

  14. Micronucleus test for radiation biodosimetry in mass casualty events: Evaluation of visual and automated scoring

    International Nuclear Information System (INIS)

    In the case of a large-scale nuclear or radiological incidents a reliable estimate of dose is an essential tool for providing timely assessment of radiation exposure and for making life-saving medical decisions. Cytogenetics is considered as the 'gold standard' for biodosimetry. The dicentric analysis (DA) represents the most specific cytogenetic bioassay. The micronucleus test (MN) applied in interphase in peripheral lymphocytes is an alternative and simpler approach. A dose-effect calibration curve for the MN frequency in peripheral lymphocytes from 27 adult donors was established after in vitro irradiation at a dose range 0.15-8 Gy of 137Cs gamma rays (dose rate 6 Gy min-1). Dose prediction by visual scoring in a dose-blinded study (0.15-4.0 Gy) revealed a high level of accuracy (R = 0.89). The scoring of MN is time consuming and requires adequate skills and expertise. Automated image analysis is a feasible approach allowing to reduce the time and to increase the accuracy of the dose estimation decreasing the variability due to subjective evaluation. A good correlation (R = 0.705) between visual and automated scoring with visual correction was observed over the dose range 0-2 Gy. Almost perfect discrimination power for exposure to 1-2 Gy, and a satisfactory power for 0.6 Gy were detected. This threshold level can be considered sufficient for identification of sub lethally exposed individuals by automated CBMN assay.

  15. Micronucleus test for radiation biodosimetry in mass casualty events: Evaluation of visual and automated scoring

    Energy Technology Data Exchange (ETDEWEB)

    Bolognesi, Claudia, E-mail: claudia.bolognesi@istge.i [Environmental Carcinogenesis Unit, National Cancer Research Institute, Largo R. Benzi 10, 16132 Genoa (Italy); Balia, Cristina; Roggieri, Paola [Environmental Carcinogenesis Unit, National Cancer Research Institute, Largo R. Benzi 10, 16132 Genoa (Italy); Cardinale, Francesco [Clinical Epidemiology Unit, National Cancer Research Institute, Largo R. Benzi 10, 16132 Genoa (Italy); Department of Health Sciences, University of Genoa, Genoa (Italy); Bruzzi, Paolo [Clinical Epidemiology Unit, National Cancer Research Institute, Largo R. Benzi 10, 16132 Genoa (Italy); Sorcinelli, Francesca [Environmental Carcinogenesis Unit, National Cancer Research Institute, Largo R. Benzi 10, 16132 Genoa (Italy); Laboratory of Genetics, Histology and Molecular Biology Section, Army Medical and Veterinary, Research Center, Via Santo Stefano Rotondo 4, 00184 Roma (Italy); Lista, Florigio [Laboratory of Genetics, Histology and Molecular Biology Section, Army Medical and Veterinary, Research Center, Via Santo Stefano Rotondo 4, 00184 Roma (Italy); D' Amelio, Raffaele [Sapienza, Universita di Roma II Facolta di Medicina e Chirurgia and Ministero della Difesa, Direzione Generale Sanita Militare (Italy); Righi, Enzo [Frascati National Laboratories, National Institute of Nuclear Physics, Via Enrico Fermi 40, 00044 Frascati, Rome (Italy)

    2011-02-15

    In the case of a large-scale nuclear or radiological incidents a reliable estimate of dose is an essential tool for providing timely assessment of radiation exposure and for making life-saving medical decisions. Cytogenetics is considered as the 'gold standard' for biodosimetry. The dicentric analysis (DA) represents the most specific cytogenetic bioassay. The micronucleus test (MN) applied in interphase in peripheral lymphocytes is an alternative and simpler approach. A dose-effect calibration curve for the MN frequency in peripheral lymphocytes from 27 adult donors was established after in vitro irradiation at a dose range 0.15-8 Gy of {sup 137}Cs gamma rays (dose rate 6 Gy min{sup -1}). Dose prediction by visual scoring in a dose-blinded study (0.15-4.0 Gy) revealed a high level of accuracy (R = 0.89). The scoring of MN is time consuming and requires adequate skills and expertise. Automated image analysis is a feasible approach allowing to reduce the time and to increase the accuracy of the dose estimation decreasing the variability due to subjective evaluation. A good correlation (R = 0.705) between visual and automated scoring with visual correction was observed over the dose range 0-2 Gy. Almost perfect discrimination power for exposure to 1-2 Gy, and a satisfactory power for 0.6 Gy were detected. This threshold level can be considered sufficient for identification of sub lethally exposed individuals by automated CBMN assay.

  16. 77 FR 52746 - Medical Countermeasures for a Burn Mass Casualty Incident

    Science.gov (United States)

    2012-08-30

    ... pathways to facilitate medical countermeasures development and use; (3) develop logistics and operational... ] in disaster management (including medical utilization and response integration); FDA's role...

  17. Psychiatry out-of-hours: a focus group study of GPs’ experiences in Norwegian casualty clinics

    OpenAIRE

    Carlsen Benedicte; Johansen Ingrid H; Hunskaar Steinar

    2011-01-01

    Abstract Background For Norwegian general practitioners (GPs), acute treatment of mental illness and substance abuse are among the most commonly experienced emergency situations in out-of-hours primary healthcare. The largest share of acute referrals to emergency psychiatric wards occurs out-of-hours, and out-of-hours services are responsible for a disproportionately high share of compulsory referrals. Concerns exist regarding the quality of mental healthcare provided in the out-of-hours sett...

  18. Treatment of burns casualties after fire at Bradford City football ground.

    OpenAIRE

    Sharpe, D. T.; Roberts, A. H.; Barclay, T L; Dickson, W. A.; Settle, J A; Crockett, D J; Mossad, M G

    1985-01-01

    On 11 May 1985 the main stand of Bradford City Football Club caught fire. Within four minutes the stand was alight from end to end. Fifty three people were burnt to death and about 250 injured; 83 required admission to hospital, and 55 of these were treated by primary excision of their burns and skin grafting. In such disasters the help of staff from other hospitals and areas is essential. Patients should be assessed to see whether they have burns that will ultimately be fatal; if they have t...

  19. Treatment of burns casualties after fire at Bradford City football ground.

    Science.gov (United States)

    Sharpe, D T; Roberts, A H; Barclay, T L; Dickson, W A; Settle, J A; Crockett, D J; Mossad, M G

    1985-01-01

    On 11 May 1985 the main stand of Bradford City Football Club caught fire. Within four minutes the stand was alight from end to end. Fifty three people were burnt to death and about 250 injured; 83 required admission to hospital, and 55 of these were treated by primary excision of their burns and skin grafting. In such disasters the help of staff from other hospitals and areas is essential. Patients should be assessed to see whether they have burns that will ultimately be fatal; if they have they should not be sent to regional burns units, where they would take up beds that could be used for patients with treatable burns. All districts should ensure that their plans for accidents in which burns injuries predominate are adequate. Images FIG 1 FIG 2 FIG 3 FIG 4 PMID:3929974

  20. Psychiatry out-of-hours: a focus group study of GPs' experiences in Norwegian casualty clinics

    Directory of Open Access Journals (Sweden)

    Carlsen Benedicte

    2011-05-01

    Full Text Available Abstract Background For Norwegian general practitioners (GPs, acute treatment of mental illness and substance abuse are among the most commonly experienced emergency situations in out-of-hours primary healthcare. The largest share of acute referrals to emergency psychiatric wards occurs out-of-hours, and out-of-hours services are responsible for a disproportionately high share of compulsory referrals. Concerns exist regarding the quality of mental healthcare provided in the out-of-hours setting. The aim of this study was to explore which challenges GPs experience when providing emergency care out-of-hours to patients presenting problems related to mental illness or substance abuse. Methods We conducted a qualitative study based on two individual interviews and six focus groups with purposively sampled GPs (totally 45 participants. The interviews were analysed successively in an editing style, using a thematic approach based on methodological descriptions by Charmaz and Malterud. Results Safety and uncertainty were the dominating themes in the discussions. The threat to personal safety due to unpredictable patient behaviour was a central concern, and present security precautions in the out-of-hours services were questioned. The GPs expressed high levels of uncertainty in their work with patients presenting problems related to mental illness or substance abuse. The complexity of the problems presented, shortage of time, limited access to reliable information and limited range of interventions available during out-of-hours contributed to this uncertainty. Perceived access to second opinion seemed to have a major impact on subjectively experienced work stress. Conclusions The GPs experienced out-of-hours psychiatry as a field with high levels of uncertainty and limited support to help them meet the experienced challenges. This might influence the quality of care provided. If the current organisation of emergency mental healthcare is to be kept, we need to provide GPs with a better support framework out-of-hours.

  1. The Swiss Black Swan Bad Scenario: Is Switzerland Another Casualty of the Eurozone Crisis?

    Directory of Open Access Journals (Sweden)

    Sebastien Lleo

    2015-08-01

    Full Text Available Financial disasters to hedge funds, bank trading departments and individual speculative traders and investors seem to always occur because of non-diversification in all possible scenarios, being overbet and being hit by a bad scenario. Black swans are the worst type of bad scenario: unexpected and extreme. The Swiss National Bank decision on 15 January 2015 to abandon the 1.20 peg against the Euro was a tremendous blow for many Swiss exporters, but also Swiss and international investors, hedge funds, global macro funds, banks, as well as the Swiss central bank. In this paper, we discuss the causes for this action, the money losers and the few winners, what it means for Switzerland, Europe and the rest of the world, what kinds of trades were lost and how they have been prevented.

  2. Prevention and treatment of respiratory consequences induced by sulfur mustard in Iranian casualties

    Directory of Open Access Journals (Sweden)

    Seyed M Razavi

    2013-01-01

    Full Text Available Background: About 100,000 Iranian have been exposed to chemical weapons during Iraq-Iran conflict (1980-88. After being spent of more than two decades, still about 30,000 of them are under follow-up treatment. The main aim of this study was to review various preventive and therapeutic methods for injured patients with sulfur mustard in different phases. Methods: For gathering information, we have used the electronic databases including Scopus, Medline, ISI, IranMedex, Irandoc sites. According to this search strategy, 104 published articles associated to respiratory problems and among them 50 articles related to prevention and treatment of respiratory problems were found and reviewed. Results: There is not any curative treatment for sulfur mustard induced lung injuries, but some valuable experienced measures for prevention and palliative treatments are available. Some useful measures in acute phase include: Symptomatic management, oxygen supplementation, tracheostomy in laryngospasm, use of moist air, respiratory physical therapy, mucolytic agents and bronchodilators. In the chronic phases, these measures include: Periodic clinical examinations, administration of inhaled corticosteroids alone or with long-acting beta 2 agonists, use of antioxidants, magnesium ions, long term oxygen supplement, therapeutic bronchoscopy, laser therapy, and use of respiratory tract stents. Conclusions: Most treatments are symptomatic but using preventive points immediately after exposure could improve following outcomes.

  3. Use of a Computer-Mediated Delphi Process to Validate a Mass Casualty Conceptual Model

    OpenAIRE

    Culley, Joan M.

    2011-01-01

    Since the original work on the Delphi technique, multiple versions have been developed and used in research and industry; however, very little empirical research has been conducted that evaluates the efficacy of using online computer, Internet, and e-mail applications to facilitate a Delphi method that can be used to validate theoretical models. The purpose of this research was to develop computer, Internet, and e-mail applications to facilitate a modified Delphi technique through which exper...

  4. "3 . . 2 . . 1 . . Impact [factor]: target [academic career] destroyed!": just another statistical casualty.

    Science.gov (United States)

    Brumback, Roger A

    2012-12-01

    "Publish or perish" is the time-honored "principle" for academicians who race to accumulate lines under the "publications" section of a curriculum vitae. The original intent of publication-to inform others of findings and further scientific knowledge-has been corrupted by factors including (1) exponential growth of journals and the journal industry, fueled in part by intrusion of the Internet into all aspects of academic life; and (2) adoption of journal metrics (rather than written content) as the measure of scientific quality. The proprietary Thomson Reuters Impact Factor is the most pernicious metric, having caused editors and publishers to change editorial practices to boost the number. At the same time, gullible administrators and government agencies have been persuaded that metrics for the journal in which materials are published can be used as a measure of the worth of individual investigators (and institutions) and their research efforts: simple numbers can be substituted for the burdensome effort required to read and assess research quality. Thus, granting of research funds, awarding of academic rank and tenure, and determination of salaries (including bonus payments) have become tied to manipulable journal metrics rather than the significance or quality of reported research. Therefore, it is no wonder that the integrity of science is more often being questioned. How should a young investigator approach the "publish or perish" dilemma? Performing sound research and preparing optimal materials for publication must remain the overriding goals: properly articulate the question addressed by the study; thoroughly document all methods and case information; carefully describe results including any conflicting or negative findings; discuss the importance of the findings along with how the results address the initial question and whether findings refute or confirm previous studies; prepare properly cited bibliographic references; list all author contributions, potential conflicts of interest, financial support, and required ethical approvals; and provide a catchy title and an abstract containing sufficient information that other investigators perusing scientific indices will be enticed to read the published article. Submit the completed manuscript to the most appropriate journal based on that journal's previously published content and relevance to the field of study regardless of journal metrics. On publication, notify investigators in the same field to ask for their comments on the work. Thus, an individual will become known for the quality of his or her work product and the worshiping of publication metrics will be unnecessary. PMID:23183597

  5. [The organizational aspects of treating light casualties in modern warfare (2)].

    Science.gov (United States)

    Nechaev, E A; Maksimov, G K; Agapov, V K; Golov, Iu S

    1993-07-01

    The experience gathered by Medical Service during the war in Afghanistan and during liquidation of the consequences of various disasters and accidents has shown that the most rational method of treatment of minor wounded near the combat area or zone of disaster was a two-staged (and sometimes a three-staged) management system. At the combat tactical zone it is expedient to render the secondary surgical care and reanimation procedures of vital cases, and also provide treatment of minor wounded who could be returned to their ranks in 10 days. For this purpose it is necessary to integrate the sections of medical triage and minor wounded treatment into organic structure of the Brigade medical company and Divisional hospital. As for Army Medical Brigade it must have in its structure a hospital for minor wounded who could be returned to their ranks in 20 days. All the wounded who have to be treated more than 20 days must be evacuated to the Front hospital for minor wounded. PMID:8249347

  6. 77 FR 75263 - Surety Companies Acceptable on Federal Bonds: Termination; ULLICO Casualty Company

    Science.gov (United States)

    2012-12-19

    ... Supplement No. 3 to the Treasury Department Circular 570; 2012 Revision, published July 2, 2012, at 77 FR... liability remains outstanding. In addition, in no event, should bonds that are continuous in nature be... Management Service, Financial Accounting and Services Division, Surety Bond Branch, 3700 EastMest...

  7. The recent casualties of gas markets: how to avoid becoming one

    International Nuclear Information System (INIS)

    A list of four recent gas marketing bankruptcies in Canada and their current status was reviewed. In 1996 and in early 1997 some gas marketers found themselves with an open position as a result of insolvency of their suppliers. Consequently, they faced huge losses in a market where commodity prices were rising significantly. A number of practical suggestions to deal with the losses and forestall receivership and/or bankruptcy have been discussed. One of the most important considerations is to protect oneself from the outset, i.e. to arrange for satisfactory security for performance. Dealing only with reputable parties and contracting for short term deals are some of the other measures that a marketer can take in advance. Security for performance was described as the most important issue in gas contracting today. It was seen as the only way to ensure that a company would not have to deal with insolvency problems. The legal implications of bankruptcy and insolvency were also discussed

  8. Airport Casualties: Non-Admission and Return Risks at Times of Internalized/Externalized Border Controls

    Directory of Open Access Journals (Sweden)

    Maybritt Jill Alpes

    2015-09-01

    Full Text Available This article analyzes what can happen to forced returnees upon arrival in their country of nationality. Subjective configurations of state agents in the Global South have created return risks, which in turn transform subjectivities of post-colonial citizens. The article contributes to this Special Issue by tracing repercussions of the externalization and internalization of border controls. In the case of Cameroon, these connections have resulted in the criminalization of emigration. Aspiring migrants are prosecuted if their departure projects fail to respect the entry requirements of countries in the Global North. The article is based on research conducted in Douala, Cameroon, in the form of discussions with control agents at the international airport, investigations at a prison, a review of related case law, police registers and interviews with Cameroonians returnees (November 2013–January 2014. Border controls and connected anti-fraud programs suppress family-based forms of solidarity and allow only for subjectivities rooted in state-managed forms of national identity. The article illustrates how efforts to combat fraud fuel corruption in returnees’ social networks, whereby, instead of receiving remittances, families in emigration countries have to mobilize financial resources in order to liberate returnees from police stations or prison complexes. Migration related detention of nationals in the Global South highlights the growing significance of exit controls in migration management.

  9. English Language Literacies of Undergraduate Students in Malaysia's Culturally and Linguistically Diverse Environment: Casualties of National Language Policies and Globalisation?

    Science.gov (United States)

    Wahi, Wahiza

    2015-01-01

    The issue of Malaysian graduates' unemployment, attributed largely to their flawed English language competence, has been a major concern in the country for many years. The study reported in this paper sought to better comprehend future graduates' perspectives and practices in dealing with the English language literacies prior to graduation. This…

  10. Conjuring a New Category of Disability from Prenatal Cocaine Exposure: Are the Infants Unique Biological or Caretaking Casualties?

    Science.gov (United States)

    Schutter, Linda S.; Brinker, Richard P.

    1992-01-01

    A review of the literature on biological and environmental effects of cocaine use suggests that the classification of infants and young children as prenatally cocaine exposed is neither descriptive nor predictive of behavior. The classification of behavior rather than labeling of the child is encouraged, as are partnerships with families of…

  11. A Patient-Controlled Analgesia Adaptor to Mitigate Postsurgical Pain for Combat Casualties With Multiple Limb Amputation: A Case Series.

    Science.gov (United States)

    Pasquina, Paul F; Isaacson, Brad M; Johnson, Elizabeth; Rhoades, Daniel S; Lindholm, Mark P; Grindle, Garrett G; Cooper, Rory A

    2016-08-01

    The use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore function. For those individuals who require multiple surgeries, the use of patient-controlled analgesia (PCA) devices can be an effective way to achieve adequate pain management and promote successful rehabilitation and recovery during inpatient treatment. A subpopulation of patients are unable to independently control a PCA device because of severe multiple limb dysfunction and/or loss. In response to the needs of these patients, our team designed and developed a custom adaptor to assist service members who would otherwise not be able to use a PCA. Patient feedback of the device indicated a positive response, improved independence, and overall satisfaction during inpatient hospitalization. PMID:27483540

  12. Laser pointers revisited: a survey of 14 patients attending casualty at the Bristol Eye Hospital

    OpenAIRE

    Sethi, C.; Grey, R; Hart, C.

    1999-01-01

    AIMS—The largest clinical series of laser pointer exposures to date is described, to document any long term visual sequelae and assess objectively the visual threat from transient ocular exposure.
METHODS—14 cases were collected prospectively and triaged by ophthalmic nurses before referral to an ophthalmologist for a complete ophthalmic examination. Regardless of the need for clinical follow up, all patients were contacted by telephone at a mean interval of 10.5 months following exposure to ...

  13. Pulmonary (cardio) diagnostic system for combat casualty care capable of extracting embedded characteristics of obstructive or restrictive flow

    Science.gov (United States)

    Allgood, Glenn O.; Treece, Dale A.; Pearce, Fred J.; Bentley, Timothy B.

    2000-08-01

    Walter Reed Army Institute of Research and Oak Ridge National Laboratory have developed a prototype pulmonary diagnostic system capable of extracting signatures from adventitious lung sounds that characterize obstructive and/or restrictive flow. Examples of disorders that have been detailed include emphysema, asthma, pulmonary fibrosis, and pneumothorax. The system is based on the premise that acoustic signals associated with pulmonary disorders can be characterized by a set of embedded signatures unique to the disease. The concept is being extended to include cardio signals correlated with pulmonary data to provide an accurate and timely diagnoses of pulmonary function and distress in critically injured soldiers that will allow medical personnel to anticipate the need for accurate therapeutic intervention as well as monitor soldiers whose injuries may lead to pulmonary compromise later. The basic operation of the diagnostic system is as follows: (1) create an image from the acoustic signature based on higher order statistics, (2) deconstruct the image based on a predefined map, (3) compare the deconstructed image with stored images of pulmonary symptoms, and (4) classify the disorder based on a clustering of known symptoms and provide a statistical measure of confidence. The system has produced conformity between adults and infants and provided effective measures of physiology in the presence of noise.

  14. 论警察文化与警察伤亡%On the Police Culture and Police Casualties

    Institute of Scientific and Technical Information of China (English)

    方伟; 李隽谊

    2014-01-01

    警察是和平年代磨损最为严重的国家机器。警察出现伤亡有多方面原因。将奉献误解为过度奉献、将奉献与虚掷生命相等同、将奉献超越警察自身能力等警察文化建设的误区与警察的伤亡有着不可分割的关系。警察是正常的社会人,亦有人权,警察文化应以此为出发点进行建设、创新。为提高警察自身安全,警察文化应加强对警察自我保护意识的宣扬和培训。%Police suffer the greatest loss during the peacetime of a nation. Reasons for police causalities are diverse. Misunderstandings of police culture such as interpreting dedication as excessive devotion, equaling dedication with squandering life and dedication surpassing personal capabilities have close relations with police causalities. Police are normal members of the society and with human rights. This should be the starting point of police culture construction and innovation. To improve their safety, the awareness of self-protection should be strengthened in police culture construction.

  15. Flash floods casualties in south of France: from « passive » to « active » connotation of vulnerability.

    Science.gov (United States)

    Boissier, Laurent

    2010-05-01

    Keywords : flash floods, fatalities, human vulnerability, mitigation, South of France. With more than 150 victims in the past twenty years, mediterranean flash floods appear as the most threatening natural hazard in France. So, in purpose of reducing the number of victims by improving prevention, a good knowledge of human vulnerability is necessary. This contribution presents an accurate analysis of mortality in the south of France from 1988 to 2008 in regions exposed to « cevenoles floods » (i.e. the Languedoc-Roussillon region, Ardèche, Drôme, Vaucluse et Bouches-du-Rhône). Human vulnerability is analysed according to the detailed characteristics of victims (age, gender, origin), the exact location and the circumstances of decease. First, it introduces statistics on the characteristics of victims which offers keys to improve emergency management. It's possible to adapt the warning system by targeting the people exposed to flood's effects. Secondly, it shows that displacements in vehicle appear as the first circumstance of death (almost half of the cases). One of the reasons is that there is a lot of dangerous behaviours which are fatal to the victims. Indeed, numerous cases of fatalities are due to the lack of awareness (mainly because people lessen danger and believe they are unvulnerable) which means crossing hazardous roads prone to flooding and notably according to the type of used vehicle. But people also expose themselves to death ("dwelling death") by refusing to evacuate their homes. So, the main victims of floods are not the most vulnerable ones but those who are taking more risk through their behaviors. Those results show the shift from a so-called "passive connotation of vulnerability" (and a passive connotation of the victim) to a "responsible" vulnerability (which is an active connotation of the victim). Finally, this contribution focuses on the perspectives of prevention and wonder what can be the number of unavoidable losses of human lives, caused by uncontrollable individual behavior.

  16. Kathleen Sebelius was a casualty of the widespread expectation that cabinet secretaries have the wisdom and power to work miracles

    OpenAIRE

    Borrelli, MaryAnne

    2014-01-01

    On 10 April, Secretary of Health and Human Services, Kathleen Sebelius, announced her resignation. While the Obama administration’s Obamacare policy has now enrolled of almost 8 million people, Sebelius was widely blamed for last year’s failures of the healthcare.gov website. MaryAnne Borrelli reflects on Sebelius’ resignation, writing that the trials that Sebelius weathered show the scale of the challenges directed at cabinet secretaries and HHS secretaries in particular. Her successor, Sylv...

  17. Casualties due to the blast, heat, and radioactive fallout from various hypothetical nuclear attacks on the United States

    International Nuclear Information System (INIS)

    The authors have developed the tools for calculating the deaths and injuries due to blast, thermal effects, and local fallout from hypothetical nuclear attacks on the United States. This is the first time that the capability to do such consequence calculations has existed outside the (mostly classified) government domain. They have used this capability to explore the sensitivities of the consequences of a nuclear attack to various assumptions. The first was the sensitivity to the types of targets involved. They examined three different hypothetical ''limited'' nuclear attacks on the United States, each involving a 1-megaton (Mt) airburst over approximately 100 targets of three different types: The city centers of the 100 largest U.S. urban areas; 101 industries rated as the highest-priority targets for an attack on U.S. military-industrial capability; 99 key strategic nuclear targets

  18. Critical care nurses' experiences caring for the casualties of war evacuated from the front line: lessons learned and needs identified.

    Science.gov (United States)

    Kenny, Deborah J; Hull, Mary S

    2008-03-01

    Nursing in a critical care environment is stressful, particularly when patients are young, previously healthy soldiers who have experienced multiple severe, life-threatening injuries. These injuries not only devastate the injured soldiers and their families, but also significantly impact the nurses caring for these patients. This article discusses some stressors identified by critical care nurses in two military medical treatment facilities where the most severely injured soldiers undergo definitive care, and examines the evolution of the concept of compassion fatigue, its symptoms, and methods of coping. Examples of how the nurses currently working with these young soldiers manage their own stressors are discussed and suggestions for successful coping strategies are provided. PMID:18206583

  19. CARTOONS KILL: casualties in animated recreational theater in an objective observational new study of kids’ introduction to loss of life

    OpenAIRE

    Colman, I.; Kingsbury, M.; Weeks, M; Ataullahjan, A.; Bélair, M. A.; Dykxhoorn, J.; Hynes, K.; Loro, A.; Martin, M. S.; Naicker, K.; Pollock, N.; Rusu, C.; Kirkbride, J. B.

    2014-01-01

    Objectives To assess the risk of on-screen death of important characters in children’s animated films versus dramatic films for adults. Design Kaplan-Meier survival analysis with Cox regression comparing time to first on-screen death. Setting Authors’ television screens, with and without popcorn. Participants Important characters in 45 top grossing children’s animated films and a comparison group of 90 top grossing dramatic films for adults. Main outcome measures Time to first...

