WorldWideScience

Sample records for publication schedules emergency

  1. Bulletin publication schedule

    CERN Multimedia

    Publications Section, DG-CO Group

    2011-01-01

    The final edition (Nos 51-52/2011 and 1-2-3/2012) of the Bulletin this year will be published on Friday 16 December and will cover events at CERN from 19 December 2011 to 19 January 2012. Announcements for publication in this issue should reach the Communication Group or the Staff Association, as appropriate, by noon on Tuesday 13 December. Bulletin publication schedule for 2012 The table below lists the 2012 publication dates for the paper version of the Bulletin and the corresponding deadlines for the submission of announcements. Please note that all announcements must be submitted by 12.00 noon on Tuesdays at the latest.   Bulletin No. Week number Submission of announcements (before 12.00 midday) Bulletin Web version Bulletin Printed version 4-5   Tuesday 17 January Fridays 20 and 27 January Wednesday25 January 6-7   Tuesday 31 January Fridays 3 and 10 February Wednesday 8 February 8-9 Tuesday 14 February Fridays 17 and 24 february Wednesday 22 Februa...

  2. Bulletin publication schedule for 2012

    CERN Multimedia

    DG Unit

    2011-01-01

    The table below lists the 2012 publication dates for the paper version of the Bulletin and the corresponding deadlines for the submission of announcements. Please note that all announcements must be submitted by 12.00 noon on Tuesdays at the latest.   Bulletin No. Week number Submission of announcements (before 12.00 midday) Bulletin Web version Bulletin Printed version 4-5   Tuesday 17 January Fridays 20 and 27 January Wednesday25 January 6-7   Tuesday 31 January Fridays 3 and 10 February Wednesday 8 February 8-9 Tuesday 14 February Fridays 17 and 24 february Wednesday 22 February 10-11 Tuesday 28 February Fridays 2 and 9 March Wednesday 7 March 12-13 Tuesday 13 March Fridays 16 and 23 March Wednesday 21 March 14-15 Tuesday 27 March Friday 30 March and Thursday 5 April Wednesday 4 April 16-17 Tuesday 10 April Fridays 13 and 20 April Wednesday 18 April 18-19 Tuesday 24 April Fridays 27 April and 4 May Thursday 3 May 20-21 ...

  3. Bulletin publication schedule for 2013

    CERN Multimedia

    DG Unit

    2012-01-01

    The table below lists the 2013 publication dates for the paper version of the Bulletin and the corresponding deadlines for the submission of announcements. Please note that all announcements must be submitted by 12.00 noon on Tuesdays at the latest.   Bulletin No. Week number Submission of announcements (before 12.00 midday) Bulletin Web version Bulletin Printed version 4-5   Tuesday 15 January Fridays 18 and 25 January Wednesday 23 January 6-7   Tuesday 29 January Fridays 1 and 8 February Wednesday 6 February 8-9 Tuesday 12 February Fridays 15 and 22 february Wednesday 20 February 10-11 Tuesday 26 February Fridays 1 and 8 March Wednesday 6 March 12-13-14 Tuesday 12 March Fridays 15, 22 and 29 March Wednesday 20 March 15-16 Tuesday 2 April Fridays 5 and 12 April Wednesday 10 April 17-18 Tuesday 16 April Fridays 19 and 26 April Wednesday 24 April 19-20 Tuesday 30 April Fridays 3 and 10 May Thursday 8 May 21-22 Tuesday 14 M...

  4. 42 CFR 447.76 - Public schedule.

    Science.gov (United States)

    2010-10-01

    ...) Current premiums, enrollment fees, or similar fees. (2) Current cost sharing charges. (3) The aggregate limit on premiums and cost sharing or just cost sharing. (4) Mechanisms for making payments for required... Cost Sharing Under Section 1916a § 447.76 Public schedule. (a) The State must make available to...

  5. 考虑公众心理风险感知的应急物资优化调度%Emergency supplies optimal scheduling considering the public's psychological risk perception

    Institute of Scientific and Technical Information of China (English)

    王旭坪; 马超; 阮俊虎

    2013-01-01

    This paper integrated the behavioral science theory into relief supplies optimal scheduling after emergency events,and proposed that the public's psychological factors should be taken into account to make decisions about relief supplies scheduling.We depicted the public's psychological risk perception with prospect theory,defined and selected the public's psychological expectation time as a time reference point,and got out the risk perception curve and function model.We formulated a mixed integer programming model to minimize public's psychological risk perception and dissatisfaction degree of supplies.The corresponding multi-layer search algorithm was designed.Finally,the validity of this model and algorithm is verified through numerical experiment.%将行为科学理论融入了突发事件发生后的应急物资优化调度问题研究中,提出应急物资调度决策应注意考虑公众的心理因素.用前景理论刻画了公众对应急物资获得时间的风险感知程度,定义并选取公众心理预期时间作为时间参考点,得出了风险感知曲线和函数模型.构建了以最小化公众心理风险感知程度和物资未满足度为目标的混合整数规划模型,设计了相应的多层搜索求解算法.最后的数值实验证实了模型和算法的有效性.

  6. Grain Emergency Vehicle Scheduling Problem with Time and Demand Uncertainty

    Directory of Open Access Journals (Sweden)

    Jiang DongQing

    2014-01-01

    Full Text Available Grain transportation plays an important role in many relief and emergency supply chains. In this paper, we take the grain emergency vehicle scheduling model between multiwarehouses as the research object. Under the emergency environment, the aim of the problem is to maximize the utilization of vehicles and minimize the delay time. The randomness of the key parameters in grain emergency vehicle scheduling, such as time and demand, is determined through statistical analysis and the model is solved through robust optimization method. Besides, we apply the numerical examples for experimental analysis. We compare the robust optimization model with classic model to illustrate the differences and similarities between them. The results show that the uncertainty of both time and demand has great influence on the efficiency of grain emergency vehicle scheduling problem.

  7. Robust Satellite Scheduling Approach for Dynamic Emergency Tasks

    Directory of Open Access Journals (Sweden)

    Xuejun Zhai

    2015-01-01

    Full Text Available Earth observation satellites play a significant role in rapid responses to emergent events on the Earth’s surface, for example, earthquakes. In this paper, we propose a robust satellite scheduling model to address a sequence of emergency tasks, in which both the profit and robustness of the schedule are simultaneously maximized in each stage. Both the multiobjective genetic algorithm NSGA2 and rule-based heuristic algorithm are employed to obtain solutions of the model. NSGA2 is used to obtain a flexible and highly robust initial schedule. When every set of emergency tasks arrives, a combined algorithm called HA-NSGA2 is used to adjust the initial schedule. The heuristic algorithm (HA is designed to insert these tasks dynamically to the waiting queue of the initial schedule. Then the multiobjective genetic algorithm NSGA2 is employed to find the optimal solution that has maximum revenue and robustness. Meanwhile, to improve the revenue and resource utilization, we adopt a compact task merging strategy considering the duration of task execution in the heuristic algorithm. Several experiments are used to evaluate the performance of HA-NSGA2. All simulation experiments show that the performance of HA-NSGA2 is significantly improved.

  8. Optimal scheduling of logistical support for an emergency roadway repair work schedule

    Science.gov (United States)

    Yan, S.; Lin, C. K.; Chen, S. Y.

    2012-09-01

    The completion of every disaster rescue task performed by repair work teams relies on the in-time supply of materials to the rescue workers. Up to now, logistical support planning for emergency repair work in Taiwan has been done manually, which is neither effective nor efficient. To remedy the problem, this study presents a logistical support scheduling model for the given emergency repair work schedule. The objective is to minimize the short-term operating cost subject to time constraints and other related operating constraints. This model is formulated as an integer multiple-commodity network flow problem which is characterized as NP-hard. A heuristic algorithm, based on the problem decomposition and variable fixing techniques, is also proposed to efficiently solve this problem. Computational tests are performed using data from Taiwan's 1999 Chi-Chi earthquake. The results show that the model and the solution algorithm would be useful for the logistical support scheduling.

  9. 12 CFR 345.45 - Publication of planned examination schedule.

    Science.gov (United States)

    2010-01-01

    ... STATEMENTS OF GENERAL POLICY COMMUNITY REINVESTMENT Records, Reporting, and Disclosure Requirements § 345.45 Publication of planned examination schedule. The FDIC publishes at least 30 days in advance of the...

  10. Scheduling for Emergency Tasks in Industrial Wireless Sensor Networks.

    Science.gov (United States)

    Xia, Changqing; Jin, Xi; Kong, Linghe; Zeng, Peng

    2017-07-20

    Wireless sensor networks (WSNs) are widely applied in industrial manufacturing systems. By means of centralized control, the real-time requirement and reliability can be provided by WSNs in industrial production. Furthermore, many approaches reserve resources for situations in which the controller cannot perform centralized resource allocation. The controller assigns these resources as it becomes aware of when and where accidents have occurred. However, the reserved resources are limited, and such incidents are low-probability events. In addition, resource reservation may not be effective since the controller does not know when and where accidents will actually occur. To address this issue, we improve the reliability of scheduling for emergency tasks by proposing a method based on a stealing mechanism. In our method, an emergency task is transmitted by stealing resources allocated to regular flows. The challenges addressed in our work are as follows: (1) emergencies occur only occasionally, but the industrial system must deliver the corresponding flows within their deadlines when they occur; (2) we wish to minimize the impact of emergency flows by reducing the number of stolen flows. The contributions of this work are two-fold: (1) we first define intersections and blocking as new characteristics of flows; and (2) we propose a series of distributed routing algorithms to improve the schedulability and to reduce the impact of emergency flows. We demonstrate that our scheduling algorithm and analysis approach are better than the existing ones by extensive simulations.

  11. No-cooperative games for multiple emergency locations in resource scheduling

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    When an emergency happens, the scheduling of relief resources to multiple emergency locations is a realistic and intricate problem, especially when the available resources are limited. A non-cooperative games model and an algorithm for scheduling of relief resources are presented. In the model, the players correspond to the multiple emergency locations, strategies correspond to all resources scheduling and the payoff of each emergency location corresponds to the reciprocal of its scheduling cost. Thus, the ...

  12. CERN Bulletin publication schedule for 2016

    CERN Multimedia

    2015-01-01

    The table below lists the 2016 publication dates for the CERN Bulletin and the corresponding deadlines for the submission of announcements. Please note that all announcements must be submitted by 12 noon on Tuesdays at the latest.   Bulletin No. (corresponding to the week number) Submission deadline for announcements (before 12 noon) Publication of Bulletin (web version) 3-4 Tuesday 12 January Friday 15 January 5-6 Tuesday 26 January Friday 29 January 7-8 Tuesday 9 February Friday 12 February 9-10 Tuesday 23 February Friday 26 February 11-12 Tuesday 8 March Friday 11 March 13-14 MONDAY 21 March THURSDAY 24 March 15-16 Tuesday 5 April Friday 8 April 17-18-19 Tuesday 19 April Friday 22 April 20-21 Tuesday 10 May Friday 13 May 22-23 Tuesday 24 May Friday 27 May 24-25 Tuesday 7 June Friday 10 June 26-27 Tuesday 21 June Friday 24 June 28-29 Tuesday 5 July Friday 8 July 30-31-32 Tuesday 19 July Friday 22 July 33-34-35 Tuesday 9 August Friday 12 August 3...

  13. CERN Bulletin publication schedule for 2015

    CERN Multimedia

    2014-01-01

    The table below lists the 2015 publication dates for the CERN Bulletin and the corresponding deadlines for the submission of announcements. Please note that all announcements must be submitted by 12 noon on Tuesdays at the latest.   .tftable {font-size:12px;color:#333333;width:100%;border-width: 1px;border-color: #a9a9a9;border-collapse: collapse;} .tftable th {font-size:12px;background-color:#b8b8b8;border-width: 1px;padding: 8px;border-style: solid;border-color: #a9a9a9;text-align:left;} .tftable tr {background-color:#ffffff;} .tftable td {font-size:12px;border-width: 1px;padding: 8px;border-style: solid;border-color: #a9a9a9;} .tftable tr:hover {background-color:#ffff99;} Bulletin No. (corresponding to the week number) Submission deadline for announcements (before 12 noon) Publication of Bulletin (web version) 4-5 Tuesday 13 January Friday 16 January 6-7 Tuesday 26 January Friday 30 January 8-9 Tuesday 10 February Friday 13 February 10-11 Tuesday 24 February ...

  14. Vehicle scheduling schemes for commercial and emergency logistics integration.

    Directory of Open Access Journals (Sweden)

    Xiaohui Li

    Full Text Available In modern logistics operations, large-scale logistics companies, besides active participation in profit-seeking commercial business, also play an essential role during an emergency relief process by dispatching urgently-required materials to disaster-affected areas. Therefore, an issue has been widely addressed by logistics practitioners and caught researchers' more attention as to how the logistics companies achieve maximum commercial profit on condition that emergency tasks are effectively and performed satisfactorily. In this paper, two vehicle scheduling models are proposed to solve the problem. One is a prediction-related scheme, which predicts the amounts of disaster-relief materials and commercial business and then accepts the business that will generate maximum profits; the other is a priority-directed scheme, which, firstly groups commercial and emergency business according to priority grades and then schedules both types of business jointly and simultaneously by arriving at the maximum priority in total. Moreover, computer-based simulations are carried out to evaluate the performance of these two models by comparing them with two traditional disaster-relief tactics in China. The results testify the feasibility and effectiveness of the proposed models.

  15. Vehicle scheduling schemes for commercial and emergency logistics integration.

    Science.gov (United States)

    Li, Xiaohui; Tan, Qingmei

    2013-01-01

    In modern logistics operations, large-scale logistics companies, besides active participation in profit-seeking commercial business, also play an essential role during an emergency relief process by dispatching urgently-required materials to disaster-affected areas. Therefore, an issue has been widely addressed by logistics practitioners and caught researchers' more attention as to how the logistics companies achieve maximum commercial profit on condition that emergency tasks are effectively and performed satisfactorily. In this paper, two vehicle scheduling models are proposed to solve the problem. One is a prediction-related scheme, which predicts the amounts of disaster-relief materials and commercial business and then accepts the business that will generate maximum profits; the other is a priority-directed scheme, which, firstly groups commercial and emergency business according to priority grades and then schedules both types of business jointly and simultaneously by arriving at the maximum priority in total. Moreover, computer-based simulations are carried out to evaluate the performance of these two models by comparing them with two traditional disaster-relief tactics in China. The results testify the feasibility and effectiveness of the proposed models.

  16. CERN Bulletin publication schedule for 2014

    CERN Multimedia

    DG Unit

    2013-01-01

    The table below lists the 2014 publication dates for the CERN Bulletin and the corresponding deadlines for the submission of announcements. Please note that all announcements must be submitted by 12.00 noon on Tuesdays at the latest.   Bulletin No. (corresponding to the week number) Submission of announcements (before 12.00 midday) Bulletin Web version Bulletin Printed version 4-5   Tuesday 14 January Friday 17 January Wednesday 22 January 6-7   Tuesday 28 January Friday 31 January Wednesday 5 February 8-9 Tuesday 11 February Friday 14 February Wednesday 19 February 10-11 Tuesday 25 February Friday 28 February Wednesday 5 March 12-13 Tuesday 11 March Friday 14 March Wednesday 19 March 14-15 Tuesday 25 March Friday 28 March Wednesday 2 April 16-17 Tuesday 8 April Friday 11 April Wednesday 16 April 18-19 Tuesday 22 April Friday 25 April Thursday 30 April 20-21 Tuesday 6 May Friday 9 May Wednesday 14 May 22-23 Tuesday ...

  17. Emergency local searching approach for job shop scheduling

    Science.gov (United States)

    Zhao, Ning; Chen, Siyu; Du, Yanhua

    2013-09-01

    Existing methods of local search mostly focus on how to reach optimal solution. However, in some emergency situations, search time is the hard constraint for job shop scheduling problem while optimal solution is not necessary. In this situation, the existing method of local search is not fast enough. This paper presents an emergency local search(ELS) approach which can reach feasible and nearly optimal solution in limited search time. The ELS approach is desirable for the aforementioned emergency situations where search time is limited and a nearly optimal solution is sufficient, which consists of three phases. Firstly, in order to reach a feasible and nearly optimal solution, infeasible solutions are repaired and a repair technique named group repair is proposed. Secondly, in order to save time, the amount of local search moves need to be reduced and this is achieved by a quickly search method named critical path search(CPS). Finally, CPS sometimes stops at a solution far from the optimal one. In order to jump out the search dilemma of CPS, a jump technique based on critical part is used to improve CPS. Furthermore, the schedule system based on ELS has been developed and experiments based on this system completed on the computer of Intel Pentium(R) 2.93 GHz. The experimental result shows that the optimal solutions of small scale instances are reached in 2 s, and the nearly optimal solutions of large scale instances are reached in 4 s. The proposed ELS approach can stably reach nearly optimal solutions with manageable search time, and can be applied on some emergency situations.

  18. Solving very large vehicle scheduling problems in public mass transit

    Energy Technology Data Exchange (ETDEWEB)

    Loebel, A.; Groetschel, M.

    1994-12-31

    In public mass transit the problem of scheduling vehicles belonging to different depots such that a set of given timetabled trips is operated by exactly one vehicle arises. This Multiple-Depot-Vehicle-Scheduling-Problem (MDVSP) is a special case of a multi-commodity-flow-problem and is NP-hard. We discuss the polyhedron associated with the MDVSP, determine its dimension and give various classes of facet defining inequalities. These polyhedral results can be used in a branch and cut algorithm and have proven to be successful on very large scale real-world problems from Hamburger Hochbahn AG with up to 27 million variables.

  19. Mobile-Based Medical Emergency Ambulance Scheduling System

    Directory of Open Access Journals (Sweden)

    Bassey Isong

    2016-11-01

    Full Text Available Effective and efficient public service delivery like healthcare services are very important in today's society, especially in the rural areas. People in rural areas are expected to have access to public facilities at all times. However, these services are not always available when they are needed. This paper discusses the problems faced by rural areas of Mafikeng in South Africa (SA when public and basic healthcare facilities like medical ambulance transports are needed during emergency situation. The challenges ranges from poor communication, poor road network and unstructured address to non-arrival of ambulances leading loss of lives that are preventable. This paper designed and implemented a system prototype using mobile application technologies to offer cost-effective services to patients during emergencies. It is intended to reduce long queues in hospitals and long waiting periods for an ambulance via location-based services. By using this application, lives in the rural areas can be made easier and loss of lives prevented by providing timely response from the appropriate healthcare providers during emergencies.

  20. 42 CFR 414.620 - Publication of the ambulance fee schedule.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Publication of the ambulance fee schedule. 414.620... Ambulance Services § 414.620 Publication of the ambulance fee schedule. Changes in payment rates resulting... to the fee schedule for ambulance services that result from any factors other than the inflation...

  1. Emergency Radiology Practice Patterns: Shifts, Schedules, and Job Satisfaction.

    Science.gov (United States)

    Hanna, Tarek N; Shekhani, Haris; Lamoureux, Christine; Mar, Hanna; Nicola, Refky; Sliker, Clint; Johnson, Jamlik-Omari

    2017-03-01

    To assess the practice environment of emergency radiologists with a focus on schedule, job satisfaction, and self-perception of health, wellness, and diagnostic accuracy. A survey drawing from prior radiology and health care shift-work literature was distributed via e-mail to national societies, teleradiology groups, and private practices. The survey remained open for 4 weeks in 2016, with one reminder. Data were analyzed using hypothesis testing and logistic regression modeling. Response rate was 29.6% (327/1106); 69.1% of respondents (n = 226) were greater than 40 years old, 73% (n = 240) were male, and 87% (n = 284) practiced full time. With regard to annual overnight shifts (NS): 36% (n = 118) did none, 24.9% (n = 81) did 182 or more, and 15.6% (n = 51) did 119. There was a significant association between average NS worked per year and both perceived negative health effects (P work no NS is 2.21 times greater than for radiologists who work at least 119 NS, when shift length is held constant. Radiologists with 11+ years of experience who work no NS or 1 to 100 NS annually have lower odds of feeling overwhelmed when compared with those working the same number of NS with patterns. Annual NS burden is associated with lower job satisfaction and negative health self-perception. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  2. Understanding Public Responses to Emerging Technologies

    NARCIS (Netherlands)

    Macnaghten, Philip; Davies, S.R.; Kearnes, Matthew

    2015-01-01

    Previous studies aimed at understanding public responses to emerging technologies have given limited attention to the social and cultural processes through which public concerns emerge. When probed, these have tended to be explained either in cognitive social psychological terms, typically in the

  3. Law, liability, and public health emergencies.

    Science.gov (United States)

    Hoffman, Sharona; Goodman, Richard A; Stier, Daniel D

    2009-06-01

    According to many experts, a public health emergency arising from an influenza pandemic, bioterrorism attack, or natural disaster is likely to develop in the next few years. Meeting the public health and medical response needs created by such an emergency will likely involve volunteers, health care professionals, public and private hospitals and clinics, vaccine manufacturers, governmental authorities, and many others. Conducting response activities in emergency circumstances may give rise to numerous issues of liability, and medical professionals and other potential responders have expressed concern about liability exposure. Providers may face inadequate resources, an insufficient number of qualified personnel, overwhelming demand for services, and other barriers to providing optimal treatment, which could lead to injury or even death in some cases. This article describes the different theories of liability that may be used by plaintiffs and the sources of immunity that are available to public health emergency responders in the public sector, private sector, and as volunteers. It synthesizes the existing immunity landscape and analyzes its gaps. Finally, the authors suggest consideration of the option of a comprehensive immunity provision that addresses liability protection for all health care providers during public health emergencies and that, consequently, assists in improving community emergency response efforts.

  4. Imaging-Duration Embedded Dynamic Scheduling of Earth Observation Satellites for Emergent Events

    Directory of Open Access Journals (Sweden)

    Xiaonan Niu

    2015-01-01

    Full Text Available We present novel two-stage dynamic scheduling of earth observation satellites to provide emergency response by making full use of the duration of the imaging task execution. In the first stage, the multiobjective genetic algorithm NSGA-II is used to produce an optimal satellite imaging schedule schema, which is robust to dynamic adjustment as possible emergent events occur in the future. In the second stage, when certain emergent events do occur, a dynamic adjusting heuristic algorithm (CTM-DAHA is applied to arrange new tasks into the robust imaging schedule. Different from the existing dynamic scheduling methods, the imaging duration is embedded in the two stages to make full use of current satellite resources. In the stage of robust satellite scheduling, total task execution time is used as a robust indicator to obtain a satellite schedule with less imaging time. In other words, more imaging time is preserved for future emergent events. In the stage of dynamic adjustment, a compact task merging strategy is applied to combine both of existing tasks and emergency tasks into a composite task with least imaging time. Simulated experiments indicate that the proposed method can produce a more robust and effective satellite imaging schedule.

  5. 75 FR 20009 - Development of NRC's Safety Culture Policy Statement: Cancellation of Public Workshops Scheduled...

    Science.gov (United States)

    2010-04-16

    ... COMMISSION Development of NRC's Safety Culture Policy Statement: Cancellation of Public Workshops Scheduled...: Cancellation of public workshops tentatively scheduled for April 13-15, 2010, and October 27-28, 2010. SUMMARY... into the NRC's draft final policy statement. In addition, the information gathered at the workshop...

  6. Enhancing crisis leadership in public health emergencies.

    Science.gov (United States)

    Deitchman, Scott

    2013-10-01

    Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.

  7. Vehicle Scheduling Schemes for Commercial and Emergency Logistics Integration

    OpenAIRE

    Xiaohui Li; Qingmei Tan

    2013-01-01

    In modern logistics operations, large-scale logistics companies, besides active participation in profit-seeking commercial business, also play an essential role during an emergency relief process by dispatching urgently-required materials to disaster-affected areas. Therefore, an issue has been widely addressed by logistics practitioners and caught researchers' more attention as to how the logistics companies achieve maximum commercial profit on condition that emergency tasks are effectively ...

  8. Emergency Vehicle Scheduling Problem with Time Utility in Disasters

    Directory of Open Access Journals (Sweden)

    Xiaobing Gan

    2015-01-01

    Full Text Available This paper presents a flexible emergency rescue system which is chiefly composed of three parts, namely, disaster assistance center, relief vehicles, and disaster areas. A novel objective of utility maximization is used to evaluate the entire system in disasters. Considering the uncertain road conditions in the relief distribution, we implement triangular fuzzy number to calculate the vehicle velocity. As a consequence, a fuzzy mathematical model is built to maximize the utility of emergency rescue system and then converted to the crisp counterpart. Finally, the results of numerical experiments obtained by particle swarm optimization (PSO prove the validity of this proposed mathematical model.

  9. Dynamic Extra Buses Scheduling Strategy in Public Transport

    Directory of Open Access Journals (Sweden)

    Bin Yu

    2015-06-01

    Full Text Available This paper presents a dynamic extra buses scheduling strategy to improve the transit service of transit routes. In this strategy, in order to decide when to dispatch an extra bus, the service reliability of transit route is assessed firstly. A model aimed at maximizing the benefit of the extra buses scheduling strategy is constructed to determine how many stops extra buses need to skip from the terminal to accommodate passengers at the following stops. A heuristic algorithm is defined and implemented to estimate the service reliability of transit route and to optimize the initial stop of extra buses scheduling strategy. Finally, the strategy is tested on two examples: a simple and a real-life transit route in the Dalian city in China. The results show that the extra buses scheduling strategy based on terminal stops with a reasonable threshold can save 8.01% waiting time of passengers.

  10. Emergency response nurse scheduling with medical support robot by multi-agent and fuzzy technique.

    Science.gov (United States)

    Kono, Shinya; Kitamura, Akira

    2015-08-01

    In this paper, a new co-operative re-scheduling method corresponding the medical support tasks that the time of occurrence can not be predicted is described, assuming robot can co-operate medical activities with the nurse. Here, Multi-Agent-System (MAS) is used for the co-operative re-scheduling, in which Fuzzy-Contract-Net (FCN) is applied to the robots task assignment for the emergency tasks. As the simulation results, it is confirmed that the re-scheduling results by the proposed method can keep the patients satisfaction and decrease the work load of the nurse.

  11. Predictive / Reactive Planning and Scheduling of a Surgical Suite with Emergency Patient Arrival.

    Science.gov (United States)

    Heydari, Mehdi; Soudi, Asie

    2016-01-01

    This paper surveys the problem of predictive / reactive scheduling of an integrated operating theatre with two types of demand for surgery: 1) elective or known demand; 2) emergency or uncertain demand. The stochastic arrival of emergency patients with uncertain surgery time enforces the scheduler to react to disruption and modify scheduling plan of elective patients. We focus on this predictive / reactive scheduling problem which has not been investigated in such way before. As in hospitals, at the time of occurrence a disruption in a surgical suite, the scheduler has not enough time to make the best decision; we propose a new approach based on two-stage stochastic programming model with recourse which determines the best recourse strategy in advance of any disruption occurrence. Using the proposed approach, the primary schedule is generated in such a way that it can absorb disruption with minimum effect on planned elective surgeries. For the first time in operating theatre planning, two new significant sets of performance measures comprising "robustness" and "stability" measures are considered in generation of primary schedule which will be shown to be of great importance in efficiency of surgical suite planning. Computational experiments performed on sets of generated problem based on the data obtained from a non-profit hospital. In order to demonstrate efficiency of the proposed method, computational results of the proposed approach are compared with classic approach.

  12. Next Generation Public Safety and Emergency Technologies

    DEFF Research Database (Denmark)

    Bonde, Camilla; Tadayoni, Reza; Skouby, Knud Erik

    2014-01-01

    The paper researches the existing European standards for Public Safety and Emergency (PSE) services (also called Public Protection Disaster Relief “PPDR”), and identifies based on user studies in Denmark conflicts between the current deployments of the standards and the user requirements. The aim...... is further to identify the potentials of new technologies for PSE. The paper deals with policy and technology frameworks, regulatory issues and in particular the spectrum issues in the current PPDR deployments in the EU countries. The paper draws on the results and concepts developed in two EU...

  13. Intelligent Scheduling of Public Traffic Vehicles Based on a Hybrid Genetic Algorithm

    Institute of Scientific and Technical Information of China (English)

    ZHANG Feizhou; CAO Xuejun; YANG Dongkai

    2008-01-01

    A genetic algorithm (GA) and a hybrid genetic algorithm (HGA) were used for optimal scheduling of public vehicles based on their actual operational environments.The performance for three kinds of vehicular levels were compared using one-point and two-point crossover operations.The vehicle scheduling times are improved by the intelligent characteristics of the GA.The HGA,which integrates the genetic algorithm with a tabu search,further improves the convergence performance and the optimization by avoiding the premature convergence of the GA.The results show that intelligent scheduling of public vehicles based on the HGA overcomes the shortcomings of traditional scheduling methods.The vehicle operation management efficiency is improved by this essential technology for intelligent scheduling of public vehicles.

  14. Multi-Satellite Scheduling Approach for Dynamic Areal Tasks Triggered by Emergent Disasters

    Science.gov (United States)

    Niu, X. N.; Zhai, X. J.; Tang, H.; Wu, L. X.

    2016-06-01

    The process of satellite mission scheduling, which plays a significant role in rapid response to emergent disasters, e.g. earthquake, is used to allocate the observation resources and execution time to a series of imaging tasks by maximizing one or more objectives while satisfying certain given constraints. In practice, the information obtained of disaster situation changes dynamically, which accordingly leads to the dynamic imaging requirement of users. We propose a satellite scheduling model to address dynamic imaging tasks triggered by emergent disasters. The goal of proposed model is to meet the emergency response requirements so as to make an imaging plan to acquire rapid and effective information of affected area. In the model, the reward of the schedule is maximized. To solve the model, we firstly present a dynamic segmenting algorithm to partition area targets. Then the dynamic heuristic algorithm embedding in a greedy criterion is designed to obtain the optimal solution. To evaluate the model, we conduct experimental simulations in the scene of Wenchuan Earthquake. The results show that the simulated imaging plan can schedule satellites to observe a wider scope of target area. We conclude that our satellite scheduling model can optimize the usage of satellite resources so as to obtain images in disaster response in a more timely and efficient manner.

  15. Legionella is an emerging Public Health problem

    Directory of Open Access Journals (Sweden)

    Paola Borella

    2004-12-01

    Full Text Available

    The issue of Legionnaires’ disease has emerged as a major public health problem, interesting not only researchers, but also managers of public and private organisations, those responsible for public health, the general population and occasionally magistrates.

    The cases of legionellosis are increasing as a result of improved etiological diagnostic methods, population lifestyles and characteristics which favour the presence of the responsible organism in the environment which leads to the frequent exposure and transmission of the disease to at-risk groups whose relative numbers are growing.

    Legionella spp is an opportunistic waterborne pathogen that finds its ideal habitat in warm-humid environments, it is able to survive in conditions unfavourable to other germs (elevated temperatures, presence of biocides, etc. and multiply in particular ecological niches (amoebas and other protozoa, biofilm.

    Because of this, it frequently colonises the hot water systems of houses, hotels, campsites, sports centres, hospitals, tertiary care centres, etc., as well as air-conditioning cooling towers, evaporative condensers and places where water stagnates at temperatures of at least 20°C. From our experience,the disease is frequently contracted by inhaling aerosols from the contaminated water systems of houses or work places, but it has also been contracted during stays in holiday accommodation, from using baths/showers in sports and recreation centres and finally during hospital stays.

  16. Magnitude of Construction Cost and Schedule Overruns in Public Work Projects

    OpenAIRE

    Pramen P. Shrestha; Burns, Leslie A.; Shields, David R.

    2013-01-01

    This study analyzed 363 Clark County Department of Public Works (CCDPW) projects to determine construction cost and schedule overruns in various types and sizes of the projects. The sample projects were constructed from 1991 to 2008, with a total construction cost of $1.85 billion, equivalent to 2012 cost. A one-factor ANOVA test was conducted to determine whether construction cost and schedule overruns significantly varied based on types and sizes of the projects. The study showed that lar...

  17. Magnitude of Construction Cost and Schedule Overruns in Public Work Projects

    Directory of Open Access Journals (Sweden)

    Pramen P. Shrestha

    2013-01-01

    Full Text Available This study analyzed 363 Clark County Department of Public Works (CCDPW projects to determine construction cost and schedule overruns in various types and sizes of the projects. The sample projects were constructed from 1991 to 2008, with a total construction cost of $1.85 billion, equivalent to 2012 cost. A one-factor ANOVA test was conducted to determine whether construction cost and schedule overruns significantly varied based on types and sizes of the projects. The study showed that large, long-duration projects had significantly higher cost and schedule overruns than smaller, short-duration projects.

  18. Emergence of cooperation in public goods games.

    Science.gov (United States)

    Kurokawa, Shun; Ihara, Yasuo

    2009-04-07

    Evolution of cooperation has been a major issue in evolutionary biology. Cooperation is observed not only in dyadic interactions, but also in social interactions involving more than two individuals. It has been argued that direct reciprocity cannot explain the emergence of cooperation in large groups because the basin of attraction for the 'cooperative' equilibrium state shrinks rapidly as the group size increases. However, this argument is based on the analysis of models that consider the deterministic process. More recently, stochastic models of two-player games have been developed and the conditions for natural selection to favour the emergence of cooperation in finite populations have been specified. These conditions have been given as a mathematically simple expression, which is called the one-third law. In this paper, we investigate a stochastic model of n-player games and show that natural selection can favour a reciprocator replacing a population of defectors in the n-player repeated Prisoner's Dilemma game. We also derive a generalized version of the one-third law (the {2/[n(n+1)]}1/(n-1) law). Additionally, contrary to previous studies, the model suggests that the evolution of cooperation in public goods game can be facilitated by larger group size under certain conditions.

  19. Zika Virus: An Emerging Public Health Challenge

    Directory of Open Access Journals (Sweden)

    Sumeena Basundra

    2016-07-01

    Full Text Available Emerging infectious diseases comprise a substantial proportion of global morbidity and mortality. The world has been hit by Zika virus (ZIKV after it was able to surmount an effective public health response for its control. ZIKV disease is an emerging mosquitoborne disease which occurred as large outbreaks in Yap since 2007, Polynesia in 2013 and Brazil in 2015. ZIKV infection in pregnant women has been observed to be associated with congenital microcephaly with neurological and autoimmune sequelae in general population of Brazil. The incubation period of ZIKV varies from few days to weeks. Only 20% of infected cases have symptoms like any other arboviral illness. ZIKV is diagnosed using RT-PCR (reverse transcriptase-polymerase chain reaction and virus isolation from blood samples. The treatment comprises of relief of symptoms by conservative management with no specific vaccine being available. The prevention and control of ZIKV is based on reduction of vector density by Integrated Vector Management and personal protection measures. As per Indian scenario, Ministry of Health had issued guidelines based on effective surveillance, risk communication, laboratory and travel regulations. Approaches to such a potential global health security threat should be consistent, proactive, and should involve coordinated, multi-pronged, multilateral collaborative efforts since the concern is at the highest and immediate because of Global epidemic, Rio de Janeiro Olympic Games starting from Aug 5-21, 2016 and strong association with microcephaly. Most importantly the need of the hour is the development of vaccine for protection especially the young women who are in the reproductive age groups. The research for which is ongoing as far as the current situation of global epidemic response is concerned.

  20. Transparency during public health emergencies: from rhetoric to reality

    OpenAIRE

    2009-01-01

    Effective management of public health emergencies demands open and transparent public communication. The rationale for transparency has public health, strategic and ethical dimensions. Despite this, government authorities often fail to demonstrate transparency. A key step in bridging the gap between the rhetoric and reality is to define and codify transparency to put in place practical mechanisms to encourage open public health communication for emergencies. The authors demonstrate this appro...

  1. Transparency during public health emergencies: from rhetoric to reality.

    Science.gov (United States)

    O'Malley, P; Rainford, J; Thompson, A

    2009-08-01

    Effective management of public health emergencies demands open and transparent public communication. The rationale for transparency has public health, strategic and ethical dimensions. Despite this, government authorities often fail to demonstrate transparency. A key step in bridging the gap between the rhetoric and reality is to define and codify transparency to put in place practical mechanisms to encourage open public health communication for emergencies. The authors demonstrate this approach using the example of the development and implementation process of a public health emergency information policy.

  2. Leptospirosis: an emerging global public health problem

    Indian Academy of Sciences (India)

    P Vijayachari; A P Sugunan; A N Shriram

    2008-11-01

    Leptospirosis has been recognized as an emerging global public health problem because of its increasing incidence in both developing and developed countries. A number of leptospirosis outbreaks have occurred in the past few years in various places such as Nicaragua, Brazil and India. Some of these resulted due to natural calamities such as cyclone and floods. It is a direct zoonotic disease caused by spirochetes belonging to different pathogenic species of the genus Leptospira. Large number of animals acts as carriers or vectors. Human infection results from accidental contact with carrier animals or environment contaminated with leptospires. The primary source of leptospires is the excretor animal, from whose renal tubules leptospires are excreted into the environment with the animal urine. Majority of leptospiral infections are either sub clinical or result in very mild illness and recover without any complications. However, a small proportion develops various complications due to involvement of multiple organ systems. In such patients, the clinical presentation depends upon the predominant organs involved and the case fatality ratio could be about 40% or more. Febrile illness with icterus, splenomegaly and nephritis (known as Weil’s disease), acute febrile illness with severe muscle pain, febrile illness with pulmonary haemorrhages in the form of haemoptysis, jaundice with pulmonary haemorrhages, jaundice with heamaturea, meningitis with haemorrhages including sub conjunctival haemorrhage or febrile illness with cardiac arrhythmias with or without haemorrhages are some of the syndromes. Because of the protean manifestations of leptospirosis it is often misdiagnosed and under-reported. Although the basic principles of prevention such as source reduction, environmental sanitation, more hygienic work-related and personal practices etc., are same everywhere, there is no universal control method applicable to all epidemiological settings. Comprehensive

  3. Scenario-based, closed-loop model predictive control with application to emergency vehicle scheduling

    Science.gov (United States)

    Goodwin, Graham. C.; Medioli, Adrian. M.

    2013-08-01

    Model predictive control has been a major success story in process control. More recently, the methodology has been used in other contexts, including automotive engine control, power electronics and telecommunications. Most applications focus on set-point tracking and use single-sequence optimisation. Here we consider an alternative class of problems motivated by the scheduling of emergency vehicles. Here disturbances are the dominant feature. We develop a novel closed-loop model predictive control strategy aimed at this class of problems. We motivate, and illustrate, the ideas via the problem of fluid deployment of ambulance resources.

  4. 6th International Workshop on Computer-Aided Scheduling of Public Transport

    CERN Document Server

    Branco, Isabel; Paixão, José

    1995-01-01

    This proceedings volume consists of papers presented at the Sixth International Workshop on Computer-Aided Scheduling of Public Transpon, which was held at the Fund~lio Calouste Gulbenkian in Lisbon from July 6th to 9th, 1993. In the tradition of alternating Workshops between North America and Europe - Chicago (1975), Leeds (1980), Montreal (1983), Hamburg (1987) and again Montreal (1990), the European city of Lisbon was selected as the venue for the Workshop in 1993. As in earlier Workshops, the central theme dealt with vehicle and duty scheduling problems and the employment of operations-research-based software systems for operational planning in public transport. However, as was initiated in Hamburg in 1987, the scope of this Workshop was broadened to include topics in related fields. This fundamental alteration was an inevitable consequence of the growing demand over the last decade for solutions to the complete planning process in public transport through integrated systems. Therefore, the program of thi...

  5. Thematic Research network for emergency and UnScheduled Treatment (TRUST: scoping the potential

    Directory of Open Access Journals (Sweden)

    Edwards Adrian

    2008-01-01

    Full Text Available Abstract Background To identify the benefits of a network in emergency and unscheduled care research, a six week scoping study was undertaken. Objectives were to: draw together stakeholders; identify and prioritise research topics; identify sites for recruitment to studies; and agree a research strategy for a network. Methods A workshop was held to discuss and agree a research strategy based on results from four activities: visits to established research centres in emergency and unscheduled care; a literature overview; interviews with stakeholders in a GP out-of-hours service; and an exploration of the potential for routine data to support research in emergency care. Results Participants attended the workshop from user groups, primary care, the ambulance service, social care, the national telephone based health helpline, the Welsh Assembly Government and the academic sector. Site visits identified opportunities for collaboration. Gaps in knowledge were identified concerning the effectiveness of alternative models of emergency care delivery. Interview data highlighted a lack of evidence related to the quality of out-of-hours provision of primary care. The All Wales Injury Surveillance System (AWISS was found to offer the potential to use routine data to support quantitative studies in emergency care. Three key issues emerged across all activities: working across boundaries; patient involvement; and triage. Conclusion The study included views from patient, provider, policy and academic perspectives and built the case for a research network in emergency care. Now funded, TRUST (Thematic Research network for emergency and UnScheduled Treatment will allow the development of research proposals, building of research teams and recruitment of sites and patients both in Wales and across the UK. It aims to address the imbalance between investment and research in this area and help support provision of 'the right care to the right people at the right time'.

  6. Demand-responsive public transportation re-scheduling for adjusting to the joint leisure activity demand

    Directory of Open Access Journals (Sweden)

    Konstantinos Gkiotsalitis

    2016-10-01

    Full Text Available Fixed daily trips such as trips to work/school have fixed departure/arrival times and destination points. The recurrent nature of fixed activities facilitates individuals on making more well-informed decisions about the transport mode selection. On the contrary, selecting a transportation mode for non-recurrent leisure trips, which can account for up to 60% of trips in some cities (Transport for London, 2014, is a more complex task due to the fact that individuals have little knowledge about the alternative modal options. In this paper, we try to improve the operations of demand-responsive public transportation systems by increasing their service quality and their ridership related to joint-leisure-trips via timetable rescheduling. First, we model the public transport service re-scheduling problem considering operational regulations and the quality of service. Then, a sequential heuristic method is introduced for re-scheduling the timetables of demand-responsive public transport modes in near-real time and accommodating the joint leisure activity demand without deteriorating the quality of service. The public transport re-scheduling for increasing the joint leisure activity ridership was tested in a case study using user-generated data from social media in Stockholm and the General Transit Feed Specification (GTFS data from Sweden focusing especially on central bus lines 1 and 4.

  7. Public Value Mapping of Equity in Emerging Nanomedicine

    Science.gov (United States)

    Slade, Catherine P.

    2011-01-01

    Public values failure occurs when the market and the public sector fail to provide goods and services required to achieve the core values of society such as equity (Bozeman 2007). That public policy for emerging health technologies should address intrinsic societal values such as equity is not a novel concept. However, the ways that the public…

  8. 21 CFR 25.16 - Public health and safety emergencies.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Public health and safety emergencies. 25.16... ENVIRONMENTAL IMPACT CONSIDERATIONS Agency Actions Requiring Environmental Consideration § 25.16 Public health... importance to the public health or safety, may make full adherence to the procedural provisions of NEPA...

  9. Linking public health agencies and hospitals for improved emergency preparedness: North Carolina's public health epidemiologist program.

    Science.gov (United States)

    Markiewicz, Milissa; Bevc, Christine A; Hegle, Jennifer; Horney, Jennifer A; Davies, Megan; MacDonald, Pia D M

    2012-02-23

    In 2003, 11 public health epidemiologists were placed in North Carolina's largest hospitals to enhance communication between public health agencies and healthcare systems for improved emergency preparedness. We describe the specific services public health epidemiologists provide to local health departments, the North Carolina Division of Public Health, and the hospitals in which they are based, and assess the value of these services to stakeholders. We surveyed and/or interviewed public health epidemiologists, communicable disease nurses based at local health departments, North Carolina Division of Public Health staff, and public health epidemiologists' hospital supervisors to 1) elicit the services provided by public health epidemiologists in daily practice and during emergencies and 2) examine the value of these services. Interviews were transcribed and imported into ATLAS.ti for coding and analysis. Descriptive analyses were performed on quantitative survey data. Public health epidemiologists conduct syndromic surveillance of community-acquired infections and potential bioterrorism events, assist local health departments and the North Carolina Division of Public Health with public health investigations, educate clinicians on diseases of public health importance, and enhance communication between hospitals and public health agencies. Stakeholders place on a high value on the unique services provided by public health epidemiologists. Public health epidemiologists effectively link public health agencies and hospitals to enhance syndromic surveillance, communicable disease management, and public health emergency preparedness and response. This comprehensive description of the program and its value to stakeholders, both in routine daily practice and in responding to a major public health emergency, can inform other states that may wish to establish a similar program as part of their larger public health emergency preparedness and response system.

  10. Linking public health agencies and hospitals for improved emergency preparedness: North Carolina's public health epidemiologist program

    Directory of Open Access Journals (Sweden)

    Markiewicz Milissa

    2012-02-01

    Full Text Available Abstract Background In 2003, 11 public health epidemiologists were placed in North Carolina's largest hospitals to enhance communication between public health agencies and healthcare systems for improved emergency preparedness. We describe the specific services public health epidemiologists provide to local health departments, the North Carolina Division of Public Health, and the hospitals in which they are based, and assess the value of these services to stakeholders. Methods We surveyed and/or interviewed public health epidemiologists, communicable disease nurses based at local health departments, North Carolina Division of Public Health staff, and public health epidemiologists' hospital supervisors to 1 elicit the services provided by public health epidemiologists in daily practice and during emergencies and 2 examine the value of these services. Interviews were transcribed and imported into ATLAS.ti for coding and analysis. Descriptive analyses were performed on quantitative survey data. Results Public health epidemiologists conduct syndromic surveillance of community-acquired infections and potential bioterrorism events, assist local health departments and the North Carolina Division of Public Health with public health investigations, educate clinicians on diseases of public health importance, and enhance communication between hospitals and public health agencies. Stakeholders place on a high value on the unique services provided by public health epidemiologists. Conclusions Public health epidemiologists effectively link public health agencies and hospitals to enhance syndromic surveillance, communicable disease management, and public health emergency preparedness and response. This comprehensive description of the program and its value to stakeholders, both in routine daily practice and in responding to a major public health emergency, can inform other states that may wish to establish a similar program as part of their larger public

  11. Analytical challenges for emerging public health surveillance.

    Science.gov (United States)

    Rolka, Henry; Walker, David W; English, Roseanne; Katzoff, Myron J; Scogin, Gail; Neuhaus, Elizabeth

    2012-07-27

    The root of effective disease control and prevention is an informed understanding of the epidemiology of a particular disease based on sound scientific interpretation of evidence. Such evidence must frequently be transformed from raw data into consumable information before it can be used for making decisions, determining policy, and conducting programs. However, the work of building such evidence in public health practice--doing the right thing at the right time--is essentially hidden from view. Surveillance involves acquiring, analyzing, and interpreting data and information from several sources across various systems. Achieving the goals and objectives of surveillance investments requires attention to analytic requirements of such systems. The process requires computer programming, statistical reasoning, subject matter expertise, often modeling, and effective communication skills.

  12. TRUNK WITH BRANCHES PUBLIC TRANSPORT LINE SCHEDULLING UNDER CONDITION OF UNIFORM HEADWAY OPERATION

    Directory of Open Access Journals (Sweden)

    Nikola Krstanoski

    2015-12-01

    Full Text Available Planning of public transport network for good spatial coverage may lead to an operation of radial or diametrical public transport lines that branch at one or both ends of the line. This trunk with branches operation means that all vehicles on the line serve the main - trunk section, usually covering the central area of the city, and then split in two or more branches in the peripheral areas, in order to offer better spatial service. The scheduling of this type of operation is not an easy task since only certain patterns of headways and therefore passenger demands can be met, if efficient operation under the condition of uniform headways on all sections on the line is required. In this article the author analyzes the key variables that define the uniform headway operation and establishes their relationships, thus providing answer to the question what headway patterns are feasible and if they could be acceptable for real life operation.

  13. Emergency Management Operations Process Mapping: Public Safety Technical Program Study

    Science.gov (United States)

    2011-02-01

    DRDC CSS CR 2011-09 i Emergency Management Operations Process Mapping : Public Security Technical Program Study Anet Greenley ...processus/outils). DRDC CSS CR 2011-09 iii Executive summary Emergency Management Operations Process Mapping PSTP Study [ Greenley , A...technique de sécurité publique – Etude DSTP [ Greenley , A.; Poursina, S.]; DRDC CSS CR 2011-09 L’objectif principal du Programme technique de sécurité

  14. Field exercises are useful for improving public health emergency responses

    Directory of Open Access Journals (Sweden)

    Kirsty Hope

    2010-12-01

    Full Text Available Problem: Emergencies resulting from disease outbreaks and extreme environmental events present significant challenges for health services.Context: Preparing to effectively manage emergencies is a core activity in public health units. Field exercises support consolidation of biopreparedness by testing plans, identifying weaknesses, providing training opportunities and developing surge capacity.Action: An extended field exercise to test response to a novel influenza strain was conducted in New South Wales, Australia in September 2008, eight months before the influenza A(H1N1 2009 pandemic emerged. Lasting four days and involving over 300 participants, the exercise was set in the early response phase with the staggered presentation of 41 cases to 36 emergency departments in the health area. An additional 150 contacts were written into a complex scenario to test the public health response.Outcome: The subsequent pandemic emergence in mid-2009 offered a unique opportunity to assess the field exercise format for disaster preparedness. Most roles were adequately tested with recognized benefit during the actual pandemic response. However, the exercise did not adequately challenge the public health planning team that synthesizes surveillance data and forecasts risk, nor did it identify planning issues that became evident during the subsequent pandemic. Discussion: Field exercises offer the opportunity to rigorously test public health emergency preparedness but can be expensive and labour-intensive. Our exercise provided effective and timely preparation for the influenza A(H1N1 2009 pandemic but showed that more emphasis needs to be placed on the role and training of the public health planning team.