  20. The impact of the September 11 Terrorist Attack on the Global Insurance Markets: Evidence from the Japanese Property-Casualty Insurance Industry

    OpenAIRE

    Noriyoshi Yanase; Yukihiro Yasuda

    2010-01-01

    We investigate the significant effects of the September 11 attacks on the Japanese stock market, one of the largest markets in the world. Although several studies have examined the impact of the attacks on the domestic U.S. stock market, few studies have analyzed their impact on the foreign insurance industry through globally well-developed reinsurance transactions. Surprisingly, a mid-sized P/C insurance company, TAISEI Fire and Marine Insurance, went bankrupt on November 22, 2001, two month...

  1. How Safe is Vehicle Safety? The Contribution of Vehicle Technologies to the Reduction in Road Casualties in France from 2000 to 2010

    OpenAIRE

    Page, Yves; HERMITTE, Thierry; Cuny, Sophie

    2011-01-01

    In France, over the last 10 years, road fatalities have decreased dramatically by 48%. This reduction is somewhat close to the target fixed by the European Commision in 2001 for the whole of Europe (−50 %). According to the French govnerment, 75% of this reduction was due to the implementation of automatic speed cameras on the roadsides from 2003 onwards. Yet, during this period, there was also a significantly increase in safety technology, new regulations in front and side impacts, and devel...

  2. Casualties of the Global War on Terror and their future impact on health care and society: a looming public health crisis.

    Science.gov (United States)

    Baker, Michael S

    2014-04-01

    This article is a primer to understand the medical advances and the future health care consequences of the current conflicts in the Middle East and Southwest Asia, known as the Global War on Terror. There have been significant advances in health care learned in caring for those injured by the conflict--often a polytrauma blast victim, but there are also very high incidence rates of the hidden injuries of war--traumatic brain injury, post-traumatic stress disorder, suicide, and depression. These lead to disruptive behaviors, homelessness, and family violence. Global War on Terror returnees are using medical services and applying for disability at higher rates than in previous conflicts. The costs for veterans' care may peak 30 to 40 years or longer following the conflict, and will inflict an enormous burden on services and resources. The effects of the war will linger for years and impact across generations because of the stress on families and children. We must mobilize government agencies, create public-private partnerships, and invest our resources now to mitigate the approaching tsunami of veterans' health care needs, the impact on our social services, and the devastating costs to society. PMID:24690957

  3. An Analysis of the Relationship between Casualty Risk Per Crash and Vehicle Mass and Footprint for Model Year 2000-2007 Light-Duty Vehicles

    Energy Technology Data Exchange (ETDEWEB)

    Wenzel, Tom [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division. Building Technology and Urban Systems Dept.

    2012-08-01

    NHTSA recently completed a logistic regression analysis (Kahane 2012) updating its 2003 and 2010 studies of the relationship between vehicle mass and US fatality risk per vehicle mile traveled (VMT). The new study updates the previous analyses in several ways: updated FARS data for 2002 to 2008 involving MY00 to MY07 vehicles are used; induced exposure data from police reported crashes in several additional states are added; a new vehicle category for car-based crossover utility vehicles (CUVs) and minivans is created; crashes with other light-duty vehicles are divided into two groups based on the crash partner vehicle’s weight, and a category for all other fatal crashes is added; and new control variables for new safety technologies and designs, such as electronic stability controls (ESC), side airbags, and methods to meet voluntary agreement to improve light truck compatibility with cars, are included.

  4. A new system for the X-ray examination of casualties: easier, faster examnination without changing the patient's position by means of the Vertix 3 D

    International Nuclear Information System (INIS)

    Due to the adjustment problems with the traditional overhead support, repeatedly the conventional radiation systems applied until today in emergency departments resulted to be disadvantageous. Another disadvantage is that the patient's position has often to be changed in order to photograph the individual sections to be examined. With a stirrup system attached to the overhead support and a patient table board with a thin plate vertically adjustable, these disadvantages can be eliminated. Since the system works with a fixed raster cassette with a high camera shaft ratio, a lighter constructional design and an easier operation without an impairment of image quality are rendered possible. This study describes the applicability of a new unit especially designed for emergency diagnostics, which is supplemented with a previously programmed generator, a table board with vertical adjustment and an exchangeable mobile sliding mattress. (orig.)

  5. Surge Capacity and Capability. A review of the history and where the science is today regarding surge capacity during a mass casualty disaster.

    Directory of Open Access Journals (Sweden)

    Randy D. Kearns

    2014-04-01

    Full Text Available Disasters which include countless killed and many more injured, have occurred throughout recorded history. Many of the same reports of disaster also include numerous accounts of individuals attempting to rescue those in great peril and render aid to the injured and infirmed. The purpose of this paper is to briefly discuss the transition through several periods of time with managing a surge of many patients. This review will focus on the triggering event, injury and illness, location where the care is provided and specifically discuss where the science is today.

  6. USCG Vessel Events

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  7. USCG Injury

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  8. USCG Vessel

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  9. USCG Facility Pollution

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  10. USCG Other Events

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  11. USCG Vessel Pollution

    Data.gov (United States)

    Department of Homeland Security — The Marine Casualty and Pollution Data files provide details about marine casualty and pollution incidents investigated by Coast Guard Offices throughout the United...

  12. On "Victims Consent" and Its Application in School Casualty Accident%论"受害人同意"及其在学生伤害事故中的适用

    Institute of Scientific and Technical Information of China (English)

    方益权; 陈英

    2007-01-01

    在侵权行为法中,对于受害人同意的含义、构成要件、法律效力等,学界存在很大争议,各国法律规定也不尽相同.尤其在学生伤害事故中,是否可适用受害人同意规则进行裁判,常是争议之焦点.在对抗性或具有风险性的体育竞赛活动中发生意外伤害等三种情况下,可适用受害人同意规则进行裁判.

  13. Psychological intervention in the casualties of 4·28 train crash on the Jiao-Ji railway line%"4·28"胶济铁路交通事故伤员心理危机的干预

    Institute of Scientific and Technical Information of China (English)

    赵国秋; 汪永光; 王义强; 张素芬; 曹日芳; 唐济生; 路英智

    2008-01-01

    目的 分析淄博铁路交通事故伤员心理行为反应特点以寻找救治交通事故后患者的心理的有效方法.方法 采用心理危机结构式访谈问卷,对2008年4月28日发生的山东淄博胶济铁路重大交通事故中的226伤员进行心理状态评估,并对22名ASD患者进行眼动脱敏再加工(eyemovement desensitization and reprocessing,EMDR)治疗,比较EMDR治疗前后的心理行为反应的差异.结果 有22名达到ASD(急性应激障碍)诊断标准,本次铁路交通事故中ASD的发生率为9.73%,伤员中主要以闯入、警觉性增高表现为主,并伴随着其他的负性情绪体验.女性组ASD的发生率(14.85%)高于男性组(5.60%),P0.05).Conclusions The women showed more severe psychological consequences than men after train crash accident.EMDR was effective treatment on ASD but negative emotional symptoms.

  14. The Measurement of Economic Capital of Lines of Business of Chinese Property and Casualty Insurance Company%我国财产保险公司承保业务线经济资本的度量

    Institute of Scientific and Technical Information of China (English)

    陈迪红; 王清涛

    2013-01-01

    承保风险是保险公司面临的主要风险之一,合理地计量其经济资本有助于提高公司的资本管理能力.采用多元Copula理论对我国某财险公司主要业务线的相依结构进行建模,选择拟合较好的GaussCopula,在此基础上,使用凹扭曲风险度量测度主要业务线的经济资本.结果显示:凹扭曲风险度量中的Wang风险度量能够根据风险的整体水平灵活地调整所需的经济资本.

  15. 起重伤亡事故分析及司机行为特性研究%Analysis of crane casualties and research on characters of drivers' behavior

    Institute of Scientific and Technical Information of China (English)

    梁锋; 李红杰; 王海勇

    2002-01-01

    介绍了近年来起重伤亡事故概况,并通过对某企业历年来起重伤亡事故的分析,探讨了起重伤亡事故的原因,以及事故发生的一般规律,并对起重司机的行为特性作了研究,为起重事故预防提供了科学依据.

  16. 7 CFR 1767.31 - Administrative and general expenses.

    Science.gov (United States)

    2010-01-01

    ..., DEPARTMENT OF AGRICULTURE (CONTINUED) ACCOUNTING REQUIREMENTS FOR RUS ELECTRIC BORROWERS Uniform System of... public liability, property damages, casualty, employee liability, etc., and amounts credited to Account... others, such as public liability, property damages, casualty, employee liability, etc., and...

  17. 77 FR 61055 - Agricultural Bioterrorism Protection Act of 2002; Biennial Review and Republication of the Select...

    Science.gov (United States)

    2012-10-05

    ... casualties or devastating effects to the economy, critical infrastructure, or public confidence. We are also... evaluated their ``potential for mass casualties or devastating effects to the economy, critical... significant potential for mass casualties or devastating effects to the economy, critical infrastructure,...

  18. A markov decision process model for the optimal dispatch of military medical evacuation assets.

    Science.gov (United States)

    Keneally, Sean K; Robbins, Matthew J; Lunday, Brian J

    2016-06-01

    We develop a Markov decision process (MDP) model to examine aerial military medical evacuation (MEDEVAC) dispatch policies in a combat environment. The problem of deciding which aeromedical asset to dispatch to each service request is complicated by the threat conditions at the service locations and the priority class of each casualty event. We assume requests for MEDEVAC support arrive sequentially, with the location and the priority of each casualty known upon initiation of the request. The United States military uses a 9-line MEDEVAC request system to classify casualties as being one of three priority levels: urgent, priority, and routine. Multiple casualties can be present at a single casualty event, with the highest priority casualty determining the priority level for the casualty event. Moreover, an armed escort may be required depending on the threat level indicated by the 9-line MEDEVAC request. The proposed MDP model indicates how to optimally dispatch MEDEVAC helicopters to casualty events in order to maximize steady-state system utility. The utility gained from servicing a specific request depends on the number of casualties, the priority class for each of the casualties, and the locations of both the servicing ambulatory helicopter and casualty event. Instances of the dispatching problem are solved using a relative value iteration dynamic programming algorithm. Computational examples are used to investigate optimal dispatch policies under different threat situations and armed escort delays; the examples are based on combat scenarios in which United States Army MEDEVAC units support ground operations in Afghanistan. PMID:25223847

  19. Ship accident studies

    International Nuclear Information System (INIS)

    This paper summarizes ship accident studies performed by George G. Sharp, Inc. for the U.S. Maritime Administration in connection with the Nuclear Ship Project. Casualties studied include fires/explosions, groundings and collisions for which a method for calculating probability on a specific route was developed jointly with the Babcock and Wilcox Co. Casualty data source was the Liverpool's Underwriters Association Casualty Returns

  20. Verkeersslachtoffers door botsingen tegen geopende laadkleppen van vrachtauto's : inventarisatie van aantallen slachtoffers en veiligheidseisen aan laadkleppen.

    OpenAIRE

    Schoon, C.C. & Darouache, S.

    2004-01-01

    SWOV is often asked the question of how many casualties there are each year in collisions with an opened lorry tailboard. This was the reason to determine the size of this problem, and to simultaneously examine what could be done to improve safety. Casualties as a result of collisions with tailboards cannot be distinguished in the national road casualty registration. That is why this study used the Injury Surveillance System 'LIS' of the Consumer Safety Institute. The LIS database contains ca...

  1. Safety Research Experiment Facility project. Conceptual design report. Volume IX. Experiment handling

    International Nuclear Information System (INIS)

    Information on the SAREF Reactor experiment handling system is presented concerning functions and design requirements, design description, operation, casualty events and recovery procedures, and maintenance

  2. Análisis del agente lesivo en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán) Analysis of the injuring agent in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan)

    OpenAIRE

    R. Navarro Suay; A. Hernández-Abadía de Barbará; C. Gutiérrez Ortega; R. Tamburri Bariain; E. Bartolomé Cela; F. Gilsanz Rodríguez

    2011-01-01

    Introducción: El conocimiento sobre aspectos relacionados con el armamento mejoran el diagnóstico y el tratamiento global del herido, sobretodo en el caso del médico militar. Se exponen los agentes lesivos de los principales conflictos recientes. El objetivo del estudio es el análisis del agente lesivo de las bajas atendidas en el Hospital Militar (ROLE 2) de Herat (Afganistán) entre 2005 y 2008. Material y método: Se ha diseñado un estudio descriptivo, transversal sobre todo el personal civi...

  3. Análisis de la topografía lesional en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán) Analysis of the lesional topography in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan)

    OpenAIRE

    R. Navarro Suay; A. Hernández-Abadía de Barbará; C. Gutiérrez Ortega; E. Bartolomé Cela; R. Tamburri Bariain; F. Gilsanz Rodríguez

    2011-01-01

    Introducción: La localización corporal de las lesiones por arma de fuego y por artefactos explosivos en el combatiente ha seguido un patrón diferente a lo largo de la historia. La distribución anatómica de dichas lesiones en los últimos conflictos ha demostrado que las áreas más afectadas son las extremidades, seguidas de la cabeza y el cuello. El objetivo del estudio es describir la experiencia de Médicos Militares españoles desplegados en el Hospital Militar Role 2 de Herat (Afganistán) sob...

  4. Verkeersslachtoffers door botsingen tegen geopende laadkleppen van vrachtauto's : inventarisatie van aantallen slachtoffers en veiligheidseisen aan laadkleppen.

    NARCIS (Netherlands)

    Schoon, C.C. & Darouache, S.

    2004-01-01

    SWOV is often asked the question of how many casualties there are each year in collisions with an opened lorry tailboard. This was the reason to determine the size of this problem, and to simultaneously examine what could be done to improve safety. Casualties as a result of collisions with tailboard

  5. 76 FR 61205 - Possession, Use, and Transfer of Select Agents and Toxins; Biennial Review

    Science.gov (United States)

    2011-10-03

    ... significant potential for mass casualties or devastating effects to the economy, critical infrastructure; or... effects to the economy, critical infrastructure; or public confidence; and the optimization of security... potential for mass casualties or devastating effects to the economy, critical infrastructure, or...

  6. Medical aspects of the Battle of Waterloo: the battle.

    Science.gov (United States)

    Crumplin, Mick

    2015-06-01

    The Duke of Wellington's polyglot army assembled for the Waterloo campaign was hastily aggregated and the Army Medical Department was somewhat short of staff and not entirely of the calibre of the department serving latterly in the Peninsular campaigns. The casualty rates during the battles of this campaign were high and the regimental and hospital staff struggled with the large number of casualties. Lack of stretcher bearers and transport were significant problems, which were compounded by the high density of the casualties. Three quarters of the surviving wounded rejoined their units. PMID:25525203

  7. Towards a Latin America free of casualties due to lack of road safety: The case of Brazil. "An analysis of road casualties in Brazil focusing on road traffic conditions and road accidents' characteristics" Title: Hacia una América Latina libre de muertes por la falta de seguridad vial: El caso brasileño. "Un Análisis de los accidentes en Brasil con un enfoque sobre las condiciones de tráfico y las características de los accidentes" Title: Em busca de mais segurança e menos mortes em rodovias da América Latina: O Caso Brasileiro. "Uma análise dos acidentes no Brasil, com um enfoque nas condições de tráfego e características dos acidentes"

    OpenAIRE

    Paulo Resende; Esteban Diez-Roux; Sissi Maribel De la Peña Mendoza

    2011-01-01

    As part of its Road Safety Initiative, the IDB is working with strategic partners to raise awareness about the importance of road safety during the UN Decade for Action for Road Safety 2011-2020. The IDB and Fundação Dom Cabral co-published this technical note to highlight the need for road safety education and awareness. The analysis presented is based on five years of data from 25,000 km of highways in Brazil. It identifies the main causes of traffic accidents, which are road user behavior ...

  8. Les principaux accidents de déversements pétroliers en mer et la banque de données de l'Institut Français du Pétrole sur les accidents de navires (1955-1979 The Principal Offshore Oil-Spill Accidents and the Tanker Casualties Data-Bank(1955-1979 Compiled by Institut Français du Pétrole

    Directory of Open Access Journals (Sweden)

    Bertrand A. R. V.

    2006-11-01

    Full Text Available Après avoir exposé les principaux problèmes posés par le déversement accidentel de pétrole en mer sous ses aspects qualitatifs et quantitatifs, puis rappelé un certain nombre de données tirées d'études antérieures, nous indiquons les résultats de l'activité documentaire de l'Institut Français du Pétrole dans ce domaine : -liste d'accidents ayant donné lieu à un déversement supérieur à 500 t et d'origines diverses (navires, plates-formes, oléoducs, installations côtières; - banque de données sur les accidents de navires. Cette banque concernant plus de 400 accidents survenus de 1955 à 1979 a permis d'établir plusieurs corrélations et de préciser quelques points. En particulier si le nombre d'accidents « principaux » ne semble pas avoir augmenté d'une façon significative au cours de ces dernières années ainsi que le déversement global dû aux accidents, celui-ci nous paraît avoir été sous-estimé dans les évaluations antérieures. II devrait s'élever à 500 000 t/an au lieu de 300 000 t/an, chiffre donné en 1973 par la National Academy of Sciences américaine et constamment repris depuis dans de nombreux rapports et publications. After describing the main problems raised by occidental offshore oil spills from a qualitative and quantitative standpoint and then reviewing various data token from previous reports, this article goes on to describe the results of documentary activity by Institut Français du Pétrole in this field - list of accidents resulting in a spill of more than 500 t and coming from various origins (ships, platforms, pipelines, coastal installations; - data bank on ship accidents. This data bank includes more thon 400 accidents occurring between 1955 and 1979. It reveals various correlations and specific points. In particular, whereas the number of « principal » accidents does not seem to have appreciably increased in the last few years nor has the overall amount thus spilled, these data appear ta have been underestimated in previous evaluations. The figure for total spills due ta ship accidents should be closer to 500000 tons per year instead of the 300000tons per year, a figure given in 1973 by the National Academy of Sciences in the United States and constantly quoted since in reports and publications.

  9. Færdselsuheldsstatistikkens dækningsgrad

    DEFF Research Database (Denmark)

    Nordentoft, E L; Larsen, C F; Jørgensen, H R

    1989-01-01

    Only 19% of the 3,071 injured persons who were treated in the casualty department of Odense Hospital following traffic accidents in 1987 could be found again in the police registers of traffic accidents from the same region. All of the registrations from the police registers from the central region...... registration of the use of safety belts and crash helmets. In Odense, the municipal road authorities utilize the localization of the accidents reported by the casualty department. The decrease in the degree of coverage is due mainly to an increasing proportion of bicycle accidents. Where casualties require...... could be found again in the casualty department. In 1971, the corresponding coverage was 36%. The degree of coverage is particularly low for single bicycle accidents, other bicycle accidents, other single accidents and the hours immediately after midnight. Considerable disagreement exists concerning...

  10. 76 FR 54796 - Notice of Determinations Regarding Eligibility To Apply for Worker Adjustment Assistance and...

    Science.gov (United States)

    2011-09-02

    ... articles is a party to a free trade agreement with the United States; 2. The country to which the workers... Casualty Company, Chicago, Illinois. TA-W-80,279; Paris Accessories, Inc., Yellville, Arkansas....

  11. 49 CFR 1242.42 - Administration, repair and maintenance, machinery repair, equipment damaged, dismantling retired...

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Administration, repair and maintenance, machinery repair, equipment damaged, dismantling retired property, fringe benefits, other casualties and insurance... maintenance, machinery repair, equipment damaged, dismantling retired property, fringe benefits,...

  12. 超级成语SHOW

    Institute of Scientific and Technical Information of China (English)

    赵静如

    2004-01-01

    @@ A: I heard that the building at the comer of the street was on fire last night. B: Yes. By the time the fire engine arrived, the house was burning like anything. A: Were there any casualties? B: Nope.

  13. Prospects for improved detection of chemical, biological, radiological, and nuclear threats

    Energy Technology Data Exchange (ETDEWEB)

    Wuest, Craig R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hart, Brad [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Slezak, Thomas R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2012-07-31

    Acquisition and use of Chemical, Biological, Radiological, and Nuclear (CBRN) weapons continue to be a major focus of concern form the security apparatus of nation states because of their potential for mass casualties when used by a determined adversary.

  14. Rotors out of vision; Rotoren im toten Winkel

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Torsten

    2012-07-13

    Bats have impressive abilities, but precise localisation of wind turbine rotors is not one of them. To protect endangered species, environmentalists are demanding monitoring and shutoff algorithms for wind turbines in order to reduce the number of casualties.

  15. Nuclear emergencies: medical preparedness

    International Nuclear Information System (INIS)

    This note outlines C.E.G.B. facilities and emergency plans to deal with casualties of on site radiation accidents, tested each year under the auspices of the U.K. HM Nuclear Installations Inspectorate. (U.K.)

  16. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Value-Based Payment Modifier Quality and Resource Use Reports Electronic Health Records (EHR) Incentive Program Physician Compare ... Shooter and Intentional Mass Casualty Events Surgeons and Medical Liability Surgeons as Advocates Surgeons and Bundled Payment ...

  17. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Value-Based Payment Modifier Quality and Resource Use Reports Electronic Health Records (EHR) Incentive Program Physician Compare ... Shooter and Intentional Mass Casualty Events Surgeons and Medical Liability Surgeons as Advocates Surgeons and Bundled Payment ...

  18. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... to Enhance Survival in Active Shooter and Intentional Mass Casualty Events Surgeons and Medical Liability Surgeons as ... Benefits Current Openings Newsroom Newsroom Newsroom Press Releases Media Resources The FIRST Trial ACS Publications ACS in ...

  19. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... to Enhance Survival in Active Shooter and Intentional Mass Casualty Events Surgeons and Medical Liability Surgeons as ... Benefits Current Openings Newsroom Newsroom Newsroom Press Releases Media Resources The FIRST Trial ACS Publications ACS in ...

  20. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Federal Legislation Federal Legislation Medicare Physician Payment Medical Liability Reform GME and Workforce Trauma and EMS Cancer ... and Intentional Mass Casualty Events Surgeons and Medical Liability Surgeons as Advocates Surgeons and Bundled Payment Models ...

  1. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Federal Legislation Federal Legislation Medicare Physician Payment Medical Liability Reform GME and Workforce Trauma and EMS Cancer ... and Intentional Mass Casualty Events Surgeons and Medical Liability Surgeons as Advocates Surgeons and Bundled Payment Models ...

  2. Communist Party Heroes

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    When a catastrophic 8-magmtude earthquake hit south western Sichuan Province at 2:28 p.m. on May 12, causing 400,000 casualties and destroying towns and villages, the country faced a massive rescue operation.

  3. Toxikologie zplodin hoření

    OpenAIRE

    SIKORA, Henryk

    2007-01-01

    Fire presents a significant risk of the formation of toxic combustion gases. These substances further endanger fire squad units and nearby residents. Toxic gases are responsible for almost 50% of all fire casualties and cause one third of fatal casualties. The amount and composition of gases depend to a great extent on the conditions of thermal degradation especially temperature and the amount of oxygen in the surrounding atmosphere. Prevention or minimisation of consequences of formation of ...

  4. Disaster Preparation and Recovery - Multiple Languages: MedlinePlus

    Science.gov (United States)

    ... ضع خطة وتدرّب علیھا - العربية Multimedia Healthy Roads Media Mass Casualty Patient Self-Assessment Form (Arabic) نرجو ملئ ... ku tababaro - af Soomaali (Somali) Multimedia Healthy Roads Media Mass Casualty Patient Self-Assessment Form Fadlan Buuxi Warqaddan ...

  5. Studie připravenosti zdravotnické záchranné služby na mimořádnou událost s velkým počtem raněných a obětí - dopravní nehoda autobusu

    OpenAIRE

    PRUDEL, Ondřej

    2013-01-01

    This diploma thesis deals with problematic of emergency medical service preparedness in the Czech Republic, in the place of disaster and during this situation especially in bus accident with large number of injuries and casualties. Bus accident can create high risk of forming mass disaster due to many people transported in small area with low safety components. High risk of many injuries and casualties with chaotic first call make hard decision to activate plans to solve this situation for em...

  6. An 802.11 Wireless Blood Pulse-Oximetry System for Medical Response to Disasters

    OpenAIRE

    Palmer, Douglas A.; Rao, Ramesh; Lenert, Leslie A.

    2005-01-01

    In a mass casualty situation, medical personnel at the disaster site and other field treatment settings may need to monitor the vital signs of hundreds of seriously injured patients with minimal staffing. The conditions may be primitive and personnel may have to improvise infrastructure. As part of our research to enhance medical response to disasters with Internet-enabled systems, we have developed a prototype Wireless Blood Pulse Oximeter system for mass casualty events de...

  7. Dutch dikes, and risk hikes; a thematic policy evaluation of risks of flooding in the Netherlands. Extended summary

    OpenAIRE

    MNP

    2005-01-01

    Dams in the Netherlands have never been stronger so the probability of encountering floods from rivers or on the coast similar to the great flood in the south-western part of the Netherlands in 1953 has declined. However, the risks of casualties and economic damage from flooding have become much greater since this event. The controversy intimated here (decreased probability of flooding vs. increased risks of casualties and economic damage) has been largely attributed to a creeping discrepancy...

  8. Protests focused on drones distract from the real issue of using targeted killings as a counter-terrorism strategy

    OpenAIRE

    Allen, Natalie

    2014-01-01

    Over the past decade, the US has carried out hundreds of strikes against terrorist targets using unmanned aerial vehicles, known as drones. The use of these drones has accelerated under the Obama Administration, which has led to growing protests over civilian casualties stemming from their operations. Natalie Allen argues that drones are in fact one of the most effective forms of warfare to prevent civilian casualties, and that whether the war itself is justified is an entirely different matt...

  9. The Potential for Further Development of Passive Safety

    OpenAIRE

    Frampton, Richard; Lenard, James

    2009-01-01

    In Europe, emphasis is being transferred from injury prevention to accident prevention to reduce road casualties. This study attempted to identify the current potential for serious casualty reduction using passive safety by examining the crash performance of new cars with seriously injured occupants. The Co-operative Crash Injury Study conducts in-depth investigations of around 1200 vehicles per year from seven sample regions around England. Attention was focussed on passenger cars manufactur...

  10. Applying radiation protection issues to hospitals radiological emergency preparedness

    International Nuclear Information System (INIS)

    Updating Hospitals emergency preparedness to Radiological Emergency situations was an opportunity to reevaluate key issues: What is the main threat - Nuclear or Radiological? RDD or industrial? As a result of such a discussion-what kind of radiation monitors to select? Should they be similar to those other emergency organizations use? What Personal Protective Equipment (PPE) level to decide on? Who are hospital emergency team members and how deep is there radiation protection knowledge? How and where to train them? Are drills needed? How often so normal hospital activity is not disturbed? What kind of manuals to prepare? This paper describes the process that led to the change of policy from preparedness to nuclear accidents only, to all kind of radiological emergencies with an emphasis on radiological terror. Supply of new radiation and contamination detection equipment took place, same as the one that other emergency teams have. A new and simple level C PPE applied. Training set different team members on same level. Several manuals prepared: How to prepare Hospital to contaminated casualties in order to minimize normal routine - in case there is an information on contaminated casualties on the way and in case it was discovered after they arrived, how to treat a contaminated casualty, to decontaminate him or not? How to decide that a casualty is contaminated or not? What to do with casualties belongings? What to do with contaminated equipment? How to exit a contaminated zone? How to set hospital back to ordinary work? etc. (author)

  11. The Role of Emergency Medical Service in CBR Incidents

    International Nuclear Information System (INIS)

    Majority of Emergency Medical Services (EMS) have daily extensive experience with rescue of casualties having trauma injuries, resulting from conventional incidents. In the case of non-conventional incidents involving chemical, bacteriological or radiological (CBR) hazardous materials operational scene for all responders is begin to be more complicated due contamination of casualties, equipment and environment. Especially EMS personnel and receiving staff at the hospital have to work under very demanding condition due to burden of personal protective equipment (PPE) and awareness to avoiding cross-contamination during handling casualties. Those conditions require significantly different approaches for search and rescue of victims from incident site, through transportation and effective treatment at medical facilities. In cases when chemicals will be major hazard materials, the speed of rescue and treatment of victims is a major challenge. Each minute matter, and any delay of response could seriously complicated saving of lives and successful recovery of exposed victims. Success in rescue victims is finally measured thorough the ability of the first responders to save people... ALIVE..., no matter what surrounding condition is. The presentation is providing a view and suggestions on more rapid immediate medical response during non-conventional incidents. It names basic concept based on preparedness, early identification of CBR hazards through signs and symptoms of casualties, priorities of rescue procedures and care on-site, needs of decontamination, rapid evacuation casualties from a scene and immediate hospital response.(author)

  12. Biosimmer: A Virtual Reality Simulator for Training First Responders in a BW Scenario

    Energy Technology Data Exchange (ETDEWEB)

    Shawver, D.M.; Sobel, A.L.; Stansfield, S.A.

    1998-11-11

    BioSimMER (Bioterrorism Simulated Medical Emergency Response) is a Virtual Reality-based mission rehearsal and training environment. BioSimMER employs contingency-oriented, multiple-path algorithms and MOESINIOPS focused on real-world operations. BioSimMER is network-based and immerses multiple trainees in a high resolution synthetic environment, including virtual casualties and instruments that they may interact with and manipulate. Trainees are represented as individuals by virtual human Avatars. The simulation consists of several components: virtual casualties dynamically manifest the symptoms of their injuries and respond to the intervention of the trainees. Agent transport analysis is used to simulate casualty exposures and to drive the responses of simulated sensors/detectors. The selected prototype scenario is representative of combined injuries anticipated in BW operations.

  13. Heterotopic ossification in victims of the London 7/7 bombings.

    Science.gov (United States)

    Edwards, D S; Clasper, J C; Patel, H D L

    2015-12-01

    Heterotopic ossification (HO) is the formation of bone at extraskeletal sites. Over 60% of amputees injured by improvised explosive devices in the recent conflict in Afghanistan have developed HO, resulting in functional impairment. It is hypothesised that a key aetiological factor is the blast wave; however, other environmental and medical risk factors, which the casualties have been exposed to, have also been postulated. The suicide terrorist bombings in London in 2005 resulted in many blast-related casualties, many of whom were managed by the Royal London Hospital. This cohort of severely injured patients whose injuries also included trauma-related amputations shared some, but not all, of the risk factors identified in the military population. We reviewed these patients, in particular to assess the presence or absence of military-established risk factors for the formation of HO in these casualties. PMID:25645697

  14. Analytical data of January 1993 communal riot victims--the KEM Hospital experience.

    Directory of Open Access Journals (Sweden)

    Dalvie S

    1993-01-01

    Full Text Available Bombay experienced a violent outbreak of communal rioting in January 1993. Four hundred and thirteen casualties were treated in the KEM hospital from January 7 to January 15, of which 194 required admission and further management. Twenty-seven were brought dead on arrival. The large influx of casualties sustained over a period of 9 days tended to overwhelm the medical facilities. The data of the admitted patients are analyzed to identify the frequency of admissions, cause and nature of injuries sustained, management and prognosis of casualties in such a catastrophe. An attempt is also made to identify the problems faced during such a crisis and a few suggestions made for their solution.

  15. An international review of the frequency of single-bicycle crashes (SBCs) and their relation to bicycle modal share

    DEFF Research Database (Denmark)

    Schepers, Paul; Agerholm, Niels; Amoros, Emmanuelle;

    2015-01-01

    Objectives To study cyclists’ share of transport modes (modal share) and single-bicycle crashes (SBCs) in different countries in order to investigate if the proportion of cyclist injuries resulting from SBCs is affected by variation in modal share. Methods A literature search identified figures...... (largely from western countries) on SBC casualties who are fatally injured, hospitalised or treated at an emergency department. Correlation and regression analyses were used to investigate how bicycle modal share is related to SBCs. Results On average, 17% of fatal injuries to cyclists are caused by SBCs...... SBC casualties among the total number of road crash casualties increases proportionally less than the increase in bicycle modal share. Conclusions While most fatal injuries among cyclists are due to motor vehicle–bicycle crashes, most hospital admissions and emergency department attendances result...

  16. The analysis of epidemiological characteristics of road traffic crashes in a mountain city in western China

    Institute of Scientific and Technical Information of China (English)

    周继红; 赵新才; 王正国; 朱佩芳; 简华刚; 刘大维; 周金玲; 刘蕾

    2003-01-01

    Objective: To study the epidemiological characteristics and preventive methods of road traffic crashes in a mountain city in western China through sampling investigation of traffic crashes in different regions of Chongqing city in recent years. Methods: Two police teams of traffic management in downtown, two teams in suburb, one team in county and one freeway team were randomly selected, and road traffic crashes between 1988 and 1997 were investigated and analyzed. Results: A total of 13121 road traffic crashes with 6201 crashes with casualties were analyzed. The incidence of crashes was higher in May, June and July, and on Friday and Wednesday and at 8:00-12:00 and 14:00-18:00 within a day. Casualties were 44.0% in pedestrians and 42.5% in passengers of total casualties. The deaths and severe injuries in pedestrians were59.1% of total deaths and 56.4% of total severe injuries. The age of drivers and passengers were mainly at 18-30 years, followed by 31-40 years. People over 60 years old accounted for 24.1% of total pedestrian casualty. Head injury was the most common reason for deaths. The main reasons for these crashes were improper driving and violating traffic laws. Violating traffic laws by pedestrian was one of the main reasons for pedestrian casualty. Conclusions: The crashes are related to the characteristics of geography, climate, society activity of people, and the sense of traffic safety, the basic traffic construction and management in Chongqing. The traffic casualty of pedestrian is a big problem in Chongqing. To prevent and decrease road traffic injuries effective methods should be worked out and propaganda on traffic safety and traffic management should be strengthened according to different characteristics of different regions. To strengthen the first aid and treatment of cranium-brain injury and chest-back injury is also helpful in decreasing traffic deaths.

  17. Radiation Injury Treatment Network®: Preparedness Through a Coalition of Cancer Centers.

    Science.gov (United States)

    Case, Cullen

    2016-08-01

    This article provides an overview of Radiation Injury Treatment Network® (RITN), its preparedness activities and capabilities, including training and educating over 11,500 hospital staff, coordinating over 500 exercises, developing treatment guidelines, developing standard operating procedures, and being recognized by the U.S. federal government as a national response asset. The RITN provides comprehensive evaluation and treatment for victims with marrow toxic injuries. Many of the casualties from the detonation of an improvised nuclear device (IND) (a.k.a. terrorist nuclear bomb) with only radiation injuries will be salvageable; however, they would require outpatient and/or inpatient care. Recognizing this, the U.S. National Marrow Donor Program (NMDP), U.S. Navy, and American Society for Blood and Marrow Transplantation (ASBMT) collaboratively developed RITN, which comprises medical centers with expertise in the management of bone marrow failure. The medical community will undoubtedly be taxed by the resulting medical surge from an IND despite the well-defined United States emergency medical system, the National Disaster Medical System; however, one area that is unique for radiological disasters is the care for casualties with acute radiation syndrome. Hematologists and oncologists purposefully expose their cancer patients to high doses of radiation and toxic chemicals for chemotherapy as they treat their patients, resulting in symptoms not unlike casualties with exposure to ionizing radiation from a radiological disaster. This makes the staff from cancer centers ideal for the specialized care that will be required for thousands of casualties following a mass casualty radiological incident. The RITN is a model for how a collaborative effort can fill a readiness gap-through its network of 76 hospitals, blood donor centers, and cord blood banks, the RITN is preparing to provide outpatient care and specialized supportive care to up to 63,000 radiological casualties

  18. Deprived children or deprived neighbourhoods? A public health approach to the investigation of links between deprivation and injury risk with specific reference to child road safety in Devon County, UK

    Directory of Open Access Journals (Sweden)

    Hewson Paul

    2004-05-01

    Full Text Available Abstract Background Worldwide, injuries from road traffic collisions are a rapidly growing problem in terms of morbidity and mortality. The UK has amongst the worst records in Europe with regard to child pedestrian safety. A traditional view holds that resources should be directed towards training child pedestrians. In order to reduce socio-economic differentials in child pedestrian casualty rates it is suggested that these should be directed at deprived children. This paper seeks to question whether analysis of extant routinely collected data supports this view. Methods Routine administrative data on road collisions has been used. A deprivation measure has been assigned to the location where a collision was reported, and the home postcode of the casualty. Aggregate data was analysed using a number of epidemiological models, concentrating on the Generalised Linear Mixed Model. Results This study confirms evidence suggesting a link between increasing deprivation and increasing casualty involvement of child pedestrians. However, suggestions are made that it may be necessary to control for the urban nature of an area where collisions occur. More importantly, the question is raised as to whether the casualty rate is more closely associated with deprivation measures of the ward in which the collision occurred than with the deprivation measures of the home address of the child. Conclusion Conclusions have to be drawn with great caution. Limitations in the utility of the officially collected data are apparent, but the implication is that the deprivation measures of the area around the collision is a more important determinant of socio-economic differentials in casualty rates than the deprivation measures of the casualties' home location. Whilst this result must be treated with caution, if confirmed by individual level case-controlled studies this would have a strong implication for the most appropriate interventions.

  19. An international review of the frequency of single-bicycle crashes (SBCs) and their relation to bicycle modal share

    DEFF Research Database (Denmark)

    Schepers, Paul; Agerholm, Niels; Amoros, Emmanuelle; Benington, Rob; Bjørnskau, Torkel; Dhondt, Stijn; de Geus, Bas; Hagemeister, Carmen; Loo, Becky P. Y.; Niska, Anna

    2015-01-01

    Objectives To study cyclists’ share of transport modes (modal share) and single-bicycle crashes (SBCs) in different countries in order to investigate if the proportion of cyclist injuries resulting from SBCs is affected by variation in modal share. Methods A literature search identified figures...... SBC casualties among the total number of road crash casualties increases proportionally less than the increase in bicycle modal share. Conclusions While most fatal injuries among cyclists are due to motor vehicle–bicycle crashes, most hospital admissions and emergency department attendances result...

  20. Coping in a calamity: Radiology during the cloudburst at Leh

    OpenAIRE

    2013-01-01

    The service hospital at Leh is a multispeciality hospital situated at an altitude of 11000 feet above mean sea level. On the nights of 4 and 5 Aug 2010, Leh was struck by a cloudburst leading to mudslides and consequently extensive damage to life and property. Being the only functional hospital, over a period of about 48 hours, 331 casualties were received. 549 casualties were received over the week with 108 admissions, 16 major surgeries and 138 minor surgeries. 178 radiographs, 17 CT scans ...

  1. Berekening van het werkelijk aantal in ziekenhuizen opgenomen verkeersgewonden, 1997-2003 : methode en resultaten van koppeling en ophoging van bestanden.

    OpenAIRE

    Reurings, M.C.B. & Bos, N.M.

    2007-01-01

    This study has determined the real number of hospital in-patients who were road crash casualties. We used two databases to calculate this: the national patient register (LMR) of all the hospitals in the Netherlands and the police registration of road crashes. We linked the 1997-2003 period of these two databases, i.e. we looked in both databases for records of the same casualty and the same crash. We used the linking method that SWOV had developed and which had last been used for the annual d...

  2. SOCIAL RIGHT AND ITS APPLICATION FOR MARTYR'S WIDOW, ORPHAN AND WAR VETERAN-VICTIM WHO NEEDED SPECIAL CARE AND PROTECTION

    Directory of Open Access Journals (Sweden)

    Bülent KARA

    2010-04-01

    Full Text Available In respect to social state principle, the 61’ st article of the Constitution is allocated for disadvantaged people. Because of special situations of Turkey, social rights of the casualties, the orphans and the widows, the handicapped and the veterans were determined and organized in this article. The main aim of this study is to evaluate the laws, policies and problems of the casualties, the orphans and the widows, the handicapped and the veterans who were preserved by the Constitution and some laws.

  3. Problematiek rechtsafslaande vrachtauto's : een analyse gebaseerd op de ongevallen van 2003 en de nieuwe Europese richtlijnen met ingang van 2007.

    NARCIS (Netherlands)

    Schoon, C.C.

    2006-01-01

    The problem of lorries turning right : an analysis based on crashes in 2003 and the new European guidelines beginning in 2007. In spite of the mandatory introduction of blind area mirrors and blind area cameras per 1 January 2003, there are relatively many casualties in crashes involving lorries tur

  4. The high risk location approach.

    NARCIS (Netherlands)

    2010-01-01

    The high risk location approach is one of the most traditional ways of improving road safety. This reactive approach tackles unsafe situations at locations with the most crashes. On average, this approach results in an 18% reduction in casualties at such locations. However, in the Netherlands this a

  5. 46 CFR 4.03-45 - Marine employer.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Marine employer. 4.03-45 Section 4.03-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Definitions § 4.03-45 Marine employer. Marine employer means the owner, managing...

  6. Including an Exam P/1 Prep Course in a Growing Actuarial Science Program

    Science.gov (United States)

    Wakefield, Thomas P.

    2014-01-01

    The purpose of this article is to describe the actuarial science program at our university and the development of a course to enhance students' problem solving skills while preparing them for Exam P/1 of the Society of Actuaries (SOA) and the Casualty Actuary Society (CAS). The Exam P/1 prep course, formally titled Mathematical Foundations of…

  7. Analysis of the On the Spot (OTS) Road Accident Database

    NARCIS (Netherlands)

    Mansfield, H.; Bunting, A.; Martens, M.; Horst, A.R.A. van der

    2008-01-01

    The UK Government is seeking to substantially reduce the number of road traffic accidents (RTAs) leading to injury or loss of life. Specifically, relative to the average figures for 1994–98, the Government would like to meet the following road casualty reduction targets by 2010: • a 40% reduction in

  8. 33 CFR 174.103 - Administration.

    Science.gov (United States)

    2010-07-01

    ... required in Subpart D of this part. (46 U.S.C. 1486; 49 CFR 1.46(n)(1)) ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Administration. 174.103 Section....103 Administration. The State casualty reporting system must be administered by a State agency...

  9. 46 CFR 185.208 - Accidents to machinery.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Accidents to machinery. 185.208 Section 185.208 Shipping...) OPERATIONS Marine Casualties and Voyage Records § 185.208 Accidents to machinery. The owner, managing operator, or master shall report damage to a boiler, unfired pressure vessel, or machinery that...

  10. Hierarchical decision making for flood risk reduction

    DEFF Research Database (Denmark)

    Custer, Rocco; Nishijima, Kazuyoshi

    2013-01-01

    River flood events often cause large economic damages and casualties requiring stakeholders to manage flood risk. In flood prone areas, flood risk management can be achieved through a series hierarchically integrated protection structures, which together form a hierarchical flood protection system...

  11. After the Flood

    Science.gov (United States)

    Stanistreet, Paul

    2007-01-01

    When floodwater swept through the McVities biscuit factory in Carlisle in January 2005 few were confident that it would reopen. The factory, in the Caldewgate area of the city, was one of the first casualties of the flood, as water, nine feet deep in places, coursed trough the food preparation areas, destroying equipment and covering everything in…

  12. On Flood Alert

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    lina braces fora particularly dangerous flood season in the wake of disastrous rainstorms Aseries of heavy storms since early May led to severe flooding and landslides in south and southwest China,causing heavy casualties and economic losses. Severe convective weather such as downpours,

  13. Captive birds on Dutch Mauritius: bad-tempered parrots, warty pigeons and notes on other native animals

    NARCIS (Netherlands)

    J.P. Hume; R. Winters

    2015-01-01

    During the occupation of Mauritius by the Dutch in the seventeenth century, live dodos and other animals were transported to the east and west as curiosities and gifts by the Dutch East India Company. How these animals managed to survive these journeys, when human casualties on-board ship were so hi

  14. Discovery of dormancy associated antigens of Mycobacterium tuberculosis : novel targets for the development of post-exposure or therapeutic tuberculosis vaccines

    NARCIS (Netherlands)

    Lin, May Young

    2009-01-01

    The growing number of tuberculosis (TB) casualties urges development of not only more effective drugs and preventive vaccines but also development of post-exposure/therapeutic TB vaccines. Post-exposure/therapeutic TB vaccines are needed since 2 billion people worldwide harbor a latent Mycobacterium

  15. 46 CFR 122.230 - Report of accident to aid to navigation.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Report of accident to aid to navigation. 122.230 Section... Marine Casualties and Voyage Records § 122.230 Report of accident to aid to navigation. Whenever a vessel collides with a buoy, or other aid to navigation under the jurisdiction of the Coast Guard, or is...

  16. Development of a Relationship Between Residual Ultimate Longitudinal Strength Versus Grounding Damage Index Diagram For Container Ships

    DEFF Research Database (Denmark)

    Kim, Do Kyun; Kim, Han Byul; Zhang, Xiaoming;

    2012-01-01

    Various accidents such as grounding, collision, fire, and explosion commonly occur on operating ships. The structural damage caused by such accidents is often accompanied by casualties and serious pollution. Therefore, an accidental risk- based approach that is in line with the goal-based standard...

  17. The Never-Ending Siege

    Science.gov (United States)

    Netzley, Michael

    2007-01-01

    Citizens of Sarajevo, scared for their lives during the war, fled their homes and crowded into the stadium in hopes of surviving. As the casualties mounted, there was no place to put all the bodies. Those taking refuge in the stadium did the only thing they could do: They buried the dead in the football pitch beside the stadium. Now, as a daily…

  18. The health effects of earthquakes in the mid-1990s.

    Science.gov (United States)

    Alexander, D

    1996-09-01

    This paper gives an overview of the global pattern of casualties in earthquakes which occurred during the 30-month period from 1 September 1993 to 29 February 1996. It also describes some of the behavioural and logistical regularities associated with mortality and morbidity in these events. Of 83 earthquakes studied, there were casualties in 49. Lethal earthquakes occurred in rapid succession in Indonesia, China, Colombia and Iran. In the events studied, a disproportionate number of deaths and injuries occurred during the first six hours of the day and in earthquakes with magnitudes between 6.5 and 7.4. Ratios of death to injury varied markedly (though with some averages close to 1:3), as did the nature and causes of mortality and morbidity and the proportion of serious to slight injuries. As expected on the basis of previous knowledge, few problems were caused by post-earthquake illness and disease. Also, as expected, building collapse was the principal source of casualties: tsunamis, landslides, debris flows and bridge collapses were the main secondary causes. In addition, new findings are presented on the temporal sequence of casualty estimates after seismic disaster. In synthesis, though mortality in earthquakes may have been low in relation to long-term averages, the interval of time studied was probably typical of other periods in which seismic catastrophes were relatively limited in scope. PMID:8854459

  19. Dutch dikes, and risk hikes; a thematic policy evaluation of risks of flooding in the Netherlands. Extended summary

    NARCIS (Netherlands)

    MNP; MNP

    2005-01-01

    Dams in the Netherlands have never been stronger so the probability of encountering floods from rivers or on the coast similar to the great flood in the south-western part of the Netherlands in 1953 has declined. However, the risks of casualties and economic damage from flooding have become much gr

  20. Decontamination exercise at a general hospital

    International Nuclear Information System (INIS)

    By using a luminescent material as a substitute for radioactive contamination a realistic assessment of the emergency plans for dealing with contaminated radiation casualties at a Regional General Hospital was made. The areas where problems arose in these plans are described and the changes now made to them given. (author)

  1. This Violence Must End

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The ongoing war between the Israeli army and Hezbollah military forces has dragged on for a fortnight since it broke out in mid-July, causing more than 400 casualties in Israel and Lebanon, and has thrust tens of thousands of civilians, including many women and children, into a state of utter helplessness.

  2. One minute after the detonation of the atomic bomb: the erased effects of residual radiation.

    Science.gov (United States)

    Takahashi, Hiroko

    2009-01-01

    The U.S. Government's official narrative denies the effects of residual radiation which appeared one minute after the atomic bomb detonations in Hiroshima and Nagasaki. This paper explores declassified documents from the U.S. Atomic Energy Commission, the Atomic Bomb Casualties Commission, and others and shows that these documents actually suggested the existence of serious effects from residual radiation. PMID:20521423

  3. 46 CFR 4.07-30 - Testimony of witnesses under oath.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Testimony of witnesses under oath. 4.07-30 Section 4.07... CASUALTIES AND INVESTIGATIONS Investigations § 4.07-30 Testimony of witnesses under oath. (a) Witnesses to... their testimony may be reduced to writing. (b) Written statements and reports submitted as evidence...

  4. 46 CFR 4.07-25 - Testimony of witnesses in other districts, depositions.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Testimony of witnesses in other districts, depositions... TO THE PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Investigations § 4.07-25 Testimony of witnesses in... which the investigation is being made, testimony or statements shall be taken from witnesses in...

  5. Buffering against Performance Classroom Goal Structures: The Importance of Autonomy Support and Classroom Community

    Science.gov (United States)

    Ciani, Keith D.; Middleton, Michael J.; Summers, Jessica J.; Sheldon, Kennon M.

    2010-01-01

    The culture of schooling in the United States has become increasingly focused on outwardly proving student competence. Some achievement goal theorists suggest that a major casualty of performance-oriented classroom environments may be student motivation for developing and improving competence. The present study extends across theoretical…

  6. Exercise azm-e-nau-3, the laboratory perspective

    International Nuclear Information System (INIS)

    Objective: To describe the adequacy of laboratory equipment and human resource for dealing one thousand war wounded casualties. Study Design: A descriptive study. Place and Duration of Study: Combined Military Hospital Bahawalpur, from 10th April to 19th April 2010. Material and Methods: Two teams each headed by a qualified pathologist worked round the clock in twelve hour shift dealing with the samples of war wounded (WW) casualties along with routine indoor /outdoor workload. Receipt of samples, analysis, reporting, record keeping, blood donation and transfusion were according to the protocol following turn around time (TAT). Results: A total of 5487 analyses were done in a period of ten days. All range of investigations were requested but blood complete picture (CP) constituted the maximum (33.9%) followed by hepatitis screening (22.7%) and biochemical profiles (17%). Other investigations were in connection with the preparation of the patients for surgery. A total of 101 pints of blood were issued during the course of exercise, with maximum on the 16th April 2010 constituting 20.7% of total. Maximum number of pints of blood issued to any single WW casualty was five amounting to 4.9% of the total. Conclusion: CMH Bahawalpur pathology laboratory successfully managed the load of 1000 WW casualties by providing prompt laboratory support for treatment, by timely delivery of requisite results of investigations and blood transfusion. (author)

  7. Flood-inundation mapping for the Blue River and selected tributaries in Kansas City, Missouri, and vicinity, 2012

    Science.gov (United States)

    Heimann, David C.; Weilert, Trina E.; Kelly, Brian P.; Studley, Seth E.

    2015-01-01

    Kansas City, Missouri, has severely flooded many times, most notably in 1951, 1961, 1977, 1984, 1990, 1998, and 2010. During the past 30 years these floods resulted in damages within Kansas City costing tens of millions of dollars and more than 25 casualties.

  8. Responding to the Psychological Needs of OEF-OIF Military: A Commentary on Progress in Treatment Development

    Science.gov (United States)

    Keane, Terence M.