  15. International health law : an emerging field of public international law

    NARCIS (Netherlands)

    Toebes, Brigit

    This article discusses the nature and scope of international health law as an emerging field of public international law. It is argued that the protection of health reflects a pressing social need that should now be spoken of in the vocabulary of international law. Furthermore, there is an urgent

  16. Cyclosporiasis: an emerging public health concern around the world ...

    African Journals Online (AJOL)

    Cyclosporiasis: an emerging public health concern around the world and in Africa. ... Methods: All literature on Cyclospora, C. cayetanensis,cyclosporiasis in Africa, and endemic cyclosporiasis was searched from libraries ... Its management is based on antibiotics, an unusual scenario for a protozoa. ... 7 (2) 2007: pp. 62-67 ...

  17. Social Networking for Emergency Management and Public Safety

    Energy Technology Data Exchange (ETDEWEB)

    Lesperance, Ann M.; Olson, Jarrod; Godinez, Melanie A.

    2010-08-31

    On March 10, 2010 the workshop titled Social Networking for Emergency Management and Public Safety was held in Seattle, WA. The objective of this workshop was to showcase ways social media networking technologies can be used to support emergency management and public safety operations. The workshop highlighted the current state of social networking and where this dynamic engagement is heading, demonstrated some of the more commonly used technologies, highlighted case studies on how these tools have been used in a variety of jurisdictions and engaged the private sector on how these tools might serve as a conduit for two way communication between with the public sector to address regional recovery issues and decision making.

  18. Optimal Scheduling of Emergency Supplies Ingestion Emergency Planning Zone%食入应急计划区的应急物资调度优化

    Institute of Scientific and Technical Information of China (English)

    江发明; 戴立操

    2014-01-01

    自日本福岛核事故之后,在全世界又掀起了关于核电厂应急的高潮。现有的研究主要集中在核电厂应急管理方案和构建核电厂应急系统等方面的研究,较少涉及物资调度方面的研究。文中结合应急物流的研究方法,对核电厂场外应急食入应急计划区物资调度问题作了探究,给出在严重核电站事故下,食入计划区应急物资调度的方案。%Since the Fukushima nuclear accident,more and more experts devote themselves into nuclear emergency research.Existing research focuses on emergency management scheme for nuclear power plants and construction of nuclear power plant emergency system and other aspects of research,but little research on Material dispatching.This paper combines the research methods of emergency logistics,to the nuclear power plant off -site emergency food supplies into the planning zone scheduling problem were explored,and gives the emergency supplies scheduling scheme in the under severe accident.

  19. Public health emergencies and the public health/managed care challenge.

    Science.gov (United States)

    Rosenbaum, Sara; Skivington, Skip; Praeger, Sandra

    2002-01-01

    The relationship between insurance and public health is an enduring topic in public health policy and practice. Insurers share certain attributes with public health. But public health agencies operate in relation to the entire community that they are empowered by public law to serve and without regard to the insurance status of community residents; on the other hand, insurers (whether managed care or otherwise) are risk-bearing entities whose obligations are contractually defined and limited to enrolled members and sponsors. Public insurers such as Medicare and Medicaid operate under similar constraints. The fundamental characteristics that distinguish managed care-style insurance and public health become particularly evident during periods of public health emergency, when a public health agency's basic obligations to act with speed and flexibility may come face to face with the constraints on available financing that are inherent in the structure of insurance. Because more than 70% of all personal health care in the United States is financed through insurance, public health agencies effectively depend on insurers to finance necessary care and provide essential patient-level data to the public health system. Critical issues of state and federal policy arise in the context of the public health/insurance relations during public health emergencies. These issues focus on coverage and the power to make coverage decisions, as well as the power to define service networks and classify certain data as exempt from public reporting. The extent to which a formal regulatory approach may become necessary is significantly affected by the extent to which private entities themselves respond to the problem with active efforts to redesign their services and operations to include capabilities and accountability in the realm of public health emergency response.

  20. Integrating Social Media Monitoring Into Public Health Emergency Response Operations.

    Science.gov (United States)

    Hadi, Tamer A; Fleshler, Keren

    2016-10-01

    Social media monitoring for public health emergency response and recovery is an essential response capability for any health department. The value of social media for emergency response lies not only in the capacity to rapidly communicate official and critical incident information, but as a rich source of incoming data that can be gathered to inform leadership decision-making. Social media monitoring is a function that can be formally integrated into the Incident Command System of any response agency. The approach to planning and required resources, such as staffing, logistics, and technology, is flexible and adaptable based on the needs of the agency and size and scope of the emergency. The New York City Department of Health and Mental Hygiene has successfully used its Social Media Monitoring Team during public health emergency responses and planned events including major Ebola and Legionnaires' disease responses. The concepts and implementations described can be applied by any agency, large or small, interested in building a social media monitoring capacity. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).

  1. Analysis of good practice of Public Health Emergency Operations Centers

    Institute of Scientific and Technical Information of China (English)

    Min Xu; Shi-Xue Li

    2015-01-01

    Objective:To study the public health Emergency Operations Centers (EOCs)in the US, the European Union, the UK and Australia, and summarize the good practice for the improvement of National Health Emergency Response Command Center in Chinese National Health and Family Planning Commission.Methods:Literature review was conducted to explore the EOCs of selected countries.Results:The study focused on EOC function, organizational structure, human resources and information management. The selected EOCs had the basic EOC functions of coordinating and commanding as well as the public health related functions such as monitoring the situation, risk assessment, and epidemiological briefings. The organizational structures of the EOCs were standardized, scalable and flexible. Incident Command System was the widely applied organizational structure with a strong preference. The EOCs were managed by a unit of emergency management during routine time and surge staff were engaged upon emergencies. The selected EOCs had clear information management framework including information collection, assessment and dissemination.Conclusions:The performance of National Health Emergency Response Command Center can be improved by learning from the good practice of the selected EOCs, including setting clear functions, standardizing the organizational structure, enhancing the human resource capacity and strengthening information management.

  2. Emerging zoonoses: the challenge for public health and biodefense.

    Science.gov (United States)

    Murphy, Frederick A

    2008-09-15

    The concept of new and emerging diseases has captured the public interest and has revitalized the public health infectious disease research community. This interest has also resulted in competition for funding and turf wars between animal health and public health scientists and public officials and, in some cases, has delayed and hindered progress toward effective prevention, control and biodefense. There is a dynamic list of outbreaks causing substantial morbidity and mortality in humans and often in the reservoir animal species. Some agents have the potential to grow into major epidemics. There are many determinants that influence the emergence of diseases of concern that require the use of current understanding of the nature of agent persistence and spread. Additional factors that are global must be added to plans for prevention and control. To this complex mix has been added the potential for accidental or malicious release of agents. The nature of emerging infectious agents and their impact is largely unpredictable. Models that strive to predict the dynamics of agents may be useful but can also blind us to increasing disease risks if it does not match a specific model. Field investigations of early events will be critical and should drive prevention and control actions. Many disease agents have developed strategies to overcome extremes of reservoir qualities like population size and density. Every infectious agent spreads easier when its hosts are closer together. Zoonoses must be dealt with at the interface of human and animal health by all available information. Lessons learned from the emergence of and response to agents like West Nile virus, H5N1 avian influenza, SARS and bovine spongiform encephalopathy, the cause of new-variant Creutzfeldt-Jakob disease in humans, must be used to create better plans for response and meet the challenge for public health and biodefense.

  3. The promises and facts of emergent strategy in public management

    DEFF Research Database (Denmark)

    Aagaard, Peter

    Public managers are experiencing a growing demand for innovation. One of the promising approaches to instigating innovation is that of emergent strategic patterns (ESPs). According to the literature, the institutional barriers and drivers of ESPs are shaped by the two dominant public management...... models, NPM (the barriers) and governance (the drivers). However, based on an empirical case study of the institutional barriers and drivers for ESPs in the Danish Crime Prevention Council, this article concludes that ESPs are in fact enabled by a much more mixed management model....

  4. The promises and facts of emergent strategy in public management

    DEFF Research Database (Denmark)

    Aagaard, Peter

    Public managers are experiencing a growing demand for innovation. One of the promising approaches to instigating innovation is that of emergent strategic patterns (ESPs). According to the literature, the institutional barriers and drivers of ESPs are shaped by the two dominant public management m...... models, NPM (the barriers) and governance (the drivers). However, based on an empirical case study of the institutional barriers and drivers for ESPs in the Danish Crime Prevention Council, this article concludes that ESPs are in fact enabled by a much more mixed management model....

  5. Public apprehension of emerging infectious diseases: are changes afoot?

    Science.gov (United States)

    Joffe, Helene

    2011-07-01

    Using social representations theory this paper casts light on the pattern of content that characterises the public response to emerging and re-emerging infectious diseases (EID). The pattern is: distancing the disease from the self/ one's in-groups; blame of particular entities for the disease's origin and/or spread; and stigmatisation of those who have contracted it and/or who are represented as having intensified its spread. This pattern is not unique to EID but extends to many risks, making EID fruitful events for understanding public apprehension of potential dangers. This process may be driven by worry, fear and anxiety since when levels of these are low, as has arguably been the case with the 2009/10 "Swine Flu" pandemic, the pattern transforms. The distancing-blame-stigma pattern may also be transformed by growing reflexivity, a feature of late modern societies, as well as material features of the epidemic and "EID fatigue".

  6. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    OpenAIRE

    Sarika Chaturvedi; Bharat Randive

    2011-01-01

    Background: The National Rural Health Mission of India advocates public private partnerships (PPPs) to meet its "service guarantee" of Emergency obstetric care (EmOC) provision. The Janani Suraksha Yojana (JSY) has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Me...

  7. Politics and Emerging Media: The Revenge of Publicity

    Directory of Open Access Journals (Sweden)

    Darin Barney

    2008-01-01

    Full Text Available Emerging media technologies and applications have accompanied by an explosion of diverse means and practices for engaging in public life, raising the possibility of an invigorated and improved democratic politics. Investment in this possibility is premised on acceptance of the norms associated with publicity, specifically access to information and enhanced communication. Starting from the premise that democracy is a term whose defining attributes are best understood as the politicization of moral and ethical questions and equality (as opposed to a characteristic set of procedures and practices, the discussion in this paper investigates the potential for democratic participation via Web 2.0 platforms such as Facebook and other social networking sites. What emerges from this exercise is the recognition that within the contemporary context, information, communication and participation stand-in for motivation, judgment and action when it comes to democratic politics. This implies, in turn, that we may be settling for publicity in the place of the more the demanding democratic goods of politicization and equality. Somewhat more ominously, the popular embrace of these surrogates via emerging media technologies may actually undermine the prospect of a politics aimed at more radical outcomes.

  8. A systematic review of retracted publications in emergency medicine.

    Science.gov (United States)

    Chauvin, Anthony; De Villelongue, Cedric; Pateron, Dominique; Yordanov, Youri

    2017-08-18

    The objective of this study was to characterize retracted publications in emergency medicine. We searched MEDLINE, Web of Science and Cochrane Central Register of Controlled Trials to identify all retracted publications in the field of emergency medicine. We also searched an independent website that reports and archives retracted scientific publications. Two researchers independently screened titles, abstracts and full text of search results. Data from all included studies were then independently extracted. We identified 28 retraction notes. Eleven (39%) articles were published by authors from Europe. The oldest retracted article was published in 2001. The 28 retracted papers were published by 22 different journals. Two authors were named on multiples retractions. The median impact factor of journals was 1.03 (0.6-1.9). Almost all studies were available online [26/28 (93%)], but only 40% had watermarking on the article. The retraction notification was available for all articles. Three (11%) retraction notices did not clearly report the retraction reasons, and most retraction notices were issued by the editors [14 (56%)]. The most frequent retraction reasons were plagiarism [eight (29%)], duplicate publication [three (11%)] and overlap [two (2%)]. Retracted articles were cited on average 14 times. In most cases, the retraction cause did not invalidate the study's results [17 (60%)]. The most common reason for retraction was related to a misconduct by the authors. These results can question the necessity to normalize retraction procedures among the large number of biomedical editors and to educate future researchers on research integrity.

  9. A PILOT STUDY COMPARING THE BLOCK SYSTEM AND THE INTERMITTENT SYSTEM OF SCHEDULING SPEECH CORRECTION CASES IN THE PUBLIC SCHOOLS.

    Science.gov (United States)

    WEAVER, JOHN B.; WOLLERSHEIM, JANET P.

    TO DETERMINE THE MOST EFFICIENT USES OF THE PUBLIC SCHOOL SPEECH CORRECTIONIST'S SKILLS AND TIME, A STUDY WAS UNDERTAKEN TO INVESTIGATE THE EFFECTIVENESS OF THE INTERMITTENT SYSTEM AND THE BLOCK SYSTEM OF SCHEDULING SPEECH CASES. WITH THE INTERMITTENT SYSTEM THE CORRECTIONIST IS ASSIGNED TO A NUMBER OF SCHOOLS AND GENERALLY SEES CHILDREN TWICE A…

  10. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    Energy Technology Data Exchange (ETDEWEB)

    HCTT-CHE

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster—readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that—help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners' (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. While the purpose of the CAT is to further prepare the community for an influenza pandemic, its framework is an extension of the traditional all-hazards approach to planning and preparedness. As such, the information gathered by the tool is useful in preparation for most widespread public health emergencies. This tool is primarily intended for use by those involved in healthcare emergency preparedness (e.g., community planners, community disaster preparedness coordinators, 9-1-1 directors, hospital emergency preparedness coordinators). It is divided into sections based on the core agency partners, which may be involved in the community's influenza pandemic influenza response.

  11. Imaging Tasks Scheduling for High-Altitude Airship in Emergency Condition Based on Energy-Aware Strategy

    Directory of Open Access Journals (Sweden)

    Li Zhimeng

    2013-01-01

    Full Text Available Aiming to the imaging tasks scheduling problem on high-altitude airship in emergency condition, the programming models are constructed by analyzing the main constraints, which take the maximum task benefit and the minimum energy consumption as two optimization objectives. Firstly, the hierarchy architecture is adopted to convert this scheduling problem into three subproblems, that is, the task ranking, value task detecting, and energy conservation optimization. Then, the algorithms are designed for the sub-problems, and the solving results are corresponding to feasible solution, efficient solution, and optimization solution of original problem, respectively. This paper makes detailed introduction to the energy-aware optimization strategy, which can rationally adjust airship’s cruising speed based on the distribution of task’s deadline, so as to decrease the total energy consumption caused by cruising activities. Finally, the application results and comparison analysis show that the proposed strategy and algorithm are effective and feasible.

  12. Imaging tasks scheduling for high-altitude airship in emergency condition based on energy-aware strategy.

    Science.gov (United States)

    Zhimeng, Li; Chuan, He; Dishan, Qiu; Jin, Liu; Manhao, Ma

    2013-01-01

    Aiming to the imaging tasks scheduling problem on high-altitude airship in emergency condition, the programming models are constructed by analyzing the main constraints, which take the maximum task benefit and the minimum energy consumption as two optimization objectives. Firstly, the hierarchy architecture is adopted to convert this scheduling problem into three subproblems, that is, the task ranking, value task detecting, and energy conservation optimization. Then, the algorithms are designed for the sub-problems, and the solving results are corresponding to feasible solution, efficient solution, and optimization solution of original problem, respectively. This paper makes detailed introduction to the energy-aware optimization strategy, which can rationally adjust airship's cruising speed based on the distribution of task's deadline, so as to decrease the total energy consumption caused by cruising activities. Finally, the application results and comparison analysis show that the proposed strategy and algorithm are effective and feasible.

  13. Public Health Ethics Related Training for Public Health Workforce: An Emerging Need in the United States

    Directory of Open Access Journals (Sweden)

    A Kanekar

    2012-04-01

    Full Text Available Background: Ethics is a discipline, which primarily deals with what is moral and immoral behavior. Public Health Ethics is translation of ethical theories and concepts into practice to address complex multidimensional public health problems. The primary purpose of this paper was to conduct a narrative literature review-addressing role of ethics in developing curriculum in programs and schools of public health, ethics-related instruction in schools and programs of public health and the role of ethics in developing a competent public health workforce. Methods: An open search of various health databases including Google scholar and Ebscohost yielded 15 articles related to use of ethics in public health practice or public health training and the salient features were reported.  Results: Results indicated a variable amount of ethics' related training in schools and programs of public health along with public health practitioner training across the nation. Bioethics, medical ethics and public health ethics were found to be subspecialties' needing separate ethical frameworks to guide decision making.Conclusions: Ethics based curricular and non-curricular training for emerging public health professionals from schools and programs of public health in the United States is extremely essential.  In the current age of public health challenges faced in the United States and globally, to have an ethically untrained public health force is arguably, immoral and unethical and jeopardizes population health.  There is an urgent need to develop innovative ethic based curriculums in academia as well as finding effective means to translate these curricular competencies into public health practice.

  14. Bridging radiology and public health: the emerging field of radiologic public health informatics.

    Science.gov (United States)

    Mollura, Daniel J; Carrino, John A; Matuszak, Diane L; Mnatsakanyan, Zaruhi R; Eng, John; Cutchis, Protagoras; Babin, Steven M; Sniegoski, Carol; Lombardo, Joseph S

    2008-03-01

    Radiology and public health have an emerging opportunity to collaborate, in which radiology's vast supply of imaging data can be integrated into public health information systems for epidemiologic assessments and responses to population health problems. Fueling the linkage of radiology and public health include (i) the transition from analog film to digital formats, enabling flexible use of radiologic data; (ii) radiology's role in imaging across nearly all medical and surgical subspecialties, which establishes a foundation for a consolidated and uniform database of images and reports for public health use; and (iii) the use of radiologic data to characterize disease patterns in a population occupying a geographic area at one time and to characterize disease progression over time via follow-up examinations. The backbone for this integration is through informatics projects such as Systematized Nomenclature of Medicine Clinical Terms and RadLex constructing terminology libraries and ontologies, as well as algorithms integrating data from the electronic health record and Digital Imaging and Communications in Medicine Structured Reporting. Radiology's role in public health is being tested in disease surveillance systems for outbreak detection and bioterrorism, such as the Electronic Surveillance System for the Early Notification of Community-based Epidemics. Challenges for radiologic public health informatics include refining the systems and user interfaces, adhering to privacy regulations, and strengthening collaborative relations among stakeholders, including radiologists and public health officials. Linking radiology with public health, radiologic public health informatics is a promising avenue through which radiology can contribute to public health decision making and health policy.

  15. Marketing and public relations in the emergency department.

    Science.gov (United States)

    Mayer, T A; Tilson, W; Hemingway, J

    1987-02-01

    This article outlines the elements of successful ED marketing, as well as providing definitions for terms used within the marketing process. In today's competition and rapidly changing environment, marketing and public relations are tools that every ED Medical Director may want to consider. Because the marketing process requires a great deal of time and effort, as well as a high degree of intellectual honesty, it should never be entered into without a strong commitment. However, marketing the ED can be among the most productive, stimulating, and gratifying experiences for the ED Medical Director, the emergency department physicians, and all ED service personnel.

  16. Cluster Based Message Dissemination for Broadcasting the Emergency/Warning Messages using a Novel Scheduling in VANETS

    Directory of Open Access Journals (Sweden)

    M. A. Berlin,

    2011-01-01

    Full Text Available Vehicular ad hoc networks are a special case of mobile ad hoc networks (MANETs. Unlike MANETs, VANET nodes are moving very fast. It becomes quite challenging to maintain a stable path for broadcasting Emergency and Warning (E/ W messages from a risk zone. So routing takes an important role in VANETs. Reducing network overhead, avoiding network congestion, traffic congestion andincreasing packet delivery ratio are the major issues of routing in VANETs. So it is essential to broadcast the risk notification (RN messages such as accident and injury prevention messages, congestion control messages, road condition and other emergency/ warning messages in time to the rear vehicles. In this paper we propose a novel approach to categorize the messages and to give priority for the E/ W messages using a scheduling algorithm. The neighboring vehicles broadcast the RN messages from the risk zone using inter- zone clusters and intra- zone clusters communication to the rear vehicle by applying the proposed scheduling algorithm. Our simulation results show that this approach performs well and produce less network overhead, congestion control and high packet delivery ratio. We compared our approach with the existing protocol.

  17. Global Public Goods and The Role of Emerging Power: Considering the Concept of Impure Public Goods

    Directory of Open Access Journals (Sweden)

    Liu Rieshøj Yi

    2016-12-01

    Full Text Available The existing analysis of global public goods over-emphasizes the significance of public. Great power as a main provider has played an active role in these strategic initiatives, which may be ignored. In fact, main power has thought about the possible free-riders when providing public goods and making its foreign strategic plan. China’s announcement to “welcome the neighbouring countries to be a free-rider and benefit from China’s rise” is a good example. It is necessary to think about the theory of public goods and take another look at the free-riding phenomenon. The concept of impure public goods may be useful and effective when we understand the reason why global public goods are being provided and are relatively efficient. As an emerging power, China should have a clear strategy on global public goods with a possible “marketing” viewpoint, including more initiatives and specific measures, so that the global public goods provision may be more diverse and well-planned.

  18. Emerging arboviruses and public health challenges in Brazil

    Science.gov (United States)

    Lima-Camara, Tamara Nunes

    2016-01-01

    ABSTRACT Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country’s public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country. PMID:27355468

  19. Emerging arboviruses and public health challenges in Brazil

    Directory of Open Access Journals (Sweden)

    Tamara Nunes Lima-Camara

    2016-01-01

    Full Text Available ABSTRACT Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country’s public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country.

  20. Energy drinks: an emerging public health hazard for youth.

    Science.gov (United States)

    Pomeranz, Jennifer L; Munsell, Christina R; Harris, Jennifer L

    2013-05-01

    Energy drinks are emerging as a public health threat and are increasingly consumed by youth internationally. Energy drinks contain high levels of caffeine, sugar, and novel ingredients, and are often marketed through youth-oriented media and venues. We review these practices and the current inconsistent state of labeling. We also examine international support for regulation of these products, including a survey showing that 85 per cent of United States parents agreed that regulations requiring caffeine content disclosure and warning labels on energy drinks are warranted. We then examine the regulatory structure for energy drinks in the United States, analyzing legal and self-regulatory strategies to protect consumers, especially youth, from these potentially dangerous products. Recommended government interventions include revised labeling requirements, addressing problematic ingredients, and enacting retail restrictions. We conclude by identifying areas for future research.

  1. Electronic media, violence, and adolescents: an emerging public health problem.

    Science.gov (United States)

    David-Ferdon, Corinne; Hertz, Marci Feldman

    2007-12-01

    Adolescents' access to and use of new media technology (e.g., cell phone, personal data assistant, computer for Internet access) are on the rise, and this explosion of technology brings with it potential benefits and risks. Attention is growing about the risk of adolescents to become victims of aggression perpetrated by peers with new technology. In September 2006, the Centers for Disease Control and Prevention convened a panel of experts in technology and youth aggression to examine this specific risk. This special issue of the Journal of Adolescent Health presents the data and recommendations for future directions discussed at the meeting. The articles in the Journal support the argument that electronic aggression is an emerging public health problem in need of additional prevalence and etiological research to support the development and evaluation of effective prevention programs.

  2. 21 CFR 880.6260 - Filtering facepiece respirator for use by the general public in public health medical emergencies.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Filtering facepiece respirator for use by the... Filtering facepiece respirator for use by the general public in public health medical emergencies. (a) Identification. A filtering facepiece respirator for use by the general public in public health...

  3. 33 CFR 263.25 - Authority for emergency streambank and shoreline protection of public works and nonprofit public...

    Science.gov (United States)

    2010-07-01

    ... streambank and shoreline protection of public works and nonprofit public services (Section 14). 263.25... and shoreline protection of public works and nonprofit public services (Section 14). (a) Legislative... year, for the construction, repair, restoration, and modification of emergency streambank and...

  4. Hantaviruses: an emerging public health threat in India? A review

    Indian Academy of Sciences (India)

    S Chandy; P Abraham; G Sridharan

    2008-11-01

    The emerging viral diseases haemorrhagic fever with renal syndrome (HFRS) and hantavirus cardiopulmonary syndrome (HCPS) are a cause of global concern as they are increasingly reported from newer regions of the world. The hantavirus species causing HFRS include Hantaan virus, Seoul virus, Puumala virus, and Dobrava-Belgrade virus while Sin Nombre virus was responsible for the 1993 outbreak of HCPS in the Four Corners Region of the US. Humans are accidental hosts and get infected by aerosols generated from contaminated urine, feces and saliva of infected rodents. Rodents are the natural hosts of these viruses and develop persistent infection. Human to human infections are rare and the evolution of the virus depends largely on that of the rodent host. The first hantavirus isolate to be cultured, Thottapalayam virus, is the only indigenous isolate from India, isolated from an insectivore in 1964 in Vellore, South India. Research on hantaviruses in India has been slow but steady since 2005. Serological investigation of patients with pyrexic illness revealed presence of anti-hantavirus IgM antibodies in 14.7% of them. The seropositivity of hantavirus infections in the general population is about 4% and people who live and work in close proximity with rodents have a greater risk of acquiring hantavirus infections. Molecular and serological evidence of hantavirus infections in rodents and man has also been documented in this country. The present review on hantaviruses is to increase awareness of these emerging pathogens and the threats they pose to the public health system.

  5. Logistics of emergency response vehicles : facility location, routing, and shift scheduling

    NARCIS (Netherlands)

    P.L. van den Berg (Pieter)

    2016-01-01

    textabstractThis thesis discusses different aspects of the logistics of emergency response vehicles. In most parts, we consider providers of ambulance care in the Netherlands. However, also firefighters and air ambulance providers in both Canada and Norway are considered. Even though significant dif

  6. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    Directory of Open Access Journals (Sweden)

    Sarika Chaturvedi

    2011-01-01

    Full Text Available Background: The National Rural Health Mission of India advocates public private partnerships (PPPs to meet its "service guarantee" of Emergency obstetric care (EmOC provision. The Janani Suraksha Yojana (JSY has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Methods: A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. Results: The PPP scheme for EmOC is restricted to deliveries by Caesarean section. The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. Conclusion: The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  7. Public private partnerships for emergency obstetric care: lessons from maharashtra.

    Science.gov (United States)

    Chaturvedi, Sarika; Randive, Bharat

    2011-01-01

    The National Rural Health Mission of India advocates public private partnerships (PPPs) to meet its "service guarantee" of Emergency obstetric care (EmOC) provision. The Janani Suraksha Yojana (JSY) has a provision of Rs. 1500 for contracting in obstetric specialists. The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. The PPP scheme for EmOC is restricted to deliveries by Caesarean section.The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  8. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    Energy Technology Data Exchange (ETDEWEB)

    ORAU' s Oak Ridge Institute for Science Education (HCTT-CHE)

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster - readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that - help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. This tool has been reviewed by a variety of key subject matter experts from federal, state, and local agencies and organizations. It also has been piloted with various communities that consist of different population sizes, to include large urban to small rural communities.

  9. Teaching Stimulus Control via Class-Wide Multiple Schedules of Reinforcement in Public Elementary School Classrooms

    Science.gov (United States)

    Torelli, Jessica N.; Lloyd, Blair P.; Diekman, Claire A.; Wehby, Joseph H.

    2017-01-01

    In elementary school classrooms, students commonly recruit teacher attention at inappropriately high rates or at inappropriate times. Multiple schedule interventions have been used to teach stimulus control by signaling to students when reinforcement is and is not available contingent on an appropriate response. The purpose of the current study…

  10. 77 FR 74024 - Notice of Proposed Information Collection for Public Comment; Emergency Solutions Grant Data...

    Science.gov (United States)

    2012-12-12

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment; Emergency Solutions...: Emergency Solutions Grants Program Record Keeping Requirements. Description of the need for the information... Solutions Grants (ESG) program recipients will be expected to implement and retain. This submission...

  11. Public Expenditure and Scheduled Community Enrolment in Higher Education: A Comparison across Indian States

    Science.gov (United States)

    Sumithra, S.; Vardhan, R. Vishnu; Aruna, C.

    2014-01-01

    In India, the gross enrolment ratio has increased from 13.1 per cent in 2007-2008 to 15 per cent in 2011-2012 which moves the country from elite to a mass higher education system. This article seeks to examine the enrolment of scheduled caste (SC) students across various states in the country and the expenditure by each state and its effect on SC…

  12. Public Expenditure and Scheduled Community Enrolment in Higher Education: A Comparison across Indian States

    Science.gov (United States)

    Sumithra, S.; Vardhan, R. Vishnu; Aruna, C.

    2014-01-01

    In India, the gross enrolment ratio has increased from 13.1 per cent in 2007-2008 to 15 per cent in 2011-2012 which moves the country from elite to a mass higher education system. This article seeks to examine the enrolment of scheduled caste (SC) students across various states in the country and the expenditure by each state and its effect on SC…

  13. A call for science preparedness for pregnant women during public health emergencies.

    Science.gov (United States)

    Faherty, Laura J; Rasmussen, Sonja A; Lurie, Nicole

    2017-01-01

    Science preparedness, or the ability to conduct scientific research early in a public health emergency, is essential to increase the likelihood that important research questions regarding pregnant women will be addressed during future public health emergencies while the window of opportunity for data collection is open. Science preparedness should include formulation and human subject approval of generic protocols, which could be rapidly updated at the time of the public health emergency; development of a preexisting study network to coordinate time-sensitive research during a public health emergency; and identification of mechanisms for funding these studies. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Can public health registry data improve Emergency Medical Dispatch?

    DEFF Research Database (Denmark)

    Andersen, M S; Christensen, E F; Jepsen, S B

    2016-01-01

    BACKGROUND: Emergency Medical Dispatchers make decisions based on limited information. We aimed to investigate if adding demographic and hospitalization history information to the dispatch process improved precision. METHODS: This 30-day follow-up study evaluated time-critical emergencies...

  15. Perspectives of public health laboratories in emerging infectious diseases

    OpenAIRE

    Chua, Kaw Bing; Gubler, Duane J.

    2013-01-01

    The world has experienced an increased incidence and transboundary spread of emerging infectious diseases over the last four decades. We divided emerging infectious diseases into four categories, with subcategories in categories 1 and 4. The categorization was based on the nature and characteristics of pathogens or infectious agents causing the emerging infections, which are directly related to the mechanisms and patterns of infectious disease emergence. The factors or combinations of factors...

  16. Emerging arboviruses and public health challenges in Brazil.

    Science.gov (United States)

    Lima-Camara, Tamara Nunes

    2016-06-27

    Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country's public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country. RESUMO A modificação do ambiente por ações antrópicas, o crescimento urbano desordenado, o processo de globalização do intercâmbio internacional e as mudanças climáticas são alguns fatores que vêm facilitando a emergência e disseminação de doenças infecciosas humanas transmitidas por vetores. Este comentário aborda a recente entrada de três arbovírus no Brasil, Chikungunya (CHIKV), West Nile (WNV) e Zika (ZIKV), com enfoque nos desafios para a Saúde Pública do País. Transmitidos por mosquitos vetores amplamente distribuídos no território nacional e associados ao homem, a população brasileira encontra-se exposta à infecção por esses três arbovírus. Na ausência de vacina eficaz e tratamento específico, são importantes a manutenção e integração de uma vigilância entomológica e epidemiológica contínua, a fim de direcionarmos métodos de controle e prevenção contra essas arboviroses no País.

  17. Better prepared but spread too thin: the impact of emergency preparedness funding on local public health.

    Science.gov (United States)

    Hyde, Justeen; Kim, Basil; Martinez, Linda Sprague; Clark, Mary; Hacker, Karen

    2006-01-01

    Local public health authorities (LPHAs) are recognized as playing critical roles in response to biological, chemical, and other health emergencies. An influx of emergency preparedness funding has created new and expanding responsibilities for LPHAs. Concern that funding for emergency response is diverting attention and resources away from other core public health responsibilities is increasing. In order to determine the impact of emergency preparedness funding on public health infrastructure, qualitative interviews with 27 LPHAs in the metro-Boston area were conducted as part of an on-going evaluation of preparedness planning in Massachusetts. Feedback on the benefits and challenges of recent emergency preparedness planning mandates was obtained. Benefits include opportunities to develop relationships within and across public health departments and increases in communication between local and state authorities. Challenges include budget constraints, staffing shortages, and competing public responsibilities. Policy recommendations for improving planning for emergency response at the local level are provided.

  18. Fit testing respirators for public health medical emergencies.

    Science.gov (United States)

    Brosseau, Lisa M

    2010-11-01

    Concerns about limiting pandemic infectious disease transmission when vaccines are not yet available prompted the Food and Drug Administration (FDA) to develop guidance for marketing respirators for use in public health medical emergencies. This project describes the results of filtering facepiece fit tests using 35 untrained, inexperienced subjects meeting the face size criteria of the National Institute for Occupational Safety and Health bivariate panel, in preparation for an FDA 510(k) application. Quantitative fit factors were measured for each subject on two replicates of each of two N95 filtering facepiece respirators (A and B) using the TSI Portacount Plus with N95 Companion. Subjects received no training or assistance with donning and had no prior experience with wearing respirators. The panel consisted of 20 females and 15 males; 80% were between 18 and 34 years of age. Almost all subjects properly placed the respirator on the face and formed the nose clip. Straps were improperly placed 25% of the time. Users reviewed the donning instructions 73% of the time and performed a seal check 80% of the time. Leaks were observed during 80% of the fit tests, most frequently at the chin during the head up and down exercise. For Respirator A, all but one subject had a 95% fit factor greater than 2 (the minimum required by FDA); one subject had a 95% fit factor of 1.5. All subjects had a 95% fit factor greater than 2.5 for Respirator B. Geometric mean fit factors ranged from 19-28 for these two respirators, and a majority of subjects were able to achieve a fit factor of 10 most of the time. However, fewer than 25% of subjects received the fit factor of 100 expected in workplace settings.

  19. The Emergence of Public Spheres in Colonial Cameroon

    African Journals Online (AJOL)

    seriane.camara

    2011-03-09

    Mar 9, 2011 ... pounded his public sphere theory, we still find his basic premise useful in capturing ... one-party state in Cameroon was very sensitive to public opinion, and critical ..... became, fighting or assault was not culturally tolerated.

  20. Full-text publication of abstracts in emergency medicine in Denmark

    DEFF Research Database (Denmark)

    Ravn, Anne Katrine; Petersen, Dan Brun; Folkestad, Lars;

    2014-01-01

    presented at the Danish Emergency Medicine Conferences in 2009, 2010 and 2011. METHODS: Abstracts presented at the conferences were identified and authors contacted to obtain publication information. A further search was conducted using relevant databases. RESULTS: Publication rates for the 2009 and 2010....../or research courses provided by the Danish Society of Emergency Medicine....

  1. Emerging Metagovernance as an Institutional Framework for Public Private Partnership Network in Denmark

    DEFF Research Database (Denmark)

    Buser, Martine; Koch, Christian

    2006-01-01

    Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...... employment relations are surfacing. PPPs are thus emergent political arenas....

  2. 75 FR 51825 - Quality and Compliance in Merging and Emerging Cultures; Public Conference

    Science.gov (United States)

    2010-08-23

    ... No. FDA-2010-N-0001] Quality and Compliance in Merging and Emerging Cultures; Public Conference... Drug Administration (FDA) is announcing a public conference entitled ``The New Paradigm: Quality and Compliance in Merging and Emerging Cultures.'' The conference, cosponsored with the Parenteral Drug...

  3. Medication Overdoses at a Public Emergency Department in Santiago, Chile

    Directory of Open Access Journals (Sweden)

    Pablo Aguilera, MD

    2016-01-01

    Full Text Available Introduction: While a nationwide poison control registry exists in Chile, reporting to the center is sporadic and happens at the discretion of the treating physician or by patients’ self-report. Moreover, individual hospitals do not monitor accidental or intentional poisoning in a systematic manner. The goal of this study was to identify all cases of intentional medication overdose (MO that occurred over two years at a large public hospital in Santiago, Chile, and examine its epidemiologic profile. Methods: This study is a retrospective, explicit chart review conducted at Hospital Sótero del Rio from July 2008 until June 2010. We included all cases of identified intentional MO. Alcohol and recreational drugs were included only when they were ingested with other medications. Results: We identified 1,557 cases of intentional MO and analyzed a total of 1,197 cases, corresponding to 0.51% of all emergency department (ED presentations between July 2008 and June 2010. The median patient age was 25 years. The majority was female (67.6%. Two peaks were identified, corresponding to the spring of each year sampled. The rate of hospital admission was 22.2%. Benzodiazepines, selective serotonin reuptake inhibitors, and tricyclic antidepressants (TCA were the causative agents most commonly found, comprising 1,044 (87.2% of all analyzed cases. Acetaminophen was involved in 81 (6.8% cases. More than one active substance was involved in 35% of cases. In 7.3% there was ethanol co-ingestion and in 1.0% co-ingestion of some other recreational drug (primarily cocaine. Of 1,557 cases, six (0.39% patients died. TCA were involved in two of these deaths. Conclusion: Similar to other developed and developing nations, intentional MO accounts for a significant number of ED presentations in Chile. Chile is unique in the region, however, in that its spectrum of intentional overdoses includes an excess burden of tricyclic antidepressant and benzodiazepine overdoses, a

  4. EMERGENCY RESPONSE FOR PUBLIC WATER SUPPLIES AFTER HURRICANE KATRINA

    Science.gov (United States)

    Hurricane Katrina resulted in damage and destruction to local water supplies in Mississippi and Louisiana affecting millions of people. Immediately following the devastation, a multidisciplinary team of 30 EPA emergency response, research, and water program personnel joined force...

  5. Emerging theoretical understanding of pluricentric coordination in public governance

    DEFF Research Database (Denmark)

    Reff Pedersen, Anne; Sehested, Karina; Sørensen, Eva

    2011-01-01

    institutionally or functionally demarcated units that follows a specific pregiven rational logic of consequentiality. This view is apparent in public administration theory, organization theory, and planning theory. In recent years, this unitary, rationalist understanding of coordination has been challenged...... processes in which public authorities seek to govern their subjects. In the new theories, one of the main questions is how to get a better hold of this new understanding of coordination in processes of public governance. The article aims to do so by bringing together insights from three theoretical strands......: public administration theory, organizational theory, and planning theory to show how each of them are currently contributing to the development of what we define as a theory of pluricentric coordination in public governance....

  6. Emerging markets for satellite data communications in the public service

    Science.gov (United States)

    Potter, J. G.

    1978-01-01

    The paper discusses some of the current and potential markets for satellite data communications as projected by the Public Service Satellite Consortium (PSSC). Organizations in the public service sector are divided into three categories, depending on their expected benefits and organizational changes due to increased satellite telecommunications use: A - modest institutional adjustments are necessary and significant productivity gains are likely; B - institutional requirements picture is promising, but more information is needed to assess benefits and risk; and C - major institutional adjustments are needed, risks are high but possible benefits are high. These criteria are applied to the U.S. health care system, continuing education, equipment maintenance, libraries, environmental monitoring, and other potential markets. The potential revenues are seen to be significant, but what is needed is a cooperative effort by common carriers and major public service institutions to aggregate the market.

  7. Negotiating Gender and Diversity in an Emerging European Public Sphere

    DEFF Research Database (Denmark)

    Agustin, Lise Rolandsen

    2013-01-01

    The European Parliament (EP) as an institution can be understood as having the potential for becoming ‘a strong public’ which is undergoing a process of building a wider general public: ‘The EP can be conceived of as an incipient transnational public sphere’ (Liebert 2007: 268). This makes the EP...... (Ferree et al. 2002) by looking both at the gender composition of the EP and the framing of debates about women´s representation within the EP and its Committee on Women’s Rights and Gender Equality (FEMM) during the period 2000-2011....

  8. Building evidence for legal decision making in real time: legal triage in public health emergencies.

    Science.gov (United States)

    Hodge, James G; Lant, Timothy; Arias, Jalayne; Jehn, Megan

    2011-09-01

    Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.

  9. Why public health might address the emerging role of vaccinomics?

    Directory of Open Access Journals (Sweden)

    Stefania Boccia

    2010-12-01

    Full Text Available The greatest public health benefit of the advances brought about by the understanding of the human genome, completely sequenced in 2000, will likely occur as genomic medicine expands its focus from rare genetic disorders towards the inclusion of more common diseases also, such as coronary heart disease, diabetes mellitus, cancer and infectious disease. Advances in Genomics hold the promise of improving the delivery of health care, particularly that of preventive medicine, and of tailoring drug treatment.

  10. Emerging Aeromonas Species Infections and Their Significance in Public Health

    OpenAIRE

    Igbinosa, Isoken H.; Ehimario U. Igumbor; Farhad Aghdasi; Mvuyo Tom; Anthony I. Okoh

    2012-01-01

    Aeromonas species are ubiquitous bacteria in terrestrial and aquatic milieus. They are becoming renowned as enteric pathogens of serious public health concern as they acquire a number of virulence determinants that are linked with human diseases, such as gastroenteritis, soft-tissue, muscle infections, septicemia, and skin diseases. Proper sanitary procedures are essential in the prevention of the spread of Aeromonas infections. Oral fluid electrolyte substitution is employed in the preventio...

  11. 78 FR 51744 - Digital Trade in the U.S. and Global Economies, Part 2; Scheduling of an Additional Public Hearing

    Science.gov (United States)

    2013-08-21

    ... COMMISSION Digital Trade in the U.S. and Global Economies, Part 2; Scheduling of an Additional Public Hearing..., Digital Trade in the U.S. and Global Economies, Part 2 at the NASA Ames Research Center in Moffett Field... role of digital trade in the U.S. and global economies at the request of the U.S. Senate Committee...

  12. Community Assessment for Public Health Emergency Response (CASPER): An Innovative Emergency Management Tool in the United States.

    Science.gov (United States)

    Schnall, Amy; Nakata, Nicole; Talbert, Todd; Bayleyegn, Tesfaye; Martinez, DeAndrea; Wolkin, Amy

    2017-09-01

    To demonstrate how inclusion of the Centers for Disease Control and Prevention's Community Assessment for Public Health Emergency Response (CASPER) as a tool in Public Health Preparedness Capabilities: National Standards for State and Local Planning can increase public health capacity for emergency response. We reviewed all domestic CASPER activities (i.e., trainings and assessments) between fiscal years 2012 and 2016. Data from these CASPER activities were compared with respect to differences in geographic distribution, type, actions, efficacy, and usefulness of training. During the study period, the Centers for Disease Control and Prevention conducted 24 domestic in-person CASPER trainings for 1057 staff in 38 states. On average, there was a marked increase in knowledge of CASPER. Ninety-nine CASPERs were conducted in the United States, approximately half of which (53.5%) assessed preparedness; the others were categorized as response or recovery (27.2%) or were unrelated to a disaster (19.2%). CASPER trainings are successful in increasing disaster epidemiology skills. CASPER can be used by Public Health Emergency Preparedness program awardees to help build and sustain preparedness and response capabilities.

  13. Zika virus disease: a public health emergency of international concern.

    Science.gov (United States)

    Lupton, Kelly

    The emergence of Zika virus disease (ZIKV) in the Americas, mainly Brazil, has required the World Health Organization to take action to halt the spread of the virus by implementing preventive measures. This has resulted in increased surveillance of the virus and its potential complications. In the UK, cases of ZIKV have been reported in returning travellers. With the importance of this disease increasing, it is vital that nurses and other health professionals take the time to learn about ZIKV in order to pass on this knowledge to patients, enabling them to make informed choices about travel to affected areas. This article will discuss the ZIKV, its complications and what to advise travellers, including pregnant women, to prevent transmission and spread.

  14. Emerging Foodborne Diseases:an Evolving Public Health Challange

    Institute of Scientific and Technical Information of China (English)

    Dr.RobertyJ.Baldwin

    2001-01-01

    The epidemiology of foodborne diseases is changing,New pathogens hae emerged and some have spread worldwide.Many including salmonella,Escherichia coil O157:H7,Campylobacter,and Yersinina enterocilitica have reservoirs in healthy food animals,from which they sperad to an increasing variety of foods.These pathogens cause millions of cases of spordic illness and chronic complications,as well as large and challenging outbreaks over many states and nations,Improved surveillance that combines rapid subtyping methods,cluster identification,and collaborative epidemiologic inverstigation can identify and halt large dispersed outbreaks.Outbreak investigations and case-control studies of sporadic cases can identify sources of infection and guide the development of specific prevention strategies,Better understanding of how pathogens persist in animal reservoirs is also critical to successful long-term prevention.

  15. Outbreaks of emerging infectious diseases: Risk perception and behaviour of the general public

    NARCIS (Netherlands)

    M. Bults (Marloes)

    2014-01-01

    markdownabstract__Abstract__ This thesis focuses on risk perception and behaviour of the public during the outbreaks of emerging infectious diseases. It consists of studies on Influenza A (H1N1), Q fever and Lyme disease. These studies were conducted among both the general public and specific

  16. Outbreaks of emerging infectious diseases: Risk perception and behaviour of the general public

    NARCIS (Netherlands)

    M. Bults (Marloes)

    2014-01-01

    markdownabstract__Abstract__ This thesis focuses on risk perception and behaviour of the public during the outbreaks of emerging infectious diseases. It consists of studies on Influenza A (H1N1), Q fever and Lyme disease. These studies were conducted among both the general public and specific risk

  17. Modeling and public health emergency responses: lessons from SARS.

    Science.gov (United States)

    Glasser, John W; Hupert, Nathaniel; McCauley, Mary M; Hatchett, Richard

    2011-03-01

    Modelers published thoughtful articles after the 2003 SARS crisis, but had limited if any real-time impact on the global response and may even have inadvertently contributed to a lingering misunderstanding of the means by which the epidemic was controlled. The impact of any intervention depends on its efficiency as well as efficacy, and efficient isolation of infected individuals before they become symptomatic is difficult to imagine. Nonetheless, in exploring the possible impact of quarantine, the product of efficiency and efficacy was varied over the entire unit interval. Another mistake was repeatedly fitting otherwise appropriate gamma distributions to times to event regardless of whether they were stationary or not, particularly onset-isolation intervals whose progressive reduction evidently contributed to SARS control. By virtue of their unknown biology, newly-emerging diseases are more challenging than familiar human scourges. Influenza, for example, recurs annually and has been modeled more thoroughly than any other infectious disease. Moreover, models were integrated into preparedness exercises, during which working relationships were established that bore fruit during the 2009 A/H1N1 pandemic. To provide the most accurate and timely advice possible, especially about the possible impact of measures designed to control diseases caused by novel human pathogens, we must appreciate the value and difficulty of policy-oriented modeling. Effective communication of insights gleaned from modeling SARS will help to ensure that policymakers involve modelers in future outbreaks of newly-emerging infectious diseases. Accordingly, we illustrate the increasingly timely care-seeking by which, together with increasingly accurate diagnoses and effective isolation, SARS was controlled via heuristic arguments and descriptive analyses of familiar observations.

  18. Public Health System Research in Public Health Emergency Preparedness in the United States (2009-2015): Actionable Knowledge Base.

    Science.gov (United States)

    Savoia, Elena; Lin, Leesa; Bernard, Dottie; Klein, Noah; James, Lyndon P; Guicciardi, Stefano

    2017-09-01

    In 2008, the Institute of Medicine released a letter report identifying 4 research priority areas for public health emergency preparedness in public health system research: (1) enhancing the usefulness of training, (2) improving timely emergency communications, (3) creating and maintaining sustainable response systems, and (4) generating effectiveness criteria and metrics. To (1) identify and characterize public health system research in public health emergency preparedness produced in the United States from 2009 to 2015, (2) synthesize research findings and assess the level of confidence in these findings, and (3) describe the evolution of knowledge production in public health emergency preparedness system research. Search Methods and Selection Criteria. We reviewed and included the titles and abstracts of 1584 articles derived from MEDLINE, EMBASE, and gray literature databases that focused on the organizational or financial aspects of public health emergency preparedness activities and were grounded on empirical studies. We included 156 articles. We appraised the quality of the studies according to the study design. We identified themes during article analysis and summarized overall findings by theme. We determined level of confidence in the findings with the GRADE-CERQual tool. Thirty-one studies provided evidence on how to enhance the usefulness of training. Results demonstrated the utility of drills and exercises to enhance decision-making capabilities and coordination across organizations, the benefit of cross-sector partnerships for successfully implementing training activities, and the value of integrating evaluation methods to support training improvement efforts. Thirty-six studies provided evidence on how to improve timely communications. Results supported the use of communication strategies that address differences in access to information, knowledge, attitudes, and practices across segments of the population as well as evidence on specific

  19. Understanding Quality: A Guide for Developers and Consumers of Public Health Emergency Preparedness Trainings

    OpenAIRE

    Hites, Lisle; Altschuld, James

    2010-01-01

    The work described in this article represents two years of collaboration among 32 evaluators from 23 schools of public health involved in the Centers for Disease Control and Prevention's Centers for Public Health Preparedness program. Evaluators in public health emergency preparedness (PHEP) training were tasked with identifying what constitutes quality in PHEP training and providing guidance to practitioners in selecting training packages. The results of their deliberations included developm...