    2011-01-01

    America's involvement in the wars in Afghanistan and Iraq (i.e., OEF-OIF) is entering its 9th year with casualties exceeding 5,000 American deaths and many times that number with serious physical injuries. Epidemiological surveys and mental health screening concurrent with service and at the point of discharge provide us with important information…

  9. Motorcyclists.

    NARCIS (Netherlands)

    2009-01-01

    Riding a motorcycle brings a relatively high risk of death or serious injury due to a crash. The vast majority of the casualties are men. The lack of any protection by the vehicle means that a motorcycle crash often has serious consequences for the rider and his passenger. Motorcycle crashes are mai

  10. Brace for impact! A thesis on medical care following an airplane crash

    NARCIS (Netherlands)

    I.L.E. Postma

    2014-01-01

    In this thesis the events and management of a mass casualty incident (MCI) of an airplane crash are studied from a medical point of view. The incident is broken down into areas that are applicable to other MCIs. it is believed that the detailed study of an exceptional event can provide vital informa

  11. The Perils of Promotion: Avoiding Negative Repercussions for Staff.

    Science.gov (United States)

    Shelton, Michael

    2001-01-01

    Evidence from the field of evolutionary psychology suggests inherent reasons for the promotion process triggering negative emotions and behaviors among unsuccessful candidates. To reduce interpersonal casualties related to promotion, camp administration should educate staff about these reactions, provide extra supervisory time for successful…

  12. Probability & Statistics: Modular Learning Exercises. Teacher Edition

    Science.gov (United States)

    Actuarial Foundation, 2012

    2012-01-01

    The purpose of these modules is to provide an introduction to the world of probability and statistics to accelerated mathematics students at the high school level. The modules also introduce students to real world math concepts and problems that property and casualty actuaries come across in their work. They are designed to be used by teachers and…

  13. Troubled Times: The Role of Instructional Design in a Modern Dual-Mode University?

    Science.gov (United States)

    Fyle, Clifford Omodele; Moseley, Alexander; Hayes, Nichola

    2012-01-01

    Reduced higher education funding and other austerity measures imposed by governments and institutions have resulted in cascading cuts in resources for programme design, delivery and revision. The instructional design function is often the first casualty of these cuts in many universities. This paper considers the roles and functions of…

  14. Rainfall-triggering response patterns of post-seismic debris flows in the Wenchuan earthquake area

    NARCIS (Netherlands)

    Zhou, W.; Tang, C.; van Asch, Th.W.J.; Zhou, nn.

    2013-01-01

    Several giant debris flows occurred in southwestern China after the Wenchuan earthquake, causing serious casualties and economic losses. Debris flows were frequently triggered after the earthquake. A relatively accurate prediction of these post-seismic debris flows can help to reduce the consequent

  15. Financiering van duurzaam-veilige regionale weginfrastructuur : mogelijkheden voor versnelling van de aanleg.

    NARCIS (Netherlands)

    Wesemann, P.

    2004-01-01

    In the report of late 2001 Safe, What is Safe?, SWOV indicated how the annual number of traffic casualties could be reduced considerably. These proposals were to be regarded as an addition to the proposals as were developed in the then National Traffic and Transport Plan of the Ministry of Transport

  16. Surviving Women's Learning Experiences from the Tsunami in Aceh

    Science.gov (United States)

    Teng, Yan Fang Jane; Yusof, Qismullah

    2014-01-01

    This study investigated surviving women's learning experiences from the 2004 tsunami in Aceh. Women were the majority of casualties and the most vulnerable after the tsunami. Almost a decade later, we used a conceptual framework of experiential learning, critical reflection, and transformative learning to understand the surviving women's…

  17. Online war memorials

    DEFF Research Database (Denmark)

    Knudsen, Britta Timm; Stage, Carsten

    2013-01-01

    This article takes a point of departure in Denmark’s decision to use the armed forces as a tool of foreign policy, even when this implies deployment to regions where combat and casualties must be expected. Since war, combat, and violence contradict traditional self-understandings of being Danish,...

  18. Supervision Groups at a Time of Violent Social Conflict in Israel

    Science.gov (United States)

    Nuttman-Shwartz, Orit; Shay, Sarit

    2006-01-01

    Beginning in September 2000, terror attacks and large numbers of casualties became part of Israel's harrowing daily routine. The attacks occurred throughout the country, putting everyone at risk. These events also shattered the illusion of coexistence between Jewish and Arab citizens of Israel and led to feelings of anger and suspicion between the…

  19. 32 CFR 185.4 - Policy.

    Science.gov (United States)

    2010-07-01

    ... medical treatment of casualties, maintenance or restoration of emergency medical capabilities, and safeguarding the public health. (ii) Emergency restoration of essential public services (including fire... (MSCA) § 185.4 Policy. (a) National policy. (1) Planning and preparedness by the Federal Government...

  20. Risk Analysis and Its Role in Securing Waters from the EU External Border

    Directory of Open Access Journals (Sweden)

    Tache BOCĂNIALĂ

    2015-08-01

    Full Text Available In this paper we propose to emphasize the importance of risk analysis to prevent and combat transnational crime, especially trafficking in human beings, illegal migration and smuggling, in all its forms, especially the external maritime borders and inland EU .No least, this tool may have an important role in preventing tragedies in the reduction of casualties.

  1. The combined use of Skype and the STORZ CMAC video laryngoscope in field intubation training with the Nebraska National Air Guard.

    Science.gov (United States)

    Boedeker, Ben H; Bernhagen, Mary; Miller, David J; Miljkovic, Nikola; Kuper, Gail M; Murray, W Bosseau

    2011-01-01

    This study examined the feasibility of using Skype technology in basic manikin intubation instruction of Nebraska National Air Guard personnel at a Casualty Training Exercise. Results show that the Skype monitor provided clear sound and visualization of the airway view to the trainees and the combination of VoIP technology and videolaryngoscopy for intubation training was highly valued by study participants. PMID:21335766

  2. Kwaliteitsaspecten van duurzaam-veilige weginfrastructuur : voorstel voor een stelsel van DV-eisen waarin alle DV-principes zijn opgenomen.

    NARCIS (Netherlands)

    Dijkstra, A.

    2004-01-01

    In the report of late 2001 Safe, What is Safe?, SWOV indicated how the annual number of traffic casualties could be reduced considerably. These proposals were to be regarded as an addition to the proposals as were developed in the then National Traffic and Transport Plan of the Ministry of Transport

  3. Beprijzen en verkeersveiligheid.

    NARCIS (Netherlands)

    Eenink, R. Schermers, G. & Reurings, M.

    2010-01-01

    Road pricing aims to reduce the amount that is driven and thereby it can reduce the number of road accidents and casualties. The SWOV has calculated the road safety effects following the introduction of a road pricirig scheme called 'Anders Betalen voor Mobiliteit'. This road pricing scheme has a di

  4. Firms Still Training Despite Recession

    Science.gov (United States)

    Felstead, Alan; Green, Francis; Jewson, Nick

    2011-01-01

    It is commonly assumed that company training is one of the first casualties in times of recession. Falling recruitment, pressures to cut costs and a focus on short-term survival force businesses to put training on the backburner. Expecting the worst, the UK Commission for Employment and Skills (UKCES), the Confederation of British Industry (CBI)…

  5. 46 CFR 151.50-5 - Cargoes having toxic properties.

    Science.gov (United States)

    2010-10-01

    ...) Gravity type cargo tanks shall be fitted with an approved pressure-vacuum relief valve of not less than 21... or pressure vacuum relief valve shall be directed in such a manner as to not impinge on another tank... from the safety or pressure vacuum relief valve as a result of a fire or other casualty. In...

  6. Available and (proper) adjustment of head restraints in the Netherlands.

    NARCIS (Netherlands)

    Kampen, L.T.B. van

    1993-01-01

    Dutch national accident data show a considerable increase of the number of rear end collisions during the last 10 years. The numbers of cars involved and casualties from these accidents have also increased. Neck injuries, typical for rear end collisions, are expected to become a major health problem

  7. Sleep and Mental Health

    Science.gov (United States)

    ... Size Email Print Share Sleep Tips for Children's Mental Health Page Content ​​​Sleep has become a casualty of ... MPH, FAAP Last Updated 5/23/2016 Source Mental Health, Naturally: The Family Guide to Holistic Care for ...

  8. ELASSTIC contributes to the resilience of infrastructures

    NARCIS (Netherlands)

    Doormaal, J.C.A.M. van; Jagt, M.J. van der

    2015-01-01

    The growing world population, the ongoing urbanization, the ever increasing size, height and complexity of large scale built infrastructures lead to higher risks with respect to natural and manmade threats. in case of a real incident, the number of casualties and injured people and the amount of dam

  9. Importance Must Be Attached to Seismic Disaster Reduction in the Surge of Urbanization

    Institute of Scientific and Technical Information of China (English)

    WANG Wenqing

    2001-01-01

    @@ A cluster of seismic disasters attacked many areas of the world in 1999, such as the 7.4 Ms earthquake in Turkey on 17 August and the 7. 6 Ms earthquake in Chinese Taiwan on 21 September, causing great casualty and enormous property loss. How to raise the aseismatic capacity of cities has since become a hot topic of public concern worldwide.

  10. China lost worship for the West

    Institute of Scientific and Technical Information of China (English)

    郗士

    2009-01-01

    The financial crisis has dented the former sense of Western cultural superiority over Beijing and is taking all into unchartered waters.It may take a long time to recognize,but it will happen:The most important casualty of the financial crisis is not the disruption of the Wall Street-centered fi nancial order

  11. 76 FR 39473 - Proposed Collection; Comment Request for Form 1120-PC

    Science.gov (United States)

    2011-07-06

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1120-PC AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-PC, U.S. Property and...: 1545-1027. Form Number: Form 1120-PC. Abstract: Property and casualty insurance companies are...

  12. 75 FR 17562 - Port Access Route Study: In the Approaches to Los Angeles-Long Beach and in the Santa Barbara...

    Science.gov (United States)

    2010-04-07

    ..., 2000 (65 FR 31856). The PARS evaluated the potential effects of the port improvement projects on... Beach and in the Santa Barbara Channel. The goal of the study is to help reduce the risk of marine casualties and increase the efficiency of vessel traffic in the study area. The recommendations of the...

  13. Simulation of advanced concepts for damage control

    NARCIS (Netherlands)

    Gillis, M.P.W.; Keijer, W.; Smit, C.S.; Wolff, P.A.

    2003-01-01

    Damage control on board navy ships requires a lot of manpower. On a frigate-sized ship of the Royal Netherlands Navy, up to ninety people can be involved in tasks like fire fighting, battle damage repair and treatment of casualties. In present times this is no longer attainable or affordable. To red

  14. Posterior skulderluksation--en diagnostisk udfordring

    DEFF Research Database (Denmark)

    Trollegaard, Anton Mitchell

    2009-01-01

    A case of posterior shoulder dislocation is described. The dislocation was misinterpreted twice clinically and radiographically in two different casualty departments before it was diagnosed and treated with closed reposition in a third facility. Treatment was conservative and the arm was placed in...

  15. On the logical bases and gnosiological importance of the statistical method

    Directory of Open Access Journals (Sweden)

    Corrado Gini

    2015-06-01

    Full Text Available The Author deals with a number of arguments inherent statistical inference and probability as the frequency limit by von Mises, the correlation between probability and chance, the concepts of casualty and causality, the inversion of Bernoulli’s theorem and the tests of significance.

  16. The Multiply Handicapped Child.

    Science.gov (United States)

    Wolf, James M., Ed.; Anderson, Robert M., Ed.

    Articles presented in the area of the medical and educational challenge of the multiply handicapped child are an overview of the problem, the increasing challenge, congenital malformations, children whose mothers had rubella, prematurity and deafness, the epidemiology of reproductive casualty, and new education for old problems. Discussions of…

  17. School Security after 9/11

    Science.gov (United States)

    Kennedy, Mike

    2011-01-01

    More than 3,000 people died in the Sept. 11, 2001, terrorist attacks on the United States, but the damage extended far beyond the physical casualties of that horrific day. The shock of the cold-blooded brutality and the devastation that resulted led to a grim realization that everyone was vulnerable to violence and tragedy. Although other…

  18. 26 CFR 1.831-4 - Election of multiple line companies to be taxed on total income.

    Science.gov (United States)

    2010-04-01

    ... TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Other Insurance Companies § 1.831-4 Election of... mutual insurance company engaged in writing marine, fire, and casualty insurance which, for any 5-year..., whether or not marine insurance is its predominant source of premium income. A company making an...

  19. The Global View on Port State Control

    NARCIS (Netherlands)

    S. Knapp (Sabine); Ph.H.B.F. Franses (Philip Hans)

    2006-01-01

    textabstractThis report is the second part of a PhD project entitled "The Econometrics of Maritime Safety – Recommendations to Enhance Safety at Sea" which is based on 183,000 port state control inspections and 11,700 casualties from various data sources. Its overall objective is to provide recommen

  20. The Overall View of the Effect of Inspections and Evaluation of the Target Factor to target substandard vessels

    NARCIS (Netherlands)

    S. Knapp (Sabine); Ph.H.B.F. Franses (Philip Hans)

    2006-01-01

    textabstractThis report is the third part of a PhD project entitled "The Econometrics of Maritime Safety – Recommendations to Enhance Safety at Sea" which is based on 183,000 port state control inspections and 11,700 casualties from various data sources. Its overall objective is to provide recommend

  1. 49 CFR 1242.76 - Administration; pickup and delivery, marine line haul, and rail substitute service; loading...

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Administration; pickup and delivery, marine line haul, and rail substitute service; loading, unloading and local marine; protective services; freight lost or damaged-solely related; fringe benefits; casualties and insurance; joint facility, and...

  2. Brace for impact! A thesis on medical care following an airplane crash

    OpenAIRE

    Goslings, J.C.; Bloemers, F.W.; Bijlsma, T.S.; Heetveld, M.J.; Postma, I.L.E.

    2014-01-01

    In this thesis the events and management of a mass casualty incident (MCI) of an airplane crash are studied from a medical point of view. The incident is broken down into areas that are applicable to other MCIs. it is believed that the detailed study of an exceptional event can provide vital information for many other kinds of exceptional events.

  3. "Dye mon, gen mon" ("Beyond the Mountains, More Mountains"). Social Theatre, Community Mobilisation and Participation after Disasters: The International Organization for Migration Experience in Haiti, after January 2010's Earthquake

    Science.gov (United States)

    Schinina, Guglielmo; Voltaire, Justin; Ataya, Amal; Salem, Marie-Adele

    2011-01-01

    The earthquake that thumped the Haitian coast in January 2010, wiping off entire suburbs of Port au Prince and other cities, left 222,570 casualties with an estimated 80,000 corpses still missing. One and a half million people were displaced and the majority is still living in 1000 improvised camps, in tents or self-made shelters. The national and…

  4. 46 CFR 4.03-7 - Chemical test.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Chemical test. 4.03-7 Section 4.03-7 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Definitions § 4.03-7 Chemical test. The term chemical test means a scientifically recognized...

  5. 12 CFR 1500.1 - What type of investments are permitted by this part, and under what conditions may they be made?

    Science.gov (United States)

    2010-01-01

    ... portfolio company has management that is separate from the financial holding company to the extent required... affiliate. The financial holding company controls: (i) An insurance company that is predominantly engaged in underwriting life, accident and health, or property and casualty insurance (other than credit-related...

  6. A Numeric Scorecard Assessing the Mental Health Preparedness for Large-Scale Crises at College and University Campuses: A Delphi Study

    Science.gov (United States)

    Burgin, Rick A.

    2012-01-01

    Large-scale crises continue to surprise, overwhelm, and shatter college and university campuses. While the devastation to physical plants and persons is often evident and is addressed with crisis management plans, the number of emotional casualties left in the wake of these large-scale crises may not be apparent and are often not addressed with…

  7. Warfare, Fiscal Capacity, and Performance

    DEFF Research Database (Denmark)

    Dincecco, Mark; Prado, Mauricio

    2012-01-01

    We exploit differences in casualties sustained in pre-modern wars to estimate the impact of fiscal capacity on economic performance. In the past, states fought different amounts of external conflicts, of various lengths and magnitudes. To raise the revenues to wage wars, states made fiscal...

  8. Warfare, Fiscal Capacity, and Performance

    DEFF Research Database (Denmark)

    Prado, Mauricio; Dincecco, Mark

    We exploit differences in casualties sustained in pre-modern wars to estimate the impact of fiscal capacity on economic performance. In the past, states fought different amounts of external conflicts, of various lengths and magnitudes. To raise the revenues to wage wars, states made fiscal...

  9. 7 CFR 1767.28 - Customer accounts expenses.

    Science.gov (United States)

    2010-01-01

    ... AGRICULTURE (CONTINUED) ACCOUNTING REQUIREMENTS FOR RUS ELECTRIC BORROWERS Uniform System of Accounts § 1767... and damages, and expenses incurred in the general direction and supervision of customer accounting and... others, such as public liability, property damages, casualty, employee liability, etc., and...

  10. 7 CFR 1767.29 - Customer service and informational expenses.

    Science.gov (United States)

    2010-01-01

    ... SERVICE, DEPARTMENT OF AGRICULTURE (CONTINUED) ACCOUNTING REQUIREMENTS FOR RUS ELECTRIC BORROWERS Uniform... against claims from injuries and damages by employees or others, such as public liability, property damages, casualty, employee liability, etc., and amounts credited to Account 228.2, Accumulated...

  11. Insurance: Profitability of the Medical Malpractice and General Liability Lines. Report to Congressional Requesters.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    This report on the profitability of the property/casualty insurance industry and in particular of the medical malpractice insurance line was prepared at the request of Representatives Henry A. Waxman and James J. Florio and Senators Paul Simon, Daniel K. Inouye, Albert Gore, Jr., and Jay D. Rockefeller. Four different estimates of medical…

  12. Cyclists.

    NARCIS (Netherlands)

    2007-01-01

    Cyclists are vulnerable in traffic. The number of fatalities amongst cyclists is decreasing more slowly than for other modes of transport and the number of serious injuries is increasing. In the Netherlands, many cycling casualties occur in the age groups 12 -17 year olds and the over 60’s. When the

  13. Sprinting on a running track: a rare cause of a Lisfranc dislocation.

    LENUS (Irish Health Repository)

    Khan, F

    2012-02-03

    We present a case report of a young man who sustained a serious foot injury while sprinting in a straight line. We discuss the management of these injuries and emphasise the importance of a high index of suspicion amongst orthopaedic, casualty and radiology trainees.

  14. 46 CFR 4.03-2 - Serious marine incident.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Serious marine incident. 4.03-2 Section 4.03-2 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Definitions § 4.03-2 Serious marine incident. The term serious marine incident includes...

  15. 33 CFR 173.85 - Fees levied by the Coast Guard.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Fees levied by the Coast Guard. 173.85 Section 173.85 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) BOATING SAFETY VESSEL NUMBERING AND CASUALTY AND ACCIDENT REPORTING Issue of Certificate of Number § 173.85 Fees levied by the Coast...

  16. 46 CFR 4.03-75 - Merchant mariner credential and credential.

    Science.gov (United States)

    2010-10-01

    ... by the Coast Guard under 46 CFR part 10. It combines the individual merchant mariner's document... 46 Shipping 1 2010-10-01 2010-10-01 false Merchant mariner credential and credential. 4.03-75... MARINE CASUALTIES AND INVESTIGATIONS Definitions § 4.03-75 Merchant mariner credential and...

  17. EMS adaptation for climate change

    Science.gov (United States)

    Pan, C.; Chang, Y.; Wen, J.; Tsai, M.

    2010-12-01

    The purpose of this study was to find an appropriate scenario of pre-hospital transportation of an emergency medical service (EMS) system for burdensome casualties resulting from extreme climate events. A case of natural catastrophic events in Taiwan, 88 wind-caused disasters, was reviewed and analyzed. A sequential-conveyance method was designed to shorten the casualty transportation time and to promote the efficiency of ambulance services. A proposed mobile emergency medical center was first constructed in a safe area, but nearby the disaster area. The Center consists of professional medical personnel who process the triage of incoming patients and take care of casualties with minor injuries. Ambulances in the Center were ready to sequentially convey the casualties with severer conditions to an assigned hospital that is distant from the disaster area for further treatment. The study suggests that if we could construct a spacious and well-equipped mobile emergency medical center, only a small portion of casualties would need to be transferred to distant hospitals. This would reduce the over-crowding problem in hospital ERs. First-line ambulances only reciprocated between the mobile emergency medical center and the disaster area, saving time and shortening the working distances. Second-line ambulances were highly regulated between the mobile emergency medical center and requested hospitals. The ambulance service of the sequential-conveyance method was found to be more efficient than the conventional method and was concluded to be more profitable and reasonable on paper in adapting to climate change. Therefore, additional practical work should be launched to collect more precise quantitative data.

  18. Creating a Global Building Inventory for Earthquake Loss Assessment and Risk Management

    Science.gov (United States)

    Jaiswal, Kishor; Wald, David J.

    2008-01-01

    Earthquakes have claimed approximately 8 million lives over the last 2,000 years (Dunbar, Lockridge and others, 1992) and fatality rates are likely to continue to rise with increased population and urbanizations of global settlements especially in developing countries. More than 75% of earthquake-related human casualties are caused by the collapse of buildings or structures (Coburn and Spence, 2002). It is disheartening to note that large fractions of the world's population still reside in informal, poorly-constructed & non-engineered dwellings which have high susceptibility to collapse during earthquakes. Moreover, with increasing urbanization half of world's population now lives in urban areas (United Nations, 2001), and half of these urban centers are located in earthquake-prone regions (Bilham, 2004). The poor performance of most building stocks during earthquakes remains a primary societal concern. However, despite this dark history and bleaker future trends, there are no comprehensive global building inventories of sufficient quality and coverage to adequately address and characterize future earthquake losses. Such an inventory is vital both for earthquake loss mitigation and for earthquake disaster response purposes. While the latter purpose is the motivation of this work, we hope that the global building inventory database described herein will find widespread use for other mitigation efforts as well. For a real-time earthquake impact alert system, such as U.S. Geological Survey's (USGS) Prompt Assessment of Global Earthquakes for Response (PAGER), (Wald, Earle and others, 2006), we seek to rapidly evaluate potential casualties associated with earthquake ground shaking for any region of the world. The casualty estimation is based primarily on (1) rapid estimation of the ground shaking hazard, (2) aggregating the population exposure within different building types, and (3) estimating the casualties from the collapse of vulnerable buildings. Thus, the

  19. Vulnerability of populations and the urban health care systems to nuclear weapon attack – examples from four American cities

    Directory of Open Access Journals (Sweden)

    Dallas Cham E

    2007-02-01

    Full Text Available Abstract Background The threat posed by the use of weapons of mass destruction (WMD within the United States has grown significantly in recent years, focusing attention on the medical and public health disaster capabilities of the nation in a large scale crisis. While the hundreds of thousands or millions of casualties resulting from a nuclear weapon would, in and of itself, overwhelm our current medical response capabilities, the response dilemma is further exacerbated in that these resources themselves would be significantly at risk. There are many limitations on the resources needed for mass casualty management, such as access to sufficient hospital beds including specialized beds for burn victims, respiration and supportive therapy, pharmaceutical intervention, and mass decontamination. Results The effects of 20 kiloton and 550 kiloton nuclear detonations on high priority target cities are presented for New York City, Chicago, Washington D.C. and Atlanta. Thermal, blast and radiation effects are described, and affected populations are calculated using 2000 block level census data. Weapons of 100 Kts and up are primarily incendiary or radiation weapons, able to cause burns and start fires at distances greater than they can significantly damage buildings, and to poison populations through radiation injuries well downwind in the case of surface detonations. With weapons below 100 Kts, blast effects tend to be stronger than primary thermal effects from surface bursts. From the point of view of medical casualty treatment and administrative response, there is an ominous pattern where these fatalities and casualties geographically fall in relation to the location of hospital and administrative facilities. It is demonstrated that a staggering number of the main hospitals, trauma centers, and other medical assets are likely to be in the fatality plume, rendering them essentially inoperable in a crisis. Conclusion Among the consequences of this

  20. Analysis of the Relationship Between Vehicle Weight/Size and Safety, and Implications for Federal Fuel Economy Regulation

    Energy Technology Data Exchange (ETDEWEB)

    Wenzel, Thomas P.

    2010-03-02

    This report analyzes the relationship between vehicle weight, size (wheelbase, track width, and their product, footprint), and safety, for individual vehicle makes and models. Vehicle weight and footprint are correlated with a correlation coefficient (R{sup 2}) of about 0.62. The relationship is stronger for cars (0.69) than for light trucks (0.42); light trucks include minivans, fullsize vans, truck-based SUVs, crossover SUVs, and pickup trucks. The correlation between wheelbase and track width, the components of footprint, is about 0.61 for all light vehicles, 0.62 for cars and 0.48 for light trucks. However, the footprint data used in this analysis does not vary for different versions of the same vehicle model, as curb weight does; the analysis could be improved with more precise data on footprint for different versions of the same vehicle model. Although US fatality risk to drivers (driver fatalities per million registered vehicles) decreases as vehicle footprint increases, there is very little correlation either for all light vehicles (0.01), or cars (0.07) or trucks (0.11). The correlation between footprint and fatality risks cars impose on drivers of other vehicles is also very low (0.01); for trucks the correlation is higher (0.30), with risk to others increasing as truck footprint increases. Fatality risks reported here do not account for differences in annual miles driven, driver age or gender, or crash location by vehicle type or model. It is difficult to account for these factors using data on national fatal crashes because the number of vehicles registered to, for instance, young males in urban areas is not readily available by vehicle type or model. State data on all police-reported crashes can be used to estimate casualty risks that account for miles driven, driver age and gender, and crash location. The number of vehicles involved in a crash can act as a proxy of the number of miles a given vehicle type, or model, is driven per year, and is a

  1. Know pain know gain: proposing a treatment approach for phantom limb pain.

    Science.gov (United States)

    Le Feuvre, Peter; Aldington, D

    2014-03-01

    Phantom limb pain affects between 50 and 80% of amputees. With an increasing number of battle casualties having had an amputation after combat trauma, it is inevitable that both primary and secondary care clinicians will come into contact with a patient with phantom limb pain (PLP). It is widely acknowledged that its complex aetiology means that this condition is often poorly understood and difficult to manage. A growing pathophysiological understanding is shedding new light on the mechanisms which underlie PLP. Knowledge of these mechanisms will inform treatment and enable clinicians to plan and implement solutions which make a difference to those individuals with this condition. This paper seeks to outline current research into this condition and proposes an approach to treatment. This approach has been formulated from an amalgamation of clinical experience working with battle casualties at the Defence Medical Rehabilitation Centre, Headley Court. PMID:24109117

  2. The national disaster medical system: past, present, and suggestions for the future.

    Science.gov (United States)

    Franco, Crystal; Toner, Eric; Waldhorn, Richard; Inglesby, Thomas V; O'Toole, Tara

    2007-12-01

    This article reviews the history and structure of the National Disaster Medical System (NDMS), with an emphasis on its definitive care component. NDMS's capacity to handle very large mass casualty events, such as those included in the National Planning Scenarios, is examined. Following Hurricane Katrina, Congress called for a reevaluation of NDMS. In that context, we make three key suggestions to improve NDMS's capacity to respond to large mass casualty disasters: (1) increase the level of engagement by the private (i.e., nonfederal) healthcare system in preparedness and response efforts; (2) increase the reliance on regional hospital collaborative networks as part of the backbone of the NDMS system; and (3) develop additional, alternative patient transportation systems, linked to the overall NDMS patient tracking effort, to decrease the sole reliance on DoD long-haul air transport in medical evacuation. PMID:18052820

  3. Medical Actions in Emergencies at Nuclear Power Stations

    International Nuclear Information System (INIS)

    Casualties which could occur as a result of accidents at nuclear power stations can be categorized as follows. Those due to: (a) Over-exposure to external radiation; or (b) Excessive contamination of body surfaces with radioactive materials with, possibly, absorption of toxic quantities of these materials; (c) Combinations of (a) and (b) complicated by conventional injuries. This paper discusses the arrangements made within the Central Electricity Generating Board for dealing with casualties, taking account of the limited medical and nursing facilities. These arrangements can be summarized as follows: (a) Immediate actions on site, including first aid and rescue; (b) Plans have been agreed with the medical staff of appropriate hospitals for dealing with eventualities of this nature; (c) Adequate training programs have been instituted to include nursing and first-aid teams; (d) Rehabilitation and reemployment of injured personnel. Details of dosimetry both physical and biological which would be used to assess the extent of radioactive exposure are described. (author)

  4. An 802.11 wireless blood pulse-oximetry system for medical response to disasters.

    Science.gov (United States)

    Palmer, Douglas A; Rao, Ramesh; Lenert, Leslie A

    2005-01-01

    In a mass casualty situation, medical personnel at the disaster site and other field treatment settings may need to monitor the vital signs of hundreds of seriously injured patients with minimal staffing. The conditions may be primitive and personnel may have to improvise infrastructure. As part of our research to enhance medical response to disasters with Internet-enabled systems, we have developed a prototype Wireless Blood Pulse Oximeter system for mass casualty events designed to operate in WiFi hotspots. Pulse ox units were designed using low-cost embedded system technologies to operate in integrated or stand alone environments. Units can report data to a command post on the scene or any remote location with Internet access. The entire system is potentially capable of tracking and monitoring several hundred patients. PMID:16779359

  5. Dose rate and risk distribution in Pakistan following arbitrary atmospheric release

    International Nuclear Information System (INIS)

    This project involves the determination of physical consequences of release of radioactivity to the atmosphere anywhere in Pakistan. The consequences are in terms of dose rate, biological hazards and casualties. Besides the distribution of dose rate, casualties and risks to the population in any district of Pakistan have been estimated. In order to perform the above mentioned task a computer code has been developed with database for Pakistan involving the regional distribution of population. The code is written in Fortran-77. Depending upon the available meteorological data, the code has an option to use either a sophisticated model or a simplified model (if detailed meteorological information is not available) for dose calculation purposes. Along with the main program the RDC code is equipped with a comprehensive data library. It consists of physical and biological properties of radio nuclides, latitudes and longitudes of more than 5000 points in Pakistan and age wise population distribution of all districts. (author)

  6. SANITARY VULNERABILITY OF A TERRITORIAL SYSTEM IN HIGH SEISMIC AREAS

    Science.gov (United States)

    Teramo, A.; Termini, D.; de Domenico, D.; Marino, A.; Marullo, A.; Saccà, C.; Teramo, M.

    2009-12-01

    An evaluation procedure of sanitary vulnerability of a territorial system falling within a high seismic risk area, related to casualty treatment capability of hospitals after an earthquake, is proposed. The goal of the study is aimed at highlighting hospital criticalities for the arrangement of a prevention policy on the basis of territorial, demographic and sanitary type specific analyses of a given area. This is the first step of a procedure of territorial context reading within a damage scenario, addressed to a verification of preparedness level of the territorial system to a sanitary emergency referable both to a natural disaster and anthropic one. The results of carried out surveys are shown, at a different scale, on several sample areas of Messina Province (Italy) territory, evaluating the consistency of damage scenario with the number of casualties, medical doctors, available beds for the implementation of a emergency sanitary circuit.

  7. Emergency medical training in the 82d Airborne Division. The Gulf War experience.

    Science.gov (United States)

    Cancio, L C; Goforth, G A

    1993-01-01

    The 82d Airborne Division, as the Army's worldwide contingency division, places unique demands on its medical personnel. This was true particularly during Operations Desert Shield and Desert Storm in 1990-1991. An unprecedented emergency medical training program was carried out in preparation for the Gulf War. All levels of expertise were involved: non-medical Combat Lifesavers, medics, physician assistants, and physicians. Courses provided included Combat Lifesaver provider and refresher training, Basic Trauma Life Support (BTLS) provider and instructor training, Chemical Casualty courses, and a Combat Surgical Skills course. Approximately 736 personnel, including 80 Saudi and allied physicians and medics, participated in these courses. Confidence and competence in handling war casualties at all levels was enhanced greatly. Prepackaged courses such as BTLS enabled the rapid training of large numbers of medical personnel under challenging conditions. PMID:10155478

  8. Disaster medicine through Google Glass.

    Science.gov (United States)

    Carenzo, Luca; Barra, Federico Lorenzo; Ingrassia, Pier Luigi; Colombo, Davide; Costa, Alessandro; Della Corte, Francesco

    2015-06-01

    Nontechnical skills can make a difference in the management of disasters and mass casualty incidents and any tool helping providers in action might improve their ability to respond to such events. Google Glass, released by Google as a new personal communication device, could play a role in this field. We recently tested Google Glass during a full-scale exercise to perform visually guided augmented-reality Simple Triage and Rapid Treatment triage using a custom-made application and to identify casualties and collect georeferenced notes, photos, and videos to be incorporated into the debriefing. Despite some limitations (battery life and privacy concerns), Glass is a promising technology both for telemedicine applications and augmented-reality disaster response support to increase operators' performance, helping them to make better choices on the field; to optimize timings; and finally represents an excellent option to take professional education to a higher level. PMID:25460812

  9. Vold i Arhus gennem to årtier

    DEFF Research Database (Denmark)

    Brink, Ole; Bitch, Oluf; Petersen, Klaus Kjaer;

    2002-01-01

    rate dropped to 4.6 victims/1000. This decrease in violence was particularly seen among 15-24-year-old males. The extent of violence against women remained unchanged in the years 1999-2000. Foreigners were significantly higher represented among the victims. The character and severity of the violence......INTRODUCTION: Data collected from hospitals and the police have on several occasions proved to be useful in gaining knowledge about violence. The casualty departments, the Institute of Forensic Medicine, and the police in Aarhus have co-operated in three earlier studies of inter-person violence......, the latest in 1993-1994. The aim of this study was to update knowledge about the incidence and character of violence in Aarhus. MATERIAL AND METHODS: A dynamic cohort study was carried out in the period 1 April 1999 to 31 March 2000. Persons who arrived at the casualty wards or Institute of Forensic...

  10. Psychiatry in the Korean War: perils, PIES, and prisoners of war.

    Science.gov (United States)

    Ritchie, Elspeth Cameron

    2002-11-01

    In the initial months of the Korean War, very high numbers of psychological casualties occurred among American troops, 250 per 1,000 per annum. Initially, these men were evacuated to Japan or the United States, and very few of them were returned to duty. Then the principles of early and far-forward treatment, learned in the previous world wars, were reinstituted. Up to 80% of neuropsychiatric casualties were returned to duty. During and after the war, the prisoners of war were believed to have been "brainwashed," have "give-it-upitis," and exhibit apathy and depression. Mistakenly believed to be signs of moral decay, the psychiatric symptoms during and after release were probably a result of extended inhumane treatment and vitamin deficiencies. PMID:12448614

  11. NAIR: handbook on the national arrangements for incidents involving radioactivity

    International Nuclear Information System (INIS)

    A revised handbook on the national arrangements for incidents involving radioactivity (NAIR) has been published. Following brief introductory sections on the administrative aspects and operational aspects, the main part of the handbook is devoted to operational and call-out lists including an index of police forces served by NAIR, an index of establishments providing assistance under NAIR, sources of stage 1 and stage 2 assistance for each police constabulary, hospitals prepared to accept contaminated casualties and to assist with decontamination of personnel, and hospitals prepared to advise on the treatment and admission of casualties exposed to large doses of radiation. Technical appendices are also given on radiological protection in NAIR incidents, instruments and equipment, radionuclide data and a guide to suitable detectors, package and source identification and disposal of radioactive materials involved in NAIR accidents. (U.K.)

  12. A UAV based system for real time flash flood monitoring in desert environments using Lagrangian microsensors

    KAUST Repository

    Abdelkader, Mohamed

    2013-05-01

    Floods are the most common natural disasters, causing thousands of casualties every year in the world. In particular, flash flood events are particularly deadly because of the short timescales on which they occur. Most casualties could be avoided with advance warning, for which real time monitoring is critical. While satellite-based high resolution weather forecasts can help predict floods to a certain extent, they are not reliable enough, as flood models depend on a large number of parameters that cannot be estimated beforehand. In this article, we present a novel flood sensing architecture to monitor large scale desert hydrological basins surrounding metropolitan areas, based on unmanned air vehicles. The system relies on Lagrangian (mobile) microsensors, that are released by a swarm of UAVs. A preliminary testbed implementing this technology is briefly described, and future research directions and problems are discussed. © 2013 IEEE.

  13. Trauma on the Isle of Man.

    Science.gov (United States)

    Hackney, R G; Varley, G; Stevens, D; Green, A

    1993-03-01

    The Isle of Man Tourist Trophy motorcycle races remain one of the most popular venues for motorcycle races. This is despite the reduced status of the event. The reason for the loss of world championship and formula one status is the nature of the road racing circuit itself. The twisting narrow roads are only closed to the public at certain times during the practice and race weeks. Motorcycling visitors to the event attempt to emulate their heroes on machines capable of high speeds. Casualties from both visitors and racers are dealt with efficiently by an expanded medical service. This includes the use of an aeromedical evacuation helicopter. Casualties from the visitors exceeded those from the racers themselves during the period reported. PMID:8457818

  14. Learning from the tough ones : U.S. Coast Guard viscous oil pumping improvements

    Energy Technology Data Exchange (ETDEWEB)

    Drieu, M.D. [United States Coast Guard National Strike Force, Pacific Strike Team, Novato, CA (United States); Loesch, R.M. [United States Coast Guard Headquarters, Washington, DC (United States). Ocean Engineering Div

    2000-07-01

    The United States Coast Guard has established partnerships with the maritime industry to develop long-term strategic plans for safe and cost effective marine operations through the Prevention Through People (PTP) philosophy. The PTP focuses on preventing accidents and improving business practices by incorporating the following initiatives: (1) assessing the potential for human error in marine operations, (2) targeting the root causes in marine casualties, (3) collecting and analysing data relating to the root causes, and (4) implementing and improving best practices from past experience. The main objective of PTP is to reduce marine casualties, pollution incidents and commercial vessel grounding and collisions. PTP can be applied to ship-to-ship or ship-to-shore oil transfer operations also known as lightering. This paper described the successful implementation of PTP and encourages global participation in the effort. 7 refs.

  15. An Empirical Procedure for Rapid Magnitude Estimation in Italy

    OpenAIRE

    Olivieri, M.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione CNT, Roma, Italia; Schweitzer, J.; NORSAR, Kjeller, Norway

    2007-01-01

    Abstract Rapid estimates of source parameters are needed for reasons of civil protection in regions where destructive events often occur. This information can prevent further damage and casualties. A relation between the first seconds of a P- wave onset and the local magnitude ML of the earthquake has been developed for the Italy region following results obtained in Japan and Southern California. The proposed dominant period estimate has been used in the present work and i...

  16. Development of a highly efficacious vaccinia-based dual vaccine against smallpox and anthrax, two important bioterror entities

    OpenAIRE

    Tod J Merkel; Perera, Pin-Yu; Kelly, Vanessa K.; Verma, Anita; Llewellyn, Zara N.; Waldmann, Thomas A.; Mosca, Joseph D.; Perera, Liyanage P.

    2010-01-01

    Bioterrorism poses a daunting challenge to global security and public health in the 21st century. Variola major virus, the etiological agent of smallpox, and Bacillus anthracis, the bacterial pathogen responsible for anthrax, remain at the apex of potential pathogens that could be used in a bioterror attack to inflict mass casualties. Although licensed vaccines are available for both smallpox and anthrax, because of inadequacies associated with each of these vaccines, serious concerns remain ...

  17. Geomorphological surveys and software simulations for rock fall hazard assessment: a case study in the Italian Alps

    OpenAIRE

    Devoto, S.; Boccali, C.; F. Podda

    2014-01-01

    In northern Italy, fast-moving landslides represent a significant threat to the population and human facilities. In the eastern portion of the Italian Alps, rock falls are recurrent and are often responsible for casualties or severe damage to roads and buildings. The above-cited type of landslide is frequent in mountain ranges, is characterised by strong relief energy and is triggered by earthquakes or copious rainfall, which often exceed 2000 mm yr−1. These factors ...

  18. Mobile Emergency, an Emergency Support System for Hospitals in Mobile Devices: Pilot Study

    OpenAIRE

    Pierfrancesco, Bellini; Sergio, Boncinelli; Francesco, Grossi; Marco, Mangini; Paolo, Nesi; Leonardo, Sequi

    2013-01-01

    Background Hospitals are vulnerable to natural disasters, man-made disasters, and mass causalities events. Within a short time, hospitals must provide care to large numbers of casualties in any damaged infrastructure, despite great personnel risk, inadequate communications, and limited resources. Communications are one of the most common challenges and drawbacks during in-hospital emergencies. Emergency difficulties in communicating with personnel and other agencies are mentioned in literatur...

  19. Advancing Sustainable Safety : national road safety outlook for The Netherlands for 2005-2020.

    OpenAIRE

    Wegman, F. Aarts, L. & Bax, C.

    2009-01-01

    Although road safety has improved enormously over time, and The Netherlands is one of the safest countries in the world, the current annual number of road casualties is still considered as unacceptable. To support next steps the sustainable safety vision was launched in the early 1990s. The idea was to make the Dutch road traffic system inherently safe. Sustainable safety was the guide in the approach of improving road safety in The Netherlands the last two decades. Because implemented sustai...

  20. Risk Analysis for Environmental Health Triage

    Energy Technology Data Exchange (ETDEWEB)

    Bogen, K T

    2005-11-18

    The Homeland Security Act mandates development of a national, risk-based system to support planning for, response to and recovery from emergency situations involving large-scale toxic exposures. To prepare for and manage consequences effectively, planners and responders need not only to identify zones of potentially elevated individual risk, but also to predict expected casualties. Emergency response support systems now define ''consequences'' by mapping areas in which toxic chemical concentrations do or may exceed Acute Exposure Guideline Levels (AEGLs) or similar guidelines. However, because AEGLs do not estimate expected risks, current unqualified claims that such maps support consequence management are misleading. Intentionally protective, AEGLs incorporate various safety/uncertainty factors depending on scope and quality of chemical-specific toxicity data. Some of these factors are irrelevant, and others need to be modified, whenever resource constraints or exposure-scenario complexities require responders to make critical trade-off (triage) decisions in order to minimize expected casualties. AEGL-exceedance zones cannot consistently be aggregated, compared, or used to calculate expected casualties, and so may seriously misguide emergency response triage decisions. Methods and tools well established and readily available to support environmental health protection are not yet developed for chemically related environmental health triage. Effective triage decisions involving chemical risks require a new assessment approach that focuses on best estimates of likely casualties, rather than on upper plausible bounds of individual risk. If risk-based consequence management is to become a reality, federal agencies tasked with supporting emergency response must actively coordinate to foster new methods that can support effective environmental health triage.

  1. How Vessel Fitness is Regulated by Hull Policy- from the perspective of English and Norwegian Marine Insurance Law

    OpenAIRE

    Yang, Yuanyuan

    2014-01-01

    An insurance contract is one under which, for some considerations, the policyholder secures to himself some benefit upon the occurrence of an uncertain event beyond his own control and adverse to his interests by transferring some or all of the risk to the insurers. Thus according to the general principle of insurance: insurance is a commodity to protect against casualties and against unforeseeable losses. An issue arises where an unfit vessel is unable to encounter ordinary perils while at s...

  2. Identification of Assured with his servants in Marine Insurance : With focus on Shipowning structures, Master and Crew

    OpenAIRE

    2012-01-01

    The topic of this thesis is to examine identifiction problems in marine insurance related to assured and his servants together with a focus on shipowning entities and shipmanagement organisation. For the sake of simplicity, by marine insurance, it is meant hull insurance for ocean-going ships, i.e. casualty insurance covering material loss of or damage to hull and machinery. That’s because the concept of other shipowning insurances does not differ in terms of the identification concept, excep...

  3. En vellykket krisekommunikation? Air Greenlands krisekommunikation - internt og eksternt perspektiv

    OpenAIRE

    Christiansen, Jacob; Christiansen, Kristine; Petersen, Heidi Juul; Møller-Petersen, Allan; Wintlev-Jensen, Anette

    2015-01-01

    The majority of the investigations into crisis communication are studying crisis communication after the escalation of a crisis. In this thesis, we examine a case where the potential media crises did not evolve. The fact that a media crisis never occurred made us curious, and such a case may hold valuable information about the efficacy of crisis communication. On the 29th of January 2014 an aircraft from Air Greenland (AG) crashed in Greenland. This resulted in only minor casualties. As a ...

  4. Child Abuse in the Wake of Natural Disasters

    OpenAIRE

    Curtis, Thom

    1995-01-01

    Natural and technological disasters impact thousands of families in the United States each year. Catastrophic events leave homelessness, unemployment, injury, and death in their wake. The cost to society is usually measured in homes destroyed, jobs lost, casualties, and expected dollar expense of recovery. There are the social, psychological, and family consequences of catastrophic stressors. Anecdotal reports suggest that among these consequences is an increase in family violence, including ...

  5. Radiation protection research during the Second World War

    International Nuclear Information System (INIS)

    The president commission of the Max-Planck-Gesellschaft studied the contribution of German scientists to research projects during the Second World War, classified as ''important for the war''. The study is also thought as remembrance to the victims of these research projects. During the last years the history of the field office Oberschlema of the Kaiser-Wilhelm-Institute for biophysics was and the radium research institute Oberschlema was investigated. Obviously there were no casualties among the voluntary test persons.

  6. Wildland Fire Hazard and Urban Development Pattern: Why California Civil Code 1103 Fails to Protect Households from Wildfires

    OpenAIRE

    Xu, Wenchao; Wu, Junjie

    2009-01-01

    Recent years have seen mass casualties and severe property damage caused by wildland fires. With increasing housing development in natural-amenity-rich fire-prone areas, human activities not only exert intense pressures on local ecosystems, but also increase difficulties for wildland fire suppression. To cope with wildland fire threats and protect life and property from wildfire, a new California Natural Hazard Disclosure Law (California Civil Code Sec. 1103) went into effect in 1998. Informa...

  7. Overseas Deployment, Combat Exposure, and Well-Being in the 2010 National Survey of Veterans

    OpenAIRE

    Edwards, Ryan D.

    2012-01-01

    Recent military engagements in Iraq (OIF) and Afghanistan (OEF) raise questions about the effects on service members of overseas deployment, which can include service in a combat or war zone, exposure to casualties, or both. The 2010 National Survey of Veterans, which asked a broad cross section of living veteran cohorts about deployment to OEF/OIF and combat exposure, provides some new insights into short and long-term relationships between characteristics of military service and outcomes. A...

  8. Recovery from Hematopoietic Injury by Modulating Prostaglandin E2 Signaling Post-Irradiation

    OpenAIRE

    Hoggatt, Jonathan; Singh, Pratibha; Stilger, Kayla N.; Plett, P. Artur; Sampson, Carol H.; Chua, Hui Lin; Orschell, Christie M.; Pelus, Louis M.

    2012-01-01

    While high dose total body irradiation (TBI) is used therapeutically, the proliferation of nuclear weapons, increasing use of nuclear power, and worldwide radical terrorism underscore the need to develop countermeasures to a radiological mass casualty event. The hematopoietic syndrome of the acute radiation syndrome (HS-ARS) results from severe compromise to the hematopoietic system, including lymphocytopenia, neutropenia, thrombocytopenia, and possible death from infection and/or hemorrhage....

  9. Inaccurate Prediction of Nuclear Weapons' Effects and Possible Adverse Influences on Nuclear Terrorism Preparedness

    OpenAIRE

    Harney, Robert C.

    2009-01-01

    This article appeared in Homeland Security Affairs (September 2009), v.5 no.3 The primary purpose of this paper is to discuss the accuracy of common effects estimates and describe how more realistic estimates might affect nuclear terrorism preparedness.[...].The likelihood of an attack [nuclear] has prompted considerable public debate about what are the best steps to prevent such an attack. In many of these discussions estimates of the number of casualties or the size of the area that woul...

  10. Vulnerability of populations and the urban health care systems to nuclear weapon attack – examples from four American cities

    OpenAIRE

    Dallas Cham E; Bell William C

    2007-01-01

    Abstract Background The threat posed by the use of weapons of mass destruction (WMD) within the United States has grown significantly in recent years, focusing attention on the medical and public health disaster capabilities of the nation in a large scale crisis. While the hundreds of thousands or millions of casualties resulting from a nuclear weapon would, in and of itself, overwhelm our current medical response capabilities, the response dilemma is further exacerbated in that these resourc...

  11. Systematic review of raloxifene in postmenopausal Japanese women with osteoporosis or low bone mass (osteopenia)

    OpenAIRE

    Sato, Masayo

    2014-01-01

    Saeko Fujiwara,1 Etsuro Hamaya,2 Masayo Sato,2 Peita Graham-Clarke,3 Jennifer A Flynn,2 Russel Burge41Hiroshima Atomic Bomb Casualty Council, Hiroshima, Japan; 2Lilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, Japan; 3Global Health Outcomes, Eli Lilly Australia, Sydney, NSW, Australia; 4Global Health Outcomes, Eli Lilly and Company, Indianapolis, IN, USAPurpose: To systematically review the literature describing the efficacy, effectiveness, and safety of raloxifene for ...

  12. Systematic review of raloxifene in postmenopausal Japanese women with osteoporosis or low bone mass (osteopenia)

    OpenAIRE

    Fujiwara S; Hamaya E; Sato M; Graham-Clarke P; Flynn JA; Burge R

    2014-01-01

    Saeko Fujiwara,1 Etsuro Hamaya,2 Masayo Sato,2 Peita Graham-Clarke,3 Jennifer A Flynn,2 Russel Burge41Hiroshima Atomic Bomb Casualty Council, Hiroshima, Japan; 2Lilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, Japan; 3Global Health Outcomes, Eli Lilly Australia, Sydney, NSW, Australia; 4Global Health Outcomes, Eli Lilly and Company, Indianapolis, IN, USAPurpose: To systematically review the literature describing the efficacy, effectiveness, and safety of raloxifene for post...

  13. Acute shortening and angulation for limb salvage in a paediatric patient with a high-energy blast injury.

    Science.gov (United States)

    Pikkel, Yoav Yechezkel; Wilson, Jessica Jeanne; Kassis, Shokrey; Lerner, Alexander

    2014-01-01

    We present the case of an 8-year-old girl casualty of the Syrian conflict who arrived with open fractures of the right tibia and fibula with extensive bone and soft tissue loss as well as an open fracture of the left calcaneus as the result of a high-energy blast injury. She was successfully treated with repeated debridement procedures, external fixation with acute temporary shortening and angulation of the right leg and skin grafting to both lower limbs. PMID:24654251

  14. Gun utopias? Firearm access and ownership in Israel and Switzerland

    OpenAIRE

    Rosenbaum, Janet

    2011-01-01

    The 2011 attempted assassination of a US representative renewed the national gun control debate. Gun advocates claim that mass-casualty events are mitigated and deterred with three policies: (1) permissive gun laws, (2) widespread gun ownership, (3) encouragement of armed civilians who can intercept shooters, and cite Switzerland and Israel as exemplars. We evaluate these claims with analysis of International Crime Victimization Survey (ICVS) data and translation of laws and original source m...

  15. The use of the Rapignost strip for estimating urinary amylase levels.

    OpenAIRE

    Touquet, V. L.; Wilcox, A H

    1985-01-01

    The Rapignost-Amylase urinary test strip (Behringwerke Laboratories) provides an estimation of urine amylase which takes a few minutes and is easy to perform. During a period of 9 months, 84 patients had their urine tested with this strip by casualty officers in the Accident and Emergency Department of St George's Hospital, London. In addition, urine amylase, and plasma amylase and creatinine were measured in the chemical pathology laboratory. In all but one instance, the result of the strip ...

  16. From Cholera to Burns: A Role for Oral Rehydration Therapy

    OpenAIRE

    Milner, S. M.; Green, W.B.; Asuku, M.E.; M. Feldman; Makam, R.; Noppenberger, D; Price, L A; Prosciak, M.; van Loon, I.N.

    2011-01-01

    According to the practice guidelines of the American Burn Association on burn shock resuscitation, intravenous (IV) fluid therapy is the standard of care for the replacement of fluid and electrolyte losses in burn injury of ≥20% of the total body surface area. However, in mass burn casualties, IV fluid resuscitation may be delayed or unavailable. Oral rehydration therapy (ORT), which has been shown to be highly effective in the treatment of dehydration in epidemics of cholera, could be an alt...

  17. Application of the micronucleus assay performed by different scorers in case of large-scale radiation accidents

    OpenAIRE

    Rawojć Kamila; Tarnawska Dorota M.; Miszczyk Justyna U.; Swakoń Jan; Stolarczyk Liliana; Rydygier Marzena

    2015-01-01

    Mass casualty scenarios of radiation exposure require high throughput biological dosimetry techniques for population triage, in order to rapidly identify individuals, who require clinical treatment. Accurate dose estimates can be made by biological dosimetry, to predict the acute radiation syndrome (ARS) within days after a radiation accident or a malicious act involving radiation. Timely information on dose is important for the medical management of acutely irradiated persons [1]. The aim of...