  20. [Foodborne botulism - a re-emerging public health challenge].

    Science.gov (United States)

    Mezencev, R; Klement, C

    2017-01-01

    Human foodborne botulism is an intoxication caused by ingestion of botulinum neurotoxins (BoNT) of serotypes A, B, E, and rarely also serotype F, produced in contaminated food by anaerobic bacteria Clostridium botulinum group I, group II, or by toxigenic strains of C. butyricum and C. baratii. BoNT-producing Clostridia are ubiquitously distributed in the environment and, under suitable conditions, they can enter the food chain, proliferate and produce BoNT in a variety of foods. In the past, the risk of foodborne botulism was primarily associated with homemade canned foods; however, the epidemiological importance of commercial and restaurant food is increasing nowadays. In this article, we review the public health aspects of foodborne botulism, including its clinical, epidemiological and laboratory diagnosis and discuss potential risks associated with minimally heated, vacuum or modified atmosphere-packed, ready-to-eat foods of extended durability.

  1. RISK EVALUATION ON RAILWAY PUBLIC EMERGENCIES DURING 2008 BEIJING OLYMPIC GAMES

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Risk evaluation is fundamental to eliminate and prenent any kind of public emergencies ,while that for railway public emergencies is the foundation to guarantee railway sicurity.With the researches on the flow and methods of risk evaluation and the evaltation on railway public evtergencies during 2008 Beijing Olympic Games,the article puts forward measures and suggestions for risk control,providing reference for decision making by government departments,the Organizing Committee of Beijing Olympic Games,and the Security Coorduating Tean of Beijing Olympics as well as jproviding basis for solutions by the Security Control Center of Beijing Olympics and the relevant dipartments of railway sector.

  2. [Excessive Internet use and Internet addiction: emerging public health issues.].

    Science.gov (United States)

    Coniglio, Maria Anna; Muni, Viviana; Giammanco, Giuseppe; Pignato, Sarina

    2007-01-01

    A survey was performed among students of various faculties at the University of Catania (Italy) to examine the health effects of excessive Internet use and behaviour patterns of Internet dependency. Three hundred students were recruited through a non probabilistic quota sampling method and were asked to complete a questionnaire aimed at identifying attitudes and behaviours regarding Internet use, and the psychological and physical consequences of excessive use of the Internet. The most relevant findings that emerged from student responses regard: emotional dependency on the Internet (5% of students believe that Internet facilitates social relationships, 4% experiences euphoric feelings or excitement while on-line, 1% consider the Internet as a way of escaping from real life), the excessive amount of time spent on-line (8%) and the inability to end an on-line session(8%), lying to family members to conceal the nature of involvement with the Internet (3%), giving up sports (2%) or meals (1%), the negative impact on school grades (3%), lack of sleep (4%), and physical health problems such as backache (2%), arm or wrist pain (2%), vision disturbances (6%).

  3. Floyd-A∗ Algorithm Solving the Least-Time Itinerary Planning Problem in Urban Scheduled Public Transport Network

    Directory of Open Access Journals (Sweden)

    Yu Zhang

    2014-01-01

    Full Text Available We consider an ad hoc Floyd-A∗ algorithm to determine the a priori least-time itinerary from an origin to a destination given an initial time in an urban scheduled public transport (USPT network. The network is bimodal (i.e., USPT lines and walking and time dependent. The modified USPT network model results in more reasonable itinerary results. An itinerary is connected through a sequence of time-label arcs. The proposed Floyd-A∗ algorithm is composed of two procedures designated as Itinerary Finder and Cost Estimator. The A∗-based Itinerary Finder determines the time-dependent, least-time itinerary in real time, aided by the heuristic information precomputed by the Floyd-based Cost Estimator, where a strategy is formed to preestimate the time-dependent arc travel time as an associated static lower bound. The Floyd-A∗ algorithm is proven to guarantee optimality in theory and, demonstrated through a real-world example in Shenyang City USPT network to be more efficient than previous procedures. The computational experiments also reveal the time-dependent nature of the least-time itinerary. In the premise that lines run punctually, “just boarding” and “just missing” cases are identified.

  4. Building emergency public information structures for response: Lessons learned from New York City.

    Science.gov (United States)

    Silvestri, Nancy

    2017-12-01

    For an effective response, emergency public information operations should be structured to facilitate the provision of timely, accurate, accessible information to the public. A frequent challenge in building a public information structure is identifying the potential staff to allow the operation to get big enough, fast enough. A plan for managing public information operations should define roles to fulfil basic functions (responding to media enquiries, writing materials, disseminating information, media and social media monitoring, community engagement and identifying and addressing rumours). This paper will offer tips for developing a plan and concept of operations for quickly assembling and maintaining public information operations. It will also describe the public information principles implemented during recent incidents in New York City, including the 2015 visit of Pope Francis to New York City. Having a coordinated, flexible model; a trained network of public information officers who are ready to staff public information roles as needed; and a structure that embeds social media into overall public information operations, will leave public information officers and their organisations more prepared to deal with the challenges and opportunities of communicating with the public during emergencies of varying types and sizes.

  5. Responding to Public Health Emergencies on Tribal Lands: Jurisdictional Challenges and Practical Solutions.

    Science.gov (United States)

    Barnard, Justin B

    2015-01-01

    Response to public health emergencies on tribal lands poses a unique challenge for state and tribal public health officials. The complexity and intensely situation-specific nature of federal Indian jurisprudence leaves considerable question as to which government entity, state or tribal, has jurisdiction on tribal lands to undertake basic emergency measures such as closure of public spaces, quarantine, compulsory medical examination, and investigation. That jurisdictional uncertainty, coupled with cultural differences and an often troubled history of tribal-state relations, threatens to significantly impede response to infectious disease outbreaks or other public health emergencies on tribal lands. Given that tribal communities may be disproportionately impacted by public health emergencies, it is critical that tribal, state, and local governments engage with each other in coordinated planning for public health threats. This Article is offered as a catalyst for such planning efforts. The Article identifies some of the most pressing jurisdictional issues that may confront governments responding to a public health emergency on tribal lands, with the aim of highlighting the nature of the problem and the need for action. The Article goes on to examine the most promising means of addressing jurisdictional uncertainty: intergovernmental agreements. Already utilized in many areas of shared interest between tribe and state, intergovernmental agreements offer neighboring state, local, and tribal governments a vehicle for delineating roles and authorities in an emergency, and may lay the groundwork for sharing resources. The Article surveys various representative tribal public health intergovernmental agreements, and concludes with suggestions for tribes and state or local governments looking to craft their own agreements.

  6. EMERGING ANTIMICROBIAL RESISTANCE IN HOSPITAL A THREAT TO PUBLIC HEALTH

    Directory of Open Access Journals (Sweden)

    Vichal Rastogi

    2013-01-01

    Full Text Available Background: Antimicrobial resistance(AMR threatens the health of many throughout the world, since both old and new infectious diseases remain a formidable public health threat. When pathogenic microorganisms can multiply beyond some critical mass in the face of invading antimicrobials, treatment outcome is compromised. This phenomenon is referred as antimicrobial resistance (AMR. Objective: This retrospective study was conducted to assess the overall antimicrobial resistance in bacterial isolates from tertiary care hospitals as majority of patients here receive empirical antibiotics therapy. Method: This retrospective study was carried out in teaching hospital, Greater Noida to determine prevalence of multidrug resistance in patients in relation to empirical antibiotic therapy in hospital. Various samples (pus,urine,blood were collected for bacterial culture and antibiotic sensitivity. Results: Total 500 bacterial strains isolated from ICU, surgery, obstetrics & gynaecology and orthopaedics and their sensitivity pattern was compared in this study. The highest number of resistant bacterias were of pseudomonas sp. i.e. 21(33.87% followed by 16(25.80% of staphylococcus aureus, 12(19.35% of Escherichia coli, Klebseilla sp & Proteus vulgaris were 05(8.06% each & Citrobacter sp. 03(4.83%. Total 62(12.4% bacterial isolates were found to be resistant to multiple drugs. The 31 (50% of these resistant bacteria were prevalent in ICU, 12(19.35% in Surgery, 11(17.74% in Gynaecology, 08(12.90% in Orthopaedics.. All the bacterial strains were resistant to common antibiotics like Penicillin, Amoxicillin, Doxycycline & Cotrimoxazole and some were even resistant to Imipenem. Conclusion: Therefore we have outlined the nature of the antimicrobial resistance problem as an important health issue for national and international community. It is advised to avoid use of empirical antibiotics therapy.

  7. Cancer among circumpolar populations: an emerging public health concern

    Directory of Open Access Journals (Sweden)

    T. Kue Young

    2016-01-01

    Full Text Available Objectives: To determine and compare the incidence of cancer among the 8 Arctic States and their northern regions, with special focus on 3 cross-national indigenous groups – Inuit, Athabaskan Indians and Sami. Methods: Data were extracted from national and regional statistical agencies and cancer registries, with direct age-standardization of rates to the world standard population. For comparison, the “world average” rates as reported in the GLOBOCAN database were used. Findings: Age-standardized incidence rates by cancer sites were computed for the 8 Arctic States and 20 of their northern regions, averaged over the decade 2000–2009. Cancer of the lung and colon/rectum in both sexes are the commonest in most populations. We combined the Inuit from Alaska, Northwest Territories, Nunavut and Greenland into a “Circumpolar Inuit” group and tracked cancer trends over four 5-year periods from 1989 to 2008. There has been marked increase in lung, colorectal and female breast cancers, while cervical cancer has declined. Compared to the GLOBOCAN world average, Inuit are at extreme high risk for lung and colorectal cancer, and also certain rare cancers such as nasopharyngeal cancer. Athabaskans (from Alaska and Northwest Territories share some similarities with the Inuit but they are at higher risk for prostate and breast cancer relative to the world average. Among the Sami, published data from 3 cohorts in Norway, Sweden and Finland show generally lower risk of cancer than non-Sami. Conclusions: Cancer among certain indigenous people in the Arctic is an increasing public health concern, especially lung and colorectal cancer.

  8. DSN Scheduling Engine

    Science.gov (United States)

    Clement, Bradley; Johnston, Mark; Wax, Allan; Chouinard, Caroline

    2008-01-01

    The DSN (Deep Space Network) Scheduling Engine targets all space missions that use DSN services. It allows clients to issue scheduling, conflict identification, conflict resolution, and status requests in XML over a Java Message Service interface. The scheduling requests may include new requirements that represent a set of tracks to be scheduled under some constraints. This program uses a heuristic local search to schedule a variety of schedule requirements, and is being infused into the Service Scheduling Assembly, a mixed-initiative scheduling application. The engine resolves conflicting schedules of resource allocation according to a range of existing and possible requirement specifications, including optional antennas; start of track and track duration ranges; periodic tracks; locks on track start, duration, and allocated antenna; MSPA (multiple spacecraft per aperture); arraying/VLBI (very long baseline interferometry)/delta DOR (differential one-way ranging); continuous tracks; segmented tracks; gap-to-track ratio; and override or block-out of requirements. The scheduling models now include conflict identification for SOA(start of activity), BOT (beginning of track), RFI (radio frequency interference), and equipment constraints. This software will search through all possible allocations while providing a best-effort solution at any time. The engine reschedules to accommodate individual emergency tracks in 0.2 second, and emergency antenna downtime in 0.2 second. The software handles doubling of one mission's track requests over one week (to 42 total) in 2.7 seconds. Further tests will be performed in the context of actual schedules.

  9. Public health emergency: social representations among managers of a university hospital.

    Science.gov (United States)

    Souza, Dirciara Barañano; Dall'Agnol, Clarice Maria

    2013-01-01

    to comprehend the social representations of public health emergencies among managers who experienced the Influenza A (H1N1) Pandemic of 2009. a qualitative case study, with its theoretical and methodological framework based on the Theory of Social Representations. The data was obtained through the techniques of free association and semi-structured interviews, applied individually to managers who worked in different positions of the hierarchical management structure of the institution during the pandemic emergency, a total of 30 participants. thematic content analysis resulted in the following categories: vulnerability, health protection, neglect - gray areas of the public sphere, and integrality. The social representations of public health emergencies attest to continuities that transit the overvalorization of negative discourses linked to the health/education public space, naturalization of the substantial character of the epidemic, and normative managerial action. However, the defense of ongoing education as a necessity associated with emergency management revealed possibilities for change in the technical-scientific perception of the management. to understand healthcare/nursing workers as political beings, assuming responsibilities in the areas of the macro and micro policies of the State, the university hospitals and the work teams, is a pathway that is emerging for the management of emergencies.

  10. Use of Social Media During Public Emergencies by People with Disabilities

    Directory of Open Access Journals (Sweden)

    John T. Morris

    2014-08-01

    Full Text Available Introduction: People with disabilities are generally more vulnerable during disasters and public emergencies than the general population. Physical, sensory and cognitive impairments may result in greater difficulty in receiving and understanding emergency alert information, and greater difficulty in taking appropriate action. The use of social media in the United States has grown considerably in recent years. This has generated increasing interest on the part of national, state and local jurisdictions in leveraging these channels to communicate public health and safety information. How and to what extent people with disabilities use social and other communications media during public emergencies can help public safety organizations understand the communication needs of the citizens in their jurisdictions, and plan their social media and other communications strategies accordingly. Methods: This article presents data from a survey on the use of social media and other communications media during public emergencies by people with disabilities conducted from November 1, 2012 through March 30, 2013. Results: The data presented here show four key results. First, levels of use of social media in general are high for people with disabilities, as well as for the general population. Second, use of social media during emergencies is still low for both groups. Third, levels of use of social media are not associated with income levels, but are significantly and strongly associated with age: younger people use social media at higher rates than older people in both groups (p,0.001. Fourth, differences in the use of social media during emergencies across disability types are slight, with the exception of deaf and hard-of-hearing respondents, the former more likely to have used social media to receive (p¼0.002, verify (p¼0.092 and share (p¼0.007 emergency information . Conclusion: These last two results suggest that effective emergency communications

  11. Effective communication of public health guidance to emergency department clinicians in the setting of emerging incidents: a qualitative study and framework.

    Science.gov (United States)

    Khan, Yasmin; Sanford, Sarah; Sider, Doug; Moore, Kieran; Garber, Gary; de Villa, Eileen; Schwartz, Brian

    2017-04-28

    Evidence to inform communication between emergency department clinicians and public health agencies is limited. In the context of diverse, emerging public health incidents, communication is urgent, as emergency department clinicians must implement recommendations to protect themselves and the public. The objectives of this study were to: explore current practices, barriers and facilitators at the local level for communicating public health guidance to emergency department clinicians in emerging public health incidents; and develop a framework that promotes effective communication of public health guidance to clinicians during emerging incidents. A qualitative study was conducted using semi-structured interviews with 26 key informants from emergency departments and public health agencies in Ontario, Canada. Data were analyzed inductively and the analytic approach was guided by concepts of complexity theory. Emergent themes corresponded to challenges and strategies for effective communication of public health guidance. Important challenges related to the coordination of communication across institutions and jurisdictions, and differences in work environments across sectors. Strategies for effective communication were identified as the development of partnerships and collaboration, attention to specific methods of communication used, and the importance of roles and relationship-building prior to an emerging public health incident. Following descriptive analysis, a framework was developed that consists of the following elements: 1) Anticipate; 2) Invest in building relationships and networks; 3) Establish liaison roles and redundancy; 4) Active communication; 5) Consider and respond to the target audience; 6) Leverage networks for coordination; and 7) Acknowledge and address uncertainty. The qualities inherent in local relationships cut across framework elements. This research indicates that relationships are central to effective communication between public health

  12. 77 FR 9211 - South Atlantic Fishery Management Council; Public Meetings

    Science.gov (United States)

    2012-02-16

    ... will receive presentations on the use of social media tools. Additionally, the Committee will receive a... address the emergency. Except for advertised (scheduled) public hearings and public comment, the times...

  13. Identification of a detailed function list for public health emergency management using three qualitative methods

    Institute of Scientific and Technical Information of China (English)

    HU Guo-qing; RAO Ke-qin; SUN Zhen-qiu

    2007-01-01

    Background At present, many administrators lack a theoretical guide to build management systemsto cope with public health emergencies. This study developed a detailed function list for public health emergency management to help building the management systems scientifically.Methods The five steps in this study including literature review, semistructured interviews with experts, focus group,Delphi study and focus group were conducted to develop the detailed list of functions.Results An initial list of 25 functions with 188 items was formed through literature review. The list was reduced to 10 functions with 57 items by semistructured interviews with experts and focus group. Next, all these 57 items reached the consensus through one-round Delphi study. Some revisions of the consensus were done by the same focus group.Conclusion The final 10 functions with 57 items could be used as a guide for most countries during their building of a public health emergency management system.

  14. [Consciousness and abilities on health emergency and the roles of emergency response among public at the communities].

    Science.gov (United States)

    Li, Yang; Dong, Xao-mei; Wang, Sheng-yong; Tian, Jun-zhang; Ye, Ze-bing; Yang, Jian; Li, Guan-ming; Peng, Lin; Zhang, Si-heng

    2013-10-01

    To evaluate the consciousness of health emergency and the abilities on self- and mutual medical aids among the public at the community level, as well as the community responses on health-related emergencies and other factors. Random equidistant sampling method was used to extract 617 households before choosing a family member sampled by Kish Grid method. All the members were investigated face to face on a questionnaire-"Health emergency and related ability regarding self and mutual medical aids of the residents". Data were entered into computer database by using software Epi Data 3.1 and were analyzed by SPSS 21.0. Among the 617 households under survey, 47.84% of the public had general awareness on health-related emergencies. Regarding the following items as:prevention and isolation strategies of infectious disease, on safely procedures of earthquake and fires, on prevention of food poisoning, on prevention and first aid of emerging infectious diseases etc., the rates of awareness were 65.04%, 62.92%, 43.62% and 18.79% respectively. Proportions of households which had the first aid supplies were:first aid medicine box as 56.08%; fire extinguisher as 43.60%; spare water and food as 39.40%; having facilities as ropes, whistles and smoke masks for escape were all less than 15%. Rates of awareness on the following items as: correct use of gas switch as 81.52%, knowing the location of the circuit with gear and the fire hydrant as 74.39% and 35.98% , respectively. The correct disposal rates of the residents on the following items were:electric shock and falls (89.63%), patients of infectious diseases (83.31%), gas poisoning (82.98%), suspected symptoms on infectious diseases(82.66%), explosion and burns (66.78%), scald (62.72%)and sprain (57.05%). Scores on the related abilities were as follows: emergency(7.65, out of 10 points), escape(3.55, out of 5 points), self- and mutual medical aids (10.71, out of 16 points). Proportions of having learned and applied of first aid

  15. INTER–ORGANIZATIONAL COLLABORATIVE CAPACITY OF PUBLIC SECTOR INSTITUTIONS’CONTROL ENTITIES IN EMERGENCY SITUATIONS

    Directory of Open Access Journals (Sweden)

    Nikola T. STOYANOV

    2015-10-01

    Full Text Available Environmental challenges and natural disasters demand new tools to support the performance of public institutions in emergency situations. This paper contributes to one of the fundamental objectives – inter–organizational collaboration, namely to the objective to share experience from the implementation of methods and tools and latest research results in support of management in the new security environment. In addition, it focuses on the cognitive and human aspects of collaboration. The goal of the paper is to investigate the impact of different factors and tools for understanding, explaining, and measuring collaborative capacity of public sector institutions’ control organism in emergency situations. The paper will present intermediate results from the research on “Inter–organizational collaborative capacity of public sector institutions’ control entities in emergency situations”. Based on a theoretical model, a draft instrument was developed (i.e., a questionnaire for data collection that can be used to 1 investigate the impact of different factors, 2 localize inefficiencies in public sector institutions’ control organs, and 3 determine measures to achieve better organizational effectiveness of public sector institutions’ control entities in emergency situations.

  16. Do social media have a place in public health emergency response?

    Science.gov (United States)

    Black, David R; Dietz, J Eric; Stirratt, Amanda A; Coster, Daniel C

    2015-01-01

    To ascertain whether analyses of social media trends for various Twitter responses following a major disaster produce implications for improving the focus on public health resources and messaging to disaster victims. Radian6 and trend analyses were used to analyze 12-hour counts of Twitter data before, during, and after the March 2011 Japanese earthquake and tsunami. Radian6 was used to organize tweets into categories of preparedness, emergency response, and public health. Radian6 revealed that 49 percent of tweets were either positive or somewhat positive in sentiment about preparedness and only 7 percent were negative or somewhat negative. Trend analyses revealed a rapid onset of tweet activity associated with all keywords followed by mostly fast exponential decline. Analyses indicate that opportunities for improving public health awareness by leveraging social media communications exist for as much as 5 days after a disaster. Analyses suggest key times for public health social media communication to promote emergency response.

  17. Study Designs and Evaluation Models for Emergency Department Public Health Research

    OpenAIRE

    Broderick, Kerry B.; Ranney, Megan L.; Vaca, Federico E.; D’Onofrio, Gail; Rothman, Richard E.; Rhodes, Karin V; Becker, Bruce; Haukoos, Jason S.

    2009-01-01

    Public health research requires sound design and thoughtful consideration of potential biases that may influence the validity of results. It also requires careful implementation of protocols and procedures that are likely to translate from the research environment to actual clinical practice. This article is the product of a breakout session from the 2009 Academic Emergency Medicine consensus conference entitled “Public Health in the ED: Screening, Surveillance, and Intervention” and serves t...

  18. Economically sustainable public security and emergency network exploiting a broadband communications satellite

    OpenAIRE

    Lawal, Lasisi Salami

    2014-01-01

    The research contributes to work in Rapid Deployment of a National Public Security and Emergency Communications Network using Communication Satellite Broadband. Although studies in Public Security Communication networks have examined the use of communications satellite as an integral part of the Communication Infrastructure, there has not been an in-depth design analysis of an optimized regional broadband-based communication satellite in relation to the envisaged service coverage area, with l...

  19. Museum Monsters and Victorious Viruses: Improving Public Understanding of Emerging Biomedical Research.

    Science.gov (United States)

    Diamond, Judy; Jee, Benjamin; Matuk, Camilla; McQuillan, Julia; Spiegel, Amy N; Uttal, David

    2015-07-01

    Although microbes directly impact everyone's health, most people have limited knowledge about them. In this article, we describe a museum and media public education campaign aimed at helping diverse audiences better understand emerging knowledge about microbes and infectious disease. Funded primarily by the Science Education Partnership (SEPA) program of the National Institutes of Health, this campaign involved crosscutting programs designed to extend impacts throughout a broad public audience.

  20. Use of the community assessment for public health emergency response to conduct community health assessments for public health accreditation.

    Science.gov (United States)

    Conley, Ashley M; Vagi, Sara; Horney, Jennifer A

    2014-01-01

    A community health assessment (CHA) is a collaborative process of collecting and analyzing data to learn about the health status of a community. Community health assessments are also a requirement of public health accreditation for state and local health departments and of the Affordable Care Act for nonprofit hospitals. One element of a CHA is primary data collection. This article describes the use of the Community Assessment for Public Health Emergency Response (CASPER) method for primary data collection to meet public health accreditation requirements in 2 case study communities--Nashua, New Hampshire, and Davidson County, North Carolina; CASPER is a flexible and efficient method for the collection of population-based primary data in an urban or rural setting.

  1. Emerging metagovernance as an institutional framework for public private partnership networks in Denmark

    DEFF Research Database (Denmark)

    Koch, Christian; Buser, Martine

    2006-01-01

    management perspectives, public services are viewed as a network of mixed players with a regulatory framework, a metagovernance. Examples of Danish PPP initiatives are given. The present metagovernance consists of a comparator, guidelines, feasibility studies and a central competence unit. New issues like......Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...

  2. Emerging Metagovernance as an Institutional Framework for Public Private Partnership Network in Denmark

    DEFF Research Database (Denmark)

    Buser, Martine; Koch, Christian

    2006-01-01

    management perspectives, public services are viewed as a network of mixed players with a regulatory framework, a metagovernance. Examples of Danish PPP initiatives are given. The present metagovernance consists of a comparator, guidelines, feasibility studies and a central competence unit. New issues like......Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...

  3. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in Americ

  4. 75 FR 13281 - Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2010-03-19

    ... AGENCY Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment AGENCY... from the Oregon Department of Agriculture to use the pesticide fipronil (CAS No. 120068-37-3) to treat... disproportionately high and adverse human health impacts or environmental effects from exposure to the...

  5. 76 FR 19093 - Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2011-04-06

    ... AGENCY Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment AGENCY... from the Oregon Department of Agriculture to use the pesticide fipronil (CAS Reg. No. 120068-37-3) to... disproportionately high and adverse human health impacts or environmental effects from exposure to the...

  6. 77 FR 25716 - Fipronil; Receipt of Applications for Emergency Exemptions, Solicitation of Public Comment

    Science.gov (United States)

    2012-05-01

    ... AGENCY Fipronil; Receipt of Applications for Emergency Exemptions, Solicitation of Public Comment AGENCY... from the Oregon Department of Agriculture to use the pesticide fipronil (CAS No. 120068-37-3) to treat... disproportionately high and adverse human health impacts or environmental effects from exposure to the...

  7. 78 FR 24738 - Ethylene Oxide; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2013-04-26

    ... AGENCY Ethylene Oxide; Receipt of Application for Emergency Exemption, Solicitation of Public Comment... Service (APHIS) to use the pesticide ethylene oxide (CAS No. 75-21-8) to sterilize the interior surfaces... APHIS has requested the EPA Administrator to issue a quarantine exemption for the use of ethylene oxide...

  8. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in

  9. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in Americ

  10. [Knowledge of emergency contraception among adolescents in public and private Brazilian high schools].

    Science.gov (United States)

    Chofakian, Christiane Borges do Nascimento; Borges, Ana Luiza Vilela; Fujimori, Elizabeth; Hoga, Luiza Akiko Komura

    2014-07-01

    This study aimed to analyze the level of knowledge concerning emergency contraception among adolescents in public and private high schools. This was a cross-sectional study with 705 students 15 to 19 years of age enrolled in public and private high schools in a municipality in São Paulo State, Brazil. The authors used stratified probabilistic sampling by type of school and systematic sampling by class. Sexual initiation and use of emergency contraception were reported by 24.9% of private school students and 32% of public school students. The mean score on knowledge was 3.87 (SD = 2.12) in public schools and 5.14 (SD = 2.00) in private schools. Multiple linear regression analysis showed that higher scores on knowledge concerning emergency contraception were associated with: enrollment in private schools, female gender, older adolescents, sexual initiation, previous use of emergency contraception, and knowing someone who had used the method. The study concludes that few adolescents are properly informed about the method and that many harbor persistent misconceptions.

  11. 75 FR 65340 - Agency Emergency Information Collection Clearance Request for Public Comment

    Science.gov (United States)

    2010-10-22

    ... proposed information collection for the proper performance of the agency's functions; (2) the accuracy of... within 30 days. Proposed Project: Healthy Living Innovation Awards--OMB No. 0990- NEW--Emergency... the Office of Management and Budget (OMB) to receive applications from public and private...

  12. Public-Private Collaboration in the Emergence of a National Electronic Identification Policy

    DEFF Research Database (Denmark)

    Medaglia, Rony; Hedman, Jonas; Eaton, Ben

    2017-01-01

    Governments envisioning large-scale national egovernment policies increasingly draw on collaboration with private actors, yet the relationship between dynamics and outcomes of public-private partnership (PPP) is still unclear. The involvement of the banking sector in the emergence of a national...... electronic identification (e-ID) in Denmark is a case in point. Drawing on an analysis of primary and secondary data, we adopt the theoretical lens of collective action to investigate how transformations over time in the convergence of interests, the interdependence of resources, and the alignment...... of governance models between government and the banking sector shaped the emergence of the Danish national e-ID. We propose a process model to conceptualize paths towards the emergence of public-private collaboration for digital information infrastructure – a common good....

  13. Public health challenges and emerging diseases: the case of São Paulo

    Directory of Open Access Journals (Sweden)

    Silva Luiz Jacintho da

    2001-01-01

    Full Text Available The author discusses the challenges posed by emerging infectious diseases in 100 years of public health in the state of São Paulo, Brazil. With an advanced and organized public health system, São Paulo responded to the emergence of infectious diseases by creating research institutions and control programs. The late 19th century witnessed the first modern research institution in microbiology, in response to the bubonic plague. A changing economy led to constant changes in ecosystems. The late 20th century presents a wide array of both emerging and rapidly changing infectious diseases. The present situation calls for creative solutions. Ecosystem analysis and more agile epidemiological surveillance are seen as the best alternatives.

  14. Emergency Nursing, Ebola, and Public Policy: The Contributions of Nursing to the Public Policy Conversation.

    Science.gov (United States)

    Wolf, Lisa; Ulrich, Connie M; Grady, Christine

    2016-09-01

    Excellent patient care within the emergency department requires interdisciplinary training, teamwork, and communication to manage the chaos of the environment. Specifically, invasive procedures required to manage airway, breathing, and circulation via intubation, chest compressions, and establishing intravenous access can provide a direct benefit to save lives but also have the potential to harm both patients and health care clinicians alike; emergency health care clinicians can be exposed to significant amounts of blood and body fluids as well as other threats of physical and psychological harm. The ethical components of care in this environment are often under-recognized due to the need for rapid patient assessment and immediate action. Moreover, challenges to practice that can include lack of qualified personnel, equipment, and other resources to provide safe care to a large volume of patients can lead to moral distress in ED staff. Because the ED is a high-uncertainty, high-acuity environment, continuing interprofessional communication, collaboration, and planning is critical. Opportunities for multidisciplinary policy dialogue and the development of professional guidelines can make the ED a safer environment for both patients and providers.

  15. A Transdisciplinary Approach to Public Health Law: The Emerging Practice of Legal Epidemiology.

    Science.gov (United States)

    Burris, Scott; Ashe, Marice; Levin, Donna; Penn, Matthew; Larkin, Michelle

    2016-01-01

    Public health law has roots in both law and science. For more than a century, lawyers have helped develop and implement health laws; over the past 50 years, scientific evaluation of the health effects of laws and legal practices has achieved high levels of rigor and influence. We describe an emerging model of public health law that unites these two traditions. This transdisciplinary model adds scientific practices to the lawyerly functions of normative and doctrinal research, counseling, and representation. These practices include policy surveillance and empirical public health law research on the efficacy of legal interventions and the impact of laws and legal practices on health and health system operation. A transdisciplinary model of public health law, melding its legal and scientific facets, can help break down enduring cultural, disciplinary, and resource barriers that have prevented the full recognition and optimal role of law in public health.

  16. Terrorism and emergency preparedness in state and territorial public health departments--United States, 2004.

    Science.gov (United States)

    2005-05-13

    After the events of September 11, 2001, federal funding for state public health preparedness programs increased from $67 million in fiscal year (FY) 2001 to approximately $1 billion in FY 2002. These funds were intended to support preparedness for and response to terrorism, infectious disease outbreaks, and other public health threats and emergencies. The Council of State and Territorial Epidemiologists (CSTE) assessed the impact of funding on epidemiologic capacity, including terrorism preparedness and response, in state health departments in November 2001 and again in May 2004, after distribution of an additional $1 billion in FY 2003. This report describes the results of those assessments, which indicated that increased funding for terrorism preparedness and emergency response has rapidly increased the number of epidemiologists and increased capacity for preparedness at the state level. However, despite the increase in epidemiologists, state public health officials estimate that 192 additional epidemiologists, an increase of 45.3%, are needed nationwide to fully staff terrorism preparedness programs.

  17. From bioterrorism exercise to real-life public health crisis: lessons for emergency hotline operations.

    Science.gov (United States)

    Uscher-Pines, Lori; Bookbinder, Sylvia H; Miro, Suzanne; Burke, Thomas

    2007-01-01

    Although public health agencies routinely operate hotlines to communicate key messages to the public, they are rarely evaluated to improve hotline management. Since its creation in 2003, the New Jersey Department of Health & Senior Services' Emergency Communications Center has confronted two large-scale incidents that have tested its capabilities in this area. The influenza vaccine shortage of 2004 and the April 2005 TOPOFF 3 full-scale bioterrorism exercise provided both real-life and simulated crisis situations from which to derive general insights into the strengths and weaknesses of hotline administration. This article identifies problems in the areas of staff and message management by analyzing call volume data and the qualitative observations of group feedback sessions and semistructured interviews with hotline staff. It also makes recommendations based on lessons learned to improve future hotline operations in public health emergencies.

  18. Public Health Emergency Operations Center - A critical component of mass gatherings management infrastructure.

    Science.gov (United States)

    Elachola, Habidah; Al-Tawfiq, Jaffar A; Turkestani, Abdulhafiz; Memish, Ziad A

    2016-08-31

    Mass gatherings (MG) are characterized by the influx of large numbers of people with the need to have infrastructural changes to support these gatherings. Thus, Public Health Emergency Operations Center (PHEOC) is critical management infrastructure for both the delivery of public health functions and for mounting adequate response during emergencies. The recognition of the importance of PHEOC at the leadership and political level is foundational for the success of any public health intervention during MG. The ability of the PHEOC to effectively function depends on appropriate design and infrastructure, staffing and command structure, and plans and procedures developed prior to the event. Multi-ministerial or jurisdictional coordination will be required and PHEOC should be positioned with such authorities. This paper outlines the essential concepts, elements, design, and operational aspects of PHEOC during MG.

  19. Public policies from economic and social crisis in the framework of emerging States and territories

    Directory of Open Access Journals (Sweden)

    Jahír Alexánder Gutiérrez Ossa

    2016-09-01

    Full Text Available The present article approaches two aspects of public policy. On the one hand, we have social emergence, the institutional and economic crisis in some Latin American countries, as well as its complex and systematic structure. On the other, it looks at the formulation and implementation of public policies, considered within the framework of the international crises of the states of emergency. Through a multi-criteria analysis, arguments related to the management capacity, and the results or work in different sectors are established. Then, using a process of design, the problem will be explained through a review of the economic, legal, political, and social arenas. Finally, the virtues of the public policies in transcendental or difficult situations that require their appearance or full presence will be evaluated.

  20. Safety features in nuclear power plants to eliminate the need of emergency planning in public domain

    Indian Academy of Sciences (India)

    P K Vijayan; M T Kamble; A K Nayak; K K Vaze; R K Sinha

    2013-10-01

    Following the Fukushima accident, the safety features of Nuclear Power Plants (NPP) are being re-examined worldwide including India to demonstrate capabilities to cope with severe accidents. In order to restore public confidence and support for nuclear power, it is felt necessary to design future NPPs with near zero impact outside the plant boundary and thus enabling elimination of emergency planning in public domain. Authors have identified a set of safety features which are needed to be incorporated in advanced reactors to achieve this goal. These features enabling prevention, termination, mitigation and containment of radioactivity for beyond design basis accidents arising from extreme natural events are essential for achieving the goal of elimination of emergency planning in public domain. Inherent safety characteristics, passive and engineered safety features to achieve these functions are discussed in this paper. Present trends and future developments in this direction are also described briefly.

  1. Can merging the roles of public health preparedness and emergency management increase the efficiency and effectiveness of emergency planning and response?

    Science.gov (United States)

    Vielot, Nadja A; Horney, Jennifer A

    2014-03-10

    Some jurisdictions have reduced workforce and reallocated responsibilities for public health preparedness and emergency management to more efficiently use resources and improve planning and response. Key informant interviews were conducted in six counties in North Carolina (USA) to discuss perceptions of the challenges and opportunities provided by the new shared positions. Respondents feel that planning and response have improved, but that requirements related to activities or equipment that are eligible for funding (particularly on the public health side) can present an impediment to consolidating public health preparedness and emergency management roles. As the financial resources available for public health preparedness and emergency management continue to be reduced, the merging of the roles and responsibilities of public health preparedness and emergency management may present jurisdictions with an effective alternative to reducing staff, and potentially, readiness.

  2. Can Merging the Roles of Public Health Preparedness and Emergency Management Increase the Efficiency and Effectiveness of Emergency Planning and Response?

    Directory of Open Access Journals (Sweden)

    Nadja A. Vielot

    2014-03-01

    Full Text Available Some jurisdictions have reduced workforce and reallocated responsibilities for public health preparedness and emergency management to more efficiently use resources and improve planning and response. Key informant interviews were conducted in six counties in North Carolina (USA to discuss perceptions of the challenges and opportunities provided by the new shared positions. Respondents feel that planning and response have improved, but that requirements related to activities or equipment that are eligible for funding (particularly on the public health side can present an impediment to consolidating public health preparedness and emergency management roles. As the financial resources available for public health preparedness and emergency management continue to be reduced, the merging of the roles and responsibilities of public health preparedness and emergency management may present jurisdictions with an effective alternative to reducing staff, and potentially, readiness.

  3. 78 FR 60283 - Guidance for Temporary Reassignment of State and Local Personnel During a Public Health Emergency

    Science.gov (United States)

    2013-10-01

    ... HUMAN SERVICES Guidance for Temporary Reassignment of State and Local Personnel During a Public Health... (PAHPRA), Public Law 113-5, amends section 319 of the Public Health Service (PHS) Act to provide the... personnel during a declared Federal public health emergency upon request by a state or tribal...

  4. Communication of emergency public warnings: A social science perspective and state-of-the-art assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mileti, D.S. (Colorado State Univ., Fort Collins, CO (USA)); Sorensen, J.H. (Oak Ridge National Lab., TN (USA))

    1990-08-01

    More than 200 studies of warning systems and warning response were reviewed for this social science perspective and state-of-the-art assessment of communication of emergency public warnings. The major findings are as follows. First, variations in the nature and content of warnings have a large impact on whether or not the public heeds the warning. Relevant factors include the warning source; warning channel; the consistency, credibility, accuracy, and understandability of the message; and the warning frequency. Second, characteristics of the population receiving the warning affect warning response. These include social characteristics such as gender, ethnicity and age, social setting characteristics such as stage of life or family context, psychological characteristics such as fatalism or risk perception, and knowledge characteristics such as experience or training. Third, many current myths about public response to emergency warning are at odds with knowledge derived from field investigations. Some of these myths include the keep it simple'' notion, the cry wolf'' syndrome, public panic and hysteria, and those concerning public willingness to respond to warnings. Finally, different methods of warning the public are not equally effective at providing an alert and notification in different physical and social settings. Most systems can provide a warning given three or more hours of available warning time. Special systems such as tone-alert radios are needed to provide rapid warning. 235 refs., 8 figs., 2 tabs.

  5. Longitudinal Community Assessment for Public Health Emergency Response to Wildfire, Bastrop County, Texas.

    Science.gov (United States)

    Kirsch, Katie R; Feldt, Bonnie A; Zane, David F; Haywood, Tracy; Jones, Russell W; Horney, Jennifer A

    2016-01-01

    On September 4, 2011, a wildfire ignited in Bastrop County, Texas, resulting in losses of 34,068 acres of land and 1,645 homes and 2 deaths. At the request of the Texas Department of State Health Services Health Service Region 7 and the Bastrop County Office of Emergency Management, Community Assessments for Public Health Emergency Response (CASPER) were conducted in the weeks following the wildfire and again 3.5 years later to assess both the immediate and long-term public health and preparedness impacts of the wildfire. The objective of these assessments was to learn more about the trajectory of disaster recovery, including rebuilding, evacuation, household emergency planning, and mental and physical health outcomes among both adults and children. In 2015, households exposed to the 2011 wildfires were significantly more likely to have established a family meeting place and evacuation route, to have confidence in the local government's ability to respond to disaster, and to report symptoms of depression and higher stress. Longitudinal assessments using the CASPER method can provide actionable information for improved planning, preparedness, and recovery to public health and emergency management agencies and community residents.

  6. The Evolution of Public Health Emergency Management as a Field of Practice.

    Science.gov (United States)

    Rose, Dale A; Murthy, Shivani; Brooks, Jennifer; Bryant, Jeffrey

    2017-09-01

    The health impacts of recent global infectious disease outbreaks and other disasters have demonstrated the importance of strengthening public health systems to better protect communities from naturally occurring and human-caused threats. Public health emergency management (PHEM) is an emergent field of practice that draws on specific sets of knowledge, techniques, and organizing principles necessary for the effective management of complex health events. We highlight how the nascent field of PHEM has evolved in recent years. We explore this development by first examining multiple sites of intersection between the fields of public health and emergency management. We then analyze 2 of the principal pillars on which PHEM was built: organizational and programmatic (i.e., industry) standards and the incident management system. This is followed by a sketch of the key domains, or functional areas, of PHEM and their application to the emergency management cycle. We conclude with some observations about PHEM in a global context and discuss how the field might continue to evolve.

  7. Applying behavioral science to workforce challenges in the public health emergency preparedness system.

    Science.gov (United States)

    McCabe, O Lee; DiClemente, Carlo C; Links, Jonathan M

    2012-01-01

    When disasters and other broad-scale public health emergencies occur in the United States, they often reveal flaws in the pre-event preparedness of those individuals and agencies charged with responsibility for emergency response and recovery activities. A significant contributor to this problem is the unwillingness of some public health workers to participate in the requisite planning, training, and response activities to ensure quality preparedness. The thesis of this article is that there are numerous, empirically supported models of behavior change that hold potential for motivating role-appropriate behavior in public health professionals. The models that are highlighted here for consideration and prospective adaptation to the public health emergency preparedness system (PHEPS) are the Transtheoretical Model of Intentional Behavior Change (TTM) and Motivational Interviewing (MI). Core concepts in TTM and MI are described, and specific examples are offered to illustrate the relevance of the frameworks for understanding and ameliorating PHEPS-based workforce problems. Finally, the requisite steps are described to ensure the readiness of organizations to support the implementation of the ideas proposed.

  8. 78 FR 42521 - Notice of Issuance of Statement of Federal Financial Accounting Standards 45 and Scheduled Public...

    Science.gov (United States)

    2013-07-16

    ... ADVISORY BOARD Notice of Issuance of Statement of Federal Financial Accounting Standards 45 and Scheduled... Accounting Standards Advisory Board (FASAB) has issued Statement of Federal Financial Accounting Standard 45... Loughan, Assistant Director, no later than one week prior to the hearing. Ms. Loughan can be reached...

  9. A world wide public health problem: the principal re-emerging infectious diseases.

    Science.gov (United States)

    De Luca D'Alessandro, E; Giraldi, G

    2011-01-01

    The extraordinary progress in the knowledge of infectious disease, the discovery of antibiotics and effective vaccines are among the great achievement of the nineteenth and twentieth centuries. These achievement have led to a dramatic reduction in the levels of mortality from these diseases. According to the World Health Organization, the term "re-emerging infectious diseases" refers to infectious diseases, which although well known, have not been of recent public health importance. However, climate change, migration, changes in health services, antibiotic resistance, population increase, international travel, the increase in the number of immune-depressed patients ,etc have lead to the re-emergence of these diseases. The climate changes are exposing sectors of the population to inadequate fresh air, water, food and resources for survival which, in consequence, provoke increases in both internal and international migration. In this particular period in which we find ourselves, characterized by globalization, the international community has become aware that the re-emergence of these diseases poses an important risk for public health underlines the necessity to adopt appropriate strategies for their prevention and control. The re-emerging diseases of the twenty-first century are a serious problem for public health and even though there has been enormous progress in medical science and in the battle against infectious diseases, they are still a long way from being really brought under control. A well organized monitoring system would enable the epidemiological characteristics of the infectious diseases to be analyzed and the success or otherwise of preventive interventions to be precisely evaluated. For this reason, the World Health Organization and the European Union have discussed the formation of a collaborative network for the monitoring and control of re-emerging diseases and has initiated special programmes. The battle between humanity and infectious disease

  10. Public Health Emergency Preparedness and Response Communications with Health Care Providers: A Literature Review

    Directory of Open Access Journals (Sweden)

    Duchin Jeffrey

    2011-05-01

    Full Text Available Abstract Background Health care providers (HCPs play an important role in public health emergency preparedness and response (PHEPR so need to be aware of public health threats and emergencies. To inform HCPs, public health issues PHEPR messages that provide guidelines and updates, and facilitate surveillance so HCPs will recognize and control communicable diseases, prevent excess deaths and mitigate suffering. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. We conducted a literature review to investigate the systems and tools used by public health to generate PHEPR communications to HCPs, and to identify specific characteristics of message delivery mechanisms and formats that may be associated with effective PHEPR communications. Methods A systematic review of peer- and non-peer-reviewed literature focused on the following questions: 1 What public health systems exist for communicating PHEPR messages from public health agencies to HCPs? 2 Have these systems been evaluated and, if yes, what criteria were used to evaluate these systems? 3 What have these evaluations discovered about characterizations of the most effective ways for public health agencies to communicate PHEPR messages to HCPs? Results We identified 25 systems or tools for communicating PHEPR messages from public health agencies to HCPs. Few articles assessed PHEPR communication systems or messaging methods or outcomes. Only one study compared the effectiveness of the delivery format, device or message itself. We also discovered that the potential is high for HCPs to experience "message overload" given redundancy of PHEPR messaging in multiple formats and/or through different delivery systems. Conclusions We found that detailed descriptions of PHEPR messaging from

  11. The Public Sphere in Emerging Infectious Disease Communication: Recipient or Active and Vocal Partner?

    Science.gov (United States)

    Gesser-Edelsburg, Anat; Shir-Raz, Yaffa; Walter, Nathan; Mordini, Emilio; Dimitriou, Dimitris; James, James J; Green, Manfred S

    2015-08-01

    Recent years have seen advances in theories and models of risk and crisis communication, with a focus on emerging epidemic infection. Nevertheless, information flow remains unilateral in many countries and does not take into account the public's polyvocality and the fact that its opinions and knowledge often "compete" with those of health authorities. This article addresses the challenges organizations face in communicating with the public sphere. Our theoretical approach is conceptualized through a framework that focuses on the public sphere and that builds upon existing guidelines and studies in the context of health and pandemics. We examine how health organizations cope with the public's transformation from recipients to an active and vocal entity, ie, how and to what extent health organizations address the public's anxiety and concerns arising in the social media during outbreaks. Although international organizations have aspired to relate to the public as a partner, this article identifies notable gaps. Organizations must involve the public throughout the crisis and conduct dialogues free of prejudices, paternalism, and preconceptions. Thereby, they can impart precise and updated information reflecting uncertainty and considering cultural differences to build trust and facilitate cooperation with the public sphere.

  12. Public-Private Collaboration in the Emergence of a National Electronic Identification Policy

    DEFF Research Database (Denmark)

    Medaglia, Rony; Hedman, Jonas; Eaton, Ben

    2017-01-01

    electronic identification (e-ID) in Denmark is a case in point. Drawing on an analysis of primary and secondary data, we adopt the theoretical lens of collective action to investigate how transformations over time in the convergence of interests, the interdependence of resources, and the alignment...... of governance models between government and the banking sector shaped the emergence of the Danish national e-ID. We propose a process model to conceptualize paths towards the emergence of public-private collaboration for digital information infrastructure – a common good....

  13. Fire Weather Products for Public and Emergency Use: Extending Professional Resources to the Public

    Science.gov (United States)

    Rogers, M. A.; Schranz, S.; Kriederman, L.

    2012-12-01

    Large wildfires require significant resources to combat, including dedicated meteorological support to provide accurate and timely forecasts to assist incident commanders in making decisions for logistical and tactical firefighting operations. Smaller fires often require the same capabilities for understanding fire and the fire weather environment, but access to needed resources and tools is often limited due to technical, training, or education limitations. Providing fire weather information and training to incident commanders for smaller wildfires should prove to enhance firefighting capabilities and improve safety for both firefighters and for the public as well. One of the premier tools used to support fire weather forecasting for the largest wildfires is the FX-Net product, a thin-client version of the Advanced Weather Interactive Processing System used by NWS incident meteorologists (IMETs) deployed to large wildfires. We present results from an ongoing project to extend the sophisticated products available from FX-Net to more accessible and mobile software platforms, such as Google Earth. The project involves input from IMETs and fire commanders to identify the key parameters used in fighting wildfires, and involves a large training component for fire responders to utilize simplified products to improve understanding of fire weather in the context of firefighting operations.

  14. Hearing Schedule and List of Speakers for the Public Hearing on Revisions to FIPs to Reduce Interstate Transport of Fine Particulate Matter and Ozone – October 28, 2011, Washington, D.C.