  18. The riddle of negotiations in Afghanistan

    OpenAIRE

    Giustozzi, Antonio

    2010-01-01

    As the death toll of British and US/NATO forces rises every week, along with casualties amongst the insurgents and the Afghan population, Antonio Giustozzi reads the runes on whether a politically negotiated settlement is going to be feasible in Afghanistan. British officials and military have been amongst those pushing most strongly for talks with the Taliban to begin. So how do all the stakeholders in the conflict now line up on starting negotiations?

  19. WiP abstract: Optimal multi-agent path planning for fast inverse modeling in UAV-based flood sensing applications

    KAUST Repository

    Abdelkader, Mohamed

    2014-04-01

    Floods are one of the most commonly occurring natural disasters, and caused more than 120,000 fatalities in the world between 1991 and 2005. Most of these casualties are caused by the lack of a reliable real-time flash flood monitoring system. Given the area to monitor, unmanned aerial vehicles (UAVs) appear as the most promising solutions for this task. © 2014 IEEE.

  20. Survey of Staphylococcus isolates among hospital personnel, environment and their antibiogram with special emphasis on methicillin resistance

    OpenAIRE

    Shobha K; Rao P; Thomas J

    2005-01-01

    The objective of this study was to find the prevalence of Staphylococcus spp. carriage among hospital personnel and hospital environment and their antibiogram with special emphasis on methicillin resistance. A total of 205 samples from hospital personnel and environment were collected from casualty, oncology and multidisciplinary cardiac unit ward of Kasturba Medical College Hospital, Manipal. Samples were collected using sterile cotton wool swabs and inoculated into brain heart infusion bro...

  1. Engineering Ethics In Islam: An Evaluative And Comparative Study Between Code Of Ethics Of Institution Of Engineers, Bangladesh (Ieb) And Code Of Professional Conduct Of Board Of Engineers Malaysia (BEM)

    OpenAIRE

    Muhammad Amanullah

    2012-01-01

    During the past two centuries or so a number of buildings and bridges had been structurally failed and collapsed all over the world. Some of these incidents caused a sizeable number of human casualties. For instance, collapse of Tay Bridge in 1879 killed at least sixty persons. Beside the problems related to their design and construction, probably the failure to follow engineering ethics properly was partially responsible for these incidents. Growing engineering professionalism during the ni...

  2. Radiation accidents and their management: emphasis on the role of nuclear medicine professionals

    OpenAIRE

    Bomanji, Jamshed B.; NOVRUZOV, Fuad; Vinjamuri, Sobhan

    2014-01-01

    Large-scale radiation accidents are few in number, but those that have occurred have subsequently led to strict regulation in most countries. Here, different accident scenarios involving exposure to radiation have been reviewed. A triage of injured persons has been summarized and guidance on management has been provided in accordance with the early symptoms. Types of casualty to be expected in atomic blasts have been discussed. Management at the scene of an accident has been described, with e...

  3. The Great Eastern Japan Earthquake and Tsunami: Facts and implications for flood risk management

    OpenAIRE

    Tsimopoulou, V.

    2012-01-01

    The Great Eastern Japan Earthquake and Tsunami of March 11, 2011 can be characterized as a catastrophe. It inundated over 560 km2 of land, devastating a large number of coastal communities, causing over 19,000 casualties and huge economic damage in the Tohoku region. Due to the relatively high frequency of tsunamis, the region was considered well prepared against extreme coastal events. Yet the event of March 11 exceeded all previous expectations and overwhelmed the Japanese disaster protecti...

  4. Holocene lahar history of Villarrica Volcano

    OpenAIRE

    Llurba Ruiz, Mateu

    2014-01-01

    Villarrica Volcano is one of the most active volcanoes in south-central Chile. There are many hazards related to the volcano, but its main hazard for humans through Villarrica’s history have been the lahars. Since the arrival of the Spanish colonists (1550) to the towns beside the volcano, it have been reported hundreds to thousands of casualties and the towns were repeatedly destroyed by lahars. From the necessity to understand its behaviour for future events and reconstr...

  5. Multi-Parameter Decision Support with Data Transmission over GSM/GPRS Network: a Case Study of Landslide Monitoring

    OpenAIRE

    Rath, Satyajit; Sahoo, B. P. S.; Pandey, S.K.; Sandha, D. P.

    2013-01-01

    The planet Earth has hundreds of impact events, with some occurrences causing both in terms of human casualty as well as economic losses. Such attitudes of earth pushed the frontiers to develop innovative monitoring strategies for the earth system. To make that real, although, will require coherent and real-time data by observing the earth behavior contiguously. Wireless Sensor Network (WSN) appears to be the best suitable infrastructure to sense environmental parameters of our interests. In ...

  6. Network Screening for Smarter Road Sites: A Regional Case

    OpenAIRE

    Attila Grieco; Chiara Montaldo; Sylvie Occelli; Silvia Tarditi

    2014-01-01

    Road safety has been a main societal and policy issue in many European countries since the early years of last decade. After the 2000-2010 Road Safety Programme launched by the European Commission, in 2011 the Commission adopted the new 2020 programme, even more demanding than the previous. As the societal consequences of road casualties are increasingly perceived as a core dimension of smart mobility, road safety system is now facing new challenges. Current mobility shifts to softer and gree...

  7. The dilemmas of risk-sensitive development on a small volcanic island

    OpenAIRE

    Wilkinson, Emily; Lovell, Emma; Carby, Barbara; Barclay, Jenni; Robertson, Richard E.A.

    2016-01-01

    In the Small Islands Developing State (SIDS) of St Vincent and the Grenadines in the Caribbean, the most destructive disasters in terms of human casualties have been the multiple eruptions of La Soufrière volcano situated in the north of St Vincent. Despite this major threat, people continue to live close to the volcano and national development plans do not include risk reduction measures for volcanic hazards. This paper examines the development options in volcanic SIDS and presents a number ...

  8. A System for the Acquisition and Analysis of Image Sequences to Model Longitudinal Driving Behavior

    OpenAIRE

    Karimi Nejadasl, F.

    2010-01-01

    Traffic causes important problems in many societies. Considerable amounts of energy, money and time are wasted in traffic jams and even more important are car accidents and casualties in traffic (more than 40,000 deaths per year in the USA (Hitti (2005)) and 791 deaths in 2007 in the Netherlands (van Verkeer en Waterstaat (2008))). To alleviate the problems, traffic is continuously and intensively controlled and studied by authorities and researchers. The results of ongoing research on traffi...

  9. Practice Makes Perfect?: The Changing Civilian Toll of CIA Drone Strikes in Pakistan

    OpenAIRE

    Avery Plaw; Matthew S. Fricker; Brian Glyn Williams

    2011-01-01

    U.S. officials have recently claimed that the CIA has sharply reduced the number of civilian casualties resulting from covert Predator and Reaper drone strikes in the Taliban-controlled agencies of Northwest Pakistan. Critics, especially in Pakistan, along with human rights NGOs have, however, questioned these claims. This article examines independent databases tracking the drone strikes and finds that there is significant support for the U.S. officials’ claims, or at least for their mo...

  10. SIZING OPERATING ROOMS IN CASE OF A DISASTER PLAN

    OpenAIRE

    Nouaouri, Issam; Nicolas, J.; Jolly, Daniel

    2010-01-01

    In case of a disaster, the need for medical and surgical treatments overwhelms hospitals capabilities with respect to standard operating procedures. In this paper, we deal with the preparation phase of the disaster management plan. We focus on the sizing activity of emergency resources, more precisely on operating rooms. So, we propose integer linear programming model. This model provides the optimal number of operating rooms that best respond to mass casualty events such that all victims are...

  11. Preparedness of emergency departments in northwest England for managing chemical incidents: a structured interview survey

    OpenAIRE

    Walter Darren; Williams Jane; Challen Kirsty

    2007-01-01

    Abstract Background A number of significant chemical incidents occur in the UK each year and may require Emergency Departments (EDs) to receive and manage contaminated casualties. Previously UK EDs have been found to be under-prepared for this, but since October 2005 acute hospital Trusts have had a statutory responsibility to maintain decontamination capacity. We aimed to evaluate the level of preparedness of Emergency Departments in North West England for managing chemical incidents. Method...

  12. Pohled na připravenost RDG oddělení krnovské nemocnice na zvládnutí příjmu většího počtu zraněných při řešení mimořádné události.

    OpenAIRE

    PODEŠVOVÁ, Jitka

    2011-01-01

    Exercising their profession, nursing staff in health facilities may commit a fatal mistake in tense moments in terms of time. An illustrious example may be the admission of a higher number of casualties after an emergency event. So that to prevent these negative consequences, emphasis is put on the readiness of the entire health system from the headquarters to individual care providers. Special attention is also paid to trauma planning, because especially in complex cases greater demands are ...

  13. Lessons learned after 2 full scale disaster exercises in a Swiss pediatric hospital

    OpenAIRE

    Lutz N.; Yersin C.; Hemme D.; Duc P.A.; Gehri M.; Pediatric disaster plan team Hôpital de l'Enfance

    2011-01-01

    Introduction: Following a disaster, up to 50% of mass casualties are children. The number of disaster increases worldwide, including in Switzerland. Following national order, the mapping of the various risks of disaster in Switzerland will be completed by the end of 2012. Pre-hospital disaster drills and plans are well established and regularly tested. In-hospital disaster plans are much less frequently tested, if only available. Pediatric in-hospital full scale disaster exercises have never ...

  14. The nuclear medicine department in the emergency management plan: a referent structure for the nuclear and radiological risks

    International Nuclear Information System (INIS)

    Each french public or private hospital has to establish guidelines for an immediate response to mass casualties (Emergency Management Plan or 'White' Plan). For a nuclear accident or terrorist attack, the staff of the Nuclear Medicine Department may be adequately prepared and equipped. This paper presents the nuclear and radiological risks section of the final draft of the White Plan developed at Bordeaux University Hospital. (author)

  15. Agent-based simulation of emergency response to plan the allocation of resources for a hypothetical two-site major incident.

    OpenAIRE

    Hawe, G.I.; Coates, G.; Wilson, D. T.; Crouch, R. S.

    2015-01-01

    During a major incident, the emergency services work together to ensure that those casualties who are critically injured are identified and transported to an appropriate hospital as fast as possible. If the incident is multi-site and resources are limited, the efficiency of this process is compromised as the finite resources must be shared among the multiple sites. In this paper, agent-based simulation is used to determine the allocation of resources for a two-site incident which minimizes th...

  16. How a hospital must face a massive emergency: the case of Martini Hospital, Turin

    OpenAIRE

    Antonio Morra; Lorenzo Odetto; Pierangelo Bozzetto

    2008-01-01

    The terms “disaster” or “surge capability”, referred to hospitals, are often used to define a massive casualty admission. This may be a misleading concept, because emergency may as well arise from inside hospitals, and the last years high figures related to fires in the about 2,000 italian hospitals should suggest a different point of view. In this article the authors describe their experience in hospital preparedness at Ospedale Martini in Turin. Hospital operators re...

  17. Time Bombs

    OpenAIRE

    Susan Hannah Allen

    2007-01-01

    Advancements in technology coupled with the perception of diminished public tolerance for casualties have increased the prominence and popularity of aerial bombing as a coercive tool, particularly for the United States. Despite interest from policy makers and support from the public, there has been little scholarly assessment of these coercive episodes. How successful are air campaigns, and what are the prospects for the future? In this article, I focus on the factors that cause bombing campa...

  18. The 'ABC' of examining foot radiographs.

    OpenAIRE

    Pearse, Eyiyemi O.; Klass, Benjamin; Bendall, Stephen P.

    2005-01-01

    INTRODUCTION: We report a simple systematic method of assessing foot radiographs that improves diagnostic accuracy and can reduce the incidence of inappropriate management of serious forefoot and midfoot injuries, particularly the Lisfranc-type injury. STUDY GROUP AND METHODS: Five recently appointed senior house officers (SHOs), with no casualty or Orthopaedic experience prior to their appointment, were shown a set of 10 foot radiographs and told the history and examination findings recorded...

  19. In the Eye Of a Storm

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Spiraling sectarian violence in Iraq triggers fresh fears of an outright civil war breaking out In addition to lingering terrorism, Iraqis have recently fallen prey to a more insidious threat, with casualties inflicted by violence between the country's two major religious sects, Sunnis and Shiites, constantly on the rise. The deteriorating security situation sounds the alarm over a possible all-out civil war. While

  20. Team 7: Applying Automated Red Teaming in an Urban Ops Scenario

    OpenAIRE

    Lee, M.; Ang, D; Huee, L. Fung

    2006-01-01

    With rapid urbanisation, troops today will have to operate in an increasingly complex and urbanised environment. Together with a more potent enemy capability, the troops will have to be highly armour protected even at the lowest level (company size) in order to minimise the casualty rate. The fighting force will need to be a combined force to achieve a swift and decisive result in an urbanised terrain. This study explored the Coy level urban fighting force pack...

  1. Multidrug-resistant gram-negative bacteria colonization of healthy US military personnel in the US and Afghanistan

    OpenAIRE

    Vento, Todd J.; Cole, David W; Mende, Katrin; Calvano, Tatjana P.; Rini, Elizabeth A.; Tully, Charla C; Zera, Wendy C.; Guymon, Charles H; Yu, Xin; Cheatle, Kristelle A; Akers, Kevin S.; Beckius, Miriam L.; Landrum, Michael L.; Murray, Clinton K.

    2013-01-01

    Background The US military has seen steady increases in multidrug-resistant (MDR) gram-negative bacteria (GNB) infections in casualties from Iraq and Afghanistan. This study evaluates the prevalence of MDR GNB colonization in US military personnel. Methods GNB colonization surveillance of healthy, asymptomatic military personnel (101 in the US and 100 in Afghanistan) was performed by swabbing 7 anatomical sites. US-based personnel had received no antibiotics within 30 days of specimen collect...

  2. Possible health hazards of nuclear power

    International Nuclear Information System (INIS)

    In considering the possible health hazards of nuclear power, evidence is examined that official estimates of risks, on which governments may be supposed to base their decisions as to the acceptibility of a nuclear power programme, may be understated. In particular the case that the Hanford survey is more appropriate as a basis of risk estimation than the survey of the survivors of the atomic bombs dropped on Japan, The Atomic Bomb Casualty Commission Study, is discussed. (U.K.)

  3. Genocide, Nuptiality, and Fertility in Rwanda and Bosnia-Herzegovina

    OpenAIRE

    Staveteig, Sarah Elizabeth

    2011-01-01

    How does exposure to genocide affect nuptiality and fertility among the surviving population? Genocides in Rwanda and in Bosnia-Herzegovina in the early 1990s caused high levels of population displacement, trauma, and death, along with a dramatic decline in the standard of living. In Rwanda, genocide also reduced the sex ratio of the marriage-aged population, while in Bosnia, despite the high proportion of male casualties, the overall sex ratio of the marriage-age population did not decline s...

  4. Los Bandidos Buenos

    OpenAIRE

    Wissing Madsen, Pernille; Arce, Jose; Lai, Quyen; Fredskild, Nanna; Ragauskas, Jokubas; Guldstrand, Cenia

    2012-01-01

    Violence, insecurity, crime and impunity are common words that one hears about contemporary Mexico. The government institutions in charge of the fight against drugs show increasing inability to protect human lives. Thousands of files regarding human casualties have been gathered. It seems that there is no space in Mexico that has not been touched by the influence and violence of ‘Narcotrafico’, Drug-trafficking. Therefore the question arose: How comes Sub-culture of ‘Narco’ idealizing deviant...

  5. Monitor Beleidsimpuls Verkeersveiligheid 2015 : onderzoeksverantwoording.

    OpenAIRE

    Duivenvoorden, C.W.A.E. Goldenbeld, C. Weijermars, W.A.M. Bos, N.M. Groot-Mesken, J. de & Stipdonk, H.L.

    2015-01-01

    Monitor Policy Stimulus Road Safety 2015 : research justification. The Policy Stimulus Road Safety 2012 contains 23 extra measures that the Ministry of Infrastructure and the Environment and its administrative and social partners want to take together to reduce the number of serious road injuries. This monitor presents the developments concerning the numbers of casualties, exposure and risk, discusses the progress of the implementation and, where possible, discusses the effects of the additio...

  6. Monitor Beleidsimpuls Verkeersveiligheid 2014 : onderzoeksverantwoording.

    OpenAIRE

    Weijermars, W.A.M. Goldenbeld, C. Bijleveld, F.D. & Bos, N.M.

    2015-01-01

    Monitor Policy Stimulus Road Safety 2014 : research justification. The Policy Stimulus Road Safety that was drawn up in 2012 contains 23 additional measures that the Ministry of Infrastructure and the Environment and its administrative and social partners intend to implement in order to reduce the number of serious road injuries. This monitor reports on the developments concerning numbers of casualties, exposure and risk and discusses the progress of the implementation and possible effects of...

  7. Conventional routine clinical review may not be necessary after uncomplicated phacoemulsification

    OpenAIRE

    ALLAN, B.; Baer, R; HEYWORTH, P.; Duguid, I.; Dart, J.

    1997-01-01

    AIM—To determine the clinical intervention rate during routine review after uncomplicated phacoemulsification.
METHODS—A review of case notes in 651 consecutive cases of uncomplicated phacoemulsification from 1994 (⩽5.5 mm self sealing wound) was performed. The intervention rate at scheduled routine review visits and at unscheduled visits to the eye casualty service in the first 120 postoperative days was recorded. Interventions were defined as departures from predetermined postoperative care...

  8. A Robust and Cost-Efficient Design of Lightweight Rockfall Catch Fences for Railways

    OpenAIRE

    Al-Budairi, Hassan; Gao, Zhiwei

    2016-01-01

    Trains and railway infrastructure are subjected to serious potential hazards from detached falling rock(s) in mountain regions worldwide. This can lead to severe damages, casualties and significant delays. In 2011, a rockfall event at Stromeferry bypass in Scotland caused 4 month railway closure that led to a negative impact on local businesses and the repair work cost was £3.2 million. Rock catch fences are widely used in protecting roads, railways and infrastructure from rockfall hazards...

  9. Trash can bomb can fall into the hands of terrorists

    CERN Multimedia

    2001-01-01

    Leading scientists from CERN described how if terrorists were able to get their hands on plutonium or uranium, they would be able to manufacture a 'trash can' nuclear bomb simply by inserting the radioactive material into a normal bomb. Once detonated a large area could be contaminated leading to the immediate deaths of many with many more future casualties due to cancers caused by the radiation.

  10. The Earthquake Early Warning System in Southern Italy

    OpenAIRE

    Zollo, A.; Dipartimento di Scienze Fisiche, Universita` di Napoli ‘‘Federico II’’; Iannaccone, G.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione OV, Napoli, Italia; Convertito, V.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione OV, Napoli, Italia; Elia, L.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione OV, Napoli, Italia; Iervolino, I.; Dipartimento di Ingegneria Strutturale, Università degli studi di Napoli Federico II; Lancieri, M.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione OV, Napoli, Italia; Lomax, A.; ALomax Scientific, Mouans-Sartoux, France.; Martino, C.; Dipartimento di Scienze Fisiche, Università di Napoli ‘‘Federico II’’; AMRA Scarl; Satriano, C.; Dipartimento di Scienze Fisiche, Università Federico II, Napoli, Italy; Weber, E.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione OV, Napoli, Italia; Gasparini, P.; Dipartimento di Scienze Fisiche, Università di Napoli “Federico II”

    2009-01-01

    Many regions in the world are affected by natural hazards such as earthquakes, tsunamis, volcanoes, floods, storms, landslides, etc., each of which can have devastating socio- economic impacts. Among these natural events, earthquakes, have been among the most recurrent and damaging hazards during last few decades, resulting in large numbers of casualties, and massive economic losses [30]. The problem of earthquake risk mitigation is faced using different approaches, de...

  11. How political scientists got Trump exactly wrong

    OpenAIRE

    Gruber, Lloyd

    2016-01-01

    One of the major casualties of the 2016 election season has been the reputation of political science, a discipline whose practitioners had largely dismissed Donald Trump’s chances of gaining the Republican nomination. Lloyd Gruber describes just how wrong political scientists were about Trump, and explains why they should have been able to predict his success. Looking ahead to the fall general election, he questions whether voters will want Trump’s trigger-happy fingers on America’s nuclear b...

  12. The impact of Onboard Maintenance Training on surface ship readiness.

    OpenAIRE

    Morris, Carl A.

    1987-01-01

    Analysis of shipboard equipment failure generated by merging Navy casualty report and Unified Industries Onboard Maintenance Training (OMT) data bases demonstrate a measurable positive effect on reliability in those ships which participated in the program. When comparing equipment failure rates of these trained ships before and up to three years after the training event, over 70 percent of the time there was definite net positive effect. Eleven OMT courses, comprising 1176 shipboard training ...

  13. Terrorism Event Classification Using Fuzzy Inference Systems

    OpenAIRE

    Dat Tran; Choochart Haruechaiyasak; Phayung Meesad; Uraiwan Inyaem

    2010-01-01

    Terrorism has led to many problems in Thai societies, not only property damage but also civilian casualties. Predicting terrorism activities in advance can help prepare and manage risk from sabotage by these activities. This paper proposes a framework focusing on event classification in terrorism domain using fuzzy inference systems (FISs). Each FIS is a decision-making model combining fuzzy logic and approximate reasoning. It is generated in five main parts: the input interface, the fuzzific...

  14. The Potential Benefit of 5% Sulfamylon Solution in the Treatment of Acinetobacter baumannii–contaminated Traumatic War Wounds

    OpenAIRE

    Kucan, John O.; Heggers, John P.

    2005-01-01

    Background: The recent report of high numbers of Acinetobacter baumannii bloodstream infections among service members injured in Iraq and Afghanistan during the period January 2002 through August 2004 has prompted an investigation into their etiology. A review of the current guidelines for open combat casualty wounds as part of this broad investigation was not mentioned in the report. Objective: The objective of this study was 2-fold: to ascertain the susceptibility of A baumannii to currentl...

  15. Disruptive camouflage impairs object recognition

    OpenAIRE

    Richard J. Webster; Hassall, Christopher; Herdman, Chris M.; Godin, Jean-Guy J.; Sherratt, Thomas N.

    2013-01-01

    Whether hiding from predators, or avoiding battlefield casualties, camouflage is widely employed to prevent detection. Disruptive coloration is a seemingly well-known camouflage mechanism proposed to function by breaking up an object's salient features (for example their characteristic outline), rendering objects more difficult to recognize. However, while a wide range of animals are thought to evade detection using disruptive patterns, there is no direct experimental evidence that disruptive...

  16. Framework of National Non-Structural Measures for Flash Flood Disaster Prevention in China

    OpenAIRE

    Dongya Sun; Dawei Zhang; Xiaotao Cheng

    2012-01-01

    In recent years, disasters caused by flash floods with many casualties have occurred frequently in China. In order to effectively prevent flash flood disasters, the State Council approved the National Flash Flood Control Planning (NFFCP) in 2006. In this planning, non-structural measures are recommended as the first step to be adopted in the prevention of flash floods, debris flow and landslide disasters caused by heavy rainfall. In order to effectively build up a comprehensive non-structural...

  17. Risk Management by Insurers: An Analysis of the Process

    OpenAIRE

    David F. Babbel; Anthony M. Santomero

    1997-01-01

    Throughout the past year, on-site visits to financial service firms were conducted to review and evaluate their risk management systems. In the insurance sector, this evaluation covered a number of prominent life/health and property/casualty insurers, both in the U.S. and abroad. The information obtained covered both the philosophy and practice of financial risk management. This paper outlines the results of this investigation. It reports the state of risk management techniques in the industr...

  18. Data fusion architecture for intelligent vehicles

    OpenAIRE

    García Fernández, Fernando

    2012-01-01

    Traffic accidents are an important socio-economic problem. Every year, the cost in human lives and the economic consequences are inestimable. During the latest years, efforts to reduce or mitigate this problem have lead to a reduction in casualties. But, the death toll in road accidents is still a problem, which means that there is still much work to be done. Recent advances in information technology have lead to more complex applications, which have the ability to help or even substitute the...

  19. Comparative study between dutch and spanish structural safety performances

    OpenAIRE

    Méndez Safont, Marta

    2009-01-01

    Dutch building industry has faced several major structural incidents for the past years. Some of them not only involved material damage and remarkable economical losses but also human casualties. Therefore a great concern has grown among the parties belonging to the Dutch building industry and the assumption is that a piece of the construction mechanism is inherently working in a defective way. Initiatives for locating the source of the mentioned problem and then trying to fix ...

  20. Spatio-Temporal Changes in Meteorological Dryness/Wetness Pattern and Hydrological Responses in South China

    OpenAIRE

    Fischer, Thomas

    2012-01-01

    South China is prone to floods and droughts, which are often caused by extremes in meteorological dryness and wetness conditions, such as heavy precipitation or dry spells, and their hydrological responses. Floods and droughts cause casualties and high agricultural and economic losses, whether directly or indirectly. Scientific information on the susceptibility of regional climate extremes and dryness and wetness pattern are neither available in high resolution nor quality, both in spatial an...

  1. Managing traumatic brain injury secondary to explosions

    Directory of Open Access Journals (Sweden)

    Burgess Paula

    2010-01-01

    Full Text Available Explosions and bombings are the most common deliberate cause of disasters with large numbers of casualties. Despite this fact, disaster medical response training has traditionally focused on the management of injuries following natural disasters and terrorist attacks with biological, chemical, and nuclear agents. The following article is a clinical primer for physicians regarding traumatic brain injury (TBI caused by explosions and bombings. The history, physics, and treatment of TBI are outlined.

  2. Landslide susceptibility mapping using multi-criteria evaluation techniques in Chittagong Metropolitan Area, Bangladesh

    OpenAIRE

    Ahmed, B.

    2014-01-01

    Landslides are a common hazard in the highly urbanized hilly areas in Chittagong Metropolitan Area (CMA), Bangladesh. The main cause of the landslides is torrential rain in short period of time. This area experiences several landslides each year, resulting in casualties, property damage, and economic loss. Therefore, the primary objective of this research is to produce the Landslide Susceptibility Maps for CMA so that appropriate landslide disaster risk reduction strategies can be developed. ...