    Science.gov (United States)

    List of Speakers and Hearing Schedule for the October 28 Public Hearing on the proposed Revisions to the Federal Implementation Plans to Reduce Interstate Transport of Fine Particulate Matter and Ozone.

  15. 38 CFR 17.51 - Emergency use of Department of Defense, Public Health Service or other Federal hospitals.

    Science.gov (United States)

    2010-07-01

    ... Health Service Or Other Federal Hospitals § 17.51 Emergency use of Department of Defense, Public Health... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Emergency use of Department of Defense, Public Health Service or other Federal hospitals. 17.51 Section 17.51...

  16. Identifying the science and technology dimensions of emerging public policy issues through horizon scanning.

    Directory of Open Access Journals (Sweden)

    Miles Parker

    Full Text Available Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

  17. Identifying the science and technology dimensions of emerging public policy issues through horizon scanning.

    Science.gov (United States)

    Parker, Miles; Acland, Andrew; Armstrong, Harry J; Bellingham, Jim R; Bland, Jessica; Bodmer, Helen C; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D; Cope, David; Costanzo, Lucia; Dolan, James A; Doubleday, Robert; Feng, Wai Yi; Godfray, H Charles J; Good, David A; Grant, Jonathan; Green, Nick; Groen, Arnoud J; Guilliams, Tim T; Gupta, Sunjai; Hall, Amanda C; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A; Lueshi, Leila M; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P; Watkinson, Andrew R; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K A; Worts, Kim; Sutherland, William J

    2014-01-01

    Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

  18. The Public and Nanotechnology: How Citizens Make Sense of Emerging Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Scheufele, Dietram A. [University of Wisconsin, Madison School of Journalism and Mass Communication (United States)], E-mail: scheufele@wisc.edu; Lewenstein, Bruce V. [Cornell University, Department of Communication and Department of Science and Technology Studies (United States)

    2005-12-15

    We report findings from a national telephone survey on levels of knowledge about and attitudes toward nanotechnology that demonstrate how people make decisions about emerging technologies. Our findings confirm previous research that suggests that people form opinions and attitudes even in the absence of relevant scientific or policy-related information. In fact, our data show that cognitive shortcuts or heuristics - often provided by mass media - are currently a key factor in influencing how the public thinks about nanotechnology and about its risks and benefits, and in determining the level of support among the public for further funding for research in this area.

  19. An off-site screening process for the public in radiation emergencies and disasters

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Seok Won; Ho, Ha Wi; Jin, Young Woo [National Radiation Emergency Medical Center, Korea Institute of Radiological and Medical Sciences, Seoul (Korea, Republic of)

    2016-09-15

    A contamination screening process for the local population in radiation emergencies is discussed. We present an overview of the relevant Korean governmental regulations that underpin the development of an effective response system. Moreover, case studies of foreign countries responding to mass casualties are presented, and indicate that responses should be able to handle a large demand for contamination screening of the local public as well as screening of the immediate victims of the incident. We propose operating procedures for an off-site contamination screening post operated by the local government for members of the public who have not been directly harmed in the accident. In order to devise screening categories, sorting strategies assessing contamination and exposure are discussed, as well as a psychological response system. This study will lead to the effective operation of contamination screening clinics if an accident occurs. Furthermore, the role of contamination screening clinics in the overall context of the radiation emergency treatment system should be clearly established.

  20. Ebola Hemorrhagic Fever as a Public Health Emergency of International Concern; a Review Article.

    Science.gov (United States)

    Safari, Saeed; Baratloo, Alireza; Rouhipour, Alaleh; Ghelichkhani, Parisa; Yousefifard, Mahmood

    2015-01-01

    Ebola hemorrhagic fever (EHF) was first reported in 1976 with two concurrent outbreaks of acute viral hemorrhagic fever centered in Yambuku (near the Ebola river), Democratic Republic of Congo, and in Nzara, Sudan. The current outbreak of the Ebola virus was started by reporting the first case in March 2014 in the forest regions of southeastern Guinea. Due to infection rates raising over 13,000% within a 6-month period, Ebola is now considered as a global public health emergency and on August 8(th), 2014 the World Health Organization (WHO) declared the epidemic to be a Public Health Emergency of International Concern. With more than 5000 involved cases and nearly 3000 deaths, this event has turned into the largest and most dangerous Ebola virus outbreak in the world. Based on the above-mentioned, the present article aimed to review the virologic characteristics, transmission, clinical manifestation, diagnosis, treatment, and prevention of Ebola virus disease.

  1. The emergency of concept global health: perspectives for the field of public health

    Directory of Open Access Journals (Sweden)

    João Roberto Cavalcante Sampaio

    2016-12-01

    Full Text Available In recent years, we have witnessed the emergence of new terms in the academic and political debate of public health, such as ‘’global health’’, ‘’global public goods’’, ‘’global health governance’’, ‘’global public health’’, ‘’health diplomacy’’, 'international cooperation’’. In this study, we aimed to analyze the historical development of the concept of ‘global health’, as well as the prospects of this new concept in the research and public health practice. A comprehensive literature review was performed in Pubmed, Scielo, Scopus, and BVS. We also analyzed documents obtained from the websites of international health organizations. 514 publications were retrieved and 36 were selected for this study. In general, the concept of "global health" refers to health as a transnational phenomenon linked to globalization, which has as main challenge to think public health beyond international relations between countries. International health organizations are particularly important in the development of the concept of "global health" and its new application prospects in the field of public health are health diplomacy, international cooperation and global health governance.

  2. The Longitudinal Emergency Medical Technician (EMT) Attributes and Demographics Study (LEADS): The First 10 Years and a Look at Public Perception of Emergency Medical Services (EMS).

    Science.gov (United States)

    Crowe, Remle P; Bentley, Melissa A; Levine, Roger

    2016-12-01

    Crowe RP , Bentley MA , Levine R . The Longitudinal Emergency Medical Technician (EMT) Attributes and Demographics Study (LEADS): the first 10 years and a look at public perception of Emergency Medical Services (EMS). Prehosp Disaster Med. 2016;31(Suppl. 1):s1-s6.

  3. Risk-communication capability for public health emergencies varies by community diversity

    Directory of Open Access Journals (Sweden)

    Viswanath Kasisomayajula

    2008-03-01

    Full Text Available Abstract Background Public health emergencies heighten several challenges in risk-communication: providing trustworthy sources of information, reaching marginalized populations, and minimizing fear and public confusion. In emergencies, however, information may not diffuse equally among all social groups, and gaps in knowledge may increase. Such knowledge gaps vary by social structure and the size, socioeconomic status, and diversity of the population. This study explores the relationship between risk-communication capabilities, as perceived by public officials participating in emergency tabletop exercises, and community size and diversity. Findings For each of the three communication functions tested, risk-communication capabilities are perceived to be greater in communities with fewer then 10% of the population speaking a language other than English at home, decreasing as the percentage grows to 20% (ANOVA P ≤ 0.02. With respect to community size, however, we found an N-shaped relationship between perceived risk communication capabilities and population size. Capabilities are perceived highest in the largest communities and lowest in the smallest, but lower in communities with 20,000–49,999 inhabitants compared to those with 2,500–19,999. Conclusion The results of this study suggest the need to factor population diversity into risk communication plans and the need for improved state or regional risk-communication capabilities, especially for communities with limited local capacity.

  4. 实行小组排班制,提高急诊科护理工作质量%Discussion on How to Improve the Quality of Emergency Nursing Group Scheduling System

    Institute of Scientific and Technical Information of China (English)

    冯春爱; 杨裕红

    2014-01-01

    目的:探索急诊科的排班模式,提高急诊科护理工作质量。方法根据急诊科的发展、变化,急诊科患者的需求,社会的需求不断增加,急诊科原来的排班模式已不能满足患者的需要,社会的需要。只有不断的改进排班模式,从两班制、到功能制、到小组制,每种排班各有自己的优缺点。比较各种排班方式的优缺点,参照三级医院急诊科质量管理评价指标进行评价。结果推行小组排班模式后,急诊科护理工作质量明显提高。结论优化人力资源的配备,急诊科实行小组排班制,满足患者的需要,合理的工作安排,也调动了护理人员的积极性,从而提高急诊科护理工作质量。%Objective To explore the emergency scheduling mode, improve the quality of emergency nursing.Methods According to the development of the emergency department,change and emergency department patients needs.social demand increases unceasingly.The emergency department of the original scheduling model has not meet the needs of patients.The needs of the society.Only by constantly improve the scheduling model. from the two shifts,the system function,system to the team, each scheduling each have their own advantages and disadvantages.Compare the advantages and disadvantages of various scheduling mode,refer to level 3 hospital emergency department quality management evaluation index to evaluate.Results After the implementation of group scheduling mode ,emergency department nursing quality improved obviously.Conclusion Optimizing human resource scheduling system is equipped with emergency department practice group, meet the needs of patients , reasonable working arrangement,also mobilized the enthusiasm of nursing staf ,so as to improve the quality of emergency nursing.

  5. Understanding quality: a guide for developers and consumers of public health emergency preparedness trainings.

    Science.gov (United States)

    Hites, Lisle; Altschuld, James

    2010-01-01

    The work described in this article represents two years of collaboration among 32 evaluators from 23 schools of public health involved in the Centers for Disease Control and Prevention's Centers for Public Health Preparedness program. Evaluators in public health emergency preparedness (PHEP) training were tasked with identifying what constitutes quality in PHEP training and providing guidance to practitioners in selecting training packages. The results of their deliberations included development and selection of guidelines for a high-quality course, a justification of the guidelines, and a Training Selection System (TSS) to assist in analyzing extant trainings. In this article, we present the TSS (along with explanatory notes for each of its sections), preliminary feedback from practitioners, and a discussion of next steps.

  6. Emergency department physician training in Jamaica: a national public hospital survey

    Directory of Open Access Journals (Sweden)

    Williams Eric W

    2008-10-01

    Full Text Available Abstract Background Emergency Department (ED medical officers are often the first medical responders to emergencies in Jamaica because pre-hospital emergency response services are not universally available. Over the past decade, several new ED training opportunities have been introduced locally. Their precise impact on the health care system in Jamaica has not yet been evaluated. We sought to determine the level of training, qualifications and experience of medical officers employed in public hospital EDs across the nation. Methods A database of all medical officers employed in public hospital EDs was created from records maintained by the Ministry of Health in Jamaica. A specially designed questionnaire was administered to all medical officers in this database. Data was analyzed using SPSS Version 10.0. Results There were 160 ED medical officers across Jamaica, of which 47.5% were males and the mean age was 32.3 years (SD +/- 7.1; Range 23–57. These physicians were employed in the EDs for a mean of 2.2 years (SD +/- 2.5; Range 0–15; Median 2.5 and were recent graduates of medical schools (Mean 5.1; SD +/- 5.9; Median 3 years. Only 5.5% of the medical officers had specialist qualifications (grade III/IV, 12.8% were grade II medical officers and 80.5% were grade I house officers or interns. The majority of medical officers had no additional training qualifications: 20.9% were exposed to post-graduate training, 27.9% had current ACLS certification and 10.3% had current ATLS certification. Conclusion The majority of medical officers in public hospital EDs across Jamaica are relatively inexperienced and inadequately trained. Consultant supervision is not available in most public hospital EDs. With the injury epidemic that exists in Jamaica, it is logical that increased training opportunities and resources are required to meet the needs of the population.

  7. IaaS公有云平台调度模型研究%Research on IaaS public cloud computing platform scheduling model

    Institute of Scientific and Technical Information of China (English)

    岳冬利; 刘海涛; 孙傲冰

    2011-01-01

    A service model for laaS public cloud is created, and based on the waiting-line theory, the optimization analysis ofthe service mode, the queue length and the configuration of scheduling server is made. A scheduling model based on demand-vectors is created to filter available host machines according to the match of demand and available resource. Ifhost machines which meet the demands can' t be found firstly, the scheduling algorithm can combine with the virtual machine motivation to reallocate physical resources to guarantee the maximal available rate and usability of the whole platform. The feasibility of the algorithm is verified on our own IaaS public cloud computing platform.%抽象出IaaS公有云平台的服务模型,基于排队论对平台服务模式、队列长度、调度服务器设置等进行了优化分析.在此基础上提出一种基于IaaS平台需求向量的调度模型,根据需求与可用资源的匹配度从平台管理的物理机集合中筛选出可用的宿主机,若一次性无法找到符合要求的宿主机,平台调度算法结合虚拟机迁移操作,对物理资源进行重新分配,在实现平台资源利用率最大化的同时,保障了平台的可用性.将该算法应用在自主研发的云计算平台上,实验结果验证了该算法的可行性.

  8. Emerging vector-borne zoonoses: eco-epidemiology and public health implications in India.

    Science.gov (United States)

    Dhiman, Ramesh C

    2014-01-01

    The diseases originating from animals or associated with man and animals are remerging and have resulted in considerable morbidity and mortality. The present review highlights the re-emergence of emerging mainly zoonotic diseases like chikungunya, scrub typhus, and extension of spatial distribution of cutaneous leishmaniasis from western Rajasthan to Himachal Pradesh, Kerala, and Haryana states; West Nile virus to Assam, and non-endemic areas of Japanese encephalitis (JE) like Maharashtra and JE to Delhi; Crimean-Congo hemorrhagic fever making inroads in Ahmedabad; and reporting fifth parasite of human malaria with possibility of zoonosis have been highlighted, which necessitates further studies for prevention and control. Emphasis has been given on understanding the ecology of reservoir hosts of pathogen, micro niche of vector species, climatic, socioeconomic risk factors, etc. Development of facilities for diagnosis of virus from insects, reservoirs, and human beings (like BSL4, which has been established in NIV, Pune), awareness about symptoms of new emerging viral and other zoonotic diseases, differential diagnosis, risk factors (climatic, ecological, and socioeconomic) and mapping of disease-specific vulnerable areas, and mathematical modeling for projecting epidemiological scenario is needed for preparedness of public health institutes. It is high time to understand the ecological link of zoonotic or anthroponotic diseases for updated risk maps and epidemiological knowledge for effective preventive and control measures. The public health stakeholders in India as well as in Southeast Asia should emphasize on understanding the eco-epidemiology of the discussed zoonotic diseases for taking preventive actions.

  9. Public Health Platforms: An Emerging Informatics Approach to Health Professional Learning and Development.

    Science.gov (United States)

    Gray, Kathleen

    2016-04-26

    Health informatics has a major role to play in optimising the management and use of data, information and knowledge in health systems. As health systems undergo digital transformation, it is important to consider informatics approaches not only to curriculum content but also to the design of learning environments and learning activities for health professional learning and development. An example of such an informatics approach is the use of large-scale, integrated public health platforms on the Internet as part of health professional learning and development. This article describes selected examples of such platforms, with a focus on how they may influence the direction of health professional learning and development. Significance for public healthThe landscape of healthcare systems, public health systems, health research systems and professional education systems is fragmented, with many gaps and silos. More sophistication in the management of health data, information, and knowledge, based on public health informatics expertise, is needed to tackle key issues of prevention, promotion and policy-making. Platform technologies represent an emerging large-scale, highly integrated informatics approach to public health, combining the technologies of Internet, the web, the cloud, social technologies, remote sensing and/or mobile apps into an online infrastructure that can allow more synergies in work within and across these systems. Health professional curricula need updating so that the health workforce has a deep and critical understanding of the way that platform technologies are becoming the foundation of the health sector.

  10. Business and public health collaboration for emergency preparedness in Georgia: a case study

    Directory of Open Access Journals (Sweden)

    Berkelman Ruth L

    2006-11-01

    Full Text Available Abstract Background Governments may be overwhelmed by a large-scale public health emergency, such as a massive bioterrorist attack or natural disaster, requiring collaboration with businesses and other community partners to respond effectively. In Georgia, public health officials and members of the Business Executives for National Security have successfully collaborated to develop and test procedures for dispensing medications from the Strategic National Stockpile. Lessons learned from this collaboration should be useful to other public health and business leaders interested in developing similar partnerships. Methods The authors conducted a case study based on interviews with 26 government, business, and academic participants in this collaboration. Results The partnership is based on shared objectives to protect public health and assure community cohesion in the wake of a large-scale disaster, on the recognition that acting alone neither public health agencies nor businesses are likely to manage such a response successfully, and on the realization that business and community continuity are intertwined. The partnership has required participants to acknowledge and address multiple challenges, including differences in business and government cultures and operational constraints, such as concerns about the confidentiality of shared information, liability, and the limits of volunteerism. The partnership has been facilitated by a business model based on defining shared objectives, identifying mutual needs and vulnerabilities, developing carefully-defined projects, and evaluating proposed project methods through exercise testing. Through collaborative engagement in progressively more complex projects, increasing trust and understanding have enabled the partners to make significant progress in addressing these challenges. Conclusion As a result of this partnership, essential relationships have been established, substantial private resources and

  11. Refinery scheduling

    Energy Technology Data Exchange (ETDEWEB)

    Magalhaes, Marcus V.; Fraga, Eder T. [PETROBRAS, Rio de Janeiro, RJ (Brazil); Shah, Nilay [Imperial College, London (United Kingdom)

    2004-07-01

    This work addresses the refinery scheduling problem using mathematical programming techniques. The solution adopted was to decompose the entire refinery model into a crude oil scheduling and a product scheduling problem. The envelope for the crude oil scheduling problem is composed of a terminal, a pipeline and the crude area of a refinery, including the crude distillation units. The solution method adopted includes a decomposition technique based on the topology of the system. The envelope for the product scheduling comprises all tanks, process units and products found in a refinery. Once crude scheduling decisions are Also available the product scheduling is solved using a rolling horizon algorithm. All models were tested with real data from PETROBRAS' REFAP refinery, located in Canoas, Southern Brazil. (author)

  12. Utilization of a state run public private emergency transportation service exclusively for childbirth: the Janani (maternal Express program in Madhya Pradesh, India.

    Directory of Open Access Journals (Sweden)

    Kristi Sidney

    Full Text Available BACKGROUND: In 2009 the state government of Madhya Pradesh, India launched an emergency obstetric transportation service, Janani Express Yojana (JEY, to support the cash transfer program that promotes institutional delivery. JEY, a large scale public private partnership, lowers geographical access barriers to facility based care. The state contracts and pays private agencies to provide emergency transportation at no cost to the user. The objective was to study (a the utilization of JEY among women delivering in health facilities, (b factors associated with usage, (c the timeliness of the service. METHODS: A cross sectional facility based study was conducted in facilities that carried out > ten deliveries a month. Researchers who spent five days in each facility administered a questionnaire to all women who gave birth there to elicit socio-demographic characteristics and transport related details. RESULTS: 35% of women utilised JEY to reach a facility, however utilization varied between study districts. Uptake was highest among women from rural areas (44%, scheduled tribes (55%, and poorly educated women (40%. Living in rural areas and belonging to scheduled tribes were significant predictors for JEY usage. Almost 1/3 of JEY users (n = 104 experienced a transport related delay. DISCUSSION: The JEY service model complements the cash transfer program by providing transport to a facility to give birth. A study of the distribution of utilization in population subgroups suggests the intervention was successful in reaching the most vulnerable population, promoting equity in access. While 1/3 of women utilized the service and it saved them money; 30% experienced significant transport related delays in reaching a facility, which is comparable to women using public transportation. Further research is needed to understand why utilization is low, to explore if there is a need for service expansion at the community level and to improve the overall time

  13. A virtual reality approach to public protection and emergency preparedness planning in dam safety analysis

    Energy Technology Data Exchange (ETDEWEB)

    Assaf, H.; Hartford, D.N.D. [BC Hydro, Burnaby, BC (Canada)

    2002-12-01

    BC Hydro has developed a new approach to analyze and assess the consequences of dam emergencies on human communities. The Life Safety Model (LSM) was designed to enable the electric utility to provide different response agencies with realistic dynamic models of a wide range of emergency scenarios that require a response in the event of a dam failure. LSM is pertinent to public safety because it enables response agencies to develop emergency plans and provides insight into the design of risk mitigation measures through its ability to simulate high risk locations. The model can create representations of downstream communities in potentially impacted areas and can geographically illustrate the potential dam breach events with reference to flood propagation and the movement of people on foot or in vehicles. A wide range of downstream dam operation conditions is presented. LSM merges state of the art technologies and recent scientific advances in environmental simulation and modelling, GIS, artificial intelligence, real time modelling of 2-dimensional dam breach flooding scenarios, structural reliability analysis, and human behaviour characterisation. This paper describes the modular architecture of the model and demonstrates how to generate the vital information needed to characterize a dam failure emergency. 2 refs., 1 tab., 7 figs.

  14. Affordability of emergency obstetric and neonatal care at public hospitals in Madagascar.

    Science.gov (United States)

    Honda, Ayako; Randaoharison, Pierana Gabriel; Matsui, Mitsuaki

    2011-05-01

    Timely access to emergency obstetric care is necessary to save the lives of women experiencing complications at delivery, and for newborn babies. Out-of-pocket costs are one of the critical factors hindering access to such services in low- and middle-income countries. This study measured out-of-pocket costs for caesarean section and neonatal care at an urban tertiary public hospital in Madagascar, assessed affordability in relation to household expenditure and investigated where families found the money to cover these costs. Data were collected for 103 women and 73 newborns at the Centre Hospitalier Universitaire de Mahajanga in the Boeny region of Madagascar between September 2007 and January 2008. Out-of-pocket costs for caesarean section were catastrophic for middle and lower socio-economic households, and treatment for neonatal complications also created a big financial burden, with geographical and other financial barriers further limiting access to hospital care. This study identified 12 possible cases where the mother required an emergency caesarean section and her newborn required emergency care, placing a double burden on the household. In an effort to make emergency obstetric and neonatal care affordable and available to all, including those living in rural areas and those of medium and lower socio-economic status, well-designed financial risk protection mechanisms and a strong commitment by the government to mobilise resources to finance the country's health system are necessary.

  15. Thoughts on Public Health Emergencies%关于公共卫生突发事件的思考

    Institute of Scientific and Technical Information of China (English)

    刘丽芬

    2012-01-01

    Public health emergencies not only jeopardize the health of the public seriously, but also bring great impacts on national politics and economy. This article is aiming to analyze the current public health conditions, and from which derive countermeasures regarding public health emergencies.%公共卫生突发事件不仅对公众健康造成严重损害,对国家政治、经济也会造成严重影响。本文针对我国公共卫生现状存在的,仔细加以分析提出了相应对策。

  16. 72 FR 21045 - Notice of Emergency Temporary Closure of Certain Public Lands, to Motorized Vehicles, in Owyhee...

    Science.gov (United States)

    2007-04-27

    ... Vehicles, in Owyhee County ID, Under Sailor Cap Emergency and Rehabilitation Plan AGENCY: Bureau of Land... and extend, modify, or rescind the order at that time. This order affects public lands in...

  17. Staying Safe While Doing Science in Public: Emerging Best Practices for Social Media

    Science.gov (United States)

    Jefferson, A.; McKinnon, M.

    2016-12-01

    Doing science in public has incalculable benefits for professional networking, science advocacy, and public outreach, but it also carries significant risks. Online harassment related to social media use can pose significant emotional hardship, negatively impact professional standing, and even threaten physical welfare. Women, people of color, and other underrepresented people in science are disproportionately targeted for anonymous online harassment. We analyzed our experiences with online harassment, and tactics for managing this harassment. While anecdotal, our experiences cover scientists with differing identities and fields, demonstrating that while the details change the overarching patterns remain the same. Fear of becoming a target poses a significant barrier to engaging in public discourse about science. But it is possible to mitigate this risk. Successful strategies for social media to promote science while staying safe are slowly creating a body of emerging best practices. These tactics include proactively restricting access to personal information, developing strategies for identifying and responding to deliberate antagonists (trolls), and choosing when and how to participate in volatile topics. They also require full-community engagement from creating support networks, partnering with allies to manage sudden floods of hostility, and educating on security practices for protecting colleagues' potentially sensitive personal information. It is our hope that frank and open discussion of the realistic threat passed by harassment and strategies for mitigating that threat will jump start a culture of online safety amongst geoscientists, and encourage our most vulnerable and underrepresented scientists to participate in the public sphere.

  18. Scenario-based design: A method for connecting information system design with public health operations and emergency management

    Science.gov (United States)

    Reeder, Blaine; Turner, Anne M

    2011-01-01

    Responding to public health emergencies requires rapid and accurate assessment of workforce availability under adverse and changing circumstances. However, public health information systems to support resource management during both routine and emergency operations are currently lacking. We applied scenario-based design as an approach to engage public health practitioners in the creation and validation of an information design to support routine and emergency public health activities. Methods: Using semi-structured interviews we identified the information needs and activities of senior public health managers of a large municipal health department during routine and emergency operations. Results: Interview analysis identified twenty-five information needs for public health operations management. The identified information needs were used in conjunction with scenario-based design to create twenty-five scenarios of use and a public health manager persona. Scenarios of use and persona were validated and modified based on follow-up surveys with study participants. Scenarios were used to test and gain feedback on a pilot information system. Conclusion: The method of scenario-based design was applied to represent the resource management needs of senior-level public health managers under routine and disaster settings. Scenario-based design can be a useful tool for engaging public health practitioners in the design process and to validate an information system design. PMID:21807120

  19. Distributed scheduling

    OpenAIRE

    Toptal, Ayşegül

    1999-01-01

    Ankara : Department of Industrial Engineering and the Institute of Engineering and Science of Bilkent Univ., 1999. Thesis (Master's) -- Bilkent University, 1999. Includes bibliographical references. Distributed Scheduling (DS) is a new paradigm that enables the local decisionmakers make their own schedules by considering local objectives and constraints within the boundaries and the overall objective of the whole system. Local schedules from different parts of the system are...

  20. Personnel scheduling

    OpenAIRE

    Vanden Berghe, Greet

    2012-01-01

    Personnel scheduling can become a particularly difficult optimisation problem due to human factors. And yet: people working in healthcare, transportation and other round the clock service regimes perform their duties based on a schedule that was often manually constructed. The unrewarding manual scheduling task deserves more attention from the timetabling community so as to support computation of fair and good quality results. The present abstract touches upon a set of particular characterist...

  1. Development and evaluation of a leadership training program for public health emergency response: results from a Chinese study

    Directory of Open Access Journals (Sweden)

    Xu Yihua

    2008-10-01

    Full Text Available Abstract Background Since the 9/11 attack and severe acute respiratory syndrome (SARS, the development of qualified and able public health leaders has become a new urgency in building the infrastructure needed to address public health emergencies. Although previous studies have reported that the training of individual leaders is an important approach, the systemic and scientific training model need further improvement and development. The purpose of this study was to develop, deliver, and evaluate a participatory leadership training program for emergency response. Methods Forty-one public health leaders (N = 41 from five provinces completed the entire emergency preparedness training program in China. The program was evaluated by anonymous questionnaires and semi-structured interviews held prior to training, immediately post-training and 12-month after training (Follow-up. Results The emergency preparedness training resulted in positive shifts in knowledge, self-assessment of skills for public health leaders. More than ninety-five percent of participants reported that the training model was scientific and feasible. Moreover, the response of participants in the program to the avian influenza outbreak, as well as the planned evaluations for this leadership training program, further demonstrated both the successful approaches and methods and the positive impact of this integrated leadership training initiative. Conclusion The emergency preparedness training program met its aims and objectives satisfactorily, and improved the emergency capability of public health leaders. This suggests that the leadership training model was effective and feasible in improving the emergency preparedness capability.

  2. Visually Exploring Transportation Schedules.

    Science.gov (United States)

    Palomo, Cesar; Guo, Zhan; Silva, Cláudio T; Freire, Juliana

    2016-01-01

    Public transportation schedules are designed by agencies to optimize service quality under multiple constraints. However, real service usually deviates from the plan. Therefore, transportation analysts need to identify, compare and explain both eventual and systemic performance issues that must be addressed so that better timetables can be created. The purely statistical tools commonly used by analysts pose many difficulties due to the large number of attributes at trip- and station-level for planned and real service. Also challenging is the need for models at multiple scales to search for patterns at different times and stations, since analysts do not know exactly where or when relevant patterns might emerge and need to compute statistical summaries for multiple attributes at different granularities. To aid in this analysis, we worked in close collaboration with a transportation expert to design TR-EX, a visual exploration tool developed to identify, inspect and compare spatio-temporal patterns for planned and real transportation service. TR-EX combines two new visual encodings inspired by Marey's Train Schedule: Trips Explorer for trip-level analysis of frequency, deviation and speed; and Stops Explorer for station-level study of delay, wait time, reliability and performance deficiencies such as bunching. To tackle overplotting and to provide a robust representation for a large numbers of trips and stops at multiple scales, the system supports variable kernel bandwidths to achieve the level of detail required by users for different tasks. We justify our design decisions based on specific analysis needs of transportation analysts. We provide anecdotal evidence of the efficacy of TR-EX through a series of case studies that explore NYC subway service, which illustrate how TR-EX can be used to confirm hypotheses and derive new insights through visual exploration.

  3. Knowledge Discovery from the Emergence of Group Cognitions in Public Incidents

    Institute of Scientific and Technical Information of China (English)

    Deng Xiao Li

    2012-01-01

      In this paper, the QianXueShen’s seminar hall system is improved under the guiding of the systems science approach. Taking the sustainable development issues of the DianChi Lake as a case, bas-ing on the network platform developing fast, all kinds of discussion opinion on the sustainable development issues of the DianChi Lake are researched. By analyzing the interaction mechanism of three groups of governments, expects, and publics, the emergence of the group wis-dom, the methods of the decision making on the solving public inci-dents by government with the scientifically and democratically are ex-plored. Based on the key words collection from vast cognition to the DianChi issues of each groups, and by applying the technology of in-formation mining to mine out the useful information from the complex network data, the relation of referencing each other among the key words is explored. Based on the approach from the qualitative and quantitative research, the knowledge mining research of the group cog-nition emergence is processed. The research suggests that the core cog-nition ismined out which is accord with the practice and with the prac-tical significance.

  4. Critical appraisal of emergency medicine education research: the best publications of 2013.

    Science.gov (United States)

    Farrell, Susan E; Kuhn, Gloria J; Coates, Wendy C; Shayne, Phillip H; Fisher, Jonathan; Maggio, Lauren A; Lin, Michelle

    2014-11-01

    The objective was to critically appraise and highlight methodologically superior medical education research articles published in 2013 whose outcomes are pertinent to teaching and education in emergency medicine (EM). A search of the English-language literature in 2013 querying Education Resources Information Center (ERIC), PsychINFO, PubMed, and Scopus identified 251 EM-related studies using hypothesis-testing or observational investigations of educational interventions. Two reviewers independently screened all of the publications and removed articles using established exclusion criteria. Six reviewers then independently scored the remaining 43 publications using either a qualitative a or quantitative scoring system, based on the research methodology of each article. Each scoring system consisted of nine criteria. Selected criteria were based on accepted educational review literature and chosen a priori. Both scoring systems used parallel scoring metrics and have been used previously within this annual review. Forty-three medical education research papers (37 quantitative and six qualitative studies) met the a priori criteria for inclusion and were reviewed. Six quantitative and one qualitative study were scored and ranked most highly by the reviewers as exemplary and are summarized in this article. This annual critical appraisal article aims to promote superior research in EM-related education, by reviewing and highlighting seven of 43 major education research studies, meeting a priori criteria, and published in 2013. Common methodologic pitfalls in the 2013 papers are noted, and current trends in medical education research in EM are discussed. © 2014 by the Society for Academic Emergency Medicine.

  5. Identifying Factors Associated with Risk Assessment Competencies of Public Health Emergency Responders.

    Science.gov (United States)

    Hao, Jiejing; Ren, Jiaojiao; Wu, Qunhong; Hao, Yanhua; Sun, Hong; Ning, Ning; Ding, Ding

    2017-06-04

    This study aimed to better understand the current situation of risk assessment and identify the factors associated with competence of emergency responders in public health risk assessment. The participants were selected by a multi-stage, stratified cluster sampling method in Heilongjiang Centers for Disease Control and Prevention (CDC). The questionnaires that measured their perceptions on risk assessment competences were administered through the face-to-face survey. A final sample of 1889 staff was obtained. Of this sample, 78.6% of respondents rated their own risk assessment competences as "relatively low", contrasting with 21.4% rated as "relatively high". Most of the respondents (62.7%) did not participate in any risk assessment work. Only 13.7% and 42.7% of respondents reported participating in risk assessment training and were familiar with risk assessment tools. There existed statistical significance between risk assessment-related characteristics of respondents and their self-rated competences scores. Financial support from the government and administrative attention were regarded as the important factors contributing to risk assessment competences of CDC responders. Higher attention should be given to risk assessment training and enhancing the availability of surveillance data. Continuous efforts should be made to remove the financial and technical obstacles to improve the competences of risk assessment for public health emergency responders.

  6. Factors associated with the willingness of health care personnel to work during an influenza public health emergency: an integrative review.

    Science.gov (United States)

    Devnani, Mahesh

    2012-12-01

    The first decade of the 21st century has witnessed three major influenza public health emergencies: (1) the severe acute respiratory syndrome of 2002-2003; (2) the avian flu of 2006; and (3) the 2009 H1N1 pandemic influenza. An effective public health response to an influenza public health emergency depends on the majority of uninfected health care personnel (HCP) continuing to report to work. The purposes of this study were to determine the state of the evidence concerning the willingness of HCP to work during an influenza public health emergency, to identify the gaps for future investigation, and to facilitate evidence-based influenza public health emergency planning. A systemic literature review of relevant, peer-reviewed, quantitative, English language studies published from January 1, 2001 through June 30, 2010 was conducted. Search strategies included the Cochrane Library, PubMed, PubMed Central, EBSCO Psychological and Behavioral Sciences Collection, Google Scholar, ancestry searching of citations in relevant publications, and information from individuals with a known interest in the topic. Thirty-two studies met the inclusion criteria. Factors associated with a willingness to work during an influenza public health emergency include: being male, being a doctor or nurse, working in a clinical or emergency department, working full-time, prior influenza education and training, prior experience working during an influenza emergency, the perception of value in response, the belief in duty, the availability of personal protective equipment (PPE), and confidence in one's employer. Factors found to be associated with less willingness were: being female, being in a supportive staff position, working part-time, the peak phase of the influenza emergency, concern for family and loved ones, and personal obligations. Interventions that resulted in the greatest increase in the HCP's willingness to work were preferential access to Tamiflu for the HCP and his/her family, and

  7. [A guide to successful public relations for hospitals and emergency medical services].

    Science.gov (United States)

    Ausserer, J; Schwamberger, J; Preloznik, R; Klimek, M; Paal, P; Wenzel, V

    2014-04-01

    Tragic accidents, e.g. involving celebrity patients or severe incidents in hospital occur suddenly without any advance warning, often produce substantial interest by the media and quickly overburden management personnel involved in both hospitals and emergency medical services. While doctors, hospitals and emergency medical services desire objective media reports, the media promote emotionalized and dramatized reports to ensure maximum attention and circulation. When briefing the media, the scales may quickly tilt from professional, well-deliberated information to unfortunate, often unintended disinformation. Such phenomena may result in continuing exaggerated reports in the tabloid press, which in the presence of aggressive lawyers and a competitive hospital environment can turn into image and legal problems. In this article, several aspects are discussed in order to achieve successful public relations.Interviews should be given only after consultation with the responsible press officer and the director of the respective department or hospital director. Requests for information by the media should always be answered as otherwise one-sided, unintentional publications can result that are extremely difficult to correct later. One should be available to be contacted easily by journalists, regular press conferences should be held and critics should be taken seriously and not be brushed off. Questions by journalists should be answered in a timely manner as journalists are continuously under time pressure and do not understand unnecessary delays. Information for the media should always be provided at the same time, no publication should be given preference and an absolutely current list of E-mail contacts is required. When facing big events a press conference is preferred as many questions can be answered at once. Always be well prepared for an interview or even for just a statement. Each interview should be regarded as an opportunity to put a story forward which you

  8. Public information on radioactive waste: a study of an emerging issue

    Energy Technology Data Exchange (ETDEWEB)

    Bronfman, L.M.; Bronfman, B.H.; Regens, J.L.

    1979-10-01

    Through an analysis of information provided in the printed media on the topic of radioactive waste, the study analyzes the emergence of radioactive waste as a public issue in the press. Over eight hundred articles printed in both specialized and non-specialized sources from 1973 to 1978 have been content-analyzed in order to describe how the problem of radioactive waste is defined and what dimensions of the problems are receiving attention. Between 1973 and 1978, there was a substantial increase in the amount of information on the topic of radioactive waste available to the public through a variety of popular and specialized media sources. This increase coincides with documented public concern with the problem of radioactive waste. Discussions of radioactive waste have focused for all sources more frequently on themes not directly related to the technical problems of radioactive waste storage or isolation. A substantial amount of the information available to a variety of segments of the public is composed of discussions of real or perceived risk related to the existence of waste or to methods of disposing of it. In addition to risk, a substantial proportion of the discussions deal with institutional themes. Over time, the total amount of information on most dimensions of the radioactive waste problem has increased substantially. Institutional themes have gained relative to other issues over the three time periods. National and local press sources infrequently specify the form of waste being discussed thus providing evidence that the quality of technical information available to some members of the public is very low.

  9. Critical appraisal of emergency medicine education research: the best publications of 2012.

    Science.gov (United States)

    Lin, Michelle; Fisher, Jonathan; Coates, Wendy C; Farrell, Susan E; Shayne, Philip; Maggio, Lauren; Kuhn, Gloria

    2014-03-01

    The objective was to critically appraise and highlight medical education research published in 2012 that was methodologically superior and whose outcomes were pertinent to teaching and education in emergency medicine (EM). A search of the English language literature in 2012 querying Education Resources Information Center (ERIC), PsychInfo, PubMed, and Scopus identified EM studies using hypothesis-testing or observational investigations of educational interventions. Two reviewers independently screened all of the publications and removed articles using established exclusion criteria. This year, publications limited to a single-site survey design that measured satisfaction or self-assessment on unvalidated instruments were not formally reviewed. Six reviewers then independently ranked all remaining publications using one of two scoring systems depending on whether the study methodology was primarily qualitative or quantitative. Each scoring system had nine criteria, including four related to methodology, that were chosen a priori, to standardize evaluation by reviewers. The quantitative study scoring system was used previously to appraise medical education published annually in 2008 through 2011, while a separate, new qualitative study scoring system was derived and implemented consisting of parallel metrics. Forty-eight medical education research papers met the a priori criteria for inclusion, and 33 (30 quantitative and three qualitative studies) were reviewed. Seven quantitative and two qualitative studies met the criteria for inclusion as exemplary and are summarized in this article. This critical appraisal series aims to promote superior education research by reviewing and highlighting nine of the 48 major education research studies with relevance to EM published in 2012. Current trends and common methodologic pitfalls in the 2012 papers are noted. © 2014 by the Society for Academic Emergency Medicine.

  10. Clinical research during a public health emergency: a systematic review of severe pandemic influenza management.

    Science.gov (United States)

    Ortiz, Justin R; Rudd, Kristina E; Clark, Danielle V; Jacob, Shevin T; West, T Eoin

    2013-05-01

    Rigorous evaluation of clinical interventions in the setting of a public health emergency is necessary to identify best practices, to develop clinical management guidelines, and to inform resource allocation. The 2009 influenza A (H1N1) pandemic necessitated care of critically ill patients around the world. To inform the World Health Organization Public Health Research Agenda for Influenza, we conducted a systematic review to identify clinical interventions other than antiviral therapies that would benefit severely ill 2009 H1N1 influenza patients (adults and children) in both high- and low-resource settings. PubMed, EMBASE, Cochrane Central Register of Clinical Trials, and Cochrane Database of Systematic Reviews; hand search of abstracts from six professional society annual conferences and bibliographies of clinical review articles; and personal communication with leaders in the field. English language; human studies; citations added to databases from January 1, 2009 (Cochrane databases) or March 15, 2009 (PubMed and EMBASE) through January 31, 2012; randomized controlled trials, prospective cohort studies, or systematic reviews/meta-analyses of non-antiviral clinical interventions in hospitalized 2009 influenza A (H1N1) patients. The search identified 2,452 articles. Thirty-six potentially relevant articles were read. Seven articles met criteria. All were observational studies. One study found benefit of convalescent plasma infusion, three studies found no benefit of corticosteroids, and three studies had mixed results on the benefit of extracorporeal lung support. No study was applicable to health care delivery in low-resource settings. There is a paucity of high quality clinical research to inform clinical care of severe H1N1 influenza, and we found no beneficial interventions appropriate for low-resource settings. This may be due to the logistical difficulties of conducting clinical research in response to a public health emergency. Our investigation

  11. Supporting the Social Media Needs of Emergency Public Information Officers with Human-Centered Design and Development

    Science.gov (United States)

    Hughes, Amanda Lee

    2012-01-01

    Emergency response agencies, which operate as command-and-control organizations, push information to members of the public with too few mechanisms to support communication flowing back. Recently, information communication technologies (ICTs) such as social media have challenged this one-way model by allowing the public to participate in emergency…

  12. Scheduling Supercomputers.

    Science.gov (United States)

    1983-02-01

    no task is scheduled with overlap. Let numpi be the total number of preemptions and idle slots of size at most to that are introduced. We see that if...no usable block remains on Qm-*, then numpi < m-k. Otherwise, numpi ! m-k-1. If j>n when this procedure terminates, then all tasks have been scheduled

  13. Characteristics of motorcyclists involved in road traffic accidents attended at public urgent and emergency services.

    Science.gov (United States)

    Mascarenhas, Márcio Dênis Medeiros; Souto, Rayone Moreira Costa Veloso; Malta, Deborah Carvalho; Silva, Marta Maria Alves da; Lima, Cheila Marina de; Montenegro, Marli de Mesquita Silva

    2016-12-01

    Injuries resulting from motorcycle road traffic accidents are an important public health issue in Brazil. This study aimed to describe the characteristics of motorcyclists involved in traffic accidents attended in public urgent and emergency services in the state capitals and the Federal District. This is a cross-sectional study based on data from the Violence and Accident Surveillance System (VIVA Survey) in 2014. Data were analyzed according to sociodemographic, event and attendance characteristics. Proportional differences between genders were analyzed by chi-square test (Rao-Scott) with 5% significance level. Motorcyclist-related attendances (n = 9,673) reported a prevalence of men (gender ratio = 3.2), young people aged 20-39 years (65.7%), black / brown (73.6%), paid work (76.4%). Helmet use was reported by 79.1% of the victims, 13.3% had consumed alcohol in the six hours prior to the accident, 41.4% of the events were related to the victim's work. Accidents were more frequent on weekends, in the morning and late afternoon. These characteristics can support the development of public accident prevention policies and health promotion.

  14. Telehealth tools for public health, emergency, or disaster preparedness and response: a summary report.

    Science.gov (United States)

    Alverson, Dale C; Edison, Karen; Flournoy, Larry; Korte, Brenda; Magruder, Charles; Miller, Craig

    2010-01-01

    Rapid advances in telehealth development and adoption are increasing the spectrum of information and communication technologies that can be applied not only to individual patient care but more broadly to population health as well. Participants in this breakout session were asked to address, from their diverse perspectives, a series of questions relating to the current and potential uses of telehealth applications and networks for public health and emergency/disaster preparedness and response systems. Participants identified several gaps in current understanding and research emphasis. There is a clear need for more and larger outcome studies to assess the impact and cost benefit of telehealth applications in terms of improving public health at the population and community levels. In addition, more research is needed to demonstrate the ability of telehealth tools and technologies to facilitate and extend the reach of major national clinical and public health research initiatives. Perhaps most importantly, the National Institutes of Health should develop and/or strengthen strategic partnerships with other funding agencies with overlapping or complementary interests to accelerate interdisciplinary research in this rapidly evolving but relatively understudied and complex field.

  15. Turning a Blind Eye: Public Support of Emergency Housing Policies for Sex Offenders.

    Science.gov (United States)

    Socia, Kelly M; Dum, Christopher P; Rydberg, Jason

    2017-07-01

    In this study, we examine the influences of citizen decision making in the context of four policy scenarios that would affect the living conditions of sex offenders (SOs) residing at an "emergency shelter" budget motel. We surveyed 773 citizens in an online survey about their support for four policy scenarios that would improve the living conditions of SOs: (a) at no cost to the respondent, (b) in exchange for a US$100 tax increase, and (c) by relocating SOs within the respondent's neighborhood (i.e., "in my backyard"/IMBY scenario). The fourth scenario involved moving nearby SOs into substandard housing located far away from the respondent (i.e., "not in my backyard"/NIMBY). While prior research finds that the public overwhelmingly supports punitive SO policies, we find that indifference is a mainstay of public opinion about improving SO housing conditions. That is, we find only modest levels of average support for any of the policy scenarios, and policy support decreased when increased taxes would be involved, compared with a "no cost" scenario. While no respondent characteristics significantly predicted policy support consistently across all four scenarios, some scenarios showed stark differences in support when considering specific respondent characteristics. Overall, these results suggest that what does affect support depends on the details of the policy being proposed, as well as who is considering the policy. We end by discussing the policy implications of our study for both policymakers and the public.

  16. Characterizing public health emergency perceptions and influential modifiers of willingness to respond among pediatric healthcare staff.

    Science.gov (United States)

    Watson, Christopher M; Barnett, Daniel J; Thompson, Carol B; Hsu, Edbert B; Catlett, Christina L; Gwon, Howard S; Semon, Natalie L; Balicer, Ran D; Links, Jonathan M

    2011-01-01

    The aim of this study was to characterize the public health emergency perceptions and willingness to respond (WTR) of hospital-based pediatric staff and to use these findings to propose a methodology for developing an institution-specific training package to improve response willingness. A prospective anonymous web-based survey was conducted at the Johns Hopkins Hospital, including the 180-bed Johns Hopkins Children's Center, between January and March 2009. In this survey, participants' attitudes/beliefs regarding emergency response to a pandemic influenza and a radiological dispersal device (RDD or "dirty bomb") event were assessed. Of the 1,620 eligible pediatric staff 246 replies (15.2 percent response rate) were received, compared with an overall staff response rate of 18.4 percent. Characteristics of respondent demographics and professions were similar to those of overall hospital staff. Self-reported WTR was greater for a pandemic influenza than for an RDD event if required (84.6 percent vs 75.1 percent), and if asked, but not required (74.4 percent vs 64.5 percent). The majority of pediatric staff were not confident in their safety at work (pandemic influenza: 51.8 percent and RDD: 76.6 percent), were far less likely to respond if personal protective equipment was unavailable (pandemic influenza: 33.5 percent and RDD: 21.6percent), and wanted furtherpre-event preparation and training (pandemic influenza: 89.6 percent and RDD: 82.6 percent). The following six distinct perceived attitudes / beliefs were identified as having institution-specific high impact on response willingness: colleague response, skill mastery, safety getting to work, safety at work, ability to perform duties, and individual response efficacy. Children represent a uniquely vulnerable population in public health emergencies, and pediatric hospital staff accordingly represent a vital subset of responders distinguished by specialized education, training, clinical skills, and disaster

  17. [Screening on key techniques used for surveillance and disposal of public health emergencies].

    Science.gov (United States)

    Zhu, Q R; Yang, L; Ma, H Y; Xie, W Q; Cong, L M; Xu, L W

    2017-06-10

    Objective: To explore the key techniques used for surveillance and disposal of infectious diseases, food poisoning and hospital infection to improve the ability of surveillance and disposal on public health emergency. Methods: Framework on surveillance and disposal of infectious diseases, food poisoning and hospital infection was set up, based on literature review and expert group discussion. Delphi method and technique for order preference by similarity to ideal solution comprehensive evaluation method were used for ordering preference by similarity, to screen key techniques set for surveillance and disposal of the above said events. Results: Framework to be used for selecting key techniques was designed, based on the classification of emergency events, processing cycle of emergency events and level of techniques. Twenty six public health experts were selected for a 2-round consultation, with their authority as 0.796. Ten key techniques with important significance for surveillance and disposal of infectious diseases, food poisoning and hospital infection were selected from each event. Among these key techniques, the early-warning system was recognized as the key technique, important for the surveillance and disposal of all three emergency events. Items as technology used for unknown pathogenic microorganism detection, personal protection, gene sequencing and tracing technology, microorganism molecular typing technology, nucleic acid detection technology etc. were the key techniques and need to develop for the surveillance and disposal of infectious diseases and iatrogenic infection. Data regarding key technologies on security and privacy, early warning and forecasting, field rapid detection were sorted out that all in need to improve the surveillance programs on disposal of infectious diseases and food poisoning. Data exchange appeared another key technique on infectious diseases, with toxin detection and other 5 techniques the key techniques for food poisoning

  18. One Health approach: A platform for intervention in emerging public health challenges of Kerala state

    Directory of Open Access Journals (Sweden)

    A. Sukumaran

    2015-05-01

    Full Text Available The authors, key functionaries in the Kerala state public health system, review the communicable disease scenario of the state for the past 4 years, and in the background of the One Health concept, opines that the re-emerged discipline is perfectly in tune with the current challenges of the state. The unique model of Kerala state is witnessing newer challenges in its public health arena: The rapidly increasing migrant workforce from relatively poorer states of India, rapid urbanization and its consequent stress on public health, unsolved issues of urban waste disposal, reemergence of many communicable diseases like malaria, more so, the falciparum type, emergence of many zoonotic diseases like Lyme disease, scrub typhus, and Kyasanur forest disease etc. Conventional zoonotic infections such as anthrax and brucellosis remain potential threat for human health as well. Rabies continued to cause major concern from mortality point of view, as well as major drainer of state’s budget every year. Leptospirosis has remained major burden among the communicable disease for the past 10 years, and the annual incidence ranged from 2 to 7 per 100,000 population. Having a large section of its people working in various agriculture and animal rearing occupations, the state has all risk factors for propagation of Leptospirosis, but lacks interdisciplinary collaboration in its control and prevention area, the author highlights major avenues for collaboration. Japanese encephalitis appeared as an epidemic in 2011 in two of the southern districts in Kerala, one of the districts being famous tourist spot for both humans, as well as migrant birds. There is ample scope for collaborative research on the source of the virus, and in the subsequent years, the disease had been detected in more districts. Lyme disease was reported for the first time in India, from one of the districts in Kerala, promptly investigated by a joint team from Human Public Health and Veterinary

  19. Insights into public export promotion programs in an emerging economy: the case of Malaysian SMEs.

    Science.gov (United States)

    Ayob, Abu H; Freixanet, Joan

    2014-10-01

    This study evaluates the impact of public export promotion programs (EPPs) among small and medium-sized enterprises (SMEs) in Malaysia. Three indicators, level of awareness, frequency of use, and perception of usefulness, were examined according to a firm's export status. The global evaluation suggests that exporters are more frequent users of EPPs and perceive them to be more useful than non-exporters. Nonetheless, both groups demonstrate higher levels of awareness, are frequent users, and perceive the programs relating to export info/knowledge are more usefulness than programs relating to financial assistance. Further analysis also reveals that the frequency of use and the perception of usefulness for most programs are positively related to export experience, but not to export turnover. This study offers insights into the effectiveness of export programs for encouraging export initiation and expansion in an emerging economy.

  20. Analyzing patient's waiting time in emergency & trauma department in public hospital - A case study

    Science.gov (United States)

    Roslan, Shazwa; Tahir, Herniza Md; Nordin, Noraimi Azlin Mohd; Zaharudin, Zati Aqmar

    2014-09-01

    Emergency and Trauma Department (ETD) is an important element for a hospital. It provides medical service, which operates 24 hours a day in most hospitals. However overcrowding is not exclusion for ETD. Overflowing occurs due to affordable services provided by public hospitals, since it is funded by the government. It is reported that a patient attending ETD must be treated within 90 minutes, in accordance to achieve the Key Performance Indicator (KPI). However, due to overcrowd situations, most patients have to wait longer than the KPI standard. In this paper, patient's average waiting time is analyzed. Using Chi-Square Test of Goodness, patient's inter arrival per hour is also investigated. As conclusion, Monday until Wednesday was identified as the days that exceed the KPI standard while Chi-Square Test of Goodness showed that the patient's inter arrival is independent and random.

  1. The Potentials of New Public Sphere For Emerging Global Civil Society

    Directory of Open Access Journals (Sweden)

    Abul Sattar Khan

    2011-12-01

    Full Text Available New public sphere is characterized by the digital gadgets, global village, international citizenship and new global society. However, the common thread cutting through all these new concepts is the virtual soul of ‘connectivity’ that is riding on the ‘networking-tools’ which have now grown into an unprecedented giant ‘network-of-networks’ or simply put the ‘Internet’ with ‘social-networking’ and ‘social-software’ as the latest communication tools. International citizens travel on the information superhighways 24/7 and the communications across the planet never stops. It is however argued that NPS offers both challenges and prospects for the users depending on the availability of digital gadgets and digital literacy of the global citizens. This paper explores the pluses and minuses of this emerging environment for the members of global civil society by postulating a grounded model of the issue.

  2. Evolutionary emergence of angiogenesis in avascular tumors using a spatial public goods game.

    Science.gov (United States)

    Salimi Sartakhti, Javad; Manshaei, Mohammad Hossein; Basanta, David; Sadeghi, Mehdi

    2017-01-01

    Natural selection in cancer often results in the emergence of increasingly malignant tumor cells that display many if not all of the hallmarks of cancer. One of the most important traits acquired during cancer progression is angiogenesis. Tumor cells capable of secreting pro-angiogenic factors can be seen as cooperators where the improved oxygenation, nutrient delivery and waste disposal resulting from angiogenesis could be seen as a public good. Under this view, the relatively costly secretion of molecular signals required to orchestrate angiogenesis would be undertaken exclusively by cooperating tumor cells but the benefits of angiogenesis would be felt by neighboring tumor cells regardless of their contribution to the process. In this work we detail a mathematical model to better understand how clones capable of secreting pro-angiogenic factors can emerge in a tumor made of non-cooperative tumor cells. Given the importance of the spatial configuration of the tumor in determining the efficacy of the secretion of pro-angiogenic factors as well as the benefits of angiogenesis we have developed a spatial game theoretic approach where interactions and public good diffusion are described by graphs. The results show that structure of the population affects the evolutionary dynamics of the pro-angiogenic clone. Specifically, when the benefit of angiogenesis is represented by sigmoid function with regards to the number of pro-angiogenic clones then the probability of the coexistence of pro-angiogenic and angiogenesis-neutral clones increases. Our results demonstrate that pro-angiogenic clone equilibrates into clusters that appear from surrounding vascular tissues towards the center of tumor. These clusters appear notably less dense after anti-angiogenic therapy.

  3. Regulatory or regulating publics? The European Union's regulation of emerging health technologies and citizen participation.

    Science.gov (United States)

    Flear, Mark L; Pickersgill, Martyn D

    2013-01-01

    'Citizen participation' includes various participatory techniques and is frequently viewed as an unproblematic and important social good when used as part of the regulation of the innovation and implementation of science and technology. This is perhaps especially evident in debates around 'anticipatory governance' or 'upstream engagement'. Here, we interrogate this thesis using the example of the European Union's regulation of emerging health technologies (such as nanotechnology). In this case, citizen participation in regulatory debate is concerned with innovative objects for medical application that are considered to be emergent or not yet concrete. Through synthesising insights from law, regulatory studies, critical theory, and science and technology studies, we seek to cast new light on the promises, paradoxes, and pitfalls of citizen participation as a tool or technology of regulation in itself. As such we aim to generate a new vantage point from which to view the values and sociotechnical imaginaries that are both 'designed-in' and 'designed-out' of citizen participation. In so doing, we show not only how publics (do not) regulate technologies, but also how citizens themselves are regulated through the techniques of participation.

  4. Developing WHO rapid advice guidelines in the setting of a public health emergency.

    Science.gov (United States)

    Garritty, Chantelle M; Norris, Susan L; Moher, David

    2017-02-01

    We describe newly established guidance for guideline developers at the World Health Organization (WHO) on the process and procedures for developing a rapid advice guideline in the context of a public health emergency (e.g., the 2014 Ebola epidemic). We based our approach on established rapid review methods, which were incorporated into existing WHO guideline development processes. Guidance was further informed by in-depth discussions of issues related to rapid guideline development with WHO staff (n = 6), who oversee the Organization's response to emergencies. We discuss criteria for considering if a rapid advice guideline is appropriate and feasible and outline the roles of various contributors across the phases of development. Further, we describe the methods and steps involved in performing rapid reviews, which are more fluid and iterative than for a standard guideline process. In general, rapid advice guidelines involve a shorter timeline, narrower scope, and the use of abbreviated methods for the evidence review. Important differences exist between developing a standard guideline and a rapid advice guideline. However, the core principles for WHO guidelines apply to rapid advice guidelines including minimizing bias, applying transparent processes and the use of explicit methods. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  5. MKEM: a Multi-level Knowledge Emergence Model for mining undiscovered public knowledge

    Directory of Open Access Journals (Sweden)

    Song Min

    2010-04-01

    Full Text Available Abstract Background Since Swanson proposed the Undiscovered Public Knowledge (UPK model, there have been many approaches to uncover UPK by mining the biomedical literature. These earlier works, however, required substantial manual intervention to reduce the number of possible connections and are mainly applied to disease-effect relation. With the advancement in biomedical science, it has become imperative to extract and combine information from multiple disjoint researches, studies and articles to infer new hypotheses and expand knowledge. Methods We propose MKEM, a Multi-level Knowledge Emergence Model, to discover implicit relationships using Natural Language Processing techniques such as Link Grammar and Ontologies such as Unified Medical Language System (UMLS MetaMap. The contribution of MKEM is as follows: First, we propose a flexible knowledge emergence model to extract implicit relationships across different levels such as molecular level for gene and protein and Phenomic level for disease and treatment. Second, we employ MetaMap for tagging biological concepts. Third, we provide an empirical and systematic approach to discover novel relationships. Results We applied our system on 5000 abstracts downloaded from PubMed database. We performed the performance evaluation as a gold standard is not yet available. Our system performed with a good precision and recall and we generated 24 hypotheses. Conclusions Our experiments show that MKEM is a powerful tool to discover hidden relationships residing in extracted entities that were represented by our Substance-Effect-Process-Disease-Body Part (SEPDB model.

  6. Measuring risk/benefit perceptions of emerging technologies and their potential impact on communication of public opinion toward science.

    Science.gov (United States)

    Binder, Andrew R; Cacciatore, Michael A; Scheufele, Dietram A; Shaw, Bret R; Corley, Elizabeth A

    2012-10-01

    This study presents a systematic comparison of two alternative measures of citizens' perceptions of risks and benefits of emerging technologies. By focusing on two specific issues (nanotechnology and biofuels), we derive several insights for the measurement of public views of science. Most importantly, our analyses reveal that relying on global, single-item measures may lead to invalid inferences regarding external influences on public perceptions, particularly those related to cognitive schema and media use. Beyond these methodological implications, this analysis suggests several reasons why researchers in the area of public attitudes toward science must revisit notions of measurement in order to accurately inform the general public, policymakers, scientists, and journalists about trends in public opinion toward emerging technologies.

  7. Emergency Medical Services Public Health Implications and Interim Guidance for the Ebola Virus in the United States

    Directory of Open Access Journals (Sweden)

    Christopher E. McCoy

    2014-11-01

    Full Text Available The 25th known outbreak of the Ebola Virus Disease (EVD is now a global public health emergency and the World Health Organization (WHO has declared the epidemic to be a Public Health Emergency of International Concern (PHEIC. Since the first cases of the West African epidemic were reported in March 2014, there has been an increase in infection rates of over 13,000% over a 6-month period. The Ebola virus has now arrived in the United States and public health professionals, doctors, hospitals, Emergency Medial Services Administrators, Medical Directors, and policy makers have been working with haste to develop strategies to prevent the disease from reaching epidemic proportions. Prehospital care providers (emergency medical technicians and paramedics and medical first responders (including but not limited to firefighters and law enforcement are the healthcare systems front lines when it comes to first medical contact with patients outside of the hospital setting. Risk of contracting Ebola can be particularly high in this population of first responders if the appropriate precautions are not implemented. This article provides a brief clinical overview of the Ebola Virus Disease and provides a comprehensive summary of the Center for Disease Control and Prevention’s Interim Guidance for Emergency Medical Services (EMS Systems and 9-1-1 Public Safety Answering Points (PSAPS for Management of Patients with Known of Suspected Ebola Virus Disease in the United States. [West J Emerg Med. 2014;15(7:-0.

  8. Public health, global surveillance, and the "emerging disease" worldview: a postcolonial appraisal of PEPFAR.

    Science.gov (United States)

    Sastry, Shaunak; Dutta, Mohan J

    2012-01-01

    Drawing upon a postcolonial lens, this project looks at how meanings of HIV/AIDS are discursively constructed within the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), which was launched in 2003 under the presidency of George W. Bush and has been heralded as the largest global public health intervention program in history. Building on existing literature that theorizes the interrelationships of public health and national security, global surveillance, and transnational hegemony, the postcolonial theoretical standpoint interrogates how such meanings are constructed within PEPFAR. A postcolonial deconstruction of the 2009 PEPFAR report to the Congress revealed three meanings of HIV/AIDS that were discursively constructed in such policy documents: (a) the "Third World" as a site of intervention, (b) U.S. altruism as "lifting" the burden of the soul, and (c) AIDS, economics, and security. The themes put forth the linkages among the symbolic representations in neocolonial configurations and the politics of material disparities across the globe, thus issuing a call for the creation of participatory and dialogic spaces for engaging subaltern voices that are typically treated as targets of policy and intervention discourses.

  9. The hookworm Ancylostoma ceylanicum: An emerging public health risk in Australian tropical rainforests and Indigenous communities.

    Science.gov (United States)

    Smout, Felicity A; Skerratt, Lee F; Butler, James R A; Johnson, Christopher N; Congdon, Bradley C; Thompson, R C Andrew

    2017-06-01

    Ancylostoma ceylanicum is the common hookworm of domestic dogs and cats throughout Asia, and is an emerging but little understood public health risk in tropical northern Australia. We investigated the prevalence of A. ceylanicum in soil and free-ranging domestic dogs at six rainforest locations in Far North Queensland that are Indigenous Australian communities and popular tourist attractions within the Wet Tropics World Heritage Area. By combining PCR-based techniques with traditional methods of hookworm species identification, we found the prevalence of hookworm in Indigenous community dogs was high (96.3% and 91.9% from necropsy and faecal samples, respectively). The majority of these infections were A. caninum. We also observed, for the first time, the presence of A. ceylanicum infection in domestic dogs (21.7%) and soil (55.6%) in an Indigenous community. A. ceylanicum was present in soil samples from two out of the three popular tourist locations sampled. Our results contribute to the understanding of dogs as a public health risk to Indigenous communities and tourists in the Wet Tropics. Dog health needs to be more fully addressed as part of the Australian Government's commitments to "closing the gap" in chronic disease between Indigenous and other Australians, and encouraging tourism in similar locations.

  10. The hookworm Ancylostoma ceylanicum: An emerging public health risk in Australian tropical rainforests and Indigenous communities

    Directory of Open Access Journals (Sweden)

    Felicity A. Smout

    2017-06-01

    Full Text Available Ancylostoma ceylanicum is the common hookworm of domestic dogs and cats throughout Asia, and is an emerging but little understood public health risk in tropical northern Australia. We investigated the prevalence of A. ceylanicum in soil and free-ranging domestic dogs at six rainforest locations in Far North Queensland that are Indigenous Australian communities and popular tourist attractions within the Wet Tropics World Heritage Area. By combining PCR-based techniques with traditional methods of hookworm species identification, we found the prevalence of hookworm in Indigenous community dogs was high (96.3% and 91.9% from necropsy and faecal samples, respectively. The majority of these infections were A. caninum. We also observed, for the first time, the presence of A. ceylanicum infection in domestic dogs (21.7% and soil (55.6% in an Indigenous community. A. ceylanicum was present in soil samples from two out of the three popular tourist locations sampled. Our results contribute to the understanding of dogs as a public health risk to Indigenous communities and tourists in the Wet Tropics. Dog health needs to be more fully addressed as part of the Australian Government's commitments to “closing the gap” in chronic disease between Indigenous and other Australians, and encouraging tourism in similar locations.

  11. Allelopathy as an emergent, exploitable public good in the bloom-forming microalga Prymnesium parvum.

    Science.gov (United States)

    Driscoll, William W; Espinosa, Noelle J; Eldakar, Omar T; Hackett, Jeremiah D

    2013-06-01

    Many microbes cooperatively secrete extracellular products that favorably modify their environment. Consistent with social evolution theory, structured habitats play a role in maintaining these traits in microbial model systems, by localizing the benefits and separating strains that invest in these products from 'cheater' strains that benefit without paying the cost. It is thus surprising that many unicellular, well-mixed microalgal populations invest in extracellular toxins that confer ecological benefits upon the entire population, for example, by eliminating nutrient competitors (allelopathy). Here we test the hypotheses that microalgal exotoxins are (1) exploitable public goods that benefit all cells, regardless of investment, or (2) nonexploitable private goods involved in cell-level functions. We test these hypotheses with high-toxicity (TOX+) and low-toxicity (TOX-) strains of the damaging, mixotrophic microalga Prymnesium parvum and two common competitors: green algae and diatoms. TOX+ actually benefits from dense populations of competing green algae, which can also be prey for P. parvum, yielding a relative fitness advantage over coexisting TOX-. However, with nonprey competitors (diatoms), TOX- increases in frequency over TOX+, despite benefiting from the exclusion of diatoms by TOX+. An evolutionary unstable, ecologically devastating public good may emerge from traits selected at lower levels expressed in novel environments. © 2013 The Author(s). Evolution © 2013 The Society for the Study of Evolution.

  12. Role of India's wildlife in the emergence and re-emergence of zoonotic pathogens, risk factors and public health implications.

    Science.gov (United States)

    Singh, B B; Gajadhar, A A

    2014-10-01

    Evolving land use practices have led to an increase in interactions at the human/wildlife interface. The presence and poor knowledge of zoonotic pathogens in India's wildlife and the occurrence of enormous human populations interfacing with, and critically linked to, forest ecosystems warrant attention. Factors such as diverse migratory bird populations, climate change, expanding human population and shrinking wildlife habitats play a significant role in the emergence and re-emergence of zoonotic pathogens from India's wildlife. The introduction of a novel Kyasanur forest disease virus (family flaviviridae) into human populations in 1957 and subsequent occurrence of seasonal outbreaks illustrate the key role that India's wild animals play in the emergence and reemergence of zoonotic pathogens. Other high priority zoonotic diseases of wildlife origin which could affect both livestock and humans include influenza, Nipah, Japanese encephalitis, rabies, plague, leptospirosis, anthrax and leishmaniasis. Continuous monitoring of India's extensively diverse and dispersed wildlife is challenging, but their use as indicators should facilitate efficient and rapid disease-outbreak response across the region and occasionally the globe. Defining and prioritizing research on zoonotic pathogens in wildlife are essential, particularly in a multidisciplinary one-world one-health approach which includes human and veterinary medical studies at the wildlife-livestock-human interfaces. This review indicates that wild animals play an important role in the emergence and re-emergence of zoonotic pathogens and provides brief summaries of the zoonotic diseases that have occurred in wild animals in India.

  13. E-learning for grass-roots emergency public health personnel: Preliminary lessons from a national program in China.

    Science.gov (United States)

    Xu, Wangquan; Jiang, Qicheng; Qin, Xia; Fang, Guixia; Hu, Zhi

    2016-07-19

    In China, grass-roots emergency public health personnel have relatively limited emergency response capabilities and they are constantly required to update their professional knowledge and skills due to recurring and new public health emergencies. However, professional training, a principal solution to this problem, is inadequate because of limitations in manpower and financial resources at grass-roots public health agencies. In order to provide a cost-effective and easily expandable way for grass-roots personnel to acquire knowledge and skills, the National Health Planning Commission of China developed an emergency response information platform and provided trial access to this platform in Anhui and Heilongjiang provinces in China. E-learning was one of the modules of the platform and this paper has focused on an e-learning pilot program. Results indicated that e-learning had satisfactorily improved the knowledge and ability of grass-roots emergency public health personnel, and the program provided an opportunity to gain experience in e-course design and implementing e-learning. Issues such as the lack of personalized e-courses and the difficulty of evaluating the effectiveness of e-learning are topics for further study.

  14. 2007 Wholesale Power Rate Schedules : 2007 General Rate Schedule Provisions.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    2006-11-01

    This schedule is available for the contract purchase of Firm Power to be used within the Pacific Northwest (PNW). Priority Firm (PF) Power may be purchased by public bodies, cooperatives, and Federal agencies for resale to ultimate consumers, for direct consumption, and for Construction, Test and Start-Up, and Station Service. Rates in this schedule are in effect beginning October 1, 2006, and apply to purchases under requirements Firm Power sales contracts for a three-year period. The Slice Product is only available for public bodies and cooperatives who have signed Slice contracts for the FY 2002-2011 period. Utilities participating in the Residential Exchange Program (REP) under Section 5(c) of the Northwest Power Act may purchase Priority Firm Power pursuant to the Residential Exchange Program. Rates under contracts that contain charges that escalate based on BPA's Priority Firm Power rates shall be based on the three-year rates listed in this rate schedule in addition to applicable transmission charges. This rate schedule supersedes the PF-02 rate schedule, which went into effect October 1, 2001. Sales under the PF-07 rate schedule are subject to BPA's 2007 General Rate Schedule Provisions (2007 GRSPs). Products available under this rate schedule are defined in the 2007 GRSPs. For sales under this rate schedule, bills shall be rendered and payments due pursuant to BPA's 2007 GRSPs and billing process.

  15. The Infectious Diseases Society of America emerging infections network: bridging the gap between clinical infectious diseases and public health.

    Science.gov (United States)

    Pillai, Satish K; Beekmann, Susan E; Santibanez, Scott; Polgreen, Philip M

    2014-04-01

    In 1995, the Centers for Disease Control and Prevention granted a Cooperative Agreement Program award to the Infectious Diseases Society of America to develop a provider-based emerging infections sentinel network, the Emerging Infections Network (EIN). Over the past 17 years, the EIN has evolved into a flexible, nationwide network with membership representing a broad cross-section of infectious disease physicians. The EIN has an active electronic mail conference (listserv) that facilitates communication among infectious disease providers and the public health community, and also sends members periodic queries (short surveys on infectious disease topics) that have addressed numerous topics relevant to both clinical infectious diseases and public health practice. The article reviews how the various functions of EIN contribute to clinical care and public health, identifies opportunities to further link clinical medicine and public health, and describes future directions for the EIN.

  16. Medical Countermeasures for Children in Public Health Emergencies, Disasters, or Terrorism.

    Science.gov (United States)

    2016-02-01

    Significant strides have been made over the past 10 to 15 years to develop medical countermeasures (MCMs) to address potential disaster hazards, including chemical, biological, radiologic, and nuclear threats. Significant and effective collaboration between the pediatric health community, including the American Academy of Pediatrics, and federal partners, such as the Office of the Assistant Secretary for Preparedness and Response, Centers for Disease Control and Prevention, Federal Emergency Management Agency, National Institutes of Health, Food and Drug Administration, and other federal agencies, over the past 5 years has resulted in substantial gains in addressing the needs of children related to disaster preparedness in general and MCMs in particular. Yet, major gaps still remain related to MCMs for children, a population highly vulnerable to the effects of exposure to such threats, because many vaccines and pharmaceuticals approved for use by adults as MCMs do not yet have pediatric formulations, dosing information, or safety information. As a result, the nation's stockpiles and other caches (designated supply of MCMs) where pharmacotherapeutic and other MCMs are stored are less prepared to address the needs of children compared with those of adults in the event of a disaster. This policy statement provides recommendations to close the remaining gaps for the development and use of MCMs in children during public health emergencies or disasters. The progress made by federal agencies to date to address the needs of children and the shared commitment of collaboration that characterizes the current relationship between the pediatric health community and the federal agencies responsible for MCMs should encourage all child advocates to invest the necessary energy and resources now to complete the process of remedying the remaining significant gaps in preparedness.

  17. [Opportunities for the 112 Emergency Service to collaborate in public health surveillance].

    Science.gov (United States)

    Aldana-Espinal, Josefa María; García-León, Francisco Javier

    2005-01-01

    The Andalusian Regional Ministry of Health is implementing an Alert Integrated System (SIA) in order to improve the health protection of the population by means of the appropriate response to the sanitary alerts. is a service aimed both to catastrophic situations and to the other ones needing intervention and multisectorial coordination. Theses functions make possible their collaboration with the SIA, furnishing it with information about a series of environmental incidents. A study has been carried out in order to characterize the information received and to evaluate it systematic inclusion in the SIA, which include alerts from january to August 2003. The number of incidents communicated to 112 were 656, rank between months from 45 to 117. It is appropriate to underline the frequency of incidences related to Natural Hazards (50.15%) and Environmental Pollution (26.07%). The 67.55% of incidences happened between 15.00 p.m. and 8.00 a.m. hours of the following day. By provinces, Sevilla reported 24.5%, and the higher rate belongs to Huelva with 4.74 incidences/100 000 inhabitants. Incidents related to health care, environmental problems, risks to alimentary and occupational health, and epidemiological alerts are of great interest to the SIA; that is why it is necessary to consider the integration of the information systems of the emergency centres in the Public Health Surveillance.

  18. Polio eradication in the African Region on course despite public health emergencies.

    Science.gov (United States)

    Okeibunor, Joseph C; Ota, Martin C; Akanmori, Bartholomew D; Gumede, Nicksy; Shaba, Keith; Kouadio, Koffi I; Poy, Alain; Mihigo, Richard; Salla, Mbaye; Moeti, Matshidiso R

    2017-03-01

    The World Health Organization, African Region is heading toward eradication of the three types of wild polio virus, from the Region. Cases of wild poliovirus (WPV) types 2 and 3 (WPV2 and WPV3) were last reported in 1998 and 2012, respectively, and WPV1 reported in Nigeria since July 2014 has been the last in the entire Region. This scenario in Nigeria, the only endemic country, marks a remarkable progress. This significant progress is as a result of commitment of key partners in providing the much needed resources, better implementation of strategies, accountability, and innovative approaches. This is taking place in the face of public emergencies and challenges, which overburden health systems of countries and threaten sustainability of health programmes. Outbreak of Ebola and other diseases, insecurity, civil strife and political instability led to displacement of populations and severely affected health service delivery. The goal of eradication is now within reach more than ever before and countries of the region should not relent in their efforts on polio eradication. WHO and partners will redouble their efforts and introduce better approaches to sustain the current momentum and to complete the job. The carefully planned withdrawal of oral polio vaccine type II (OPV2) with an earlier introduction of one dose of inactivated poliovirus vaccine (IPV), in routine immunization, will boost immunity of populations and stop cVDPVs. Environmental surveillance for polio viruses will supplement surveillance for AFP and improve sensitivity of detection of polio viruses.

  19. [Zika virus infection: a new public health emergency with great media impact].

    Science.gov (United States)

    Caylà, Joan A; Domínguez, Ángela; Rodríguez Valín, Elena; de Ory, Fernando; Vázquez, Ana; Fortuny, Claudia

    Infection with Zika virus (ZV) has become a new epidemic, with great impact on the media, and is having a strong effect in Latin American countries. Its possible association with microcephaly and Guillain-Barré syndrome prompted the World Health Organization (WHO) to declare on 1 February 2016 that this epidemic is a public health emergency of international concern. Epidemiological data show an increasing incidence in countries like Brazil and Colombia, and that the epidemic is still expanding in many other countries. Between January 2007 and 27 April 2016, the WHO detected transmission in 55 countries (in 42 of these, this was the first outbreak of Zika) and 1,198 microcephalies and other neurological disorders in Brazil. Also, during 2015-2016, 13 countries detected an increase in Guillain-Barré syndrome and/or confirmation of ZV associated with Guillain-Barré syndrome. Research has already demonstrated a causal relationship between microcephaly and other serious brain disorders in newborns and ZV infection in the mother. Clinically, many cases are asymptomatic and it can be difficult to distinguish this diagnosis from that of other arboviruses. Vector control in Spain is a priority because of the presence of the Aedes albopictus (tiger mosquito). Early diagnosis is recommended, as is avoiding travel to endemic areas and unprotected sex, and ensuring that the high political profile, which can prevent this epidemic from becoming a high prevalence endemic disease, does not cause us to forget about other health problems.

  20. [Public hospital emergency department visits due to burns in Brazil, 2009].

    Science.gov (United States)

    Gawryszewski, Vilma Pinheiro; Bernal, Regina Tomie Ivata; Silva, Nilza Nunes da; Morais Neto, Otaliba Libânio de; Silva, Marta Maria Alves da; Mascarenhas, Márcio Dênis Medeiros; Sá, Naíza Nayla Bandeira de; Monteiro, Rosane Aparecida; Malta, Deborah Carvalho

    2012-04-01

    The objective was to analyze the characteristics of burn injuries treated in emergency departments (ED) and associated factors. This was a cross-sectional study of 761 ED visits collected through the National Injury Surveillance System in 2009. The majority of patients were males (58.6%), and the most prevalent age brackets were 30-49 years (23.1%) and 0-4 years (23%). Most burns occurred at home (62.1%), especially among females and children, and in commerce/services/industry/construction (19.1%), mainly among males 20-49 years. Work-related burns comprised 29.1% of the overall sample. Alcohol use prior to the injury was reported in 5.1% of cases. Causal agents across all age brackets were: contact with hot substances (43.6%) and exposure to fire and flames (24.2%); among the economically productive age groups, association with chemicals substances was common. Burns in children 0-14 years were associated with injuries at home, contact with heat and hot substances, and subsequent hospitalization; burns in the 15-49-year bracket were associated with exposure to fire/flames and electrical current, injuries occurring in public places, and outpatient treatment and discharge. The study highlights the importance of burn prevention strategies targeting children and workers.

  1. Publication rate of abstracts presented at the emergency medicine congresses held by the European Society for Emergency Medicine (EUSEM) in 2011 and 2012.

    Science.gov (United States)

    Kalkan, Asim; Kose, Ozkan; Bilir, Ozlem; Ersunan, Gokhan; Ozel, Deniz; Guler, Ferhat

    2015-09-01

    The purpose of this study was to assess the publication rate of the abstracts presented at the 6th Mediterranean Emergency Medicine Congress, 2011 and the 7th European Congress on Emergency Medicine, 2012. All abstracts, both posters and oral presentations, from the international emergency medicine congresses held by the European Society for Emergency Medicine (EUSEM) in 2011 and 2012 were identified. To establish whether these abstracts were subsequently published in peer-reviewed medical journals, the names of all the authors and the title of the abstracts were searched for in the databases of Clinical Key/Elsevier, EBSCO Discovery Service, MD Consult, Science Direct, Scopus, EMBASE, Medscape, Google Scholar and local ULAKBIM. The year of publication, consistency of author names and titles, the type of study, the journals in which papers were published and countries from which reports were submitted were all recorded. A total of 1721 abstracts were examined; 626 from 2011 (307 oral presentations and 319 posters) and 1095 from 2012 (154 oral presentations and 941 posters). Of all abstracts in 2011, 172 (27.5%) and of all abstracts in 2012, 265 (24.2%) were subsequently published as full-text reports in peer-reviewed journals. Of the 172 papers published in 2011, 152 (88.4%) were accepted by Science Citation Index (SCI) and/or SCI Expanded (SCI-E) journals and 155 (58.5%) of 265 papers were accepted by SCI and/or SCI-E journals in 2012 (p=0.0001). The publication rate of abstracts submitted to international emergency medicine congresses held by EUSEM over those 2 years was low compared with that of abstracts presented in other emergency medicine congresses. Presenters should be encouraged to send their studies to peer-reviewed journals. During the selection process by the scientific panel, constructive critics should be notified to the presenters instead of simply accepting or rejecting the studies that submitted to the congress, which may increase the

  2. 73 FR 2063 - Notice of Emergency Closure of Certain Public Lands to Motorized Vehicles in Twin Falls and...

    Science.gov (United States)

    2008-01-11

    ... Twin Falls and Owyhee Counties, ID and Elko County, NV, Under Murphy Complex Emergency Stabilization...., access limited to existing roads and trails).'' This order affects public lands in Owyhee and Twin Falls..., NV--18,631 Owyhee County, ID--435,968 Twin Falls County, ID--55,878 A total of approximately...

  3. A Public Health Approach to Address the Mental Health Burden of Youth in Situations of Political Violence and Humanitarian Emergencies

    NARCIS (Netherlands)

    J.T.V.M. de Jong; L.H. Berckmoes; B.A. Kohrt; S.J. Song; W.A. Tol; R. Reis

    2015-01-01

    This paper describes how socio-ecological theory and a syndemic health systems and public health approach may help address the plight of youth in situations of political violence and humanitarian emergencies. We describe the treatment gap caused by discrepancies in epidemiological prevalence rates,

  4. 78 FR 55326 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Science.gov (United States)

    2013-09-10

    ... of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board SUMMARY: In accordance with the Federal Advisory Committee Act (FACA), the PEPFAR Scientific... Relief (PEPFAR). The Board serves the Global AIDS Coordinator in a solely advisory capacity...

  5. 76 FR 52731 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Science.gov (United States)

    2011-08-23

    ...). The Board serves the Global AIDS Coordinator in a solely advisory capacity concerning scientific... of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board SUMMARY: In accordance with the Federal Advisory Committee Act (FACA), the PEPFAR...

  6. 78 FR 33144 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Science.gov (United States)

    2013-06-03

    .... The Board serves the Global AIDS Coordinator in a solely advisory capacity concerning scientific... of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board SUMMARY: In accordance with the Federal Advisory Committee Act (FACA), the PEPFAR...

  7. 77 FR 55891 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Science.gov (United States)

    2012-09-11

    ...). The Board serves the Global AIDS Coordinator in a solely advisory capacity concerning scientific... of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board SUMMARY: In accordance with the Federal Advisory Committee Act (FACA), the PEPFAR...

  8. An Evaluation of Community Assessment for Public Health Emergency Response (CASPER) in North Carolina, 2003-2010.

    Science.gov (United States)

    Horney, Jennifer; Davis, Meredith K; Davis, Sarah E H; Fleischauer, Aaron

    2013-04-01

    Community Assessment for Public Health Emergency Response (CASPER) is a group of tools and methods designed by the US Centers for Disease Control and Prevention (CDC) to provide rapid, reliable, and accurate population-based public health information. Since 2003, North Carolina public health professionals have used CASPERs to facilitate public health emergency responses and gather information on other topics including routine community health assessments. To date, there has been no evaluation of CASPER use by public health agencies at the state or local level in the US. Local health departments of North Carolina reported when and how CASPERs were used during the period 2003 to 2010 via an online survey. Data on barriers and future plans for using CASPERs also were collected. Fifty-two of North Carolina's 85 local health departments (61%) completed the survey. Twenty-eight departments reported 46 instances of CASPER use during 2003 to 2010. The majority of CASPERs were performed for community health assessments (n = 20, 43%) or exercises (n = 11, 24%). Fifty-six percent of respondents indicated they were "likely" or "very likely" to use CASPERs in the future; those who had prior experience with CASPERs were significantly more likely (P = .02) to report planned future use of CASPERs compared to those without prior experience with the tool. Lack of training, equipment, and time were the most frequently reported barriers to using CASPERs. Local public health agencies with clear objectives and goals can effectively use CASPERs in both routine public health practice and disaster settings.

  9. Public Health Emergency of International Concern (PHEIC has Declared Twice in 2014; Polio and Ebola at the Top

    Directory of Open Access Journals (Sweden)

    Mohammed A. Soghaier

    2015-06-01

    Full Text Available Background: The current Ebola outbreak in West Africa and the large scale wild Polio virus outbreak in several countries are the top most issues among international public health and scientific communities' debates and concerns. These two outbreaks were judged to be declared as Public Health Emergency of International Concern (PHEIC during 2014. This is the first time ever to have such circumstance of two PHEICs at the same time. Discussion: PHEIC, which has to be declared by WHO Director General after a recommendation of IHR Emergency Committee; is observed to start in countries with fragile health system and conflict areas. Then it rapidly spread to threaten the global public health. The year 2014 has uniquely witnessed declaration of two events as PHEIC according to IHR (2005; Polio and Ebola Virus Disease (EVD. Both outbreaks are caused by viruses such as H1N1 which was previously declared as PHEIC in 2009. Summary: Public Health Emergencies of International Concern in 2014 occurred in countries with weak health systems and conflicts and threatening the whole globe. International collaborative work is required to contain the event and to mobilize resources/capacities between countries. Moreover, public health surveillance systems as core capacity for IHR (2005 should be strengthened in all countries with focus on those with limited capacity and ongoing conflicts. The ultimate aim is timely detection of potential PHEIC events in the future along with early preparedness and response plans.

  10. Integrating a framework for conducting public health systems research into statewide operations-based exercises to improve emergency preparedness

    Directory of Open Access Journals (Sweden)

    Hunter Jennifer C

    2012-08-01

    Full Text Available Abstract Background Due to the uncommon nature of large-scale disasters and emergencies, public health practitioners often turn to simulated emergencies, known as “exercises”, for preparedness assessment and improvement. Under the right conditions, exercises can also be used to conduct original public health systems research. This paper describes the integration of a research framework into a statewide operations-based exercise program in California as a systems-based approach for studying public health emergency preparedness and response. Methods We developed a research framework based on the premise that operations-based exercises conducted by medical and public health agencies can be described using epidemiologic concepts. Using this framework, we conducted a survey of key local and regional medical and health agencies throughout California following the 2010 Statewide Medical and Health Exercise. The survey evaluated: (1 the emergency preparedness capabilities activated and functions performed in response to the emergency scenario, and (2 the major challenges to inter-organizational communications and information management. Results Thirty-five local health departments (LHDs, 24 local emergency medical services (EMS agencies, 121 hospitals, and 5 Regional Disaster Medical and Health Coordinators/Specialists (RDMHC responded to our survey, representing 57%, 77%, 26% and 83%, respectively, of target agencies in California. We found two sets of response capabilities were activated during the 2010 Statewide Exercise: a set of core capabilities that were common across all agencies, and a set of agency-specific capabilities that were more common among certain agency types. With respect to one response capability in particular, inter-organizational information sharing, we found that the majority of respondents’ comments were related to the complete or partial failure of communications equipment or systems. Conclusions Using the 2010 Statewide

  11. Heat Stress Illness Emergency Department Visits in National Environmental Public Health Tracking States, 2005-2010.

    Science.gov (United States)

    Fechter-Leggett, Ethan D; Vaidyanathan, Ambarish; Choudhary, Ekta

    2016-02-01

    Variability of heat stress illness (HSI) by urbanicity and climate region has rarely been considered in previous HSI studies. We investigated temporal and geographic trends in HSI emergency department (ED) visits in CDC Environmental Public Health Tracking Network (Tracking) states for 2005-2010. We obtained county-level HSI ED visit data for 14 Tracking states. We used the National Center for Health Statistics Urban-Rural Classification Scheme to categorize counties by urbanicity as (1) large central metropolitan (LCM), (2) large fringe metropolitan, (3) small-medium metropolitan, or (4) nonmetropolitan (NM). We also assigned counties to one of six US climate regions. Negative binomial regression was used to examine trends in HSI ED visits over time across all counties and by urbanicity for each climate region, adjusting for pertinent variables. During 2005-2010, there were 98,462 HSI ED visits in the 14 states. ED visits for HSI decreased 3.0% (p < 0.01) per year. Age-adjusted incidence rates of HSI ED visits increased from most urban to most rural. Overall, ED visits were significantly higher for NM areas (IRR = 1.41, p < 0.01) than for LCM areas. The same pattern was observed in all six climate regions; compared with LCM, NM areas had from 14 to 90% more ED visits for HSI. These findings of significantly increased HSI ED visit rates in more rural settings suggest a need to consider HSI ED visit variability by county urbanicity and climate region when designing and implementing local HSI preventive measures and interventions.

  12. Heat Stress Illness Emergency Department Visits in National Environmental Public Health Tracking States, 2005–2010

    Science.gov (United States)

    Fechter-Leggett, Ethan D.; Vaidyanathan, Ambarish; Choudhary, Ekta

    2015-01-01

    Variability of heat stress illness (HSI) by urbanicity and climate region has rarely been considered in previous HSI studies. We investigated temporal and geographic trends in HSI emergency department (ED) visits in CDC Environmental Public Health Tracking Network (Tracking) states for 2005–2010. We obtained county-level HSI ED visit data for 14 Tracking states. We used the National Center for Health Statistics Urban-Rural Classification Scheme to categorize counties by urbanicity as 1) large central metropolitan (LCM), 2) large fringe metropolitan (LFM), 3) small–medium metropolitan (SMM), or 4) nonmetropolitan (NM). We also assigned counties to one of six US climate regions. Negative binomial regression was used to examine trends in HSI ED visits over time across all counties and by urbanicity for each climate region, adjusting for pertinent variables. During 2005–2010, there were 98,462 HSI ED visits in the 14 states. ED visits for HSI decreased 3.0 % (p < 0.01) per year. Age-adjusted incidence rates of HSI ED visits increased from most urban to most rural. Overall, ED visits were significantly higher for NM areas (IRR = 1.41, p < 0.01) than for LCM areas. The same pattern was observed in all six climate regions; compared with LCM, NM areas had from 14 % to 90 % more ED visits for HSI. These findings of significantly increased HSI ED visit rates in more rural settings suggest a need to consider HSI ED visit variability by county urbanicity and climate region when designing and implementing local HSI preventive measures and interventions. PMID:26205070

  13. Emergence of social cooperation in threshold public goods games with collective risk

    Science.gov (United States)

    Wang, Jing; Fu, Feng; Wu, Te; Wang, Long

    2009-07-01

    In real situations, people are often faced with the option of voluntary contribution to achieve a collective goal, for example, building a dam or a fence, in order to avoid an unfavorable loss. Those who do not donate, however, can free ride on others’ sacrifices. As a result, cooperation is difficult to maintain, leading to an enduring collective-risk social dilemma. To address this issue, here we propose a simple yet effective theoretical model of threshold public goods game with collective risk and focus on the effect of risk on the emergence of social cooperation. To do this, we consider the population dynamics represented by replicator equation for two simplifying scenarios, respectively: one with fair sharers, who contribute the minimum average amount versus defectors and the other with altruists contributing more than average versus defectors. For both cases, we find that the dilemma is relieved in high-risk situations where cooperation is likely to persist and dominate defection in the population. Large initial endowment to individuals also encourages the risk-averse action, which means that, as compared to poor players (with small initial endowment), wealthy individuals (with large initial endowment) are more likely to cooperate in order to protect their private accounts. In addition, we show that small donation amount and small threshold (collective target) can encourage and sustain cooperation. Furthermore, for other parameters fixed, the impacts of group size act differently on the two scenarios because of distinct mechanisms: in the former case where the cost of cooperation depends on the group size, large size of group readily results in defection, while easily maintains cooperation in the latter case where the cost of cooperation is fixed irrespective of the group size. Our theoretical results of the replicator dynamics are in excellent agreement with the individual based simulation results.

  14. The ethics of sharing preliminary research findings during public health emergencies: a case study from the 2009 influenza pandemic.

    Science.gov (United States)

    Crowcroft, N S; Rosella, L C; Pakes, B N

    2014-06-19

    During the 2009 A(H1N1) influenza pandemic, a suite of studies conducted in Canada showed an unexpected finding, that patients with medically attended laboratory-confirmed pandemic influenza were more likely to have received seasonal influenza vaccination than test-negative control patients. Different bodies, including scientific journals and government scientific advisory committees, reviewed the evidence simultaneously to determine its scientific validity and implications. Decision-making was complicated when the findings made their way into the media. The normal trajectory of non-urgent research includes peer-review publication after which decision-makers can process the information taking into account other evidence and logistic considerations. In the situation that arose, however, the congruence of an unexpected finding and the simultaneous review of the evidence both within and outside the traditional peer-review sphere raised several interesting issues about how to deal with emerging evidence during a public health emergency. These events are used in this article to aid discussion of the complex interrelationship between researchers, public health decision-makers and scientific journals, the trade-offs between sharing information early and maintaining the peer-review quality assurance process, and to emphasise the need for critical reflection on the practical and ethical norms that govern the way in which research is evaluated, published and communicated in public health emergencies.

  15. Development of Public Training System for Emergency Exercise Using Virtual Reality Technology Based on Radioactive Release Accident

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byung Il; Park, Seong Jun; Lee, Dewhey; Song, Sub Lee; Park, Younwon [BEES Inc., Daejeon (Korea, Republic of)

    2016-10-15

    An exercise is normally conducted for a day or two days depending on the scale of the exercise. What we have experienced up to date there are several limitations in the radiological emergency exercises such as low public acceptance, poor enthusiasm in the exercise participation, not very attracting exercise scenarios, low efficiency in conducting an exercise, and so on. In order to overcome the limitations of the present exercising system, we would like to develop a radiological emergency exercise system using VR (virtual reality) technology based on a radioactive release accident. In this paper, we just introduce some basic development methods and event tree based scenario as a beginning stage. After the accident in Fukushima Daiichi NPP, the importance of emergency exercise especially for the public is far more emphasized around the world more and more. However, the human labor focused radiological emergency exercise up to now has many limitations. After developing this system properly and by using it, we could even expect to estimate the weak points of the emergency arrangements and strategy we have.

  16. Understanding public responses to chemical, biological, radiological and nuclear incidents--driving factors, emerging themes and research gaps.

    Science.gov (United States)

    Krieger, Kristian; Amlôt, Richard; Rogers, M Brooke

    2014-11-01

    This paper discusses the management of public responses to incidents involving chemical, biological, radiological and nuclear materials (CBRN). Given the extraordinary technical and operational challenges of a response to a CBRN release including, but not limited to, hazard detection and identification, casualty decontamination and multi-agency co-ordination, it is not surprising that public psychological and behavioural responses to such incidents have received limited attention by scholars and practitioners alike. As a result, a lack of understanding about the role of the public in effective emergency response constitutes a major gap in research and practice. This limitation must be addressed as a CBRN release has the potential to have wide-reaching psychological and behavioural impacts which, in turn, impact upon public morbidity and mortality rates. This paper addresses a number of key issues: why public responses matter; how responses have been conceptualised by practitioners; what factors have been identified as influencing public responses to a CBRN release and similar extreme events, and what further analysis is needed in order to generate a better understanding of public responses to inform the management of public responses to a CBRN release. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. 7 CFR 1945.31 - FmHA or its successor agency under Public Law 103-354 Emergency Loan Assessment Teams (ELAT).

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true FmHA or its successor agency under Public Law 103-354 Emergency Loan Assessment Teams (ELAT). 1945.31 Section 1945.31 Agriculture Regulations of the Department of...) EMERGENCY Disaster Assistance-General § 1945.31 FmHA or its successor agency under Public Law...

  18. Human health screening and public health significance of contaminants of emerging concern detected in public water supplies.

    Science.gov (United States)

    Benson, Robert; Conerly, Octavia D; Sander, William; Batt, Angela L; Boone, J Scott; Furlong, Edward T; Glassmeyer, Susan T; Kolpin, Dana W; Mash, Heath E; Schenck, Kathleen M; Simmons, Jane Ellen

    2017-02-01

    The source water and treated drinking water from twenty five drinking water treatment plants (DWTPs) across the United States were sampled in 2010-2012. Samples were analyzed for 247 contaminants using 15 chemical and microbiological methods. Most of these contaminants are not regulated currently either in drinking water or in discharges to ambient water by the U. S. Environmental Protection Agency (USEPA) or other U.S. regulatory agencies. This analysis shows that there is little public health concern for most of the contaminants detected in treated water from the 25 DWTPs participating in this study. For vanadium, the calculated Margin of Exposure (MOE) was less than the screening MOE in two DWTPs. For silicon, the calculated MOE was less than the screening MOE in one DWTP. Additional study, for example a national survey may be needed to determine the number of people ingesting vanadium and silicon above a level of concern. In addition, the concentrations of lithium found in treated water from several DWTPs are within the range previous research has suggested to have a human health effect. Additional investigation of this issue is necessary. Finally, new toxicological data suggest that exposure to manganese at levels in public water supplies may present a public health concern which will require a robust assessment of this information.

  19. Human health screening and public health significance of contaminants of emerging concern detected in public water supplies

    Science.gov (United States)

    Benson, Robert; Conerly, Octavia D.; Sander, William; Batt, Angela L.; Boone, J. Scott; Furlong, Edward T.; Glassmeyer, Susan T.; Kolpin, Dana W.; Mash, Heath

    2017-01-01

    The source water and treated drinking water from twenty five drinking water treatment plants (DWTPs) across the United States were sampled in 2010–2012. Samples were analyzed for 247 contaminants using 15 chemical and microbiological methods. Most of these contaminants are not regulated currently either in drinking water or in discharges to ambient water by the U. S. Environmental Protection Agency (USEPA) or other U.S. regulatory agencies. This analysis shows that there is little public health concern for most of the contaminants detected in treated water from the 25 DWTPs participating in this study. For vanadium, the calculated Margin of Exposure (MOE) was less than the screening MOE in two DWTPs. For silicon, the calculated MOE was less than the screening MOE in one DWTP. Additional study, for example a national survey may be needed to determine the number of people ingesting vanadium and silicon above a level of concern. In addition, the concentrations of lithium found in treated water from several DWTPs are within the range previous research has suggested to have a human health effect. Additional investigation of this issue is necessary. Finally, new toxicological data suggest that exposure to manganese at levels in public water supplies may present a public health concern which will require a robust assessment of this information.

  20. Emergency department nurses' experiences of occupational stress: A qualitative study from a public hospital in Bangkok, Thailand.