  3. The landslide susceptibility map of Italy at 1:1 Million scale

    OpenAIRE

    Trigila A.; Catani F.; Casagli N.; Crosta G.; Esposito C; Frattini P.; Iadanza C.; Lagomarsino D.; Lari S.; Scarascia Mugnozza G; Segoni S.; Spizzichino D.; Tofani V.

    2012-01-01

    Landslides are among the most problematic natural hazards in Italy, in terms of both casualties and economic losses. Landslide susceptibility maps are key tools for land use planning, management and risk mitigation. The aim of the work is to present the methodology adopted by ISPRA (Italian National Institute for Environmental Protection and Research), University of Florence, University of Milano-Bicocca and University of Rome "La Sapienza" for the development of a Landslide susceptibility ma...

  4. Earthquake Early Warning Systems

    OpenAIRE

    Pei-Yang Lin

    2011-01-01

    Because of Taiwan’s unique geographical environment, earthquake disasters occur frequently in Taiwan. The Central Weather Bureau collated earthquake data from between 1901 and 2006 (Central Weather Bureau, 2007) and found that 97 earthquakes had occurred, of which, 52 resulted in casualties. The 921 Chichi Earthquake had the most profound impact. Because earthquakes have instant destructive power and current scientific technologies cannot provide precise early warnings in advance, earthquake ...

  5. Diagnosability analysis and FDI system design for uncertain systems

    OpenAIRE

    Eriksson, Daniel

    2013-01-01

    Our society depends on advanced and complex technical systems and machines, for example, cars for transportation, industrial robots in production lines, satellites for communication, and power plants for energy production. Consequences of a fault in such a system can be severe and result in human casualties, environmentally harmful emissions, high repair costs, or economical losses caused by unexpected stops in production lines. Thus, a diagnosis system is important, and in some applications ...

  6. Man-eating and cattle-lifting by tigers and conservation implications in India

    OpenAIRE

    Chauhan, N. P. S.

    2011-01-01

    We investigated the incidences of human casualties and cattle-lifting by tigers and circumstances of attacks and suggested mitigation strategies. In India, tigers mostly survive in small numbers in protected areas which are isolated due to habitat fragmentation and disturbances. Man-killing behaviour and predation on cattle are the main issues of confrontation, and as a result, the conservation efforts are adversely affected. In the states of Uttar Pradesh, Uttarakhand, Rajasthan, Madhya Prad...

  7. Communication and Networking Techniques for Traffic Safety Systems

    OpenAIRE

    Chisalita, Ioan

    2006-01-01

    Accident statistics indicate that every year a significant number of casualties and extensive property losses occur due to traffic accidents. Consequently, efforts are directed towards developing passive and active safety systems that help reduce the severity of crashes, or prevent vehicles from colliding with one another. To develop these systems, technologies such as sensor systems, computer vision and vehicular communication have been proposed. Safety vehicular communication is defined as ...

  8. Long-term Radiation-Related Health Effects in a Unique Human Population: Lessons Learned from the Atomic Bomb Survivors of Hiroshima and Nagasaki

    OpenAIRE

    Douple, Evan B.; Mabuchi, Kiyohiko; Cullings, Harry M.; Preston, Dale L.; Kodama, Kazunori; Shimizu, Yukiko; Fujiwara, Saeko; Shore, Roy E.

    2011-01-01

    For 63 years scientists in the Atomic Bomb Casualty Commission and its successor, the Radiation Effects Research Foundation, have been assessing the long-term health effects in the survivors of the atomic bombings of Hiroshima and Nagasaki and in their children. The identification and follow-up of a large population (approximately a total of 200 000, of whom more than 40% are alive today) that includes a broad range of ages and radiation exposure doses, and healthy representatives of both sex...

  9. Expressed sequence tags in venomous tissue of Scorpaena plumieri (Scorpaeniformes: Scorpaenidae)

    OpenAIRE

    Fábio L. S. Costa; Lima, Maria E.; Adriano C. Pimenta; Figueiredo, Suely G.; Evanguedes Kalapothakis; Carlos E. Salas

    2014-01-01

    Species of the family Scorpaenidae are responsible for accidents and sporadic casualties by the shore they inhabit. The species Scorpaena plumierifrom this family populate the Northeastern and Eastern coast of Brazil causing human envenomation characterized by local and systemic symptoms. In experimental animals the venom induces cardiotoxic, hypotensive, and airway respiratory effects. As first step to identify the venom components we isolated gland mRNA to produce a cDNA library from the fi...

  10. First Recent Record of Hairy-Nosed Otter in Sumatra, Indonesia

    OpenAIRE

    Lubis R

    2005-01-01

    On route to a regular meeting with officials in Sekayu, Sumatra, the author found a road casualty hairy-nosed otter (Lutra sumatrana). This is the first record of the animal on its eponymous island since an unreliable one in the 1960s. Photographs and measurements of the specimen, which has been preserved, are presented. Local officials intend to use the existence of this species as a flagship for their conservation efforts.

  11. First Recent Record of Hairy-Nosed Otter in Sumatra, Indonesia

    Directory of Open Access Journals (Sweden)

    Lubis R

    2005-04-01

    Full Text Available On route to a regular meeting with officials in Sekayu, Sumatra, the author found a road casualty hairy-nosed otter (Lutra sumatrana. This is the first record of the animal on its eponymous island since an unreliable one in the 1960s. Photographs and measurements of the specimen, which has been preserved, are presented. Local officials intend to use the existence of this species as a flagship for their conservation efforts.

  12. Landslide Susceptibility Zonation Model On Jeneberang Watershed Using Geographical Information System and Analytical Hierarchy Process

    OpenAIRE

    Solle, Salam Muchtar; Muslimin Mustafa; Sumbangan Baja; A. M. Imran

    2013-01-01

    The area of Jeneberang Watershed is prone to landslides due to geologic, geomorphologic and rainfall characteristics of the region. In 2004, a huge caldera wall of the watershed collapsed in the Eastern part resulting in infrastructure damage, human casualties and sequence disaster as debris flow. Potential landslides still occur in the future. It is necessary to conduct research to prepare a landslide susceptibility map of the region. The ...

  13. LANDSLIDE SUSCEPTIBILITY ZONATION MODEL ON JENEBERANG WATERSHED BASED ON GEOGRAPHICAL INFORMATION SYSTEM AND ANALYTICAL HIERARCHY PROCESS

    OpenAIRE

    Solle Salam, Muchtar

    2008-01-01

    The area of Jeneberang Watershed is prone to landslides due to geologic, geomorphologic and rainfall characteristics of the region. In the year 2004 the huge caldera wall collapsed in the Eastern part of the watershed area resulting in infrastructure damage, human casualties and sequencely disaster as debries flow. Potential landslides still occur in the future. It is necessary to conduct research to prepare a landslide susceptibility map of the region. The objectives of this study are as fol...

  14. Geography, Poverty and Conflict in Nepal

    OpenAIRE

    Do, Quy-Toan; Iyer, Lakshmi

    2010-01-01

    We conduct an empirical analysis of the geographic, economic, and social factors that contributed to the spread of civil war in Nepal over the period 1996-2006. This within-country analysis complements existing cross-country studies on the same subject. Using a detailed dataset to track civil war casualties across space and over time, several patterns are documented. Conflict-related deaths are significantly higher in poorer districts and in geographical locations that favor insurgents, such ...

  15. The conflict trap in the Greek Civil War 1946-1949: an economic approach

    OpenAIRE

    Christodoulakis, Nicos

    2014-01-01

    The paper provides a quantitative analysis of the armed confrontation that took place in Greece between the Communist Party and the Centre-Right Government during 1946-1949. Using monthly data for battle casualties a dynamic Lotka-Volterra framework is estimated, pointing to the existence of a conflict trap that explains the prolongation of the civil war and its dire consequences for the country. To examine the extent to which the confrontation was influenced by socio-economic factors, a regi...

  16. Improving trainees’ performances while under stress using real-time feedback

    OpenAIRE

    Cohen, I.

    2015-01-01

    Professionals working in different domains often experience stressful conditions evoked by disasters or crisis scenarios. Regardless of these conditions, they have to perform at high standards in order to preserve safety for themselves, avoid any casualties, and to resolve the overall situation. Stress, however, negatively affects cognitive processes and thereby decreases performances. This doctoral thesis aims to improve professionals’ decisions and performances when working in risk- and str...

  17. An UAV scheduling and planning method for post-disaster survey

    OpenAIRE

    G. Q. Li; X. G. Zhou; Yin, J; Xiao, Q. Y.

    2014-01-01

    Annually, the extreme climate and special geological environments lead to frequent natural disasters, e.g., earthquakes, floods, etc. The disasters often bring serious casualties and enormous economic losses. Post-disaster surveying is very important for disaster relief and assessment. As the Unmanned Aerial Vehicle (UAV) remote sensing with the advantage of high efficiency, high precision, high flexibility, and low cost, it is widely used in emergency surveying in recent years. As t...

  18. Assessment of the impact caused by natural disasters: simplified procedures and open problems

    OpenAIRE

    Petrucci, Olga; CNR-IRPI

    2012-01-01

    A natural hazard is a geophysical, atmospheric or hydrological event (e.g., earthquake, landslide, tsunami, windstorm, flood or drought) that has the potential to cause harm or loss, while a natural disaster is the occurrence of an extreme hazard event that impacts on communities causing damage, disruption and casualties, and leaving the affected communities unable to function normally without outside assistance (Twig, 2007). The definition of natural disaster impact (NDI) can change accor...

  19. Anterior uveitis and its relation to stress

    OpenAIRE

    MULHOLLAND, B; Marks, M; Lightman, S

    2000-01-01

    BACKGROUND/AIMS—Idiopathic recurrent acute anterior uveitis (RAAU) is a common reason for attendance at ophthalmic casualty departments. Patients who suffer with this condition may have multiple recurrent episodes which are often debilitating and necessitate time off work. If recurrences are identified early and treatment initiated rapidly, the inflammation can be minimised and settles quickly on topical treatment with a speedy functional recovery by the patient. It has been our clinical impr...

  20. Cyber Surveillance for Flood Disasters

    OpenAIRE

    Shi-Wei Lo; Jyh-Horng Wu; Fang-Pang Lin; Ching-Han Hsu

    2015-01-01

    Regional heavy rainfall is usually caused by the influence of extreme weather conditions. Instant heavy rainfall often results in the flooding of rivers and the neighboring low-lying areas, which is responsible for a large number of casualties and considerable property loss. The existing precipitation forecast systems mostly focus on the analysis and forecast of large-scale areas but do not provide precise instant automatic monitoring and alert feedback for individual river areas and sections...

  1. Risks of Mortality and Morbidity from Worldwide Terrorism: 1968-2004

    Energy Technology Data Exchange (ETDEWEB)

    Bogen, K T; Jones, E D

    2005-02-10

    Worldwide data on terrorist incidents between 1968 and 2004 gathered by the RAND corporation and the Oklahoma City National Memorial Institute for the Prevention of Terrorism (MIPT) were assessed for patterns and trends in morbidity/mortality. Adjusted data analyzed involve a total of 19,828 events, 7,401 ''adverse'' events (each causing {ge}1 victim), and 86,568 ''casualties'' (injuries) of which 25,408 were fatal. Most terror-related adverse events, casualties and deaths involved bombs and guns. Weapon-specific patterns and terror-related risk levels in Israel (IS) have differed markedly from those of all other regions combined (OR). IS had a fatal fraction of casualties about half that of OR, but has experienced relatively constant lifetime terror-related casualty risks on the order of 0.5%--a level 2 to 3 orders of magnitude more than those experienced in OR that increased {approx}100-fold over the same period. Individual event fatality has increased steadily, the median increasing from 14 to 50%. Lorenz curves obtained indicate substantial dispersion among victim/event rates: about half of all victims were caused by the top 2.5% (or 10%) of harm-ranked events in OR (or IS). Extreme values of victim/event rates were approximated fairly well by generalized Pareto models (typically used to fit to data on forest fires, sea levels, earthquakes, etc.). These results were in turn used to forecast maximum OR- and IS-specific victims/event rates through 2080, illustrating empirically based methods that could be applied to improve strategies to assess, prevent and manage terror-related risks and consequences.

  2. Fatal and non-fatal injuries due to intentional explosions in Nepal, 2008-2011: analysis of surveillance data

    OpenAIRE

    Bilukha, Oleg O; Becknell, Kristin; Laurenge, Hugues; Danee, Luhar; Subedi, Krishna P

    2013-01-01

    Background Nepal is one of the post-conflict countries affected by violence from explosive devices. We undertook this study to assess the magnitude of injuries due to intentional explosions in Nepal during 2008-2011 and to describe time trends and epidemiologic patterns for these events. Methods We analyzed surveillance data on fatal and non-fatal injuries due to intentional explosions in Nepal that occurred between 1 January 2008 and 31 December 2011. The case definition included casualties ...

  3. A study of factors delaying hospital arrival of patients with acute stroke.

    OpenAIRE

    Srivastava A; Prasad K

    2001-01-01

    Thrombolytic therapy for acute ischaemic stroke has recently become available in India but its success depends on initiating the treatment in the narrow therapeutic time window. There is commonly a delay of several hours before patients with acute stroke seek medical attention. A prospective study was conducted to assess the factors influencing this delay in admission of acute stroke cases. 110 cases (71 males, 39 females) of acute stroke that arrived within 72 hours at our hospital casualty ...

  4. Setting up and functioning of an Emergency Medicine Department: Lessons learned from a preliminary study

    Directory of Open Access Journals (Sweden)

    K Asish

    2016-01-01

    Full Text Available Background and Aims: Tertiary care teaching hospitals remain referral centres for victims of trauma and mass casualty. Often specialists from various disciplines manage these crowded casualty areas. These age old casualty areas are being replaced, throughout the country by Emergency Medicine Departments (EMDs, presumed to be better planned to confront a crisis. We aimed to gather basic data contributive in setting up of an EMD at a tertiary care teaching hospital from the lessons learned from functioning existent systems. Methods: This is primarily a questionnaire-based descriptive study at tertiary care referral centres across the country, which was purposively selected.The study models included one from a hospital without designated EMD and the other four from hospitals with established EMDs. Direct observation and focus group meetings with experienced informants at these hospitals contributed to the data. In the absence of a validated hospital preparedness assessment scale, comparison was done with regard to quantitative, qualitative and corroborative parameters using descriptive analysis. Results: The EMDs at best practice models were headed by specialist in Emergency Medicine assisted by organised staff, had protocols for managing mass casualty incident (MCI, separate trauma teams, ergonomic use of infrastructure and public education programmes. In this regard, these hospitals seemed well organised to manage MCIs and disasters. Conclusion: The observation may provide a preliminary data useful in setting up an EMD. In the absence of published Indian literature, this may facilitate further research in this direction. Anaesthesiologists, presently an approved Faculty in Emergency Medicine training can provide creative input with regard to its initial organisation and functioning, thus widening our horizons in a country where there is a severe dearth of trained emergency physicians.

  5. Application of passive defense in urban housing planning

    OpenAIRE

    H. Kamran; D. Amini; H. Hossaini Amini

    2013-01-01

    Extended abstract1-IntroductionToday, with advances in the technology of weapons and military equipment, urban areas are most at risk of invasion. Among the most important factors in enhancing human casualties in military attacks on urban areas, one can point to the unrealistic architecture of houses which does not conform to principles such as optimal site selection and layout of the structure of human settlements, proper distribution, principles of concealment, camouflage and deception, the...

  6. Long-term effects of ionizing radiation - lessons from Hiroshima and Nagasaki

    International Nuclear Information System (INIS)

    This paper approaches the long-term effects of ionizing radiation based on the lessons from Hiroshima and Nagasaki. The paper also presents the current research program being conducted by the Atomic Bomb Casualty Commission (ABCC), in Hiroshima and Nagasaki, which began as a series of platform protocols based on a fixed cohort of 120,000 survivors listed in the Japan National Census of 1950

  7. A RARE CASE OF ILEAL CARCINOID PRESENTING WITH ACUT E INTESTINAL OBSTRUCTION

    Directory of Open Access Journals (Sweden)

    Abinash

    2013-04-01

    Full Text Available A 55 year old male presented to casualty with featur es of acute intestinal obstruction - Patient was treated one year back for subacute inte stinal obstruction which was suspected to be ileo-caecal tuberculosis treated with Cat II ATT. - On examination abdomen uniform distention, tenderne ss present all over the abdomen. - Bowel sounds were sluggish - Per rectal examination shows empty rectum - Clinical diagnosis is – acute intestinal obstructio n.

  8. Risks of mortality and morbidity from worldwide terrorism: 1968-2004.

    Science.gov (United States)

    Bogen, Kenneth T; Jones, Edwin D

    2006-02-01

    Worldwide data on terrorist incidents between 1968 and 2004 gathered by the RAND Corporation and the Oklahoma City National Memorial Institute for the Prevention of Terrorism (MIPT) were assessed for patterns and trends in morbidity/mortality. Adjusted data analyzed involve a total of 19,828 events, 7,401 "adverse" events (each causing >or= 1 victim), and 86,568 "casualties" (injuries), of which 25,408 were fatal. Most terror-related adverse events, casualties, and deaths involved bombs and guns. Weapon-specific patterns and terror-related risk levels in Israel (IS) have differed markedly from those of all other regions combined (OR). IS had a fatal fraction of casualties about half that of OR, but has experienced relatively constant lifetime terror-related casualty risks on the order of 0.5%--a level 2 to 3 orders of magnitude more than those experienced in OR that increased approximately 100-fold over the same period. Individual event fatality has increased steadily, the median increasing from 14% to 50%. Lorenz curves obtained indicate substantial dispersion among victim/event rates: about half of all victims were caused by the top 2.5% (or 10%) of harm-ranked events in OR (or IS). Extreme values of victim/event rates were approximated fairly well by generalized Pareto models (typically used to fit to data on forest fires, sea levels, earthquakes, etc.). These results were in turn used to forecast maximum OR- and IS-specific victims/event rates through 2080, illustrating empirically-based methods that could be applied to improve strategies to assess, prevent, and manage terror-related risks and consequences. PMID:16492180

  9. Behavior of response controlled and seismically isolated buildings during severe earthquakes in Japan

    International Nuclear Information System (INIS)

    Passive control techniques have been widely used in Japan since the 1995 Kobe earthquake. Until the end of 2011, nearly 3000 buildings and 4000 private houses are seismically isolated. The 2011 Great East Japan Earthquake, which caused casualties more than 18300 people and collapse of 127830 building, allowed testing the effective seismic performance of several base isolated buildings. This is quite important for further dissemination of response control and seismic isolation technologies and to prove their effectiveness

  10. Kwaliteitsaspecten van duurzaam-veilige weginfrastructuur : voorstel voor een stelsel van DV-eisen waarin alle DV-principes zijn opgenomen.

    OpenAIRE

    Dijkstra, A

    2004-01-01

    In the report of late 2001 Safe, What is Safe?, SWOV indicated how the annual number of traffic casualties could be reduced considerably. These proposals were to be regarded as an addition to the proposals as were developed in the then National Traffic and Transport Plan of the Ministry of Transport. In Safe, What is Safe?, besides a speeding-up of the construction of a sustainably-safe infrastrucure, a qualitatively better implementation was advocated. During the last few years, the introduc...

  11. Successful Treatment of Retinal Angiomatous Proliferation with Intravitreal Triamcinolone and Ranibizumab Injections in a 67-Year-Old Male

    Directory of Open Access Journals (Sweden)

    Adnaan Haq

    2014-11-01

    Full Text Available A 67-year-old male who presented to the eye casualty department with deterioration in his vision was diagnosed with retinal angiomatous proliferation. After initial deterioration with ranibizumab intravitreal injections, we have demonstrated successful treatment and stabilised vision with ranibizumab and a single intravitreal triamcinolone injection. Stringent follow-up and top-up ranibizumab injections have stabilised his vision and have shown foveal improvement on optical coherence tomography imaging.

  12. Forensic odontology: A prosthodontic view

    OpenAIRE

    Sulekha Gosavi; Siddharth Gosavi

    2012-01-01

    The most common role of the forensic dentist is the identification of deceased individuals. Dental identifications have always played a key role in natural and manmade disaster situations, and in particular, the mass casualties normally associated with aviation disasters. Because of the lack of a comprehensive fingerprint database, dental identification continues to be crucial in the world. An all-acrylic resin appliance such as a full denture or an all-acrylic partial denture (or orthodontic...

  13. [Soccer injuries. A prospective epidemiological and socioeconomic study].

    Science.gov (United States)

    Jensen, K H; Lindblad, B E; Terkelsen, C J; Helleland, H E; Terkelsen, C J

    1993-11-01

    In one year 715 soccer injuries were registered and treated in the casualty ward of Randers City Hospital. We conducted a prospective study of these patients, using a questionnaire in order to determine the most common locations, types, mechanisms and treatments of injury. Financial costs to society and the individual were also examined. Finally, we compared the most common types of injury definition in sports medicine. According to the Abbreviated Injury Scale, A.I.S., 44% of the injuries were classified as minor, 46% as moderate injury and 9% as severe. Fractures accounted for 17% of all injuries. Sprains and contusions were the most frequent injuries, accounting for 46% and 25% respectively. Most injuries (63%) were treated in the casualty ward, whilst 20% were treated as outpatients. 7% were admitted to the hospital immediately, and a further 2% were later admitted from the outpatient clinic. A total of 88% of those hospitalized were treated as inpatients for 1-7 days, and 12% for more than two weeks. 31% of all the soccer players seen in the casualty ward were absent from work, and 12% were absent from work for more than three weeks. 8% of the injured soccer players suffered loss of income. 40% had financial losses between $0-250, 40% between $250-750, seven per cent between $750-1,250, and 14% more than $1,250. From the data presented in this study, we conclude that the injury rate among soccer players increases with age, and the severity of the injuries is greatest in the oldest age groups. Soccer injuries constitute the major part of sports injuries seen in the casualty ward.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:8256352

  14. RISe: Illustrating geo-referenced data of seismic risk and loss assessment studies using Google Earth.

    OpenAIRE

    Lang, Dominik H.; Gutierrez Corea, Federico Vladimir

    2010-01-01

    Predicting the consequences of large earthquakes to the built environment is of high importance for disaster control, civil protection and emergency planning. A number of software tools are now available to estimate physical building damage and associated losses in terms of casualties and economic losses. In recent years, SELENA, a seismic risk and loss assessment software which makes use of the capacity spectrum method (CSM) has been developed into a widely applicable tool. Since SELE...

  15. Misleading reference to unpublished wound ballistics data regarding distant injuries

    OpenAIRE

    Courtney, Michael; Courtney, Amy

    2008-01-01

    An article (J Trauma 29:10-18, 1989) cites unpublished wound ballistics data to support the authors' view that distant injuries are a myth in wound ballistics. The actual data, published in 1990, actually contains a number of detailed examples of distant injuries. (Bellamy RF, Zajtchuk R. The physics and biophysics of wound ballistics. In: Zajtchuk R, ed. Textbook of Military Medicine, Part I: Warfare, Weaponry, and the Casualty, Vol. 5, Conventional Warfare: Ballistic, Blast, and Burn Injuri...

  16. How do people choose their commuting mode? An evolutionary approach to transport choices

    OpenAIRE

    Borghesi, Simone; Calastri, Chiara; Fagiolo, Giorgio

    2014-01-01

    The issue of transportation is of primary importance in our societies. A large share of green-house gases is generated by the transport sector, and road casualties are one am ong the most common causes of death. In the present work, we study commuter choice between alternative transport modes using an evolutionary-game model, wherein commuters can choose between using their private car or taking the bus. We examine the possible dynamics that can emerge in a homogeneous urban population, where...

  17. The Unique Features of the Second Intifada

    OpenAIRE

    Zaki Shalom

    2011-01-01

    Over a decade has passed since the eruption of the second intifada, a grueling period for Israel with the long, sustained, and intensive series of terrorist attacks launched by terrorist organizations against civilians and soldiers of the State of Israel. Most difficult were the suicide attacks, generally carried out in urban centers and causing large numbers of casualties – dead and wounded – among the civilian population. Predictably, therefore, the terrorism phenomenon became a dominant iss...

  18. Analýza činnosti pojišťovny Lloyds

    OpenAIRE

    Nábřežná, Anna

    2011-01-01

    This Thesis is focused on the British insurance company Lloyd's of London. The first part describes the UK insurance market and its long history and regulation. A specific part is the London insurance market, where Lloyd's has an important position. The main part is devoted to the characterization of Lloyd's and its analysis of the insurance business. It focuses on the structure and management of the insurance company and introduces the individual classes of insurance, which are casualty, pro...

  19. Zelfstandig of begeleid naar school: beleving van verkeersonveiligheid door ouders van basisschoolleerlingen : een vragenlijststudie.

    OpenAIRE

    Hoekstra, A.T.G. & Mesken, J.

    2010-01-01

    Alone or accompanied to school: perceived safety in traffic by parents of primary school pupils. This report describes a study on subjective safety, also called perceived safety, in traffic. Subjective safety in traffic refers to personal feelings and perception of safety in traffic, or to the concerns about being unsafe in traffic. These concerns may apply to people themselves and/or to others. The feelings do not necessarily relate to the actual number of casualties in traffic. Because feel...

  20. Earthquake insurance and post-disaster housing in the case of canterbury earthquakes in new zealand

    OpenAIRE

    Otani, Junko

    2016-01-01

    The Canterbury earthquake, which struck New Zealand on February 22nd, 2011 took 186 lives. Of this number, 28 were Japanese overseas students. Looking simply at the number of casualties, this may appear to have been a minor earthquake which seems incomparable with respect to other major earthquakes. However, this was one of the most violent and costly earthquakes recorded in recent years. This was also major one in a regional context. The situation was grave: this earthquake caused the collap...

  1. ACHONDROPLASIA AND PREGNANCY

    OpenAIRE

    Richa; Arvind

    2014-01-01

    : Achondroplasia is a genetic disorder of bone growth occurring in 1:10, 000 to 1:40, 000 in all races and sexes. A 32 years old primigravida with achondroplasia at 31 weeks gestation presented to our gynae casualty with labor pain. LSCS was done in view of contracted pelvis. Baby also had achondroplasia and expired on 5th neonatal day due to prematurity. Prenatal and preimplantational diagnostic tools are available regarding termination of pregnancy, rearing of affected c...