    Science.gov (United States)

    Yuwanich, Nuttapol; Sandmark, Hélène; Akhavan, Sharareh

    2015-10-30

    Occupational stress has been a health-related issue among nurses for many decades. Emergency department nurses are frequently confronted with occupational stress in their workplace; in particular, they encounter stressful situations and unpredictable events. These encounters could make them feel more stressed than nurses in other departments. Research considering occupational stress from the perspective of Thai emergency department nurses is limited. This study aimed to explore nurses' perceptions of occupational stress in an emergency department. A qualitative approach was used to gain an understanding of nurses' experiences and perceptions regarding stress in their workplace. Semi-structured interviews were used for data collection. Twenty-one emergency department nurses working in a public hospital in Thailand were interviewed, and the data were analyzed using content analysis. The findings comprised three themes: (1) perceived stress, (2) consequences of stress, and (3) stress management. The results of this study can be used by hospital management to help them adopt effective strategies, such as support programs involving co-workers/supervisors, to decrease occupational stress among emergency department nurses. Future research that explores each of the themes found in this study could offer a more comprehensive understanding of nurses' occupational stress in the emergency department.

  1. Availability of emergency obstetric care (EmOC) among public and private health facilities in rural northwest Bangladesh

    OpenAIRE

    Sikder, Shegufta S; Labrique, Alain B.; Ali, Hasmot; Hanif, Abu AM; Klemm, Rolf DW; Mehra, Sucheta; Keith P. West; Christian, Parul

    2015-01-01

    Background Although safe motherhood strategies recommend that women seek timely care from health facilities for obstetric complications, few studies have described facility availability of emergency obstetric care (EmOC). We sought to describe and compare availability and readiness to provide EmOC among public and private health facilities commonly visited for pregnancy-related complications in two districts of northwest Bangladesh. We also described aspects of financial and geographic access...

  2. Availability of emergency obstetric care (EmOC) among public and private health facilities in rural northwest Bangladesh

    OpenAIRE

    Sikder, Shegufta S.; Labrique, Alain B; Ali, Hasmot; Hanif, Abu AM; Klemm, Rolf DW; Mehra, Sucheta; West, Keith P; Christian, Parul

    2015-01-01

    Background Although safe motherhood strategies recommend that women seek timely care from health facilities for obstetric complications, few studies have described facility availability of emergency obstetric care (EmOC). We sought to describe and compare availability and readiness to provide EmOC among public and private health facilities commonly visited for pregnancy-related complications in two districts of northwest Bangladesh. We also described aspects of financial and geographic access...

  3. Backcountry Travel Emergencies in Arctic Canada: A Pilot Study in Public Health Surveillance.

    Science.gov (United States)

    Young, Stephanie K; Tabish, Taha B; Pollock, Nathaniel J; Young, T Kue

    2016-03-03

    Residents in the Canadian Arctic regularly travel in remote, backcountry areas. This can pose risks for injuries and death, and create challenges for emergency responders and health systems. We aimed to describe the extent and characteristics of media-reported backcountry travel emergencies in two Northern Canadian territories (Nunavut and Northwest Territories). A case-series of all known incidents between 2004 and 2013 was established by identifying events in an online search of two media outlets, Nunatsiaq News and Northern News Services. We identified 121 incidents; these most commonly involved young men, and death occurred in just over 25% of cases. The territories differed in the seasonal patterns. News media provides a partial source of data to estimate the extent and characteristics of backcountry emergencies. This information is needed to improve emergency preparedness and health system responsiveness in the Arctic.

  4. 78 FR 32296 - Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy...

    Science.gov (United States)

    2013-05-29

    ... Response to Hurricane Sandy: Response, Recovery & Resiliency AGENCY: Federal Transit Administration (FTA... recipients most severely affected by Hurricane Sandy: the Metropolitan Transportation Authority, New Jersey... Federal Register notice, bringing the total amount of Hurricane Sandy Emergency Relief funds allocated...

  5. Notes and comments "High and dry?" The Public Readiness and Emergency Preparedness Act and liability protection for pharmaceutical manufacturers.

    Science.gov (United States)

    Copper, B Kurt

    2007-01-01

    In an era filled with fears of bioterrorism, Congress approved the Public Readiness and Emergency Preparedness Act (PREPA) to encourage development of vaccines and other countermeasures. By providing pharmaceutical manufacturers with protection from liability for potential side effects, Congress has attempted to motivate manufacturers to produce a national stockpile of countermeasures. As part of PREPA, the government established a compensatory system intended to provide compensation to persons injured by countermeasures used during a public health emergency. Although the Act provides for a compensation fund, it fails to allocate monies for that fund. Thus, in the absence of further congressional action, PREPA will not provide compensation to those injured by countermeasures. Failing to assure the American public of a compensation program constitutes bad public policy and risks inspiring potential vaccinees to refuse necessary drugs. Additionally, arguments as to the constitutionality of the Act exist should Congress fail to adequately fund the program, and the existence of those arguments undermines the purpose of the Act--namely to assure pharmaceutical manufacturers that they will not be sued into oblivion should they attempt to aid national pandemic protection. In addition to detailing both the Act and the statutory precedent for congressional attempts to spur biodefense, this Article addresses important issues of healthcare, tort, and constitutional law that will continue to manifest themselves in this new era of bioterrorism.

  6. The Progress of Emergency Medicine in Taiwan, China, and Hong Kong: Perspective from Publications in Emergency Medicine Journals, 1992–2011

    Directory of Open Access Journals (Sweden)

    Ching-Hsing Lee

    2014-01-01

    Full Text Available Study Objective. The progress of emergency medicine (EM in Taiwan, China, and Hong Kong was evaluated from the perspective of publications in EM journals. Methods. This was a retrospective study. All articles published from 1992 to 2011 in all journals in the EM category in the 2010 Journal Citation Reports (JCR were included. A computerized literature search was conducted using the SciVerse Scopus database. The slope (β of the linear regression was used to evaluate the trends in the numbers of articles as well as the ratios to the total number of EM journal articles. Results. The trends in the numbers of articles from Taiwan, China, and Hong Kong were 6.170, 1.908, and 2.835 and the trends in the ratios of their publication numbers to the total number of EM journal articles were 15.0 × 10−4, 4.60 × 10−4, and 6.80 × 10−4, respectively. All P-values were <0.01. The mean, median, and 75th percentiles of the number of citations in all EM journals were greater than those of these three areas. Conclusions. The publications from Taiwan, China, and Hong Kong have increased at a higher rate than those of the overall EM field in the past 20 years and indicated the rapid progress in these three areas.

  7. Cross-Jurisdictional Sharing for Emergency Management-Related Public Health: Exploring the Experiences of Tribes and Counties in California

    Directory of Open Access Journals (Sweden)

    Maureen A. Wimsatt

    2017-09-01

    Full Text Available Each American Indian tribe is unique in several ways, including in its relationships with local governments and risk for emergencies. Cross-jurisdictional sharing (CJS arrangements are encouraged between tribes and counties for emergency management-related population health, but researchers have not yet explored CJS experiences of tribes and counties for emergency management. This investigation used collaboration theory and a CJS spectrum framework to assess the scope and prevalence of tribe–county CJS arrangements for emergency management in California as well as preconditions to CJS. Mixed-methods survey results indicate that tribes and counties have varied CJS arrangements, but many are informal or customary. Preconditions to CJS include tribe–county agreement about having CJS, views of the CJS relationship, barriers to CJS, and jurisdictional strengths and weaknesses in developing CJS arrangements. Areas for public health intervention include funding programs that build tribal capacity in emergency management, reduce cross-jurisdictional disagreement, and promote ongoing tribe–county relationships as a precursor to formal CJS arrangements. Study strengths, limitations, and future directions are also discussed.

  8. The Preparedness and Emergency Response Learning Centers: advancing standardized evaluation of public health preparedness and response trainings.

    Science.gov (United States)

    Hites, Lisle S; Sass, Marcia M; D'Ambrosio, Luann; Brown, Lisa M; Wendelboe, Aaron M; Peters, Karen E; Sobelson, Robyn K

    2014-01-01

    The Centers for Disease Control and Prevention funded Preparedness and Emergency Response Learning Centers (PERLCs) across the United States. The PERLCs provide training to state, local, and tribal public health organizations to meet workforce development needs in the areas of public health preparedness and response, specialized training, education, and consultation. Using Donald Kirkpatrick's training evaluation model, the PERLC network established 4 evaluation working groups that developed evaluation criteria to address each level of the model. The purpose of the working groups was to inform and promote center-level and program-level evaluation across the PERLC network; identify common training evaluation methods and measures; and share materials, resources, and lessons learned with state, local, and tribal public health organizations for potential replication. The evaluation of education and training, irrespective of its modality (eg, in-person, online, webinars, seminars, symposia) can be accomplished using Kirkpatrick's 4-level taxonomy. The 4 levels aim to measure the following aspects of training programs: (1) trainees' reaction; (2) knowledge acquired, skills improved, or attitudes changed; (3) behavior changed; and (4) results or impact. To successfully evaluate emergency preparedness training, drills and exercises, it is necessary to understand the fundamental tenets of each level and how to apply each to measure training outcomes. The PERLC evaluators have adopted the basic schema of Kirkpatrick's 4-level model and applied its structure to a wide variety of preparedness and emergency response training and related activities. The PERLC evaluation working groups successfully developed and tested survey methods and instruments for each of the 4 levels of Kirkpatrick's training evaluation model. Each can be used for replication by state, local, and tribal public health professionals.

  9. Improving Risk Governance of Emerging Technologies through Public Engagement: The Neglected Case of Nano-Remediation?

    DEFF Research Database (Denmark)

    Grieger, Khara Deanne; Wickson, Fern; Andersen, Henning Boje

    2012-01-01

    assessment. This paper therefore carries out a literature review to capture and analyse how governance strategies have focused on public engagement for NT and how such engagement relates to processes of risk analysis. To further investigate these issues, we focus on a specific NT application as a case study......: the use of nanoparticles for environmental remediation (nano-remediation). Through our review and analysis we find that the main approaches to incorporating public engagement into governance strategies have been the generation of a better understanding of public perceptions of NT and the setting......While public engagement is internationally considered to be crucial for successful governance of nanotechnologies (NT), it has not necessarily been clear what the relationship is (or should be) between these engagement efforts and the more traditional governance practice of scientific risk...

  10. 78 FR 77469 - Emergency Clearance: Public Information Collection Requirements Submitted to the Office of...

    Science.gov (United States)

    2013-12-23

    ... likely cause public harm. 1. Type of Information Collection Request: New collection (request for a new... lowest cost bronze plans to appropriately account for CSR calculations for American Indians and...

  11. 75 FR 43164 - Federal Advisory Committee Act; Emergency Response Interoperability Center Public Safety Advisory...

    Science.gov (United States)

    2010-07-23

    ... adoption of technical and operational requirements and procedures to ensure a nationwide level of interoperability; (2) the adoption and implementation of requirements and procedures to address operability, roaming, priority access, gateway functions and interfaces, the interconnectivity of public...

  12. Expert forecasts and the emergence of water scarcity on public agendas

    Science.gov (United States)

    Graffy, E.A.

    2006-01-01

    Expert forecasts of worldwide water scarcity depict conditions that call for proactive, preventive, coordinated water governance, but they have not been matched by public agendas of commensurate scope and urgency in the United States. This disconnect can not be adequately explained without some attention to attributes of forecasts themselves. I propose that the institutional fragmentation of water expertise and prevailing patterns of communication about water scarcity militate against the formulation of a common public definition of the problem and encourage reliance on unambiguous crises to stimulate social and policy agenda setting. I do not argue that expert forecasts should drive public agendas deterministically, but if their purpose is to help prevent water crises (not just predict them), then a greater effort is needed to overcome the barriers to meaningful public scrutiny of expert claims and evaluation of water strategies presently in place. Copyright ?? 2006 Taylor & Francis Group, LLC.

  13. Management of traumatic wounds in the Emergency Department: a secondary publication

    Directory of Open Access Journals (Sweden)

    Carolina Prevaldi

    2016-11-01

    Full Text Available Traumatic wounds are among the most common problems leading people to the Emergency Department (ED, accounting for approximately 5.4% of all the visits, and up to 24% of all the medical lawsuits. In order to provide a standardized method for wound management in the ED, we have organized a workshop, involving several Italian and European experts. Later, all the discussed statements have been submitted for external validation to a multidisciplinary expert team, based on the so-called Delphi method. Eight main statements have been established, each of them comprising different issues, covering the fields of wound classification, infectious risk stratification, tetanus and rabies prophylaxis, wound cleansing, pain management, and suture. Here we present the results of this work, shared by the Academy of Emergency Medicine and Care and the World Society of Emergency Surgery.

  14. The relevance of Critical Accounting Theory (CAT) to effectiveness of public financial accountability in emerging economies

    OpenAIRE

    Oluwadare, E; Samy, M

    2015-01-01

    In the past, researchers of financial accountability have relied on Agency and Stewardship theories to explain the phenomena that may hinder the exchange of financial information in the accountability process. This article examines the relevance of CAT to effective public financial accountability.Public sector in developing countries has accountability mechanism that is based onagency model. Accountability mechanism following the assumptions of principal-agent theory will most likely focus on...

  15. Male emergence schedule and dispersal behaviour are modified by mate availability in heterogeneous landscapes: evidence from the orange-tip butterfly

    Directory of Open Access Journals (Sweden)

    W James Davies

    2015-01-01

    Full Text Available Protandry (prior emergence of males in insect populations is usually considered to be the result of natural selection acting directly on eclosion timing. When females are monandrous (mate once, males in high density populations benefit from early emergence in the intense scramble competition for mates. In low density populations, however, scramble competition is reduced or absent, and theoretical models predict that protandry will be less favoured. This raises the question of how males behave in heterogeneous landscapes characterized by high density core populations in a low density continuum. We hypothesized that disadvantaged late emerging males in a core population would disperse to the continuum to find mates. We tested this idea using the protandrous, monandrous, pierid butterfly Anthocharis cardamines (the orange-tip in a core population in Cheshire, northwest England. Over a six-year period, predicted male fitness (the number of matings a male can expect during his residence time, determined by the daily ratio of virgin females to competing males consistently declined to <1 in late season. This decline affected a large proportion (∼44% of males in the population and was strongly associated with decreased male recapture-rates, which we attribute to dispersal to the surrounding continuum. In contrast, reanalysis of mark-release-recapture data from an isolated population in Durham, northeast England, showed that in the absence of a continuum very few males (∼3% emerged when fitness declined to <1 in late season. Hence the existence of a low density continuum may lead to the evolution of plastic dispersal behaviour in high density core populations, maintaining late emerging males which would otherwise be eliminated by selection. This has important theoretical consequences, since a truncated male emergence curve is a key prediction in game theoretic models of emergence timing which has so far received limited support. Our results have

  16. Disaster Metrics: A Proposed Quantitative Assessment Tool in Complex Humanitarian Emergencies - The Public Health Impact Severity Scale (PHISS).

    Science.gov (United States)

    Bayram, Jamil D; Kysia, Rashid; Kirsch, Thomas D

    2012-08-21

    Complex Humanitarian Emergencies (CHE) result in rapid degradation of population health and quickly overwhelm indigenous health resources. Numerous governmental, non-governmental, national and international organizations and agencies are involved in the assessment of post-CHE affected populations. To date, there is no entirely quantitative assessment tool conceptualized to measure the public health impact of CHE. Essential public health parameters in CHE were identified based on the Sphere Project "Minimum Standards", and scoring rubrics were proposed based on the prevailing evidence when applicable. 12 quantitative parameters were identified, representing the four categories of "Minimum Standards for Disaster Response" according to the Sphere Project; health, shelter, food and nutrition, in addition to water and sanitation. The cumulative tool constitutes a quantitative scale, referred to as the Public Health Impact Severity Scale (PHISS), and the score on this scale ranges from a minimum of 0 to a maximum of 100. Quantitative measurement of the public health impact of CHE is germane to accurate assessment, in order to identify the scale and scope of the critical response required for the relief efforts of the affected populations. PHISS is a new conceptual metric tool, proposed to add an objective quantitative dimension to the post-CHE assessment arsenal. PHISS has not yet been validated, and studies are needed with prospective data collection to test its validity, feasibility and reliability. Bayram JD, Kysia R, Kirsch TD. Disaster Metrics: A Proposed Quantitative Assessment Tool in Complex Humanitarian Emergencies - The Public Health Impact Severity Scale (PHISS). PLOS Currents Disasters. 2012 Aug 21. doi: 10.1371/4f7b4bab0d1a3.

  17. 78 FR 33467 - Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy...

    Science.gov (United States)

    2013-06-04

    ... Response to Hurricane Sandy: Response, Recovery & Resiliency; Correction AGENCY: Federal Transit... by Hurricane Sandy. This amount was in addition to the initial $2 billion allocation announced in the... allocation restoration FTA Section 5324 Emergency Relief Program Allocations for Hurricane Sandy, by...

  18. Promising Practices: A Case Study on Public Health Emergency Preparedness at a University

    Science.gov (United States)

    Mathes, Amy L.

    2013-01-01

    There is little published literature on operational coordination during a real time disaster regardless of the setting. This study describes a university's emergency management plan and its execution in response to a specific natural disaster, the May 8, 2009 "inland hurricane," which was later classified as a "Super Derecho."…

  19. 75 FR 56098 - Amitraz; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2010-09-15

    ... amitraz (CAS No. 330089-61-1) to treat up to 250,000 colonies of beehives to control varroa mites. The... amitraz in beehives to control varroa mites. Information in accordance with 40 CFR part 166 was submitted... AGENCY EPA-HQ-OPP-2010-0533; FRL-8844-3 Amitraz; Receipt of Application for Emergency Exemption...

  20. A Study of Emergency Lighting for the Dade County Board of Public Instruction.

    Science.gov (United States)

    Pancoast, Ferendino, Grafton and Skeels, Architects, Miami, FL.

    Immediate installation of emergency lighting, in addition to that already provided, is recommended for three groups of existing schools--(1) air-conditioned schools and additions with compact plans having inside corridors and instructional areas artifically lighted, (2) senior high schools with adult education programs, and (3) community schools…

  1. Promising Practices: A Case Study on Public Health Emergency Preparedness at a University

    Science.gov (United States)

    Mathes, Amy L.

    2013-01-01

    There is little published literature on operational coordination during a real time disaster regardless of the setting. This study describes a university's emergency management plan and its execution in response to a specific natural disaster, the May 8, 2009 "inland hurricane," which was later classified as a "Super Derecho."…

  2. Infodemiology and infoveillance: framework for an emerging set of public health informatics methods to analyze search, communication and publication behavior on the Internet.

    Science.gov (United States)

    Eysenbach, Gunther

    2009-03-27

    Infodemiology can be defined as the science of distribution and determinants of information in an electronic medium, specifically the Internet, or in a population, with the ultimate aim to inform public health and public policy. Infodemiology data can be collected and analyzed in near real time. Examples for infodemiology applications include the analysis of queries from Internet search engines to predict disease outbreaks (eg. influenza), monitoring peoples' status updates on microblogs such as Twitter for syndromic surveillance, detecting and quantifying disparities in health information availability, identifying and monitoring of public health relevant publications on the Internet (eg. anti-vaccination sites, but also news articles or expert-curated outbreak reports), automated tools to measure information diffusion and knowledge translation, and tracking the effectiveness of health marketing campaigns. Moreover, analyzing how people search and navigate the Internet for health-related information, as well as how they communicate and share this information, can provide valuable insights into health-related behavior of populations. Seven years after the infodemiology concept was first introduced, this paper revisits the emerging fields of infodemiology and infoveillance and proposes an expanded framework, introducing some basic metrics such as information prevalence, concept occurrence ratios, and information incidence. The framework distinguishes supply-based applications (analyzing what is being published on the Internet, eg. on Web sites, newsgroups, blogs, microblogs and social media) from demand-based methods (search and navigation behavior), and further distinguishes passive from active infoveillance methods. Infodemiology metrics follow population health relevant events or predict them. Thus, these metrics and methods are potentially useful for public health practice and research, and should be further developed and standardized.

  3. Can free open access resources strengthen knowledge-based emerging public health priorities, policies and programs in Africa?

    Science.gov (United States)

    Tambo, Ernest; Madjou, Ghislaine; Khayeka-Wandabwa, Christopher; Tekwu, Emmanuel N.; Olalubi, Oluwasogo A.; Midzi, Nicolas; Bengyella, Louis; Adedeji, Ahmed A.; Ngogang, Jeanne Y.

    2016-01-01

    Tackling emerging epidemics and infectious diseases burden in Africa requires increasing unrestricted open access and free use or reuse of regional and global policies reforms as well as timely communication capabilities and strategies. Promoting, scaling up data and information sharing between African researchers and international partners are of vital importance in accelerating open access at no cost. Free Open Access (FOA) health data and information acceptability, uptake tactics and sustainable mechanisms are urgently needed. These are critical in establishing real time and effective knowledge or evidence-based translation, proven and validated approaches, strategies and tools to strengthen and revamp health systems.  As such, early and timely access to needed emerging public health information is meant to be instrumental and valuable for policy-makers, implementers, care providers, researchers, health-related institutions and stakeholders including populations when guiding health financing, and planning contextual programs. PMID:27508058

  4. Can free open access resources strengthen knowledge-based emerging public health priorities, policies and programs in Africa?

    Science.gov (United States)

    Tambo, Ernest; Madjou, Ghislaine; Khayeka-Wandabwa, Christopher; Tekwu, Emmanuel N; Olalubi, Oluwasogo A; Midzi, Nicolas; Bengyella, Louis; Adedeji, Ahmed A; Ngogang, Jeanne Y

    2016-01-01

    Tackling emerging epidemics and infectious diseases burden in Africa requires increasing unrestricted open access and free use or reuse of regional and global policies reforms as well as timely communication capabilities and strategies. Promoting, scaling up data and information sharing between African researchers and international partners are of vital importance in accelerating open access at no cost. Free Open Access (FOA) health data and information acceptability, uptake tactics and sustainable mechanisms are urgently needed. These are critical in establishing real time and effective knowledge or evidence-based translation, proven and validated approaches, strategies and tools to strengthen and revamp health systems.  As such, early and timely access to needed emerging public health information is meant to be instrumental and valuable for policy-makers, implementers, care providers, researchers, health-related institutions and stakeholders including populations when guiding health financing, and planning contextual programs.

  5. Promoting public health legal preparedness for emergencies: review of current trends and their relevance in light of the Ebola crisis

    Directory of Open Access Journals (Sweden)

    Odeya Cohen

    2015-10-01

    Full Text Available Background: Public health legal preparedness (PHLP for emergencies is a core component of the health system response. However, the implementation of health legal preparedness differs between low- and middle-income countries (LMIC and developed countries. Objective: This paper examines recent trends regarding public health legal preparedness for emergencies and discusses its role in the recent Ebola outbreak. Design: A rigorous literature review was conducted using eight electronic databases as well as Google Scholar. The results encompassed peer-reviewed English articles, reports, theses, and position papers dating from 2011 to 2014. Earlier articles concerning regulatory actions were also examined. Results: The importance of PHLP has grown during the past decade and focuses mainly on infection–disease scenarios. Amid LMICs, it mostly refers to application of international regulations, whereas in developed states, it focuses on independent legislation and creation of conditions optimal to promoting an effective emergency management. Among developed countries, the United States’ utilisation of health legal preparedness is the most advanced, including the creation of a model comprising four elements: law, competencies, information, and coordination. Only limited research has been conducted in this field to date. Nevertheless, in both developed and developing states, studies that focused on regulations and laws activated in health systems during emergencies, identified inconsistency and incoherence. The Ebola outbreak plaguing West Africa since 2014 has global implications, challenges and paralleling results, that were identified in this review. Conclusions: The review has shown the need to broaden international regulations, to deepen reciprocity between countries, and to consider LMICs health capacities, in order to strengthen the national health security. Adopting elements of the health legal preparedness model is recommended.

  6. Availability of emergency obstetric care (EmOC) among public and private health facilities in rural northwest Bangladesh.

    Science.gov (United States)

    Sikder, Shegufta S; Labrique, Alain B; Ali, Hasmot; Hanif, Abu A M; Klemm, Rolf D W; Mehra, Sucheta; West, Keith P; Christian, Parul

    2015-01-31

    Although safe motherhood strategies recommend that women seek timely care from health facilities for obstetric complications, few studies have described facility availability of emergency obstetric care (EmOC). We sought to describe and compare availability and readiness to provide EmOC among public and private health facilities commonly visited for pregnancy-related complications in two districts of northwest Bangladesh. We also described aspects of financial and geographic access to healthcare and key constraints to EmOC provision. Using data from a large population-based community trial, we identified and surveyed the 14 health facilities (7 public, 7 private) most frequently visited for obstetric complications and near misses as reported by women. Availability of EmOC was based on provision of medical services, assessed through clinician interviews and record review. Levels of EmOC availability were defined as basic or comprehensive. Readiness for EmOC provision was based on scores in four categories: staffing, equipment, laboratory capacity, and medicines. Readiness scores were calculated using unweighted averages. Costs of C-section procedures and geographic locations of facilities were described. Textual analysis was used to identify key constraints. The seven surveyed private facilities offered comprehensive EmOC compared to four of the seven public facilities. With 100% representing full readiness, mean EmOC readiness was 81% (range: 63%-91%) among surveyed private facilities compared to 67% (range: 48%-91%) in public facilities (p = 0.040). Surveyed public clinics had low scores on staffing and laboratory capacity (69%; 50%). The mean cost of the C-section procedure in private clinics was $77 (standard deviation: $16) and free in public facilities. The public sub-district facilities were the only facilities located in rural areas, with none providing comprehensive EmOC. Shortages in specialized staff were listed as the main barrier to EmOC provision in

  7. Colistin-Resistant mcr-1-Positive Escherichia coli on Public Beaches, an Infectious Threat Emerging in Recreational Waters.

    Science.gov (United States)

    Fernandes, Miriam R; Sellera, Fábio P; Esposito, Fernanda; Sabino, Caetano P; Cerdeira, Louise; Lincopan, Nilton

    2017-07-01

    The emergence and rapid spread of colistin-resistant Escherichia coli carrying the mcr-1 gene have generated an urgent need to strengthen surveillance. We performed a meticulous investigation of strains of this sort, which resulted in the identification of international clones of E. coli carrying IncX4-plasmid-mediated mcr-1 and blaCTX-M genes in recreational waters of public urban beaches in cities with high tourist turnover, highlighting a new environmental reservoir. Copyright © 2017 American Society for Microbiology.

  8. Arboviruses emerging in Brazil: challenges for clinic and implications for public health

    Directory of Open Access Journals (Sweden)

    Maria Rita Donalisio

    Full Text Available ABSTRACT Arboviruses have been emerging in different parts of the world due to genetic changes in the virus, alteration of the host and vector population dynamics, or because of anthropogenic environmental factors. These viruses’ capacity for adaptation is notable, as well as the likelihood of their emergence and establishment in new geographic areas. In Brazilian epidemiologic scenario, the most common arboviruses are DENV, CHIKV, and ZIKV, although others may spread in the country. Little is yet known of the impact of viral co-circulation, which would theoretically result in more intense viremia or other immunological alterations that could trigger autoimmune diseases, such as Guillain-Barré syndrome. The impact on morbidity and mortality intensifies as extensive epidemics lead to a high number of affected individuals, severe cases, and implications for health services, mainly due to the absence of treatment, vaccines, and effective prevention and control measures.

  9. [Pleasure in nursing technicians working at an emergency unit of a public university hospital].

    Science.gov (United States)

    Garcia, Alessandra Bassalobre; Dellaroza, Mara Solange Gomes; Haddad, Maria do Carmo Lourenço; Pachemshy, Luiza Rita

    2012-06-01

    This study aimed to reveal the main aspects of the work process and feelings of pleasure experienced by nursing technicians who work at an emergency unit in Paraná, Brazil. The theoretical basis is the psychodynamics of work. This is a qualitative and descriptive study. Data were collected and analyzed using a semi-structured interview and the content analysis technique. Subjects were selected using a snowball sampling. Important aspects of the work process were revealed such as the unpredictability of working in an emergency unit, the impact of team work, and the comprehensive care model as a precursor to humanized care. Pleasure originates from the acknowledgement of their work either by the working subject him/herself by patients or society; and from the team work, realized by the cooperation among professionals. Feelings of pleasure are linked to the acknowledgment of their work, which should be valued since gratification contributes to the psychological health of workers.

  10. Scheduling the Secondary School.

    Science.gov (United States)

    Dempsey, Richard A.; Traverso, Henry P.

    This "how-to-do-it" manual on the intricacies of school scheduling offers both technical information and common sense advice about the process of secondary school scheduling. The first of six chapters provides an overview of scheduling; chapter 2 examines specific considerations for scheduling; chapter 3 surveys the scheduling models and their…

  11. Energy security, public policy, and the role of the DOE Office of Energy Emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Bjornstad, D.J.; Curlee, T.R. (Oak Ridge National Lab., TN (United States)); Bohi, D.R. (Resources for the Future, Inc., Washington, DC (United States))

    1991-11-01

    This paper addresses the concept of energy security, the costs and benefits of energy security, and policies which could potentially alter these costs and benefits. These issues are considered from the perspective of the DOE's Office of Energy Emergencies, with the goal of determining if alternative or additional roles should be open to this Office. The approach taken is limited to the economic costs and benefits of energy security, reflecting our view that the bulk of important energy security issues can at least be approached from this perspective. An energy emergency results from a sudden change in the quantity, market price, and/or social value of energy, in combination with a domestic and/or world wide energy system that cannot rapidly adjust to that change. We do not believe that mitigating the impacts of such events is always necessary, nor that it is uniquely a governmental responsibility. In fact, the first recourse in emergency preparedness should always be to the private sector. Government should deal with three different aspects of emergency energy activities. First, it should condition the decision making environment by seeing that adequate information about energy conditions is available and that its own policy position is clear. Next, it should evaluate the preparedness measures undertaken by the private sector. Finally, if it finds private sector preparation to be inadequate, government has a variety of direct and indirect means with which to intervene. One direct measure currently used is the buildup and drawdown of the strategic petroleum reserve (SPR). Others include contingency plans to override market allocations during wartime, as might be developed under the graduated mobilization response (GMR). Indirect means include a variety of tax and transfer schemes that alter existing private sector incentives to prepare. Well conceived monetary and fiscal policies complete the tools. 1 fig., 1 tab.

  12. Vector-borne pathogens: New and emerging arboviral diseases affecting public health

    Science.gov (United States)

    Dengue and Zika have quickly become two of the most important vector-borne diseases affecting Public health around the world. This presentation will introduce vector-borne diseases and all the vectors implicated. A focus will be made on the most important arboviral diseases (Zika and dengue) describ...

  13. Malawi - Public Works Programme : Conditional Cash Transfers as an Emergency Response to a National Food Shortage

    OpenAIRE

    Kalanda, Boniface; Mandala, Charles; Magwira, Joseph

    2006-01-01

    This paper reports that in the 2004-2005 growing season, Malawi experienced a drought which affected farm produce and subsequently led to country-wide food shortages. Due to the food shortage, the Malawi Government implemented a Public Works Programme -- Conditional Cash Transfers (PWP-CCT) to transfer cash income to vulnerable households to enable them buy food and agricultural inputs for...

  14. Public Infrastructure, Location of Private Schools and Primary School Attainment in an Emerging Economy

    Science.gov (United States)

    Pal, Sarmistha

    2010-01-01

    The paper argues that access to public infrastructure plays a crucial role on the presence of private schools in a community, as it could not only minimise the cost of production, but also ensure a high return to private investment. Results using community, school and child/household-level PROBE survey data from five north Indian states provide…

  15. 75 FR 370 - Emergency Clearance: Public Information Collection Requirements Submitted to the Office of...

    Science.gov (United States)

    2010-01-05

    ...), to conduct exploratory or formative research around the new Hospital Outpatient Measures. Concepts.... Subsequent to this exploratory or formative research, the research team designed mock-ups of the planned... information collection request (ICR) for Consumer Research on Public Reporting of Hospital Outpatient...

  16. Religion in public spaces : emerging Muslim-Christian polemics in Ethiopia

    NARCIS (Netherlands)

    Abbink, J.

    2011-01-01

    In Ethiopia, as in other parts of Africa, relations between Christians and Muslims show a new dynamic under the impact of both state policies and global connections. Religious identities are becoming more dominant as people's primary public identity, and more ideological. This development has

  17. The Development and Implementation of the Chicago Public Schools Emergency EpiPen® Policy

    Science.gov (United States)

    Zadikoff, Emily H.; Whyte, Stephanie A.; DeSantiago-Cardenas, Lilliana; Harvey-Gintoft, Blair; Gupta, Ruchi S.

    2014-01-01

    Background: Food allergy affects 1 in 13 children, or 2 children per classroom. Food allergies are the leading cause of anaphylaxis, a severe allergic reaction that can result in death. In fact, 25% of first-time anaphylactic reactions among children occur in school. To address this, the Chicago Public Schools (CPS) Office of Student Health and…

  18. Understanding an Emerging Field of Scholarship: Toward a Research Agenda for Engaged, Public Scholarship

    Science.gov (United States)

    Giles, Dwight E., Jr.

    2016-01-01

    The theme of both "Journal of Higher Education Outreach and Engagement" volume 12 issues 1 and 2 collectively, is "Faculty Motivation for Engagement in Public Scholarship." Herein Dwight Giles, Jr. touches upon each article in issue 2, specifically, noting the variability of the central terminology that is used across authors…

  19. 44 CFR 72.3 - Fee schedule.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Fee schedule. 72.3 Section 72.3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND... initial fee, if necessary, will be published as a notice in the Federal Register. (b) For requests...

  20. Determinants of General Health, Work-Related Strain, and Burnout in Public Versus Private Emergency Medical Technicians in Istanbul.

    Science.gov (United States)

    Tunaligil, Verda; Dokucu, Ali Ihsan; Erdogan, Mehmet Sarper

    2016-07-01

    This study investigated the impact of working for public versus private ambulance services in Turkey and elaborated on predictors of mental, physical, and emotional well-being in emergency medical technicians (EMT-Bs). In this observational cross-sectional study, an 81-question self-report survey was used to gather data about employee demographics, socioeconomic status, educational background, working conditions, and occupational health and workplace safety (OHS), followed by the 12-item General Health Questionnaire (GHQ-12), the Work-Related Strain Inventory (WRSI), and the Maslach Burnout Inventory (MBI) with three subscales: Emotional Exhaustion (MBI-EE), Depersonalization (MBI-DP), and Diminished Personal Accomplishment (MBI-PA). In 2011, 1,038 EMT-Bs worked for publicly operated and 483 EMT-Bs worked for privately owned ambulance services in Istanbul, Turkey, of which 606 (58.4%) and 236 (48.9%) participated in the study (overall participation rate = 55.4%), respectively. On all scales, differences between total mean scores in both sectors were statistically insignificant (p > .05). In the public sector, work locations, false accusations, occupational injuries and diseases, work-related permanent disabilities, and organizational support were found to significantly influence self-reported perceptions of well-being (p work (p work-related permanent disabilities (p working lives that need improvement; priority expectations in the public and private sectors were higher earnings (17.5%; 16.7%) and better social opportunities (17.4%; 16.8%). Working conditions, vocational training, and OHS emerged as topics that merit priority attention.

  1. A burn center paradigm to fulfill deferred consent public disclosure and community consultation requirements for emergency care research.

    Science.gov (United States)

    Blackford, Martha G; Falletta, Lynn; Andrews, David A; Reed, Michael D

    2012-09-01

    To fulfill Food and Drug Administration and Department of Health and Human Services emergency care research informed consent requirements, our burn center planned and executed a deferred consent strategy gaining Institutional Review Board (IRB) approval to proceed with the clinical study. These federal regulations dictate public disclosure and community consultation unique to acute care research. Our regional burn center developed and implemented a deferred consent public notification and community consultation paradigm appropriate for a burn study. Published accounts of deferred consent strategies focus on acute care resuscitation practices. We adapted those strategies to design and conduct a comprehensive public notification/community consultation plan to satisfy deferred consent requirements for burn center research. To implement a robust media campaign we engaged the hospital's public relations department, distributed media materials, recruited hospital staff for speaking engagements, enlisted community volunteers, and developed initiatives to inform "hard-to-reach" populations. The hospital's IRB determined we fulfilled our obligation to notify the defined community. Our communication strategy should provide a paradigm other burn centers may appropriate and adapt when planning and executing a deferred consent initiative. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  2. Proactive Scheduling Optimization of Emergency Rescue Based on Hybrid Tabu-genetic Optimization Algorithm%基于遗传-禁忌算法的应急救援前摄性调度优化

    Institute of Scientific and Technical Information of China (English)

    张全全; 谭文安

    2016-01-01

    Emergency rescue and relief is complicated and uncertain. Proactive scheduling is essential to provide decision support for emer-gency rescue. In this paper,first the problem is defined and signified,thus defining the rescue plan scheduling optimization model under the restriction of resources. According to the degree of emergency for rescue activities,the priority is assigned and the optimal objective function is defined. The problem is NP-hard. Then a genetic-tabu heuristic algorithm is designed in accordance with the features of mod-ern optimal algorithms. Finally,it is elaborated by analysis and simulation of accident rescue data. Experiment shows that the algorithm can effectively solve the optimal model. The research can be able to provide the decision support for emergency rescue of accident.%应急救援活动本身具有不确定性和复杂性的特点。为了对救援活动的顺利开展进行支持,文中以最小化救援损失为目标,研究应急救援前摄性调度优化问题。首先对问题进行界定,对问题进行符号化表示,并由此定义出资源约束下的救援计划调度优化模型。根据救援活动的紧急程度分配优先级,并定义出优化目标函数。该问题是强NP-hard的,由此根据现代优化算法的特点设计出遗传禁忌启发式算法。最后通过对某事故救援数据进行分析模拟对提出的算法进行说明。结果表明,该算法可以有效对优化模型进行求解。该研究可为突发事件的应急救援活动的开展提供决策支持。

  3. Publication Ethics and the Emerging Scientific Workforce: Understanding ‘Plagiarism’ in a Global Context

    Science.gov (United States)

    Cameron, Carrie; Zhao, Hui; McHugh, Michelle K.

    2013-01-01

    Scientific publication has long been dominated by the English language and is rapidly moving towards near complete hegemony of English, while the majority of the world’s publishing scientists are not native English speakers. This imbalance has important implications for training in and enforcement of publication ethics, particularly with respect to plagiarism. A lack of understanding of what constitutes plagiarism and the use of a linguistic support strategy known as patchwriting can lead to inadvertent misuse of source material by non-native speakers writing in English as well as to unfounded accusations of intentional scientific misconduct on the part of these authors. A rational and well-informed dialogue about this issue is needed among both native English speaking and non-native English speaking writers, editors, educators, and administrators. Recommendations for educating and training are provided. PMID:22104051

  4. Perspective: publication ethics and the emerging scientific workforce: understanding "plagiarism" in a global context.

    Science.gov (United States)

    Cameron, Carrie; Zhao, Hui; McHugh, Michelle K

    2012-01-01

    English has long been the dominant language of scientific publication, and it is rapidly approaching near-complete hegemony. The majority of the scientists publishing in English-language journals are not native English speakers, however. This imbalance has important implications for training concerning ethics and enforcement of publication standards, particularly with respect to plagiarism. The authors suggest that lack of understanding of what constitutes plagiarism and the use of a linguistic support strategy known as "patchwriting" can lead to inadvertent misuse of source material by nonnative speakers writing in English as well as to unfounded accusations of intentional scientific misconduct on the part of these authors. They propose that a rational and well-informed dialogue about this issue is needed among editors, educators, administrators, and both native-English-speaking and nonnative-English-speaking writers. They offer recommendations for creating environments in which such dialogue and training can occur.

  5. Air pollution and public health: emerging hazards and improved understanding of risk.

    Science.gov (United States)

    Kelly, Frank J; Fussell, Julia C

    2015-08-01

    Despite past improvements in air quality, very large parts of the population in urban areas breathe air that does not meet European standards let alone the health-based World Health Organisation Air Quality Guidelines. Over the last 10 years, there has been a substantial increase in findings that particulate matter (PM) air pollution is not only exerting a greater impact on established health endpoints, but is also associated with a broader number of disease outcomes. Data strongly suggest that effects have no threshold within the studied range of ambient concentrations, can occur at levels close to PM2.5 background concentrations and that they follow a mostly linear concentration-response function. Having firmly established this significant public health problem, there has been an enormous effort to identify what it is in ambient PM that affects health and to understand the underlying biological basis of toxicity by identifying mechanistic pathways-information that in turn will inform policy makers how best to legislate for cleaner air. Another intervention in moving towards a healthier environment depends upon the achieving the right public attitude and behaviour by the use of optimal air pollution monitoring, forecasting and reporting that exploits increasingly sophisticated information systems. Improving air quality is a considerable but not an intractable challenge. Translating the correct scientific evidence into bold, realistic and effective policies undisputedly has the potential to reduce air pollution so that it no longer poses a damaging and costly toll on public health.

  6. The emergence and workings of a process view in public education policy

    DEFF Research Database (Denmark)

    Grønbæk Pors, Justine; Ratner, Helene Gad

    2017-01-01

    This article presents a study of Danish primary education policy with the purpose of exploring what is put at stake when contemporary management discourses describe the object of management as fluid and emergent processes rather than as entities, persons and things. The article examines how...... such a process view of organisation allows policy makers to imagine innovative change, but also how a process view interacts in particular ways with financial pressures and become entangled to increased performance measurements. We conclude that in this particular case, a conception of the object of management...

  7. The Emergence and Workings of a Process View in Public Education Policy

    DEFF Research Database (Denmark)

    Pors, Justine Grønbæk; Ratner, Helene

    2017-01-01

    This article presents a study of Danish primary education policy with the purpose of exploring what is put at stake when contemporary management discourses describe the object of management as fluid and emergent processes rather than as entities, persons and things. The article examines how...... such a process view of organisation allows policy makers to imagine innovative change, but also how a process view interacts in particular ways with financial pressures and become entangled to increased performance measurements. We conclude that in this particular case, a conception of the object of management...

  8. 院前急救调度质量控制对救护车空返率的影响%Effects of scheduling quality control on empty return rate of ambulance in prehospital emergency care

    Institute of Scientific and Technical Information of China (English)

    李丽梅; 刘菁; 胡远扬

    2015-01-01

    Objective To investigate the effect of scheduling quality control on ambulance empty return rate in prehospital e-mergency care.Methods New formulation of scheduling quality implementation method is launched in 2013, the record of dispatc-hing prehospital emergency care ambulances in Quanzhou Emergency Command Center were selected, then empty return rate and scheduling quality of 2012 and 2013 were compared.Results In 2012, a total of 13 639 ambulances were dispatched.In 2013, a to-tal of 13 245 ambulances, empty return rate in 2012 was higher than in 2013(19.80% vs 17.98%), the difference was statistically significance(χ2 =14.392,P<0.001);The average response time(4.3 s vs 4.1 s) and processing time(56.3 s vs 48 s) of dispatch-ers’ answering alarm and off-hook in 2012 is higher than that in 2013, frequency of the processing time longer than 90 s was signifi-cantly declined in 2013(χ2 =105.820,P<0.001).Conclusions Through the improvement of prehospital emergency system, and strengthen the implementation of dispatchers’ quality control.It can effectively reduce the empty return rate, and improve the prehospi-tal emergency rescue efficiency.%目的:探讨调度质量控制对救护车空返率的影响。方法2013年泉州市急救指挥中心启用新制定的调度质量实施方法,选取统计其2012年和2013年院前急救出车情况,并比较两年的救护车空返率和调度质量。结果2012年共出车13639车次,2013年共出车13245车次,其中2012年空返率高于2013年(19.80% vs 17.98%),差异有统计学意义(χ2=14.392,P<0.001);2012年调度员接警摘机平均反应时间(4.3 s vs 4.1 s),平均受理时间(56.3 s vs 48.0 s)均高于2013年,其中2013年的受理时间大于90 s的次数明显下降(χ2=105.820,P<0.001)。结论通过完善院前急救体制和加强实施中心调度员质量控制,可以有效地降低院前急救空返率、提高院前急救抢救效率。

  9. Scheduling and routing Tactical Aerial Reconnaissance Vehicles

    OpenAIRE

    1990-01-01

    Approved for public release; distribution unlimited. In this thesis we study the Marine Corps Tactical Aerial Reconnaissance Vehicle routing and scheduling problem. the present method of routing and scheduling is presented, along with possible implications for routing and scheduling when future expansion of vehicle assets becomes available. A review of current literature is given and comparisons are drawn between our problem and recent work. A model for the problem, which we call the Multi...

  10. Impact of an ABCDE team triage process combined with public guidance on the division of work in an emergency department.

    Science.gov (United States)

    Kantonen, Jarmo; Lloyd, Robert; Mattila, Juho; Kauppila, Timo; Menezes, Ricardo

    2015-06-01

    To study the effects of applying an emergency department (ED) triage system, combined with extensive publicity in local media about the "right" use of emergency services, on the division of work between ED nurses and general practitioners (GPs). An observational and quasi-experimental study based on before-after comparisons. Implementation of the ABCDE triage system in a Finnish combined ED where secondary care is adjacent, and in a traditional primary care ED where secondary care is located elsewhere. GPs and nurses from two different primary care EDs. Numbers of monthly visits to different professional groups before and after intervention in the studied primary care EDs and numbers of monthly visits to doctors in the local secondary care ED. The beginning of the triage process increased temporarily the number of independent consultations and patient record entries by ED nurses in both types of studied primary care EDs and reduced the number of patient visits to a doctor compared with previous years but had no effect on doctor visits in the adjacent secondary care ED. No further decrease in the number of nurse or GP visits was observed by inhibiting the entrance of non-urgent patients. The ABCDE triage system combined with public guidance may reduce non-urgent patient visits to doctors in different kinds of primary care EDs without increasing visits in the secondary care ED. However, the additional work to implement the ABCDE system is mainly directed to nurses, which may pose a challenge for staffing.

  11. US Army Public Health Command’s (Prov) (Formly USACHPPM) Process to Screen Chemicals in Support of DoD’s CMRM Emerging Contaminants Program

    Science.gov (United States)

    2010-06-01

    US Army Public Health Command’s (Prov) (Formly USACHPPM) Process to Screen Chemicals in Support of DoD’s CMRM Emerging Contaminants Program...CMRM Emerging Contaminants Program 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER...Occupational Health • DoD Instruction 5000.2 Operation of the Defense Acquisition System • DoD Instruction 4715.18 Emerging Contaminants (EC

  12. Playing for health? Revisiting health promotion to examine the emerging public health position on children's play.

    Science.gov (United States)

    Alexander, Stephanie A; Frohlich, Katherine L; Fusco, Caroline

    2014-03-01

    Concerns over dwindling play opportunities for children have recently become a preoccupation for health promotion in western industrialized countries. The emerging discussions of play seem to be shaped by the urgency to address the children's obesity epidemic and by societal concerns around risk. Accordingly, the promotion of play from within the field appears to have adopted the following principles: (i) particular forms of play are critical for increasing children's levels of physical activity; and (ii) play should be limited to activities that are not risky. In this article, we argue that these emerging principles may begin to re-shape children's play: play is predominantly instrumentalized as a means to promote children's physical health, which may result in a reduction of possibilities for children to play freely and a restriction of the kinds of play designated as appropriate for physical health. We argue that within this context some of the social and emotional elements of health and well-being that children gain through diverse forms of playing are neglected. This has implications for health promotion because it suggests a narrowing of the conception of health that was originally advocated for within the field. Additionally, this reveals a curious paradox; despite the urgency to promote physical activity through play, this position may limit the range of opportunities for children to freely engage in play, in effect reducing their activity levels. We propose an example that promotes play for children and better aligns with the conception of health as outlined in the Ottawa Charter.

  13. Expanding practitioner scopes of practice during public health emergencies: experiences from the 2009 H1N1 pandemic vaccination efforts.

    Science.gov (United States)

    Courtney, Brooke; Morhard, Ryan; Bouri, Nidhi; Cicero, Anita

    2010-09-01

    In a public health emergency involving significant surges in patients and shortages of medical staff, supplies, and space, temporarily expanding scopes of practice of certain healthcare practitioners may help to address heightened population health needs. Scopes of practice, which are defined by state practice acts, set forth the range of services that licensed practitioners are authorized to perform. The U.S. has had limited experience with temporarily expanding scopes of practice during emergencies. However, during the 2009 H1N1 pandemic response, many states took some form of action to expand the practice scopes of certain categories of practitioners in order to authorize them to administer the pandemic vaccine. No standard legal approach for expanding scopes of practice during emergencies exists across states, and scope of practice expansions during routine, nonemergency times have been the subject of professional society debate and legal action. These issues raise the question of how states could effectively implement expansions for health services beyond administering vaccine and ensure consistency in expansions across states during catastrophic events that require a shift to crisis standards of care. This article provides an overview of scopes of practice, a summary of the range of legal and regulatory approaches used in the U.S. to expand practice scopes for vaccination during the 2009 H1N1 response, and recommendations for future research.

  14. Social Mobilization and Community Engagement Central to the Ebola Response in West Africa: Lessons for Future Public Health Emergencies.

    Science.gov (United States)

    Gillespie, Amaya M; Obregon, Rafael; El Asawi, Rania; Richey, Catherine; Manoncourt, Erma; Joshi, Kshiitij; Naqvi, Savita; Pouye, Ade; Safi, Naqibullah; Chitnis, Ketan; Quereshi, Sabeeha

    2016-12-23

    Following the World Health Organization (WHO) declaration of a Public Health Emergency of International Concern regarding the Ebola outbreak in West Africa in July 2014, UNICEF was asked to co-lead, in coordination with WHO and the ministries of health of affected countries, the communication and social mobilization component-which UNICEF refers to as communication for development (C4D)-of the Ebola response. For the first time in an emergency setting, C4D was formally incorporated into each country's national response, alongside more typical components such as supplies and logistics, surveillance, and clinical care. This article describes the lessons learned about social mobilization and community engagement in the emergency response to the Ebola outbreak, with a particular focus on UNICEF's C4D work in Guinea, Liberia, and Sierra Leone. The lessons emerged through an assessment conducted by UNICEF using 4 methods: a literature review of key documents, meeting reports, and other articles; structured discussions conducted in June 2015 and October 2015 with UNICEF and civil society experts; an electronic survey, launched in October and November 2015, with staff from government, the UN, or any partner organization who worked on Ebola (N = 53); and key informant interviews (N = 5). After triangulating the findings from all data sources, we distilled lessons under 7 major domains: (1) strategy and decentralization: develop a comprehensive C4D strategy with communities at the center and decentralized programming to facilitate flexibility and adaptation to the local context; (2) coordination: establish C4D leadership with the necessary authority to coordinate between partners and enforce use of standard operating procedures as a central coordination and quality assurance tool; (3) entering and engaging communities: invest in key communication channels (such as radio) and trusted local community members; (4) messaging: adapt messages and strategies continually as patterns

  15. Establishing a nationwide emergency department-based syndromic surveillance system for better public health responses in Taiwan

    Directory of Open Access Journals (Sweden)

    Chiu Chan-Hsien

    2008-01-01

    Full Text Available Abstract Background With international concern over emerging infectious diseases (EID and bioterrorist attacks, public health is being required to have early outbreak detection systems. A disease surveillance team was organized to establish a hospital emergency department-based syndromic surveillance system (ED-SSS capable of automatically transmitting patient data electronically from the hospitals responsible for emergency care throughout the country to the Centers for Disease Control in Taiwan (Taiwan-CDC starting March, 2004. This report describes the challenges and steps involved in developing ED-SSS and the timely information it provides to improve in public health decision-making. Methods Between June 2003 and March 2004, after comparing various surveillance systems used around the world and consulting with ED physicians, pediatricians and internal medicine physicians involved in infectious disease control, the Syndromic Surveillance Research Team in Taiwan worked with the Real-time Outbreak and Disease Surveillance (RODS Laboratory at the University of Pittsburgh to create Taiwan's ED-SSS. The system was evaluated by analyzing daily electronic ED data received in real-time from the 189 hospitals participating in this system between April 1, 2004 and March 31, 2005. Results Taiwan's ED-SSS identified winter and summer spikes in two syndrome groups: influenza-like illnesses and respiratory syndrome illnesses, while total numbers of ED visits were significantly higher on weekends, national holidays and the days of Chinese lunar new year than weekdays (p Conclusion Taiwan's ED-SSS represents the first nationwide real-time syndromic surveillance system ever established in Asia. The experiences reported herein can encourage other countries to develop their own surveillance systems. The system can be adapted to other cultural and language environments for better global surveillance of infectious diseases and international collaboration.

  16. Coverage of emergency obstetric care and availability of services in public and private health facilities in Bangladesh.

    Science.gov (United States)

    Alam, Badrul; Mridha, Malay K; Biswas, Taposh K; Roy, Lumbini; Rahman, Maksudur; Chowdhury, Mahbub E

    2015-10-01

    To assess the coverage of emergency obstetric care (EmOC) and the availability of obstetric services in Bangladesh. In a national health facility assessment performed between November 2007 and July 2008, all public EmOC facilities and private facilities providing obstetric services in the 64 districts of Bangladesh were mapped. The performance of EmOC services in these facilities during the preceding month was investigated using a semi-structured questionnaire completed through interviews of managers and service providers, and record review. In total, 8.6 (2.1 public and 6.5 private) facilities per 500000 population offered obstetric care services. Population coverage by obstetric care facilities varied by region. Among 281 public facilities designated for comprehensive EmOC, cesarean delivery was available in only 215 (76.5%) and blood transfusion services in 198 (70.5%). In the private sector (for profit and not for profit), these services were available in more than 80% of facilities. In all facility types, performance of assisted vaginal delivery (range 12.2%-48.4%) and use of parenteral anticonvulsants to treat pre-eclampsia/eclampsia (range 48.6%-80.8%) were low. The main reason for non-availability of EmOC services was a lack of specialist/trained providers. Bangladesh needs to increase the availability of EmOC services through innovative public-private partnerships. In the public sector, additional trained manpower supported by an incentivized package should be deployed. Copyright © 2015. Published by Elsevier Ireland Ltd.

  17. Arboviruses emerging in Brazil: challenges for clinic and implications for public health.

    Science.gov (United States)

    Donalisio, Maria Rita; Freitas, André Ricardo Ribas; Zuben, Andrea Paula Bruno Von

    2017-04-10

    Arboviruses have been emerging in different parts of the world due to genetic changes in the virus, alteration of the host and vector population dynamics, or because of anthropogenic environmental factors. These viruses' capacity for adaptation is notable, as well as the likelihood of their emergence and establishment in new geographic areas. In Brazilian epidemiologic scenario, the most common arboviruses are DENV, CHIKV, and ZIKV, although others may spread in the country. Little is yet known of the impact of viral co-circulation, which would theoretically result in more intense viremia or other immunological alterations that could trigger autoimmune diseases, such as Guillain-Barré syndrome. The impact on morbidity and mortality intensifies as extensive epidemics lead to a high number of affected individuals, severe cases, and implications for health services, mainly due to the absence of treatment, vaccines, and effective prevention and control measures. RESUMO Notifica-se a emergência de arboviroses em diferentes regiões do planeta em decorrência de mudanças genéticas no vírus, alteração da dinâmica populacional de hospedeiros e vetores ou por fatores ambientais de origem antropogênica. É notável a capacidade de adaptação desses vírus e a possibilidade de emergirem e se estabelecerem em novas áreas geográficas. No contexto epidemiológico brasileiro, os arbovírus de maior circulação são DENV, CHIKV e ZIKV, embora existam outros com potencial de disseminação no País. O impacto da cocirculação viral ainda é pouco conhecido, a qual teoricamente resultaria em viremias mais intensas ou outras alterações imunológicas que poderiam ser o gatilho para doenças autoimunes, como a síndrome de Guillain-Barré. O impacto na morbidade e mortalidade se intensifica à medida que extensas epidemias pressupõem grande número de indivíduos acometidos, casos graves e implicações sobre os serviços de saúde, principalmente diante da aus

  18. A proposed simulation optimization model framework for emergency department problems in public hospital

    Science.gov (United States)

    Ibrahim, Ireen Munira; Liong, Choong-Yeun; Bakar, Sakhinah Abu; Ahmad, Norazura; Najmuddin, Ahmad Farid

    2015-12-01

    The Emergency Department (ED) is a very complex system with limited resources to support increase in demand. ED services are considered as good quality if they can meet the patient's expectation. Long waiting times and length of stay is always the main problem faced by the management. The management of ED should give greater emphasis on their capacity of resources in order to increase the quality of services, which conforms to patient satisfaction. This paper is a review of work in progress of a study being conducted in a government hospital in Selangor, Malaysia. This paper proposed a simulation optimization model framework which is used to study ED operations and problems as well as to find an optimal solution to the problems. The integration of simulation and optimization is hoped can assist management in decision making process regarding their resource capacity planning in order to improve current and future ED operations.

  19. Creating the Continuum: J. E. Wallace Wallin and the Role of Clinical Psychology in the Emergence of Public School Special Education in America

    Science.gov (United States)

    Ferguson, Philip M.

    2014-01-01

    This paper reviews the history of the continuum of services in intellectual disability programmes. The emergence of public school special education in the USA in the first two decades of the twentieth century is used as a case study of this history by focusing on events and personalities connected to the St Louis Public Schools. Using Annual…

  20. Creating the Continuum: J. E. Wallace Wallin and the Role of Clinical Psychology in the Emergence of Public School Special Education in America

    Science.gov (United States)

    Ferguson, Philip M.

    2014-01-01

    This paper reviews the history of the continuum of services in intellectual disability programmes. The emergence of public school special education in the USA in the first two decades of the twentieth century is used as a case study of this history by focusing on events and personalities connected to the St Louis Public Schools. Using Annual…

  1. Emergency response teams training in public health crisis: The seriousness of serious games

    Directory of Open Access Journals (Sweden)

    Stanojević Vojislav

    2016-01-01

    Full Text Available Introduction. The rapid development of multimedia technologies in the last twenty years has lead to the emergence of new ways of learning academic and professional skills, which implies the application of multimedia technology in the form of a software -“serious computer games”. Three-Dimensional Virtual Worlds. The basis of this game-platform is made of the platform of three-dimensional virtual worlds that can be described as communication systems in which participants share the same three-dimensional virtual space within which they can move, manipulate objects and communicate through their graphical representativesavatars. Medical Education and Training. Arguments in favor of these computer tools in the learning process are accessibility, repeatability, low cost, the use of attractive graphics and a high degree of adaptation to the user. Specifically designed avatars allow students to get adapted to their roles in certain situations, especially to those which are considered rare, dangerous or unethical in real life. Discussion. Drilling of major incidents, which includes the need to create environments for training, cannot be done in the real world due to high costs and necessity to utilize the extensive resources. In addition, it is impossible to engage all the necessary health personnel at the same time. New technologies intended for conducting training, which are also called “virtual worlds”, make the following possible: training at all times depending on user’s commitments; simultaneous simulations on multiple levels, in several areas, in different circumstances, including dozens of unique victims; repeated scenarios and learning from mistakes; rapid feedback and the development of non-technical skills which are critical for reducing errors in dynamic, high-risk environments. Conclusion. Virtual worlds, which should be the subject of further research and improvements, in the field of hospital emergency response training for mass

  2. A Voice Priority Queue (VPQ Fair Scheduler for the VoIP over WLANs

    Directory of Open Access Journals (Sweden)

    Kashif Nisar

    2011-02-01

    Full Text Available Transmission of VoIP over packet switching networks is one of the rapidly emerging real-time Internet Protocol. The real-time application of the Voice over Internet Protocol (VoIP is growing rapidly for it is more flexible than the traditional Public Switched Telephone Networks systems (PSTN. Meanwhile, the VoIP deployment on Wireless Local Area Networks (WLANs, which is based on IEEE 802.11 standards, is increasing. Currently, many schedulers have been introduced such as Weighted Fair Queueing (WFQ, Strict Priority (SP General processor sharing (GPS, Deficit Round Robin (DRR, andContention-Aware Temporally fair Scheduling (CATS. Unfortunately, the current scheduling techniques have some drawbacks on real-time applications and therefore will not be able to handle the VoIP packetsin a proper way. The objective of this research is to propose a new scheduler system model for the VoIP application named Voice Priority Queue (VPQ scheduler. The scheduler system model is to ensureefficiency by producing a higher throughput and fairness for VoIP packets. In this paper, only the First Stage of the VPQ packet scheduler and its algorithm are presented. Simulation topologies for VoIP traffic were implemented and analyzed using the Network Simulator (NS-2. The results show that this method can achieve a better and more accurate VoIP quality throughput and fairness index.

  3. 7 CFR 1945.30 - FmHA or its successor agency under Public Law 103-354 Emergency Loan Support Teams (ELST).

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true FmHA or its successor agency under Public Law 103-354...) EMERGENCY Disaster Assistance-General § 1945.30 FmHA or its successor agency under Public Law 103-354... immediate attention by FmHA or its successor agency under Public Law 103-354 in implementing the EM...

  4. Occurrence of human pathogenic Clostridium botulinum among healthy dairy animals: an emerging public health hazard.

    Science.gov (United States)

    Abdel-Moein, Khaled A; Hamza, Dalia A

    2016-01-01

    The current study was conducted to investigate the occurrence of human pathogenic Clostridium botulinum in the feces of dairy animals. Fecal samples were collected from 203 apparently healthy dairy animals (50 cattle, 50 buffaloes, 52 sheep, 51 goats). Samples were cultured to recover C. botulinum while human pathogenic C. botulinum strains were identified after screening of all C. botulinum isolates for the presence of genes that encode toxins type A, B, E, F. The overall prevalence of C. botulinum was 18.7% whereas human pathogenic C. botulinum strains (only type A) were isolated from six animals at the rates of 2, 2, 5.8, and 2% for cattle, buffaloes, sheep, and goats, respectively. High fecal carriage rates of C. botulinum among apparently healthy dairy animals especially type A alarm both veterinary and public health communities for a potential role which may be played by dairy animals in the epidemiology of such pathogen.

  5. Primary HIV infection: a medical and public health emergency requiring rapid specialist management.

    Science.gov (United States)

    Fidler, Sarah; Fox, Julie

    2016-04-01

    Primary HIV infection (PHI) refers to the first six months following HIV acquisition and represents a unique opportunity for expedited diagnosis, and consideration of rapid antiretroviral therapy (ART) initiation to improve immune function, reduce the size of the viral reservoir and limit the risk of onward viral transmission. Failure to diagnose and rapidly treat individuals with PHI has significant individual and public health implications. The Strategic Timing of AntiRetroviral Treatment trial recently identified a clinical benefit of immediate ART over deferral of treatment according to CD4 count threshold, and has led to rapid changes in World Health Organization and specialist national guidelines. For all individuals living with HIV, the offer of immediate therapy irrespective of CD4 count is now recommended. This paper summarises the presentation and management of PHI, incorporating current research and guideline changes and discusses the role of PHI in onward transmission.

  6. Immigration and changes in the epidemiology of hemoglobin disorders in Italy : an emerging public health burden

    Directory of Open Access Journals (Sweden)

    Cataldo Francesco

    2012-07-01

    Full Text Available Abstract Background In the last years Italy is confronting with massive migratory movements from developing countries where hemoglobinopathies are widespread. This is causing a large diffusion and a changing spectrum in the epidemiology of hemoglobin disorders in Italy. Methods Investigations recently published in Italy on hemoglobinopathies among immigrants were revised in order to appreciate the impact of immigration from developing countries on epidemiology of these pathologies and to outline adequate guidelines of prevention. Results Although in Italy there is a limited number of investigations regarding the relation between immigration and hemoglobin disorders, published data show that in our Nation there is a changing and increasing spectrum of hemoglobinopathies linked to immigration. Conclusions Prospective and retrospective actions of public healthy preventive policy are requested, based upon information (health educational programs for immigrants and caregivers, screenings among immigrants (school screening, pre-marital, preconception and early pregnancy screening, newborn screening, counseling for foreign at-risk couples and healthy carriers.

  7. Secretary's advisory committee on genetic testing: its emerging role in public policy deliberation on genetic tests.

    Science.gov (United States)

    Carr, S; Goodwin, S M

    1999-01-01

    The Secretary's Advisory Committee on Genetic Testing (SACGT) was established by the U.S. Secretary of Health and Human Services, Donna E. Shalala, to provide a public forum for the formulation of policy advice in the complex and growing area of genetic testing. After a careful nomination and selection process, the Secretary announced the appointment of thirteen advisors to the SACGT in June 1999. The first meeting of the SACGT was held June 30, 1999. This article describes the purpose, formation, and function of the SACGT. Before addressing these questions about the role of the SACGT, we first will explain what genetic testing is, how it is currently used, and what new uses it may be put to in the future.

  8. The role of public policy in emerging green power markets: An analysis of marketer preferences

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, R.

    1999-08-01

    Green power marketing has been heralded by some as a means to create a private market for renewable energy that is driven by customer demand for green products. This report challenges the premise--sometimes proffered in debates over green markets--that profitable, sizable, credible markets for green products will evolve naturally without supportive public policies. Relying primarily on surveys and interviews of US green power marketers, the article examines the role of specific regulatory and legislative policies in enabling the green market, and searches for those policies that are believed by marketers to be the most conducive or detrimental to the expansion of the green market. The authors find that marketers: (1) believe that profitable green power markets will only develop if a solid foundation of supportive policies exists; (2) believe that establishing overall price competition and encouraging customer switching are the top priorities; (3) are somewhat leery of government-sponsored or mandated public information programs; and (4) oppose three specific renewable energy policies that are frequently advocated by renewable energy enthusiasts, but that may have negative impacts on the green marketers' profitability. The stated preferences of green marketers shed light on ways to foster renewables by means of the green market. Because the interests of marketers do not coincide perfectly with those of society, however, the study also recognizes other normative perspectives and highlights policy tensions at the heart of current debates related to green markets. By examining these conflicts, they identify three key policy questions that should direct future research: (1) to what extent should price competition and customer switching be encouraged at the expense of cost shifting; (2) what requirements should be imposed to ensure credibility in green products and marketing; and (3) how should the green power market and broader renewable energy policies interact?

  9. Future aircraft networks and schedules

    Science.gov (United States)

    Shu, Yan

    2011-07-01

    Because of the importance of air transportation scheduling, the emergence of small aircraft and the vision of future fuel-efficient aircraft, this thesis has focused on the study of aircraft scheduling and network design involving multiple types of aircraft and flight services. It develops models and solution algorithms for the schedule design problem and analyzes the computational results. First, based on the current development of small aircraft and on-demand flight services, this thesis expands a business model for integrating on-demand flight services with the traditional scheduled flight services. This thesis proposes a three-step approach to the design of aircraft schedules and networks from scratch under the model. In the first step, both a frequency assignment model for scheduled flights that incorporates a passenger path choice model and a frequency assignment model for on-demand flights that incorporates a passenger mode choice model are created. In the second step, a rough fleet assignment model that determines a set of flight legs, each of which is assigned an aircraft type and a rough departure time is constructed. In the third step, a timetable model that determines an exact departure time for each flight leg is developed. Based on the models proposed in the three steps, this thesis creates schedule design instances that involve almost all the major airports and markets in the United States. The instances of the frequency assignment model created in this thesis are large-scale non-convex mixed-integer programming problems, and this dissertation develops an overall network structure and proposes iterative algorithms for solving these instances. The instances of both the rough fleet assignment model and the timetable model created in this thesis are large-scale mixed-integer programming problems, and this dissertation develops subproblem schemes for solving these instances. Based on these solution algorithms, this dissertation also presents

  10. The emerging of the fifth malaria parasite (Plasmodium knowlesi: a public health concern?

    Directory of Open Access Journals (Sweden)

    Sergio Sabbatani

    Full Text Available After examining the most recent scientific evidences, which assessed the role of some malaria plasmodia that have monkeys as natural reservoirs, the authors focus their attention on Plasmodium knowlesi. The infective foci attributable to this last Plasmodium species have been identified during the last decade in Malaysia, in particular in the states of Sarawak and Sabah (Malaysian Borneo, and in the Pahang region (peninsular Malaysia. The significant relevance of molecular biology assays (polymerase chain reaction, or PCR, performed with specific primers for P. knowlesi, is underlined, since the traditional microscopic examination does not offer distinguishing features, especially when the differential diagnosis with Plasmodium malariae is of concern. Furthermore, Plasmodium knowlesi disease may be responsible of fatal cases, since its clinical presentation and course is more severe compared with those caused by P. malariae, paralleling a more elevated parasitemia. The most effective mosquito vector is represented by Anopheles latens; this mosquito is a parasite of both humans and monkeys. Among primates, the natural hosts are Macaca fascicularis, M. nemestina, M. inus, and Saimiri scirea. When remarking the possible severe evolution of P. knowlesi malaria, we underline the importance of an early recognition and a timely management, especially in patients who have their first onset in Western Hospitals, after journeys in Southeast Asian countries, and eventually participated in trekking excursions in the tropical forest. When malaria-like signs and symptoms are present, a timely diagnosis and treatment become crucial. In the light of its emerging epidemiological features, P. knowlesi may be added to the reknown human malaria parasites, whith includes P. vivax, P. ovale, P. malariae, and P. falciparum, as the fifth potential ethiologic agent of human malaria. Over the next few years, it will be mandatory to support an adequate surveillance and

  11. A paradigm analysis of ecological sustainability: The emerging polycentric climate change publics

    Science.gov (United States)

    Taminiau, Job B.

    Climate change poses significant complications to the development model employed by modern societies. Using paradigm analysis, the dissertation explains why, after 21 years, policy failure haunts the field: a key impediment is the unquestioned assumption that policy must adhere to an economic optimality principle. This results in policy models which fail to uphold sustainability, justice, and equality due to an emphasis on economic growth, technology, and technical and bureaucratic expertise. Unable to build consensus among low- and high-carbon economies, and searching for what one economist has called an oxymoron -- "sustainable growth" (Daly, 1997) -- the policy process has foundered with its only international convention (the Kyoto Protocol) having lost relevance. In the midst of this policy failure, the dissertation offers and defends the premise that alternative strategies have emerged which signal the prospect of a paradigm shift to ecological sustainability -- a paradigm in which social change takes places through commons-based management and community authorship in the form of network governance and where sustainability serves as governor of growth -- something unavailable in an optimality-guided world. Especially, a strategy of polycentricity is discussed in detail in order to elucidate the potential for a paradigm shift. This discussion is followed by an evaluation of two innovative concepts -- the Sustainable Energy Utility and the Solar City -- that might fit the polycentricity strategy and bring forth transformative change. The dissertation finds considerable potential rests in these two concepts and argues the critical importance of further development of innovative approaches to implement the ecological sustainability paradigm.

  12. A structured approach to transforming a large public hospital emergency department via lean methodologies.

    Science.gov (United States)

    Naik, Trushar; Duroseau, Yves; Zehtabchi, Shahriar; Rinnert, Stephan; Payne, Rosamond; McKenzie, Michele; Legome, Eric

    2012-01-01

    Emergency Departments (EDs) face significant challenges in providing efficient, quality, safe, cost-effective care. Lean methodologies are a proposed framework to redesign ED practices and processes to meet these challenges. We outline a systematic way that lean principles can be applied across the entire ED patient experience to transform a high volume ED in a safety net hospital. We review the change in ED performance metrics prior to and after lean implementation. We discuss critical insights and key lessons learned from our lean transformation to date. The steps to implementing lean principles across the patient's ED experience are described with specific attention to executive planning of rapid improvement experiments and the subsequent roll-out of lean transformation over an 18-month time frame. Basic ED performance data were compared to the year prior. Results of the exploratory analysis (using median and interquartile ranges and nonparametric tests for group comparisons) have shown improvement in several performance metrics after initiating lean transformation. The approach, lessons learned, and early data of our transformation can provide critical insights for EDs seeking to incorporate continuous improvement strategies. Key lessons and unique challenges encountered in safety net hospitals are discussed.

  13. List scheduling revisited

    NARCIS (Netherlands)

    Schutten, Johannes M.J.

    1996-01-01

    We consider the problem of scheduling n jobs on m identical parallel machines to minimize a regular cost function. The standard list scheduling algorithm converts a list into a feasible schedule by focusing on the job start times. We prove that list schedules are dominant for this type of problem.

  14. Evaluation of a Public Health Emergency of National Concern using Tracer Methodology

    Directory of Open Access Journals (Sweden)

    Gilberto Ferreira de SOUSA

    2013-09-01

    Full Text Available Este artigo tem o objetivo de descrever a experiência da utilização da metodologia tracer para avaliação do fluxo de informação adotado pelo Centro Nacional de Informações Estratégicas em Vigilância em Saúde (CIEVS para acompanhamento de uma Emergência de Saúde Pública de Importância Nacional (ESPIN no ano de 2010. Durante a realização de pesquisa avaliativa do centro, foi selecionada uma ESPIN como evento traçador e o fluxo percorrido pelas informações foi monitorado durante sua permanência como ponto de discussão no Comitê Permanente (CP. O evento estudado foi um desastre natural (inundação ocorrido no estado de Alagoas e capturado pelo CIEVS na imprensa e confirmado pelo CIEVS parte no estado 48 h depois. O evento passou pelo Instrumento de Decisão sendo considerado uma ESPIN e inserido no monitor CIEVS na Lista de Eventos de Verificação para monitoramento pelo CP. Durante três meses a ESPIN foi acompanhada sendo 180.000 pessoas acometidas com 37 mortes, 17 casos de leptospirose e 175 de dengue confirmados. A metodologia tracer se mostrou instrumento útil para se para se evidenciar a passagem do evento marcador em tempo real pelas diferentes etapas do sistema vigilância em saúde, podendo ser utilizado de maneira complementar nos estudos de avaliação.

  15. The Australian Public is Still Vulnerable to Emerging Virulent Strains of West Nile Virus

    Science.gov (United States)

    Prow, Natalie A.; Hewlett, Elise K.; Faddy, Helen M.; Coiacetto, Flaminia; Wang, Wenqi; Cox, Tarnya; Hall, Roy A.; Bielefeldt-Ohmann, Helle

    2014-01-01

    The mosquito-borne West Nile virus (WNV) is responsible for outbreaks of viral encephalitis in humans and horses with particularly virulent strains causing recent outbreaks in Eastern Europe, the Middle East, and North America. In Australia, a strain of WNV, Kunjin (WNVKUN), is endemic in the north and infection with this virus is generally asymptomatic. However, in early 2011, following extensive flooding, an unprecedented outbreak of WNVKUN encephalitis in horses occurred in South-Eastern Australia, resulting in more than 1,000 cases and a mortality of 10–15%. Despite widespread evidence of equine infections, there was only a single mild human case reported during this outbreak. To understand why clinical disease was seen in horses without similar observations in the human population, a serosurvey was conducted using blood donor samples from areas where equine cases were reported to assess level of flavivirus exposure. The seroprevalence to WNVKUN in humans was low before the outbreak (0.7%), and no significant increase was demonstrated after the outbreak period (0.6%). Due to unusual epidemiological features during this outbreak, a serosurvey was also conducted in rabbits, a potential reservoir host. Out of 675 animals, sampled across Australia between April 2011 and November 2012, 86 (12.7%) were seropositive for WNVKUN, with the highest prevalence during February of 2012 (28/145; 19.3%). As this is the first serological survey for WNVKUN in Australian feral rabbits, it remains to be determined whether wild rabbits are able to develop a high enough viremia to actively participate in WNV transmission in Australia. However, they may constitute a sentinel species for arbovirus activity, and this is the focus of on-going studies. Collectively, this study provides little evidence of human exposure to WNVKUN during the 2011 outbreak and indicates that the Australian population remains susceptible to the emergence of virulent strains of WNV. PMID:25279370

  16. The Australian public is still vulnerable to emerging virulent strains of West Nile virus

    Directory of Open Access Journals (Sweden)

    Natalie A. Prow

    2014-09-01

    Full Text Available The mosquito-borne West Nile virus (WNV is responsible for outbreaks of viral encephalitis in humans and horses with particularly virulent strains causing recent outbreaks in Eastern Europe, the Middle East and North America. In Australia, a strain of WNV, Kunjin (WNVKUN, is endemic in the north and infection with this virus is generally asymptomatic. However, in early 2011, following extensive flooding, an unprecedented outbreak of WNVKUN encephalitis in horses occurred in south-eastern Australia, resulting in more than 1,000 cases and a mortality of 10-15%. Despite widespread evidence of equine infections, there was only a single mild human case reported during this outbreak. To understand why clinical disease was seen in horses without similar observations in the human population, a serosurvey was conducted using blood donor samples from areas where equine cases were reported to assess level of flavivirus exposure. The seroprevalence to WNVKUN in humans was low before the outbreak (0.7%, and no significant increase was demonstrated after the outbreak period (0.6%. Due to unusual epidemiological features during this outbreak, a serosurvey was also conducted in rabbits, a potential reservoir host. Out of 675 animals, sampled across Australia between April 2011 and November 2012, 86 (12.7% were seropositive for WNVKUN, with the highest prevalence during February of 2012 (28/145; 19.3%. As this is the first serological survey for WNVKUN in Australian feral rabbits, it remains to be determined whether wild rabbits are able to develop a high enough viraemia to actively participate in WNV transmission in Australia. However, they may constitute a sentinel species for arbovirus activity, and this is the focus of ongoing studies. Collectively this study provides little evidence of human exposure to WNVKUN during the 2011 outbreak and indicates that the Australian population remains susceptible to the emergence of virulent strains of WNV.

  17. Facilitated workshop method to involve stakeholders and public in decision making process in radiological emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Mustonen, Raimo; Sinkko, Kari [STUK-Radiation and Nuclear Safety Authority, Helsinki (Finland). Research and Environmental Surveillance; Haemaelaeinen, Raimo P. [Helsinki Univ. of Technology, Helsinki (Finland). System Analysis Laboratory

    2006-09-15

    International organisations in radiation protection have for many years recommended that key players, e.g. authorities, expert organisations, industry, producers of foodstuffs and even the public, should be involved in the planning of protective actions in case of a nuclear accident. In this work, we have developed and tested a facilitated workshop method where representatives from various fields of the society aim to identify and evaluate systematically protective actions. Decision analysis techniques have been applied in workshops in order to find out the most feasible countermeasure strategies and to make the decision making-process transparent and auditable. The work builds on case studies where it was assumed that a hypothetical accident had led to a release of considerable amounts of radionuclides and therefore various types of countermeasures should be considered. This paper provides experiences gained in several European countries on how to facilitate this kind of workshops and how modern decision analysis techniques can be applied in the decision-making process.

  18. 40 CFR 300.905 - NCP Product Schedule.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false NCP Product Schedule. 300.905 Section... PLAN Use of Dispersants and Other Chemicals § 300.905 NCP Product Schedule. (a) Oil Discharges. (1) EPA..., called the NCP Product Schedule, may be obtained from the Emergency Response Division (5202-G),...

  19. The Emergency Public Relations Protocol: How to Work Effectively on Controversial Projects in an Academic Health Setting.

    Science.gov (United States)

    Rosser, B R Simon; Kilian, Gunna; West, William G

    2013-03-01

    Certain research topics - including studies of sexual behavior, substance use, and HIV risk -- are more likely to be scrutinized by the media and groups opposed to this area of research. When studying topics that others might deem controversial, it is critical that researchers anticipate potential negative media events prior to their occurrence. By developing an Emergency Public Relations Protocol at the genesis of a study, researchers can identify and plan for events that might result in higher scrutiny. For each identified risk, a good protocol details procedures to enact before, during and after a media event. This manuscript offers recommendations for developing a protocol based on both Situational Crisis Communication Theory and our experience as an HIV prevention research group who recently experienced such an event. The need to have procedures in place to monitor and address social media is highlighted.

  20. Research on Blood Emergency Scheduling Optimization under Supply Disruption after Disasters%考虑供应中断的灾后安全救援血液优化调度研究

    Institute of Scientific and Technical Information of China (English)

    秦晓燕; 刘晓; 程勤侦

    2012-01-01

    血液应急保障是灾后安全救援的重要环节.为既有效满足需求,又避免盲目、过量的采血、调血增大血液过期报废压力甚至血荒的发生,保障灾后安全救援顺利进行,针对血液的易腐特性,提出血液应急调度的特点,并建立在物联网技术支持下的多时段、多类型血制品、多种运输方式的优化调度模型,通过合理调用库存血,组织自采血、外调血,并确定相应的数量以满足用血需求,实现血液应急保障系统响应时间和调度总成本最小化目标.采用ILOG CPLEX软件对模型进行求解,结合汶川特大地震的实际案例,进行数值仿真与结果分析,并给出在不同中断情景下的调度策略,表明通过建立双向互调的血液供应网络,并采用调度优化方法能够以更短的时间满足用血需求,同时减小调配成本和血液报废压力,能更好地应对灾后救援中出现的供应中断情况.%Blood emergency guarantee system plays an important role in the disaster relief. However, large fluctuation in blood demand makes precise forecast impossible, meanwhile, node failure and road resistance cause supply disruption. So in order to meet the demand and avoid great discard pressure caused by severe excess, even blood supply shortage after disaster relief, a multi-period, multi-commodity, multi-mode transportation model was developed, based on blood characteristics, analysis of blood emergency scheduling features and technology of Internet of Things, with an objective to minimize the total response time and emergency cost of the blood scheduling network as well as reduce the discard risk, by determining the amount of self-collection, transportation and inventory to meet the demand. ILOG CPLEX software was employed to resolve the model and gave scheduling strategies for different scenarios of supply disruption. With Wenchuan earthquake as an example, a numerical simulation was conducted, and the analysis results show

  1. Dynamic Fractional Resource Scheduling vs. Batch Scheduling

    CERN Document Server

    Casanova, Henri; Vivien, Frédéric

    2011-01-01

    We propose a novel job scheduling approach for homogeneous cluster computing platforms. Its key feature is the use of virtual machine technology to share fractional node resources in a precise and controlled manner. Other VM-based scheduling approaches have focused primarily on technical issues or on extensions to existing batch scheduling systems, while we take a more aggressive approach and seek to find heuristics that maximize an objective metric correlated with job performance. We derive absolute performance bounds and develop algorithms for the online, non-clairvoyant version of our scheduling problem. We further evaluate these algorithms in simulation against both synthetic and real-world HPC workloads and compare our algorithms to standard batch scheduling approaches. We find that our approach improves over batch scheduling by orders of magnitude in terms of job stretch, while leading to comparable or better resource utilization. Our results demonstrate that virtualization technology coupled with light...

  2. Water Security, Climate Forcings and Public Health Impacts in Emerging Regions

    Science.gov (United States)

    Serman, E. A.; Akanda, A. S.; Craver, V.; Boving, T. B.

    2014-12-01

    Our world is rapidly urbanizing, with more than 80% of world's population is expected to be living in a city by the end of the century. A majority of these nations are rapidly urbanizing due to massive rural-to-urban migratory trends, with rapid development of unplanned urban settlements, or slums, with lack of adequate water or sanitation facilities and other municipal amenities. With global environmental change, natural disasters will expose millions more to drought, floods, and disease epidemics, and existing vulnerabilities will worsen. At the same time, rapid urbanization and fast changing land-use leads to widespread damage of infrastructure by stormwater, especially in lowlands and economically poor areas. The factor that consistently stands out among different cities from both the developed and the developing worlds is that the slums are typically the most vulnerable to water related natural hazards and climatic threats, such as water scarcity and quality issues in drought conditions, or water and sanitation breakdown and stormwater contamination problems. Onsite or decentralized water, wastewater and stormwater treatment as well as point-of-use water treatment options can be an economic, safe, and reliable alternative to conventional large-scale treatment especially, in urban fringes as well as rural areas. These systems can be designed to fit communities in terms of their economic, cultural, environmental, and demographic resources. As part of this study, we develop a database of urban water quality and quantity indices such as with urban land-use, water usage, climate, and socio-economic characteristics in various emerging regions in the world. We analyze past and current data to identify and quantify long-term trends and the impacts of large-scale climatic and anthropogenic changes on urban hydrology and health impacts. We specifically focus on five major cities from distinct groups of countries and geographies: Providence, RI, USA from the developed

  3. Factors Associated with No Dental Treatment in Preschoolers with Toothache: A Cross-Sectional Study in Outpatient Public Emergency Services

    Directory of Open Access Journals (Sweden)

    Geovanna C. M. Machado

    2014-08-01

    Full Text Available Many parents rely on emergency services to deal with their children’s dental problems, mostly pain and infection associated with dental caries. This cross-sectional study analyzed the factors associated with not doing an oral procedure in preschoolers with toothache attending public dental emergency services. Data were obtained from the clinical files of preschoolers treated at all nine dental emergency centers in Goiania, Brazil, in 2011. Data were children’s age and sex, involved teeth, oral procedures, radiography request, medications prescribed and referrals. A total of 531 files of children under 6 years old with toothache out of 1,108 examined were selected. Children’s mean age was 4.1 (SD 1.0 years (range 1–5 years and 51.6% were girls. No oral procedures were performed in 49.2% of cases; in the other 50.8%, most of the oral procedures reported were endodontic intervention and temporary restorations. Primary molars were involved in 48.4% of cases. With the exception of “sex”, the independent variables tested in the regression analysis significantly associated with non-performance of oral procedures: age (OR 0.7; 95% CI 0.5–0.8, radiography request (OR 3.8; 95% CI 1.7–8.2, medication prescribed (OR 7.5; 95% CI 4.9–11.5 and patient referred to another service (OR 5.7; 3.0–10.9. Many children with toothache received no oral procedure for pain relief.

  4. Adolescents taken care of in a public service of urgency and emergency: profile of morbidade and mortality

    Directory of Open Access Journals (Sweden)

    Islaine Fernandes Dubuc

    2006-08-01

    Full Text Available One is about a transversal descriptive inquiry in the characterize causes of morbidade and mortality between adolescents taken care of in the urgency and emergency service of a public hospital. The collection of data was carried through the attendance fiches, in the January, February and March months of 2003, totalizing 2722. The population consisted of adolescents of 10 the 19 years of age, residents in the city. The morbi-mortality causes had been classified in accordance with the International Classification of Desease (CID-10. More than the half of the taken care is for the feminine population (54.1%. The predominant causes of morbidade had been the infectious and parasitic illnesses in the feminine sex (26.5% and injuries and poisoning and some other consequences of external causes in the masculine sex (30.5%. The month of bigger attendance was March (38.4%. The period of the night was of bigger prevalence (37.6%. The medical clinic took care of 63.9% of the adolescents. They had received high, 84.6% of the cases and had not been detected deaths. The results contribute for the aiming of writ of prevention public politics the specific action, of control and reduction of the main causes of morbidade that take the adolescent population to look the service of ready aid.

  5. Assessing the readiness and training needs of non-urban physicians in public health emergency and response.

    Science.gov (United States)

    Hsu, Chiehwen Ed; Mas, Francisco Soto; Jacobson, Holly; Papenfuss, Richard; Nkhoma, Ella T; Zoretic, James

    2005-01-01

    Emergency readiness has become a public health priority for United States communities after the 9/11 attacks. Communities that have a less developed public health infrastructure are challenged to organize preparedness and response efforts and to ensure that health care providers are capable of caring for victims of terrorist acts. A survey was used to assess non-urban physicians' prior experience with and self-confidence in treating, and preferred training needs for responding to chemical, biologic, radiologic, nuclear, and explosive (CBRNE) cases. Data were collected through a mailed and Web-based survey. Although the response rate was calculated at 30%, approximately one third of the surveys were not able to be delivered. Most respondents reported never having seen or treated CBRNE-inflicted cases and were not confident in their ability to diagnose or treat CBRNE cases, but many were willing to participate in a state-led response plan. Almost half of the individuals had not participated in any related training but expressed interest in receiving training in small group workshops or through CD-ROM. These results provide potential direction for strategic preparedness planning for non-urban health care providers.

  6. Environmental surveillance master sampling schedule

    Energy Technology Data Exchange (ETDEWEB)

    Bisping, L.E.

    1997-01-01

    Environmental surveillance of the Hanford Site and surrounding areas is conducted by the Pacific Northwest National Laboratory (PNNL)(a) for the US Department of Energy (DOE). This document contains the planned 1997 schedules for routine collection of samples for the Surface Environmental Surveillance Project (SESP) and Drinking Water Monitoring Project. In addition, Section 3.0, Biota, also reflects a rotating collection schedule identifying the year a specific sample is scheduled for collection. The purpose of these monitoring projects is to evaluate levels of radioactive and nonradioactive pollutants in the Hanford environs, as required in DOE Order 5400.1, General Environmental Protection Program, and DOE Order 5400.5, Radiation Protection of the Public and the Environment. The sampling methods will be the same as those described in the Environmental Monitoring Plan, US Department of Energy, Richland Operations Office, DOE/RL91-50, Rev. 1, US Department of Energy, Richland, Washington.

  7. Crisis and Emergency Risk Messaging in Mass Media News Stories: Is the Public Getting the Information They Need to Protect Their Health?

    Science.gov (United States)

    Parmer, John; Baur, Cynthia; Eroglu, Dogan; Lubell, Keri; Prue, Christine; Reynolds, Barbara; Weaver, James

    2016-10-01

    The mass media provide an important channel for delivering crisis and emergency risk information to the public. We conducted a content analysis of 369 newspaper and television broadcast stories covering natural disaster and foodborne outbreak events and coded for seven best practices in crisis and emergency risk messaging. On average, slightly less than two (1.86) of the seven best practices were included in each story. The proportion of stories including individual best practices ranged from 4.6% for "expressing empathy" to 83.7% for "explaining what is known" about the event's impact to human health. Each of the other five best practices appeared in less than 25% of stories. These results suggest much of the risk messaging the public receives via mass media does not follow best practices for effective crisis and emergency communication, potentially compromising public understanding and actions in response to events.

  8. 41 CFR 101-5.104-4 - Scheduling feasibility studies.

    Science.gov (United States)

    2010-07-01

    ... FEDERAL BUILDINGS AND COMPLEXES 5.1-General § 101-5.104-4 Scheduling feasibility studies. The schedule of feasibility studies will be coordinated by GSA with its construction, space management, and buildings... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Scheduling...

  9. Conducting Community Health Needs Assessments in the Local Public Health Department: A Comparison of Random Digit Dialing and the Community Assessment for Public Health Emergency Response.

    Science.gov (United States)

    Stone, Kahler; Sierocki, Allison; Shah, Vaidehi; Ylitalo, Kelly R; Horney, Jennifer A

    2017-01-30

    Community health needs assessments (CHNAs) are now required by the Affordable Care Act (ACA) for nonprofit hospitals and the Public Health Accreditation Board (PHAB) for local health departments that seek accreditation. Currently, various primary data collection methods exist that meet the ACA and PHAB requirements. To compare 2 CHNA data collection methods implemented in the same geographical area from a local health department perspective. Two community surveys, one door-to-door and one telephone, in the 76706 zip code area of McLennan County, Texas. Adult survey respondents (Community Assessment for Public Health Emergency Response [CASPER]: N = 184; random digit dialing [RDD]: N = 133) of the 76706 zip code in McLennan County, Texas. Survey response rates, sociodemographic characteristics of survey respondents, and self-reported health behaviors from both community survey types. The CASPER survey had a contact rate of 36.0% and a cooperation rate of 60.5%, compared with a 10.1% response rate for the RDD survey. CASPER respondents were younger (26.6% aged 18-24 years), had lower education attainment (17.4% less than high school), and had a higher proportion of Hispanics (24.5%) than RDD respondents (4.6%, 10.5%, and 17.3%, respectively). CASPER respondents were less likely to report being overweight or obese (56.5%), to report days where no fruit or vegetables were consumed (7.1%), and to report days where no walking activity was conducted (9.8%) than RDD respondents (70.2%, 27.8%, and 21.8%, respectively). The CASPER survey cost less to conduct ($13 500) than the RDD survey ($100 000) and was logistically easier for the local health department to conduct using internally available resources. Local health departments use various data collection methods to conduct CHNAs for their populations and require varying levels of commitment and resources. RDD and CASPER can be used to meet ACA and PHAB requirements, collecting valuable health needs estimates and offer

  10. Immunization Schedules for Adults

    Science.gov (United States)

    ... Everyone: Easy-to-read Schedules Infants and Children Preteens and Teens Adults Display Immunization Schedules and Quiz ... file Microsoft Word file Microsoft Excel file Audio/Video file Apple Quicktime file RealPlayer file Text file ...

  11. Instant Childhood Immunization Schedule

    Science.gov (United States)

    ... Everyone: Easy-to-read Schedules Infants and Children Preteens and Teens Adults Display Immunization Schedules and Quiz ... file Microsoft Word file Microsoft Excel file Audio/Video file Apple Quicktime file RealPlayer file Text file ...

  12. School Construction Scheduling.

    Science.gov (United States)

    Delaney, J. B.

    1983-01-01

    Explains that favorable market and working conditions influence the scheduling of school construction projects. Facility planners, architects, and contractors are advised to develop a realistic time schedule for the entire project. (MLF)

  13. Shifts Scheduling Method for Physicians in Emergency Department with Time-Varying Demand%面向动态时变需求的急诊科医生排班研究

    Institute of Scientific and Technical Information of China (English)

    刘强; 谢晓岚; 刘冉; 陈尔真; 杨之涛

    2015-01-01

    急诊室的病人到达率是随时间动态变化而非恒定的,因此急诊室在病人到达的高峰时刻会出现病人拥挤、等待时间过长等现象,而在病人达到率低的时期内医生的工作时间利用率又相对较低。设计针对病人时变到达率的人员排班计划,能够缓解病人等待时间长、医生工作时间利用率低等问题。针对上述实际问题,首先提出了一种可以估计动态需求系统中顾客等待时间的方法,该方法利用 M/M/c 排队论理论对病人的等待时间加以近似表达。基于此方法构造了急诊室医生排班的混合整数规划模型并加以求解,数值仿真试验显示得到的结果明显优于目前医院实际的医生排班方案。%Significant variation in patient arrival rate is a key feature of emergency department (ED)and a main cause of the paradox between congestion in rush hours and resource redundancy in less busy hours.Appropriate personnel scheduling can help to relief this phenomenon.In this paper,we develop a mix integer programming model for daily personnel scheduling for EDs with non-stationary patient arrival over time.The goal is to minimize the total expected waiting time which is estimated by a combination of steady-state analysis of M/M/c queues and inventory-like flow balance equations.We then develop an improved estimation method and analyze the new model based on it.Numerical experiments and simulations are performed to validate the proposed models.

  14. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan

    Directory of Open Access Journals (Sweden)

    Huang Jianshi

    2008-09-01

    Full Text Available Abstract Background Hospital preparedness is critical for the early detection and management of public health emergency (PHE. Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Results Valid responses were received from 318 (79.5% of the 400 hospitals surveyed. Of the valid responses, 264 (85.2% hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix. Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above

  15. Geologic occurrences of erionite in the United States: an emerging national public health concern for respiratory disease

    Science.gov (United States)

    Van Gosen, Bradley S.; Blitz, Thomas A.; Plumlee, Geoffrey S.; Meeker, Gregory P.; Pierson, M. Patrick

    2013-01-01

    Erionite, a mineral series within the zeolite group, is classified as a Group 1 known respiratory carcinogen. This designation resulted from extremely high incidences of mesothelioma discovered in three small villages from the Cappadocia region of Turkey, where the disease was linked to environmental exposures to fibrous forms of erionite. Natural deposits of erionite, including fibrous forms, have been identified in the past in the western United States. Until recently, these occurrences have generally been overlooked as a potential hazard. In the last several years, concerns have emerged regarding the potential for environmental and occupational exposures to erionite in the United States, such as erionite-bearing gravels in western North Dakota mined and used to surface unpaved roads. As a result, there has been much interest in identifying locations and geologic environments across the United States where erionite occurs naturally. A 1996 U.S. Geological Survey report describing erionite occurrences in the United States has been widely cited as a compilation of all US erionite deposits; however, this compilation only focused on one of several geologic environments in which erionite can form. Also, new occurrences of erionite have been identified in recent years. Using a detailed literature survey, this paper updates and expands the erionite occurrences database, provided in a supplemental file (US_erionite.xls). Epidemiology, public health, and natural hazard studies can incorporate this information on known erionite occurrences and their characteristics. By recognizing that only specific geologic settings and formations are hosts to erionite, this knowledge can be used in developing management plans designed to protect the public.

  16. Reinforcement learning in scheduling

    Science.gov (United States)

    Dietterich, Tom G.; Ok, Dokyeong; Zhang, Wei; Tadepalli, Prasad

    1994-01-01

    The goal of this research is to apply reinforcement learning methods to real-world problems like scheduling. In this preliminary paper, we show that learning to solve scheduling problems such as the Space Shuttle Payload Processing and the Automatic Guided Vehicle (AGV) scheduling can be usefully studied in the reinforcement learning framework. We discuss some of the special challenges posed by the scheduling domain to these methods and propose some possible solutions we plan to implement.

  17. Scheduling with Time Lags

    NARCIS (Netherlands)

    X. Zhang (Xiandong)

    2010-01-01

    textabstractScheduling is essential when activities need to be allocated to scarce resources over time. Motivated by the problem of scheduling barges along container terminals in the Port of Rotterdam, this thesis designs and analyzes algorithms for various on-line and off-line scheduling problems

  18. Parallel scheduling algorithms

    Energy Technology Data Exchange (ETDEWEB)

    Dekel, E.; Sahni, S.

    1983-01-01

    Parallel algorithms are given for scheduling problems such as scheduling to minimize the number of tardy jobs, job sequencing with deadlines, scheduling to minimize earliness and tardiness penalties, channel assignment, and minimizing the mean finish time. The shared memory model of parallel computers is used to obtain fast algorithms. 26 references.