  2. Seismicity and Design Codes in Chile: Characteristic Features and a Comparison with Some of the Provisions of the Romanian Seismic Design Code

    OpenAIRE

    Diana ENE; Iolanda-Gabriela CRAIFALEANU

    2010-01-01

    A brief history and the characteristics of the seismic region and events in Chile reveal interesting indices in understanding the present day Chilean seismic design code. The paper points out some of the most important prescriptions in the Chilean code that could have led to the relatively reduced number of casualties at the seismic event on February 27th, 2010. By comparing the Chilean code to the Romanian one, the goal is to underline the differences and the similarities regarding both the ...

  3. IoT enabled Insurance Ecosystem - Possibilities Challenges and Risks

    OpenAIRE

    Manral, Jai

    2015-01-01

    Internet of Thing (IoT) is looking over to overhaul the business processes of many industries including insurance domain. The current line of business such as Property and Casualty, Health, and Life Insurance can avail tremendous benefits from the contextual and relevant data being generated from billions of connected devices; Smartphone's, wearable gadget and other electronic smart sensors. For P&C insurer's the biggest challenges is not the rapidly changing environment but tackling these ch...

  4. Circulating catecholamines in acute asthma.

    OpenAIRE

    Ind, P. W.; Causon, R C; Brown, M. J.; Barnes, P. J.

    1985-01-01

    Plasma catecholamine concentrations were measured in 15 patients (six male) aged 14-63 years attending the casualty department with acute severe asthma (peak expiratory flow 27% (SEM 3%) of predicted). Nine patients were admitted and six were not. The plasma noradrenaline concentration, reflecting sympathetic nervous discharge, was two to three times normal in all patients and was significantly higher in those who required admission compared with those discharged home (mean 7.7 (SEM 0.6) v 4....

  5. Risks from Worldwide Terrorism: Mortality and Morbidity Patterns and Trends

    Energy Technology Data Exchange (ETDEWEB)

    Bogen, K T; Jones, E D

    2005-01-25

    Worldwide data on terrorist incidents between 1968 and 2004 gathered by the RAND corporation and the Oklahoma City National Memorial Institute for the Prevention of Terrorism (MIPT) were assessed for patterns and trends in morbidity/mortality. The data involve a total of 19,828 events, 7,401 ''adverse'' events (each causing {ge}1 victim), 91,346 cases of casualty (either injury or death) and 25,408 deaths. Analyses revealed a number of interesting patterns and apparently significant trends. Most terror-related adverse events, casualties and deaths involved bombs and guns. Weapon-specific patterns and terror-related risk levels in Israel (ISR) have differed markedly from those of all other regions combined (AOR). ISR had a fatal fraction of casualties about half that of AOR, but has experienced relatively constant lifetime terror-related casualty risks on the order of 0.5%--a level 2 to 3 orders of magnitude more than those experienced in AOR, which have increased {approx}100-fold over the same period. Individual event fatality has increased steadily, the median increasing from 14 to 50%. Lorenz curves obtained indicate substantial dispersion among victim/event rates: about half of all victims were caused by the top 2% (10%) of harm-ranked events in OAR (ISR). Extreme values of victim/event rates were found to be well modeled by classic or generalized Pareto distributions, indicating that these rates have been as predictable as similarly extreme phenomena such as rainfall, sea levels, earthquakes, etc. This observation suggests that these extreme-value patterns may be used to improve strategies to prevent and manage risks associated with terror-related consequences.

  6. Life-Cycle Cost of Bridges on Seismic Zones for Risk Management

    OpenAIRE

    David De Leon; David Delgado

    2009-01-01

    In this paper the acceptable failure probability and the risk of important bridges, located on seismic zones, are calculated throughout the expected cost of failure consequences. Also, the bridge expected life-cycle cost is formulated in terms of the bridge seismic hazard and the potential consequences of failure. These consequences include aspects arising from the physical loss of the bridge to the human casualties and economical cost of the loss of service, which are estimated in monetary t...

  7. PERSAMAAN, PERBEDAAN, DAN FEMINISME: STUDI KASUS KONFLIK SAMPANG-MADURA

    OpenAIRE

    Haryo Ksatrio Utomo

    2012-01-01

    This Research is to find the connection between the notion of politics of difference based on feminist perspective andthe social conflict in the Indonesian society. The Notion of politics of difference in feminism context sees that the majorproblem in our society is not to adapt equality but rather how to adapt with difference in our society. This research alsoargues that when there is conflicts between communities, women always become the first casualties. Another problemis the dichotomy of ...

  8. Simulator experiments: effects of NPP operator experience on performance

    Energy Technology Data Exchange (ETDEWEB)

    Beare, A.N.; Gray, L.H.

    1984-01-01

    During the FY83 research, a simulator experiment was conducted at the control room simulator for a GE Boiling Water Reactor (BWR) NPP. The research subjects were licensed operators undergoing requalification training and shift technical advisors (STAs). This experiment was designed to investigate the effects of senior reactor operator (SRO) experience, operating crew augmentation with an STA and practice, as a crew, upon crew and individual operator performance, in response to anticipated plant transients. Sixteen two-man crews of licensed operators were employed in a 2 x 2 factorial design. The SROs leading the crews were split into high and low experience groups on the basis of their years of experience as an SRO. One half of the high- and low-SRO experience groups were assisted by an STA. The crews responded to four simulated plant casualties. A five-variable set of content-referenced performance measures was derived from task analyses of the procedurally correct responses to the four casualties. System parameters and control manipulations were recorded by the computer controlling the simulator. Data on communications and procedure use were obtained from analysis of videotapes of the exercises. Questionnaires were used to collect subject biographical information and data on subjective workload during each simulated casualty. For four of the five performance measures, no significant differences were found between groups led by high (25 to 114 months) and low (1 to 17 months as an SRO) experience SROs. However, crews led by low experience SROs tended to have significantly shorter task performance times than crews led by high experience SROs. The presence of the STA had no significant effect on overall team performance in responding to the four simulated casualties. The FY84 experiments are a partial replication and extension of the FY83 experiment, but with PWR operators and simulator.

  9. Hedge funds and private equities : regulate or not

    OpenAIRE

    Μπατή, Μαρία

    2009-01-01

    The debate about the role of hedge funds regulation started some ten years ago. It is based on spectacular failures that threatened financial stability, like the near collapse of LTCM (1998) or the bankruptcy of Amaranth (2006). The credit crisis that has embroiled US and global financial markets since the summer of 2007 has created a number of casualties, most notably three of the top five US investment banks (Bear Stearns, Lehman Brothers, and Merrill Lynch). In hindsight their highly le...

  10. 1993年釧路沖地震による住宅室内被害の評価 : アンケート資料にもとづく被害関数

    OpenAIRE

    村上, ひとみ; 岡田, 成幸; オカダ, シゲユキ; Okada, Shigeyuki

    1998-01-01

    Household questionnaire survey was conducted after the 1993 off Kushiro earthquake via elementary schools of Kushiro city and 9 other towns and villages in the disaster area. It aimed to elucidate human behavior, casualty and fire risks related with housing contents and interior damage and seismic intensity. This study examines the questionnaire data and derives content damage vulnerability functions with independent variable of seismic intensity for different room types and different damage ...

  11. Simulator experiments: effects of NPP operator experience on performance

    International Nuclear Information System (INIS)

    During the FY83 research, a simulator experiment was conducted at the control room simulator for a GE Boiling Water Reactor (BWR) NPP. The research subjects were licensed operators undergoing requalification training and shift technical advisors (STAs). This experiment was designed to investigate the effects of senior reactor operator (SRO) experience, operating crew augmentation with an STA and practice, as a crew, upon crew and individual operator performance, in response to anticipated plant transients. Sixteen two-man crews of licensed operators were employed in a 2 x 2 factorial design. The SROs leading the crews were split into high and low experience groups on the basis of their years of experience as an SRO. One half of the high- and low-SRO experience groups were assisted by an STA. The crews responded to four simulated plant casualties. A five-variable set of content-referenced performance measures was derived from task analyses of the procedurally correct responses to the four casualties. System parameters and control manipulations were recorded by the computer controlling the simulator. Data on communications and procedure use were obtained from analysis of videotapes of the exercises. Questionnaires were used to collect subject biographical information and data on subjective workload during each simulated casualty. For four of the five performance measures, no significant differences were found between groups led by high (25 to 114 months) and low (1 to 17 months as an SRO) experience SROs. However, crews led by low experience SROs tended to have significantly shorter task performance times than crews led by high experience SROs. The presence of the STA had no significant effect on overall team performance in responding to the four simulated casualties. The FY84 experiments are a partial replication and extension of the FY83 experiment, but with PWR operators and simulator

  12. Severe crush syndrome complicated with acute pancreatitis: a case report and review of the literatures

    Institute of Scientific and Technical Information of China (English)

    LIU Fang; ZHANG Ling; FU Ping; SU Bai-hai; CHEN Xiao-lei; LIU Ling; CHEN Wei-xia; TAO Ye; HUANG Song-min

    2009-01-01

    @@ Earthquake is one of the most catastrophic natural disasters. As we know, crush syndrome is the second most frequent cause of mortality after the direct impact of trauma.~(1-3) It is a serious clinical case that develops among casualties of earthquakes or other catastrophic events that may also result in a variety of ensuing uncommon complications. Cases of crush syndrome complicated with acute pancreatitis (AP) following the earthquakes are seldom reported.

  13. Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

    OpenAIRE

    Frank Matthias; Hecht Juliane; Napp Matthias; Lange Joern; Grossjohann Rico; Stengel Dirk; Schmucker Uli; Ekkernkamp Axel; Hinz. Peter

    2010-01-01

    Abstract Background Although injuries due to circular saws are very common all over the world, there is surprisingly little information available about their functional outcomes. As the socioeconomic impact of these injuries is immense and determined by the casualties' disability and impairment, it is the objective of this study to present data on the functional outcome, disability, and impairment of hand injuries due to electric circular saws. Methods Patients treated from 1999 through 2007 ...

  14. Recent catastrophic landslides and mitigation in China

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Increasing population density and development of mountainous terrain have brought human settlements within reach of landslide hazards.In recent years,due to the shortening of return period for severe natural events such as heavy rainfall,snowline retreating,great earthquake together with human activities,catastrophic landslides happened more frequently than before,resulting in large-scale casualties due to the increasing occurrences of rapid long-runout rock avalanches,especially in China.This paper present...

  15. Economic Growth and Risk Taking: Is it Rational to Suffer from Increasing Disaster Losses?

    OpenAIRE

    Stéphane Hallegatte

    2013-01-01

    This article draws from a study that investigates the link between development, economic growth and the economic losses from natural hazards. Increasing investments in disaster risk reduction have led to a significant reduction in human casualties, but economic losses from natural disasters have been growing as fast or even faster than economic growth in both rich and poor countries. The analysis suggests indeed that economic growth leads to better defenses but also more risk taking, making a...

  16. Risk Factors and Road Traffic Accidents in Tanzania: A Case Study of Kibaha District

    OpenAIRE

    Komba, Deus Damian

    2007-01-01

    This thesis discusses the risk factors which are associated to the cause of road traffic accidents in Kibaha district in Tanzania; the study describes the composition of motor related injuries including non motorized casualties in Kibaha district. The thesis assesses different road safety measures taken by the local authorities to prevent accidents in Kibaha district.In identifying risk factor associated to the cause of road traffic accidents, four theoretical frameworks: System theory, risk ...

  17. Risk Factors and Road Traffic Accidents in Tanzania : A Case Study of Kibaha District

    OpenAIRE

    Komba, Deus Damian

    2007-01-01

    This thesis discusses the risk factors which are associated to the cause of road traffic accidents in Kibaha district in Tanzania; the study describes the composition of motor related injuries including non motorized casualties in Kibaha district. The thesis assesses different road safety measures taken by the local authorities to prevent accidents in Kibaha district. In identifying risk factor associated to the cause of road traffic accidents, four theoretical frameworks: System theory, risk...

  18. Trauma treatment in a role 1 medical facility in Afghanistan

    DEFF Research Database (Denmark)

    Vedel, Pernille Nygaard; Helsø, I; Jørgensen, H L;

    2013-01-01

    Most of the emergency care delivered in Afghanistan is currently provided by the military sector and non-governmental organisations. Main Operating Base (MOB) Price in Helmand Province has a small medical centre and due to its location provides critical care to civilians and military casualties and...... this article describes the patterns in trauma patient care at the MOB Price medical centre regarding the types of patients and injuries....

  19. Diagnostic difficulty in mesenteroaxial gastric volvulus— A rare cause of acute abdomen in a child

    OpenAIRE

    Saifullah Khalid; Samreen Zaheer; Mohd Khalid,; Ekram Ullah; Sarfaraz A. Khan

    2014-01-01

    Gastric volvulus as a cause of acute abdomen is uncommon, especially in children. This increases the likelihood of missed or delayed diagnosis leading to increased morbidity and mortality. Acute gastric volvulus is a potentially life- threatening condition and timely diagnosis and management significantly reduces the chances of complications. We report a case of an adolescent male child, who presented to the casualty with acute abdominal pain in the epigastric region, associated w...

  20. Evaluation of social context integrated into the study of seismic risk for urban areas

    OpenAIRE

    Jaramillo, Nayive; Carreño Tibaduiza, Martha Liliana; Lantada Zarzosa, Maria de Las Nieves

    2016-01-01

    Usually the seismic risk evaluation involves only the estimation of the expected physical damage, casualties or economic losses. This article corresponds to a holistic approach for seismic risk assessment which involves the evaluation of the social fragility and the lack of resilience. The complementary evaluation of social context aspects such as the distribution of the population, the absence of economic and social development, deficiencies in institutional management, and lack of capacity ...

  1. The evaluation of bicycle paths on bridges

    OpenAIRE

    Wang, Hwa-chyi; De Backer, Hans; Lauwers, Dirk; Chang, SK Jason

    2016-01-01

    Bicycle accidents have increasingly caused casualties and property damage. Many countries have therefore started to pay more attention to designing the space of bicycle paths. However, few studies have focused on the design of bicycle continuity between each bicycle path. In this study, the concept of using both spatial crash probability (P) and crash severity index (CSI) is introduced to address the bicycle safety issue on bridges in Central Business Districts (CBDs). Bicycle paths on bridge...

  2. Intelligent Navigation of Autonomous Vehicles in an Automated Highway System: Learning Methods and Interacting Vehicles Approach

    OpenAIRE

    Unsal, Cem

    1997-01-01

    One of today's most serious social, economical and environmental problems is traffic congestion. In addition to the financial cost of the problem, the number of traffic related injuries and casualties is very high. A recently considered approach to increase safety while reducing congestion and improving driving conditions is Automated Highway Systems (AHS). The AHS will evolve from the present highway system to an intelligent vehicle/highway system that will incorporate communication, ve...

  3. Bilateral Anterior Shoulder Dislocation with Symmetrical Greater Tuberosity Fracture following Seizure

    OpenAIRE

    Suryavanshi, Ashish; Mittal, Amber; Dongre, Snehal; Kashyap, Neeti

    2012-01-01

    Introduction: Majority of bilateral shoulder dislocations are posterior. Simultaneous bilateral anterior shoulder dislocations and bilateral anterior fracture-dislocations are rare and mostly of traumatic origin. We present a rare case of bilateral anterior shoulder dislocation with symmetrical greater tuberosity fracture following an episode of seizure with an unusual injury mechanism which was treated conservatively. Case Report: A 45 year old office worker presented to the Casualty of our ...

  4. Analyse de la vulnérabilité du bati existant. Estimation et réduction des incertitudes dans l'estimation des dommages et des pertes pour un scénario sismique donné

    OpenAIRE

    Riedel, Ismaël

    2015-01-01

    Among the natural hazards and major catastrophes, earthquakes are one of the most deadly, damaging and unpredictable of all. With increasing impacts in countries' economies and casualties, modern earthquakes cost in average tens of billons of dollars and kill 35,000 people per year worldwide (USGS). The planet is experiencing the consequences of the large urban population growth of the last century.With the extensive damage observed after the moderate-to-strong earthquakes of the last decades...

  5. Threats to the Critical Information Infrastructure Protection (CIIP) Posed by Modern Terrorism

    OpenAIRE

    Hadji-Janev, Metodi

    2013-01-01

    The emergence of new non-state actors in the post Cold War reality have dramatically changed security environment around the globe. Modern terrorism practiced by Al Qaeda and its associated movement (AQAM) has posed serious threat to critical information infrastructure given the trend of connecting control systems that run these infrastructures to the internet. Although AQAM have not been successful to launch cyber-attack that will cause mass casualties, environment damage or financial effect...

  6. International Insurance And Corporate Customers - Applying Principles Of Interactive Marketing

    OpenAIRE

    Andresen, R P

    1993-01-01

    In the light of the growing acceptance of the proposition that services marketing problems require services marketing solutions, the present author is currently developing a conceptual framework for understanding the crucial issues involved in services inlernationalisation. ITie heterogeneity of services has led academics to recognise the value oj sub-sectoral studies, and this research is focusing on the internationalisatton of the Scandinavian and UK general (property & casualty) insurance ...

  7. Contour Cluster Shape Analysis for Building Damage Detection from Post-earthquake Airborne LiDAR

    OpenAIRE

    2015-01-01

    Detection of the damaged building is the obligatory step prior to evaluate earthquake casualty and economic losses. It's very difficult to detect damaged buildings accurately based on the assumption that intact roofs appear in laser data as large planar segments whereas collapsed roofs are characterized by many small segments. This paper presents a contour cluster shape similarity analysis algorithm for reliable building damage detection from the post-earthquake airborne LiDAR point cloud. Fi...

  8. RealityFlythrough: Enhancing Situational Awareness for Medical Response to Disasters Using Ubiquitous Video

    OpenAIRE

    McCurdy, Neil J.; Griswold, William G; Lenert, Leslie A.

    2005-01-01

    The first moments at a disater scene are chaotic. The command center initially operates with little knowledge of hazards, geography and casualties, building up knowledge of the event slowly as information trickles in by voice radio channels. RealityFlythrough is a tele-presence system that stitches together live video feeds in real-time, using the principle of visual closure, to give command center personnel the illusion of being able to explore the scene interactively by mo...

  9. Prussian phenomenon and its historical distortion

    OpenAIRE

    Oleg Y. Plenkov; Vladimir N. Baryshnikov; Viktor N. Borisenko; Vladimir L. Piankewich; Nina E. Adamova

    2016-01-01

    The article deals with the phenomenon of Prussia. Once, Prussia had been the largest continental Protestant state in Europe. The main issue of this phenomenon is that upon the tragic events of the World War II Prussian history and heritage had been considerably distorted, in order to compensate somehow for the dreadful casualties suffered by the victorious powers. The common European misconception implied that Prussia had been the bulwark of militarism, and therefore had to bear all the respo...

  10. Incisor tooth in the nose: Anecdotal sequel to dog bite in a 3-year-old child

    OpenAIRE

    Uppal, Sanjeev K.; Ashish Gupta; Rita Rai; Nupur Nippun

    2011-01-01

    A 3-year-old male child presented to the casualty with history of unprovoked dog bite over the right lateral wall of nose. He was managed conservatively with antirabies prophylaxis and dressings. He presented after 3 months with a healed wound and the right upper central incisor projecting into the nostril. The Orthopantomogram showed a rotated temporary incisor with the roots of the permanent incisor placed normally. The tooth was extracted intranasally. Among the mutilating dog bite injurie...

  11. Can we improve the clinical utility of respiratory rate as a monitored vital sign?

    Science.gov (United States)

    Chen, Liangyou; Reisner, Andrew T; Gribok, Andrei; McKenna, Thomas M; Reifman, Jaques

    2009-06-01

    Respiratory rate (RR) is a basic vital sign, measured and monitored throughout a wide spectrum of health care settings, although RR is historically difficult to measure in a reliable fashion. We explore an automated method that computes RR only during intervals of clean, regular, and consistent respiration and investigate its diagnostic use in a retrospective analysis of prehospital trauma casualties. At least 5 s of basic vital signs, including heart rate, RR, and systolic, diastolic, and mean arterial blood pressures, were continuously collected from 326 spontaneously breathing trauma casualties during helicopter transport to a level I trauma center. "Reliable" RR data were identified retrospectively using automated algorithms. The diagnostic performances of reliable versus standard RR were evaluated by calculation of the receiver operating characteristic curves using the maximum-likelihood method and comparison of the summary areas under the receiver operating characteristic curves (AUCs). Respiratory rate shows significant data-reliability differences. For identifying prehospital casualties who subsequently receive a respiratory intervention (hospital intubation or tube thoracotomy), standard RR yields an AUC of 0.59 (95% confidence interval, 0.48-0.69), whereas reliable RR yields an AUC of 0.67 (0.57-0.77), P < 0.05. For identifying casualties subsequently diagnosed with a major hemorrhagic injury and requiring blood transfusion, standard RR yields an AUC of 0.60 (0.49-0.70), whereas reliable RR yields 0.77 (0.67-0.85), P < 0.001. Reliable RR, as determined by an automated algorithm, is a useful parameter for the diagnosis of respiratory pathology and major hemorrhage in a trauma population. It may be a useful input to a wide variety of clinical scores and automated decision-support algorithms. PMID:19008777

  12. A SUSTAINABLE URBAN TRANSPORTATION SYSTEM: THE "SURFACE METRO" IN CURITIBA, BRAZIL

    OpenAIRE

    Rabinovitch, Jonas; Hoehn, John P.

    1995-01-01

    This analysis examines an innovative approach to transportation policy in Curitiba, Brazil. Curitiba is a city of 1.6 million residents that has grown fourfold in the last 30 years. Unlike many cities, quality of life and transportation has not been a casualty of growth. Curitiba's transportation system actively helps residents obtain the benefits of growth, including access to jobs, homes, recreation, and other elements of the urban community. Curitiba's transportation planning process is pr...

  13. Bacillus cereus strain MCN as a debriding agent

    Science.gov (United States)

    Dalton, H. P.; Haynes, B. W.; Stone, L. L.

    1978-01-01

    Biologically active means are effective for rapidly removing scar tissue caused by burns or corrosive agents. Specially selected strain of bacteria applied to injury site releases enzymes which are active against eschar. These bacteria tend to locate between eschar and unburned tissue, thus providing optimal cell surface area arrangement for enzyme dispersal. Procedure may prove especially useful in treatment of disaster casualties under relatively primitive conditions.

  14. Profitability of Title Insurance Companies

    OpenAIRE

    Edwin H. Duett; Robert A. Hershbarger

    1992-01-01

    The research in this paper examines the profitability of title insurance companies in relationship to property/casualty, life/health insurance and non-insurance firms. A series of four profitability measures which have previously been tested in prior literature have been used to determine if title insurance companies are more or less profitable than the other types of insurance companies and non-insurance firms.

  15. Biological warfare agents as threats to potable water.

    OpenAIRE

    Burrows, W D; Renner, S E

    1999-01-01

    Nearly all known biological warfare agents are intended for aerosol application. Although less effective as potable water threats, many are potentially capable of inflicting heavy casualties when ingested. Significant loss of mission capability can be anticipated even when complete recovery is possible. Properly maintained field army water purification equipment can counter this threat, but personnel responsible for the operation and maintenance of the equipment may be most at risk of exposur...

  16. Historic and Present-Day Environmental Issues Involving Tomato Plasticulture and Shellfish Aquaculture on Virginia’s Eastern Shore

    OpenAIRE

    Templeton, Jennifer

    2013-01-01

    The Eastern Shore of Virginia, located on the Delmarva Peninsula, is known for its agricultural commodities, especially Solanum lycopersicum, Crassostrea Virginia, and Mercenaria mercenaria. For decades, controversy has surrounded the two industries. Runoff from fields of tomatoes grown in plastic mulch was thought to have caused mass casualties of shellfish in hatcheries in the tidal creeks and bays of the Eastern Shore. The impervious surface of the plastic mulch decreases infiltration of r...

  17. What Kills People in a Fire? Heat or Smoke?

    OpenAIRE

    Alarifi, AAS; Phylaktou, HN; Andrews, GE

    2016-01-01

    This paper reviews the main causes of casualties in fires, investigates the composition of the smoke in typical compartment fire and assesses the contribution of each component to the overall potency of the smoke. The leading cause of death for fire victims around the world has been smoke inhalation for many decades. Also fires occurring in buildings are responsible for over 75% of total fire fatalities. Several major fire accidents, where fire toxicity was the cause of death for almost all v...

  18. Car Safety for Children Aged 4-12 : real world evaluations of long-term injury outcome, head injury causation scenarios, misuse, and pre-crash maneuver kinematics

    OpenAIRE

    Bohman, Katarina

    2013-01-01

    Child casualties in car crashes have decreased over the years. Nevertheless, occupant safety in rear seats, especially for children 4-12 years old, needs further attention because motor vehicle crashes remain the leading cause of death and long-term health consequences for children. The aim of this thesis was to obtain comprehensive knowledge of real-life situations for restrained, forward-facing, rear-seated children aged 4-12 years, in frontal car crashes as a basis for ...

  19. Nehodovost cyklistů

    OpenAIRE

    TOMANDL, Petr

    2007-01-01

    In compliance with a worldwide there is a growing interest in cycling tourism even in the Czech Republic Cycling is getting modern and is starting to be an inseparable part of lifestyle. Today{\\crq}s situation brings positive and negative consequences. The most important negative one is growing accident rate that is connected with considerable economic losses and mainly with casualties. The aim of this work was to collect dates concerning all accidents with bikers attendance in the region of ...

  20. International legal framework for the protection of journalists in conflict zones: a round peg in a square hole?

    OpenAIRE

    Stolte, Yolande Wilhelmina

    2015-01-01

    Journalists reporting from conflict zones are increasingly at risk of injury or death. Not only are they at risk of becoming a casualty in the crossfire, they are now often directly targeted and killed because of their profession. The legal framework protecting journalists in conflict zones consists predominantly of International Humanitarian Law, supplemented by International Human Rights Law and International Criminal Law. The main body of law providing protection to journali...