  19. Maritime wideband communication networks video transmission scheduling

    CERN Document Server

    Yang, Tingting

    2014-01-01

    This Springer Brief covers emerging maritime wideband communication networks and how they facilitate applications such as maritime distress, urgency, safety and general communications. It provides valuable insight on the data transmission scheduling and protocol design for the maritime wideband network. This brief begins with an introduction to maritime wideband communication networks including the architecture, framework, operations and a comprehensive survey on current developments. The second part of the brief presents the resource allocation and scheduling for video packet transmission wit

  20. URBAN-NET: A Network-based Infrastructure Monitoring and Analysis System for Emergency Management and Public Safety

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sangkeun (Matt) [ORNL; Chen, Liangzhe [ORNL; Duan, Sisi [ORNL; Chinthavali, Supriya [ORNL; Shankar, Mallikarjun (Arjun) [ORNL; Prakash, B. Aditya [Virginia Tech, Blacksburg, VA

    2016-01-01

    Abstract Critical Infrastructures (CIs) such as energy, water, and transportation are complex networks that are crucial for sustaining day-to-day commodity flows vital to national security, economic stability, and public safety. The nature of these CIs is such that failures caused by an extreme weather event or a man-made incident can trigger widespread cascading failures, sending ripple effects at regional or even national scales. To minimize such effects, it is critical for emergency responders to identify existing or potential vulnerabilities within CIs during such stressor events in a systematic and quantifiable manner and take appropriate mitigating actions. We present here a novel critical infrastructure monitoring and analysis system named URBAN-NET. The system includes a software stack and tools for monitoring CIs, pre-processing data, interconnecting multiple CI datasets as a heterogeneous network, identifying vulnerabilities through graph-based topological analysis, and predicting consequences based on what-if simulations along with visualization. As a proof-of-concept, we present several case studies to show the capabilities of our system. We also discuss remaining challenges and future work.

  1. Scheduler Vulnerabilities and Attacks in Cloud Computing

    CERN Document Server

    Zhou, Fangfei; Desnoyers, Peter; Sundaram, Ravi

    2011-01-01

    In hardware virtualization a hypervisor provides multiple Virtual Machines (VMs) on a single physical system, each executing a separate operating system instance. The hypervisor schedules execution of these VMs much as the scheduler in an operating system does, balancing factors such as fairness and I/O performance. As in an operating system, the scheduler may be vulnerable to malicious behavior on the part of users seeking to deny service to others or maximize their own resource usage. Recently, publically available cloud computing services such as Amazon EC2 have used virtualization to provide customers with virtual machines running on the provider's hardware, typically charging by wall clock time rather than resources consumed. Under this business model, manipulation of the scheduler may allow theft of service at the expense of other customers, rather than merely reallocating resources within the same administrative domain. We describe a flaw in the Xen scheduler allowing virtual machines to consume almost...

  2. Research on Mobile Media Strategies in Public Emergency%突发公共事件中的手机媒体传播策略研究

    Institute of Scientific and Technical Information of China (English)

    王燕星

    2014-01-01

    In the management of public emergencies,how to use the media effectively to enhance information communication effect,achieve positive guidance to public opinion is a realistic issue. Mobile phone media is a mul-timedia communication platform with stereoscopic effect,it highlights the unique value in the prevention and treat-ment of public emergency. In this paper,from the characteristics of media convergence in the context of public e-mergencies,combined with the mobile phone media communication characteristics,using the stage of growth theory to analyze the unique value of mobile phone media in the public emergency,refining mobile media strategies in public emergency.%在突发公共事件处理中,政府如何有效利用媒介提高信息传播效果,实现对舆论的正向引导是一个具有现实意义的研究课题。手机媒体作为一个具有立体效应的多媒体传播平台,在突发公共事件预防和处理中彰显出独特的价值。本文从媒介融合语境中的突发公共事件的特点出发,结合手机媒体的传播特质,运用阶段分析理论深入探讨手机媒体在突发公共事件场域中的独特价值,继而对突发公共事件中手机媒体传播策略加以提炼。

  3. 75 FR 55341 - Recovery Policy, RP 9523.6, Mutual Aid Agreements for Public Assistance and Fire Management...

    Science.gov (United States)

    2010-09-10

    ... SECURITY Federal Emergency Management Agency Recovery Policy, RP 9523.6, Mutual Aid Agreements for Public... comments on Recovery Policy, RP 9523.6, Mutual Aid Agreements for Public Assistance and Fire Management Assistance. This is an existing policy that is scheduled for review to ensure that Recovery...

  4. Psychosocial Work Stressors, Work Fatigue, and Musculoskeletal Disorders: Comparison between Emergency and Critical Care Nurses in Brunei Public Hospitals.

    Science.gov (United States)

    Abdul Rahman, Hanif; Abdul-Mumin, Khadizah; Naing, Lin

    2017-03-01

    Little evidence estimated the exposure of psychosocial work stressors, work-related fatigue, and musculoskeletal disorders for nurses working in South-East Asian region, and research on this subject is almost nonexistent in Brunei. The main aim of our study was to provide a comprehensive exploration and estimate exposure of the study variables amongst emergency (ER) and critical care (CC) nurses in Brunei. The study also aims to compare whether experiences of ER nurses differ from those of CC nurses. This cross-sectional study was implemented in the ER and CC departments across Brunei public hospitals from February to April 2016 by using Copenhagen Psychosocial Questionnaire II, Occupational Fatigue Exhaustion Recovery scale, and Cornell Musculoskeletal Discomfort Questionnaire. In total, 201 ER and CC nurses (82.0% response rate) participated in the study. Quantitative demands of CC nurses were significantly higher than ER nurses. Even so, ER nurses were 4.0 times more likely [95% confidence interval (2.21, 7.35)] to experience threats of violence, and 2.8 times more likely [95% confidence interval: (1.50, 5.29)] to experience chronic fatigue. The results revealed that nurses experienced high quantitative demands, work pace, stress, and burnout. High prevalence of chronic and persistent fatigue, threats of violence and bullying, and musculoskeletal pain at the neck, shoulder, upper and lower back, and foot region, was also reported. This study has provided good estimates for the exposure rate of psychosocial work stressors, work-related fatigue, and musculoskeletal disorders among nurses in Brunei. It provided important initial insight for nursing management and policymakers to make informed decisions on current and future planning to provide nurses with a conducive work environment. Copyright © 2017. Published by Elsevier B.V.

  5. Routing and scheduling problems

    DEFF Research Database (Denmark)

    Reinhardt, Line Blander

    be that the objects routed have an availability time window and a delivery time window or that locations on the path have a service time window. When routing moving transportation objects such as vehicles and vessels schedules are made in connection with the routing. Such schedules represent the time for the presence...... to a destination on a predefined network, the routing and scheduling of vessels in a liner shipping network given a demand forecast to be covered, the routing of manpower and vehicles transporting disabled passengers in an airport and the vehicle routing with time windows where one version studied includes edge...... of a connection between two locations. This could be an urban bus schedule where busses are routed and this routing creates a bus schedule which the passengers between locations use. In this thesis various routing and scheduling problems will be presented. The topics covered will be routing from an origin...

  6. 浅谈突发公共卫生事件中的卫生应急管理策略%Strategy of Health Emergency Management in Public Health Emergencies

    Institute of Scientific and Technical Information of China (English)

    牛守明

    2015-01-01

    With the development of human beings and migration, the population density is increasing rapidly. The infectious diseases occur ing in a country may spread rapidly and become a global disaster. Al kinds of emergent public health events have become the common problems in the world. The importance of establishing a perfect health emergency management system is gradual y recognized by the Chinese government and the society. This article wil define the concept of public health events, combined with the lack of health emergency management system in China, and put forward the establishment of public health emergency management mechanism of health emergency strategy.%随着人类往来、迁徙愈发频繁,人口密度空前加大,一国境内发生的传染性疾病可能在全球迅速传播,成为全球性的灾难。各种突发性卫生公共事件已成为各国普遍面临的问题。建立完善的卫生应急管理体制的重要性逐渐为我国政府和社会各界所认识。本文将通过界定公共卫生事件的概念,结合我国卫生应急管理机制中的不足,提出建立突发公共卫生事件中卫生应急管理机制的策略。

  7. 42 CFR 414.615 - Transition to the ambulance fee schedule.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Transition to the ambulance fee schedule. 414.615... Ambulance Services § 414.615 Transition to the ambulance fee schedule. The fee schedule for ambulance... the fee schedule payment for ambulance services and the amount the program would have paid absent the...

  8. 公共危机状态下军队应急管理体系与能力建设研究%The Construction of Emergency Management System and Emergency Response Capacity under the Public Crisis

    Institute of Scientific and Technical Information of China (English)

    吴勇; 周芳

    2012-01-01

    Participation in and dealing with the public crisis is an important duty for army. From the major emergencies which army participate in and deal with, such as "SARS" crisis, ice and snow disaster, Wen Chuan Earthquake etc, we can conclude that our army still exists many structural blemish and diversification loopholes in the construction of emergency management system and emergency response capacity. The article researches on weakness existing in the construction of emergency management system and emergency response capacity of our army, and puts forward the constructive measures. It has the important instructive function for improving the troop' s overall ability of emergency management under public crisis.%参与处置公共危机是军队的一项重要职能.从我军参与处置“非典”危机、冰雪灾害、汶川地震等一系列重大危机事件的情况来看,军队在处置公共危机的应急管理体系和能力建设方面仍然存在诸多结构性缺陷和多元化漏洞.探究我军应急管理体系和能力建设存在的问题,并提出建设性的对策,对于提升我军在公共危机状态下的应急管理能力具有重要的指导作用.

  9. Configuration, Deployment, and Scheduling Models for Management and Optimization of Patrol Services

    Directory of Open Access Journals (Sweden)

    Bin Yang

    2015-01-01

    Full Text Available This paper presents a decision support system (DSS and its models for patrol service center (PSC. PSC plays an important role in public security and emergency management. The configuration, deployment, and scheduling of resources of PSC are important for improving the efficiency of patrol-related resources, service quantity, and emergency response capability. A series of decision-making models of the DSS are studied. First, the criteria and models are proposed for configuring and deploying PSCs; second, three types of models for incremental, direct, and redeployment optimization are built in views for decisions aiming at PSC configuration, deployment, and scheduling problems; third, considering three typical patrol-related service scenarios (alarm assignment, main road blockade, and besiege program, three scheduling models are built, respectively, for PSC-related service and coordination of multiple PSCs. This work contributes to the literature on patrol services and network optimization problems in the following aspects: based on a series of models, a DSS framework is designed for PSCs; the models are formulated for resource management and scheduling upon geography information system; coordination strategies among close PSCs are incorporated into decision models. These features are examined in integration manners. The assessment criteria and optimization models studied in the paper are beneficial for building DSSs for PSC.

  10. Interim directive ID 2001-5 : public safety and sour gas policy implementation recommendations 54, 60, and 61 : site-specific emergency response plans for sour gas operations, emergency planning zones, and reduced planning zones

    Energy Technology Data Exchange (ETDEWEB)

    McCrank, N. [Alberta Energy and Utilities Board, Calgary, AB (Canada)

    2001-08-01

    A report of findings and recommendations was presented to the Alberta Energy and Utilities Board (EUB) in December 2000 by the Provincial Advisory Committee on Public Safety and Sour Gas (Advisory Committee). Emergency planning zones (EPZs) and emergency response plans (ERPs) for sour gas operations and how they translate into EUB practices and requirements are topics that were identified in the recommendations. A full review of current emergency preparedness requirements, including the methodology for the determination of EPZs, will be undertaken by the EUB to address these recommendations. The outcome of the update of information concerning health effects of hydrogen sulfide and sulphur dioxide, as well as the review of the current use of dispersion models and probabilistic risk assessment is expected to greatly affect the review on emergency preparedness. The comprehensive review of ERP requirements and determination of EPZs, including reduced EPZs, will take place upon completion of the updated health information, which is expected to take approximately 18 to 24 months. Effective immediately, this interim directive provides additional clarification on the administration of these existing requirements by the EUB, and the document includes new requirements to be used in the interim. This document was prepared in response to Recommendations 54, 60, and 61. It should be noted that the current emergency response planning and preparedness requirements in place remain valid until they are replaced or rescinded. 4 figs.

  11. Widening the Schedulability Hierarchical Scheduling Systems

    DEFF Research Database (Denmark)

    Boudjadar, Jalil; David, Alexandre; Kim, Jin Hyun

    2014-01-01

    the supply of resources in each component. We specifically investigate two different techniques to widen the set of provably schedulable systems: 1) a new supplier model; 2) restricting the potential task offsets. We also provide a way to estimate the minimum resource supply (budget) that a component...

  12. Interval Scheduling: A Survey

    NARCIS (Netherlands)

    Kolen, A.W.J.; Lenstra, J.K.; Papadimitriou, C.H.; Spieksma, F.C.R.

    2007-01-01

    In interval scheduling, not only the processing times of the jobs but also their starting times are given. This article surveys the area of interval scheduling and presents proofs of results that have been known within the community for some time. We first review the complexity and approximability o

  13. Scheduling: Seven Period Day

    Science.gov (United States)

    Williamson, Ronald

    2010-01-01

    Driven by stable or declining financial resources many school districts are considering the costs and benefits of a seven-period day. While there is limited evidence that any particular scheduling model has a greater impact on student learning than any other, it is clear that the school schedule is a tool that can significantly impact teacher…

  14. Developing optimal nurses work schedule using integer programming

    Science.gov (United States)

    Shahidin, Ainon Mardhiyah; Said, Mohd Syazwan Md; Said, Noor Hizwan Mohamad; Sazali, Noor Izatie Amaliena

    2017-08-01

    Time management is the art of arranging, organizing and scheduling one's time for the purpose of generating more effective work and productivity. Scheduling is the process of deciding how to commit resources between varieties of possible tasks. Thus, it is crucial for every organization to have a good work schedule for their staffs. The job of Ward nurses at hospitals runs for 24 hours every day. Therefore, nurses will be working using shift scheduling. This study is aimed to solve the nurse scheduling problem at an emergency ward of a private hospital. A 7-day work schedule for 7 consecutive weeks satisfying all the constraints set by the hospital will be developed using Integer Programming. The work schedule for the nurses obtained gives an optimal solution where all the constraints are being satisfied successfully.

  15. Scheduling for Responsive Grids

    CERN Document Server

    Germain-Renaud, C; Moscicki,JT; Texier, R

    2008-01-01

    Grids are facing the challenge of seamless integration of the Grid power into everyday use. One critical component for this integration is responsiveness, the capacity to support on-demand computing and interactivity. Grid scheduling is involved at two levels in order to provide responsiveness: the policy level and the implementation level. The main contributions of this paper are as follows. First, we present a detailed analysis of the performance of the EGEE Grid with respect to responsiveness. Second, we examine two user-level schedulers located between the general scheduling layer and the application layer. These are the DIANE (distributed analysis environment) framework, a general-purpose overlay system, and a specialized, embedded scheduler for gPTM3D, an interactive medical image analysis application. Finally, we define and demonstrate a virtualization scheme, which achieves guaranteed turnaround time, schedulability analysis, and provides the basis for differentiated services. Both methods target a br...

  16. NRC comprehensive records disposition schedule. Revision 3

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-02-01

    Title 44 US Code, ``Public Printing and Documents,`` regulations issued by the General Service Administration (GSA) in 41 CFR Chapter 101, Subchapter B, ``Management and Use of Information and Records,`` and regulations issued by the National Archives and Records Administration (NARA) in 36 CFR Chapter 12, Subchapter B, ``Records Management,`` require each agency to prepare and issue a comprehensive records disposition schedule that contains the NARA approved records disposition schedules for records unique to the agency and contains the NARA`s General Records Schedules for records common to several or all agencies. The approved records disposition schedules specify the appropriate duration of retention and the final disposition for records created or maintained by the NRC. NUREG-0910, Rev. 3, contains ``NRC`s Comprehensive Records Disposition Schedule,`` and the original authorized approved citation numbers issued by NARA. Rev. 3 incorporates NARA approved changes and additions to the NRC schedules that have been implemented since the last revision dated March, 1992, reflects recent organizational changes implemented at the NRC, and includes the latest version of NARA`s General Records Schedule (dated August 1995).

  17. Design and development of earthquake emergency data public service platform%地震应急数据公众服务平台设计

    Institute of Scientific and Technical Information of China (English)

    徐丹; 万娜; 韩贞辉; 韩艳杰; 王斐斐

    2016-01-01

    利用百度MAP和ECharts构建基于B/S的地震应急数据公众服务平台,通过动态的、多样化的数据地图表现形式,展示区域内历史地震、避难场所及地震监测台站等分布情况,从而实现地震应急数据服务与防震减灾宣传的有机融合,具有较强的实用性。%A public service platform for earthquake emergency data announcement is designed and developed based on B/S framework. The service platform shows the distribution of historical earthquakes, faults, emergency shelters and earthquake monitoring stations etc. with dynamic and various ifgures. Based on the use of Baidu Map API and ECharts API, the platform enhances the emergency data interaction with the public, and meanwhile it has a strong applicability to realize the organic integration of earthquake emergency data services and protecting against and mitigating earthquake disasters promotion.

  18. Perspectives on engaging the public in the ethics of emerging biotechnologies: from salmon to biobanks to neuroethics.

    Science.gov (United States)

    Secko, David M; Burgess, Michael; O'Doherty, Kieran

    2008-01-01

    In anticipation of increasing interest in public engagement, this article seeks to expand the current discussion in the neuroethics literature concerning what public engagement on issues related to neuroscience might entail and how they could be envisioned. It notes that the small amount of available neuroethics literature related to public engagement has principally discussed only communication/education or made calls for dialogue without exploring what this might entail on a practical level. The article links across three seemingly disparate examples-salmon, biobanks, and neuroethics-to consider and clarify the need for public engagement in neuroscience.

  19. Availability of emergency obstetric care (EmOC) among public and private health facilities in rural northwest Bangladesh

    National Research Council Canada - National Science Library

    Sikder, Shegufta S; Labrique, Alain B; Ali, Hasmot; Hanif, Abu A M; Klemm, Rolf D W; Mehra, Sucheta; West, Jr, Keith P; Christian, Parul

    2015-01-01

    Although safe motherhood strategies recommend that women seek timely care from health facilities for obstetric complications, few studies have described facility availability of emergency obstetric care (EmOC...

  20. 78 FR 31626 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Science.gov (United States)

    2013-05-24

    ... AIDS Coordinator in a solely advisory capacity concerning scientific, implementation, and policy issues... President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board SUMMARY: In accordance with the Federal Advisory Committee Act (FACA), the PEPFAR Scientific Advisory Board (hereinafter...

  1. Family Contribution Schedule for the Basic Educational Opportunity Grant Program, 1975. Hearing Before the Subcommittee on Education of the Committee on Labor and Public Welfare, United States Senate. Ninety-Fourth Congress, First Session.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Public Welfare.

    The family contribution schedule proposed by the Office of Education for use in computing the Basic Educational Opportunity Grant program in the school year 1976-77 was examined by the Senate committee and its witnesses. The liberalization of asset treatment for all individuals, especially those with small farms, is noted. The new schedule should…

  2. Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case.

    Science.gov (United States)

    Filc, Dani; Cohen, Nissim

    2015-07-01

    Black medicine represents the most problematic configuration of informal payments for health care. According to the accepted economic explanations, we would not expect to find black medicine in a system with a developed private service. Using Israel as a case study, we suggest an alternative yet a complimentary explanation for the emergence of black medicine in public health care systems - even though citizens do have the formal option to use private channels. We claim that when regulation is weak and political culture is based on 'do it yourself' strategies, which meant to solve immediate problems, blurring the boundaries between public and private health care services may only reduce public trust and in turn, contribute to the emergence of black medicine. We used a combined quantitative and qualitative methodology to support our claim. Statistical analysis of the results suggested that the only variable significantly associated with the use of black medicine was trust in the health care system. The higher the respondents' level of trust in the health care system, the lower the rate of the use of black medicine. Qualitatively, interviewee emphasized the relation between the blurred boundaries between public and private health care and the use of black medicine.

  3. Research Information Needs of Public Policy Oriented Researchers at a Regional University: Issues Emerging from a Pilot Study

    Science.gov (United States)

    Miller, Faye

    2008-01-01

    This article presents the results of a pilot study of the research information needs, behaviour and source preferences of academic researchers at a regional university engaged in a public policy research project. In-depth interviews with three public policy oriented academic researchers undertaking interdisciplinary research projects at Charles…

  4. Research Information Needs of Public Policy Oriented Researchers at a Regional University: Issues Emerging from a Pilot Study

    Science.gov (United States)

    Miller, Faye

    2008-01-01

    This article presents the results of a pilot study of the research information needs, behaviour and source preferences of academic researchers at a regional university engaged in a public policy research project. In-depth interviews with three public policy oriented academic researchers undertaking interdisciplinary research projects at Charles…

  5. Readmissions at a public safety net hospital.

    Directory of Open Access Journals (Sweden)

    Eri Shimizu

    Full Text Available OBJECTIVE: We aimed to determine factors related to avoidability of 30-day readmissions at our public, safety net hospital in the United States (US. METHODS: We prospectively reviewed medical records of adult internal medicine patients with scheduled and unscheduled 30-day readmissions. We also interviewed patients if they were available. An independent panel used pre-specified, objective criteria to adjudicate potential avoidability. RESULTS: Of 153 readmissions evaluated, 68% were unscheduled. Among these, 67% were unavoidable, primarily due to disease progression and development of new diagnoses. Scheduled readmissions accounted for 32% of readmissions and most (69% were clinically appropriate and unavoidable. The scheduled but avoidable readmissions (31% were attributed largely to limited resources in our healthcare system. CONCLUSIONS: Most readmissions at our public, safety net hospital were unavoidable, even among our unscheduled readmissions. Surprisingly, one-third of our overall readmissions were scheduled, the majority reflecting appropriate management strategies designed to reduce unnecessary hospital days. The scheduled but avoidable readmissions were due to constrained access to non-emergent, expensive procedures that are typically not reimbursed given our system's payor mix, a problem which likely plague other safety net systems. These findings suggest that readmissions do not necessarily reflect inadequate medical care, may reflect resource constraints that are unlikely to be addressable in systems caring for a large burden of uninsured patients, and merit individualized review.

  6. Availability and provision of emergency obstetric care under a public-private partnership in three districts of Gujarat, India: lessons for Universal Health Coverage.

    Science.gov (United States)

    Iyer, V; Sidney, K; Mehta, R; Mavalankar, D

    2016-01-01

    The state of Gujarat in India (population 60 million) has implemented a public-private partnership (PPP) with private obstetricians called the Chiranjeevi Yojana (CY) since 2006. This study investigated the adequacy of basic and comprehensive emergency obstetric care (BEmOC and CEmOC) services through the public and private sectors with reference to the United Nations (UN) guidelines. A cross-sectional facility survey was conducted in three districts. A total of 300 facilities, 151 public and 149 private, had provided obstetric services to a total of 53 896 births in the past 6 months. Nearly half, 135 facilities (104 public and 31 private), individually reported EmOC facilities. All the three districts exceeded the UN recommendation for EmOC availability by 3.3 to 11.3 times. Free provision, through both public and PPP facilities, ranged from 1.42 to 3.43. The actual performance was nearly double the recommendation for CEmOC but inadequate for BEmOC. Public sector EmOC availability and provision is negligible. Private sector availability is well beyond the recommended UN norms. The CY programme has resulted in increased availability and provision of EmOC services. However, the overall provision of EmOC is compromised due to the poor performance of BEmOC functions and clustering of private facilities in towns.

  7. Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration.

    Science.gov (United States)

    Foley, Conor; Droog, Elsa; Healy, Orla; McHugh, Sheena; Buckley, Claire; Browne, John Patrick

    2017-07-01

    Major changes have been made to how emergency care services are configured in several regions in the Republic of Ireland. This study investigated the hypothesis that engagement activities undertaken prior to these changes influenced stakeholder perspectives on the proposed changes and impacted on the success of implementation. A comparative case-study approach was used to explore the changes in three regions. These regions were chosen for the case study as the nature of the proposals to reconfigure care provision were broadly similar but implementation outcomes varied considerably. Documentary analysis of reconfiguration planning reports was used to identify planned public engagement activities. Semi-structured interviews with 74 purposively-sampled stakeholders explored their perspectives on reconfiguration, engagement activities and public responses to reconfiguration. Framework analysis was used, integrating inductive and deductive approaches. Approaches to public engagement and success of implementation differed considerably across the three cases. Regions that presented the public with the reconfiguration plan alone reported greater public opposition and difficulty in implementing changes. Engagement activities that included a range of stakeholders and continued throughout the reconfiguration process appeared to largely address public concerns, contributing to smoother implementation. The presentation of reconfiguration reports alone is not enough to convince communities of the case for change. Genuine, ongoing and inclusive engagement offers the best opportunity to address community concerns about reconfiguration. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  8. Effects of Block Scheduling

    Directory of Open Access Journals (Sweden)

    William R. Veal

    1999-09-01

    Full Text Available This study examined the effects of a tri-schedule on the academic achievement of students in a high school. The tri-schedule consists of traditional, 4x4 block, and hybrid schedules running at the same time in the same high school. Effectiveness of the schedules was determined from the state mandated test of basic skills in reading, language, and mathematics. Students who were in a particular schedule their freshman year were tested at the beginning of their sophomore year. A statistical ANCOVA test was performed using the schedule types as independent variables and cognitive skill index and GPA as covariates. For reading and language, there was no statistically significant difference in test results. There was a statistical difference mathematics-computation. Block mathematics is an ideal format for obtaining more credits in mathematics, but the block format does little for mathematics achievement and conceptual understanding. The results have content specific implications for schools, administrations, and school boards who are considering block scheduling adoption.

  9. NASA Schedule Management Handbook

    Science.gov (United States)

    2011-01-01

    The purpose of schedule management is to provide the framework for time-phasing, resource planning, coordination, and communicating the necessary tasks within a work effort. The intent is to improve schedule management by providing recommended concepts, processes, and techniques used within the Agency and private industry. The intended function of this handbook is two-fold: first, to provide guidance for meeting the scheduling requirements contained in NPR 7120.5, NASA Space Flight Program and Project Management Requirements, NPR 7120.7, NASA Information Technology and Institutional Infrastructure Program and Project Requirements, NPR 7120.8, NASA Research and Technology Program and Project Management Requirements, and NPD 1000.5, Policy for NASA Acquisition. The second function is to describe the schedule management approach and the recommended best practices for carrying out this project control function. With regards to the above project management requirements documents, it should be noted that those space flight projects previously established and approved under the guidance of prior versions of NPR 7120.5 will continue to comply with those requirements until project completion has been achieved. This handbook will be updated as needed, to enhance efficient and effective schedule management across the Agency. It is acknowledged that most, if not all, external organizations participating in NASA programs/projects will have their own internal schedule management documents. Issues that arise from conflicting schedule guidance will be resolved on a case by case basis as contracts and partnering relationships are established. It is also acknowledged and understood that all projects are not the same and may require different levels of schedule visibility, scrutiny and control. Project type, value, and complexity are factors that typically dictate which schedule management practices should be employed.

  10. 2013 Survey of Iowa groundwater and evaluation of public well vulnerability classifications for contaminants of emerging concern

    Science.gov (United States)

    Hruby, Claire E.; Libra, Robert D.; Fields, Chad L.; Kolpin, Dana W.; Hubbard, Laura E.; Borchardt, Mark R.; Spencer, Susan K.; Wichman, Michael D.; Hall, Nancy; Schueller, Michael D.; Furlong, Edward T.; Weyer, Peter J.

    2015-01-01

    Studies in Iowa have long documented the vulnerability of wells with less than 50 feet (15 meters) of confining materials above the source aquifer to contamination from nitrate and various pesticides. Recent studies in Wisconsin have documented the occurrence of viruses in untreated groundwater, even in wells considered to have little vulnerability to contamination from near-surface activities. In addition, sensitive methods have become available for analyses of pharmaceuticals and pesticides. This study represents the first comprehensive examination of contaminants of emerging concern in Iowa’s groundwater conducted to date, and one of the first conducted in the United States. Raw groundwater samples were collected from 66 public supply wells during the spring of 2013, when the state was recovering from drought conditions. Samples were analyzed for 206 chemical and biological parameters; including 20 general water-quality parameters and major ions, 19 metals, 5 nutrients, 10 virus groups, 3 species of pathogenic bacteria, 5 microbial indicators, 108 pharmaceuticals, 35 pesticides and pesticide degradates, and tritium. The wells chosen for this study represent a diverse range of ages, depths, confining material thicknesses, pumping rates, and land use settings. The most commonly detected contaminant group was pesticide compounds, which were present in 41% of the samples. As many as 6 pesticide compounds were found together in a sample, most of which were chloroacetanilide degradates. While none of the measured concentrations of pesticide compounds exceeded current benchmark levels, several of these compounds are listed on the U.S. Environmental Protection Agency’s Contaminant Candidate List and could be subject to drinking water standards in the future. Despite heavy use in the past decade, glyphosate was not detected, and its metabolite, aminomethylphosphonic acid, was only detected in two of 60 wells tested (3%) at the detection limit of 0.02

  11. Estimating exponential scheduling preferences

    DEFF Research Database (Denmark)

    Hjorth, Katrine; Börjesson, Maria; Engelson, Leonid

    2015-01-01

    Different assumptions about travelers' scheduling preferences yield different measures of the cost of travel time variability. Only few forms of scheduling preferences provide non-trivial measures which are additive over links in transport networks where link travel times are arbitrarily...... of car drivers' route and mode choice under uncertain travel times. Our analysis exposes some important methodological issues related to complex non-linear scheduling models: One issue is identifying the point in time where the marginal utility of being at the destination becomes larger than the marginal...

  12. The shop floor scheduling game

    NARCIS (Netherlands)

    Riezebos, Jan; Slomp, Jannes

    1995-01-01

    The aim of the shop floor scheduling game is getting participants acquainted with: - developing robust planning and scheduling procedures; - accepting orders under uncertainty and competition; - using information from cost accounting in scheduling; - creating an adequate communication structure

  13. DMEPOS Fee Schedule

    Data.gov (United States)

    U.S. Department of Health & Human Services — The list contains the fee schedule amounts, floors, and ceilings for all procedure codes and payment category, jurisdication, and short description assigned to each...

  14. Estimating exponential scheduling preferences

    DEFF Research Database (Denmark)

    Hjorth, Katrine; Börjesson, Maria; Engelson, Leonid

    time by maximising expected total utility over the day, their departure times are conditional on rates of utility derived at these locations. For forecasting and economic evaluation of planning alternatives, it is desirable to have simple forms of utility rates with few parameters. Several forms...... the travel time is random, Noland and Small (1995) suggested using expected utility theory to derive the reduced form of expected travel time cost that includes the cost of TTV. For the α-β-γ formulation of scheduling preferences and exponential or uniform distribution of travel time, Noland and Small (1995....... The purpose of this paper is to explore how well these scheduling preferences explain behaviour, compared to other possible scheduling models, and whether empirical estimation of the more complex exponential scheduling preferences is feasible. We use data from a stated preference survey conducted among car...

  15. CERN confirms LHC schedule

    CERN Multimedia

    2003-01-01

    The CERN Council held its 125th session on 20 June. Highlights of the meeting included confirmation that the LHC is on schedule for a 2007 start-up, and the announcement of a new organizational structure in 2004.

  16. Decentralized Ground Staff Scheduling

    DEFF Research Database (Denmark)

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

    Typically, ground staff scheduling is centrally planned for each terminal in an airport. The advantage of this is that the staff is efficiently utilized, but a disadvantage is that staff spends considerable time walking between stands. In this paper a decentralized approach for ground staff...... scheduling is investigated. The airport terminal is divided into zones, where each zone consists of a set of stands geographically next to each other. Staff is assigned to work in only one zone and the staff scheduling is planned decentralized for each zone. The advantage of this approach is that the staff...... work in a smaller area of the terminal and thus spends less time walking between stands. When planning decentralized the allocation of stands to flights influences the staff scheduling since the workload in a zone depends on which flights are allocated to stands in the zone. Hence solving the problem...

  17. Clinical Laboratory Fee Schedule

    Data.gov (United States)

    U.S. Department of Health & Human Services — Outpatient clinical laboratory services are paid based on a fee schedule in accordance with Section 1833(h) of the Social Security Act. The clinical laboratory fee...

  18. Project Schedule Simulation

    DEFF Research Database (Denmark)

    Mizouni, Rabeb; Lazarova-Molnar, Sanja

    2015-01-01

    Despite several attempts to accurately predict duration and cost of software projects, initial plans still do not reflect real-life situations. Since commitments with customers are usually decided based on these initial plans, software companies frequently fail to deliver on time and many projects...... overrun both their budget and time. To improve the quality of initial project plans, we show in this paper the importance of (1) reflecting features’ priorities/risk in task schedules and (2) considering uncertainties related to human factors in plan schedules. To make simulation tasks reflect features......’ priority as well as multimodal team allocation, enhanced project schedules (EPS), where remedial actions scenarios (RAS) are added, were introduced. They reflect potential schedule modifications in case of uncertainties and promote a dynamic sequencing of involved tasks rather than the static conventional...

  19. Estimating exponential scheduling preferences

    DEFF Research Database (Denmark)

    Hjorth, Katrine; Börjesson, Maria; Engelson, Leonid

    time by maximising expected total utility over the day, their departure times are conditional on rates of utility derived at these locations. For forecasting and economic evaluation of planning alternatives, it is desirable to have simple forms of utility rates with few parameters. Several forms...... the travel time is random, Noland and Small (1995) suggested using expected utility theory to derive the reduced form of expected travel time cost that includes the cost of TTV. For the α-β-γ formulation of scheduling preferences and exponential or uniform distribution of travel time, Noland and Small (1995....... The purpose of this paper is to explore how well these scheduling preferences explain behaviour, compared to other possible scheduling models, and whether empirical estimation of the more complex exponential scheduling preferences is feasible. We use data from a stated preference survey conducted among car...

  20. Fee Schedules - General Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers-suppliers. This comprehensive listing of fee maximums is used to...

  1. Physician Fee Schedule Search

    Data.gov (United States)

    U.S. Department of Health & Human Services — This website is designed to provide information on services covered by the Medicare Physician Fee Schedule (MPFS). It provides more than 10,000 physician services,...

  2. CMS Records Schedule

    Data.gov (United States)

    U.S. Department of Health & Human Services — The CMS Records Schedule provides disposition authorizations approved by the National Archives and Records Administration (NARA) for CMS program-related records...

  3. Resource Minimization Job Scheduling

    Science.gov (United States)

    Chuzhoy, Julia; Codenotti, Paolo

    Given a set J of jobs, where each job j is associated with release date r j , deadline d j and processing time p j , our goal is to schedule all jobs using the minimum possible number of machines. Scheduling a job j requires selecting an interval of length p j between its release date and deadline, and assigning it to a machine, with the restriction that each machine executes at most one job at any given time. This is one of the basic settings in the resource-minimization job scheduling, and the classical randomized rounding technique of Raghavan and Thompson provides an O(logn/loglogn)-approximation for it. This result has been recently improved to an O(sqrt{log n})-approximation, and moreover an efficient algorithm for scheduling all jobs on O((OPT)^2) machines has been shown. We build on this prior work to obtain a constant factor approximation algorithm for the problem.

  4. Climate Change and Public Information in the Spanish Central Government. Its Management, Legal and Foresight in Emergencies

    Directory of Open Access Journals (Sweden)

    Ángel Ibáñez

    2013-05-01

    Full Text Available In spite of the increasing amount of data that inform us of the possible causes that have contributed to climate change, the solution to the problem has not been identified or achieved yet. In the beginning it looked like a scientific and technical problem as climate change is attributed to the production and accumulation of greenhouse gases. However, time has shown that this issue is totally linked to public perception and public opinion. The effect of mass media upon the public has a great influence. Experts on climate change are criticizing those who are skeptical of the causes. According to these experts, the response from the international community has decreased by the denial of global warming. The mis-management of public information by governments is one of the causes of the aforementioned decreased response. The regulations about public information have also contributed to this. This article tries to give an opinion about the way in which the Public Administration uses and broadcasts the information and the restrictions and legal limitations it faces.

  5. The determination of efficiency of a special obstacle course for training of cadets and rescuers of Public Service of Ukraine on emergency situations

    Directory of Open Access Journals (Sweden)

    Olexandr Baybak

    2016-02-01

    Full Text Available Purpose: to determine directions of the improvement of the educational and training process of cadets and retraining of rescuers of Public Service of Ukraine on emergency situations (PSES for carrying out the search-rescue works in highlands. Material & Methods: the contingent – cadets (25, rescuers (25 and officers (25 of Public Services of Ukraine on emergency situations took part in the research. The following methods are used for the solution of objectives: the theoretical analysis and generalization of scientific and methodical literature, pedagogical methods of research (poll and questioning. Results: the main requirements to a special obstacle course were defined on the basis of studying and analysis of biographical particulars with the purpose of the improvement of rescuers of PSES for carrying out the search-rescue works (SRW during the emergency situations (ES of a natural character. Conclusions: the need of modeling of weather conditions on a special obstacle course is defined for the purpose of the improvement of the level of preparedness of staff of the search-rescue groups in highlands.

  6. PAR Loop Schedule Review

    Energy Technology Data Exchange (ETDEWEB)

    Schaffer, Jr.; W.F.

    1958-04-30

    The schedule for the installation of the PAR slurry loop experiment in the South Facility of the ORR has been reviewed and revised. The design, fabrications and Installation is approximately two weeks behind schedule at this time due to many factors; however, indications are that this time can be made up. Design is estimated to be 75% complete, fabrication 32% complete and installation 12% complete.

  7. ATLAS construction schedule

    CERN Multimedia

    Kotamaki, M

    The goal during the last few months has been to freeze and baseline as much as possible the schedules of various ATLAS systems and activities. The main motivations for the re-baselining of the schedules have been the new LHC schedule aiming at first collisions in early 2006 and the encountered delays in civil engineering as well as in the production of some of the detectors. The process was started by first preparing a new installation schedule that takes into account all the new external constraints and the new ATLAS staging scenario. The installation schedule version 3 was approved in the March EB and it provides the Ready For Installation (RFI) milestones for each system, i.e. the date when the system should be available for the start of the installation. TCn is now interacting with the systems aiming at a more realistic and resource loaded version 4 before the end of the year. Using the new RFI milestones as driving dates a new summary schedule has been prepared, or is under preparation, for each system....

  8. Estimating demand schedules in hedonic analysis

    DEFF Research Database (Denmark)

    Panduro, Toke Emil; Jensen, Cathrine Ulla; Lundhede, Thomas;

    The hedonic pricing method has been used extensively to obtain implicit prices for availability of urban green space, but few hedonic studies have obtained households’ preference parameters. We estimate willingness to pay functions for park availability in Copenhagen using an approach that places...... an alternative path for estimation of demand schedules for public goods using hedonic data. The findings also stress the importance of paying attention to how public goods are defined when undertaking welfare economic policy analyses....

  9. 76 FR 57987 - Notice of Public Information Collection(s) Being Submitted for Emergency Review and Approval to...

    Science.gov (United States)

    2011-09-19

    ... did it pass) into a Web-based interface. Test participants would submit the identifying data prior to... equipment during a national test of the EAS: (1) Whether they received the alert message during the... of receipt of the Emergency Action Notification (EAN) message by all stations; and the date/time...

  10. Factors Influencing Postsecondary STEM Students' Views of the Public Communication of an Emergent Technology: a Cross-National Study from Five Universities

    Science.gov (United States)

    Gardner, Grant E.; Jones, M. Gail; Albe, Virginie; Blonder, Ron; Laherto, Antti; Macher, Daniel; Paechter, Manuela

    2016-10-01

    Recent efforts in the science education community have highlighted the need to integrate research and theory from science communication research into more general science education scholarship. These synthesized research perspectives are relatively novel but serve an important need to better understand the impacts that the advent of rapidly emerging technologies will have on a new generation of scientists and engineers including their formal communication with engaged citizenry. This cross-national study examined postsecondary science and engineering students' (n = 254 from five countries: Austria, Finland, France, Israel, and USA) perspectives on the role of science communication in their own formal science and engineering education. More broadly, we examined participants' understanding of their perceived responsibilities of communicating science and engineering to the general public when an issue contains complex social and ethical implications (SEI). The study is contextualized in the emergent technology of nanotechnology for which SEI are of particular concern and for which the general public often perceives conflicting risks and benefits. Findings indicate that student participants' hold similar views on the need for their own training in communication as future scientists and engineers. When asked about the role that ethics and risk perception plays in research, development, and public communication of nanotechnology, participants demonstrate similar trajectories of perspectives that are, however, often anchored in very different levels of beginning concern. Results are discussed in the context of considerations for science communication training within formal science education curricula globally.

  11. Factors Influencing Postsecondary STEM Students' Views of the Public Communication of an Emergent Technology: a Cross-National Study from Five Universities

    Science.gov (United States)

    Gardner, Grant E.; Jones, M. Gail; Albe, Virginie; Blonder, Ron; Laherto, Antti; Macher, Daniel; Paechter, Manuela

    2017-10-01

    Recent efforts in the science education community have highlighted the need to integrate research and theory from science communication research into more general science education scholarship. These synthesized research perspectives are relatively novel but serve an important need to better understand the impacts that the advent of rapidly emerging technologies will have on a new generation of scientists and engineers including their formal communication with engaged citizenry. This cross-national study examined postsecondary science and engineering students' ( n = 254 from five countries: Austria, Finland, France, Israel, and USA) perspectives on the role of science communication in their own formal science and engineering education. More broadly, we examined participants' understanding of their perceived responsibilities of communicating science and engineering to the general public when an issue contains complex social and ethical implications (SEI). The study is contextualized in the emergent technology of nanotechnology for which SEI are of particular concern and for which the general public often perceives conflicting risks and benefits. Findings indicate that student participants' hold similar views on the need for their own training in communication as future scientists and engineers. When asked about the role that ethics and risk perception plays in research, development, and public communication of nanotechnology, participants demonstrate similar trajectories of perspectives that are, however, often anchored in very different levels of beginning concern. Results are discussed in the context of considerations for science communication training within formal science education curricula globally.

  12. Reducing rural maternal mortality and the equity gap in northern Nigeria: the public health evidence for the Community Communication Emergency Referral strategy

    Directory of Open Access Journals (Sweden)

    Aradeon SB

    2016-03-01

    Full Text Available Susan B Aradeon,1 Henry V Doctor2 1Freelance International Consultant (Social and Behavioral Change Communication, Aventura, FL, USA; 2Department of Information, Evidence and Research, Regional Office for the Eastern Mediterranean, World Health Organization, Nasr City, Cairo, Egypt Abstract: The Sustainable Development Goal (SDG maternal mortality target risks being underachieved like its Millennium Development Goal (MDG predecessor. The MDG skilled birth attendant (SBA strategy proved inadequate to end preventable maternal deaths for the millions of rural women living in resource-constrained settings. This equity gap has been successfully addressed by integrating a community-based emergency obstetric care strategy into the intrapartum care SBA delivery strategy in a large scale, northern Nigerian health systems strengthening project. The Community Communication Emergency Referral (CCER strategy catalyzes community capacity for timely evacuations to emergency obstetric care facilities instead of promoting SBA deliveries in environments where SBA availability and accessibility will remain inadequate for the near and medium term. Community Communication is an innovative, efficient, equitable, and culturally appropriate community mobilization approach that empowers low- and nonliterate community members to become the communicators. For the CCER strategy, this community mobilization approach was used to establish and maintain emergency maternal care support structures. Public health evidence demonstrates the success of integrating the CCER strategy into the SBA strategy and the practicability of this combined strategy at scale. In intervention sites, the maternal mortality ratio reduced by 16.8% from extremely high levels within 4 years. Significantly, the CCER strategy contributed to saving one-third of the lives saved in the project sites, thereby maximizing the effectiveness of the SBAs and upgraded emergency obstetric care facilities. Pre- and

  13. SCHOOL SCHEDULING BY COMPUTER, THE STORY OF GASP.

    Science.gov (United States)

    MURPHY, JUDITH; SUTTER, ROBERT

    GENERALIZED ACADEMIC SIMULATION PROGRAMS (GASP) IS SCHOOL SCHEDULING BY COMPUTER. THE PUBLICATION COMPARES THE MANUAL METHOD OF DEVELOPING A SCHOOL SCHEDULE WITH THE NEW METHOD OF COMPUTER PROGRAMING. A MAJOR ADVANTAGE OF COMPUTER PROGRAMING IS THAT IT RELIEVES THE ADMINISTRATOR OF THIS BUSY WORK SO THAT HE CAN DEVOTE HIS ENERGIES AND TIME TO MORE…

  14. 77 FR 10529 - Federal Acquisition Regulation; Information Collection; Delivery Schedules

    Science.gov (United States)

    2012-02-22

    ..., Time of Delivery, or FAR 52.211-9, Desired and Required Time of Delivery. The information is needed to... Regulation; Information Collection; Delivery Schedules AGENCY: Department of Defense (DOD), General Services... requirement concerning delivery schedules. Public comments are particularly invited on: Whether this...

  15. 12 CFR 791.5 - Scheduling of board meetings.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Scheduling of board meetings. 791.5 Section 791... REGULATIONS; PUBLIC OBSERVATION OF NCUA BOARD MEETINGS Rules of NCUA Board Procedure § 791.5 Scheduling of board meetings. (a) Meeting calls—(1) Regular meetings. The Board will hold regular meetings each...

  16. Can free open access resources strengthen knowledge-based emerging public health priorities, policies and programs in Africa? [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Ernest Tambo

    2016-05-01

    Full Text Available Tackling emerging epidemics and infectious diseases burden in Africa requires increasing unrestricted open access and free use or reuse of regional and global policies reforms as well as timely communication capabilities and strategies. Promoting, scaling up data and information sharing between African researchers and international partners are of vital importance in accelerating open access at no cost. Free Open Access (FOA health data and information acceptability, uptake tactics and sustainable mechanisms are urgently needed. These are critical in establishing real time and effective knowledge or evidence-based translation, proven and validated approaches, strategies and tools to strengthen and revamp health systems.  As such, early and timely access to needed emerging public health information is meant to be instrumental and valuable for policy-makers, implementers, care providers, researchers, health-related institutions and stakeholders including populations when guiding health financing, and planning contextual programs.

  17. Distributed Research Project Scheduling Based on Multi-Agent Methods

    Directory of Open Access Journals (Sweden)

    Constanta Nicoleta Bodea

    2011-01-01

    Full Text Available Different project planning and scheduling approaches have been developed. The Operational Research (OR provides two major planning techniques: CPM (Critical Path Method and PERT (Program Evaluation and Review Technique. Due to projects complexity and difficulty to use classical methods, new approaches were developed. Artificial Intelligence (AI initially promoted the automatic planner concept, but model-based planning and scheduling methods emerged later on. The paper adresses the project scheduling optimization problem, when projects are seen as Complex Adaptive Systems (CAS. Taken into consideration two different approaches for project scheduling optimization: TCPSP (Time- Constrained Project Scheduling and RCPSP (Resource-Constrained Project Scheduling, the paper focuses on a multiagent implementation in MATLAB for TCSP. Using the research project as a case study, the paper includes a comparison between two multi-agent methods: Genetic Algorithm (GA and Ant Colony Algorithm (ACO.

  18. National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

    Science.gov (United States)

    Tardy, A. O.; Corcus, I.; Guirguis, K.

    2015-12-01

    The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the

  19. Fever from the forest: prospects for the continued emergence of sylvatic dengue virus and its impact on public health

    Science.gov (United States)

    Vasilakis, Nikos; Cardosa, Jane; Hanley, Kathryn A.; Holmes, Edward C.; Weaver, Scott C.

    2012-01-01

    The four dengue virus (DENV) serotypes that circulate among humans emerged independently from ancestral sylvatic progenitors that were present in non–human primates, following the establishment of human populations that were large and dense enough to support continuous inter-human transmission by mosquitoes. This ancestral sylvatic–DENV transmission cycle still exists and is maintained in non-human primates and Aedes mosquitoes in the forests of Southeast Asia and West Africa. Here, we provide an overview of the ecology and molecular evolution of sylvatic DENV and its potential for adaptation to human transmission. We also emphasize how the study of sylvatic DENV will improve our ability to understand, predict and, ideally, avert further DENV emergence. PMID:21666708

  20. Referrals between Public Sector Health Institutions for Women with Obstetric High Risk, Complications, or Emergencies in India - A Systematic Review.

    OpenAIRE

    2016-01-01

    Emergency obstetric care (EmOC) within primary health care systems requires a linked referral system to be effective in reducing maternal death. This systematic review aimed to summarize evidence on the proportion of referrals between institutions during pregnancy and delivery, and the factors affecting referrals, in India. We searched 6 electronic databases, reviewed four regional databases and repositories, and relevant program reports from India published between 1994 and 2013. All types o...

  1. "La Biblioteca Es Importante": A Case Study of an Emergent Bilingual Public Library in the Nuevo U.S. South

    Science.gov (United States)

    Alvarez, Steven; Alvarez, Sara P.

    2016-01-01

    Research examining ethnolinguistic community schools (García, Zakharia, & Otcu, 2013) proposes that local spaces not directly affiliated with schools sustain bilingualism and identity. Though researchers often theorize about how community schools sustain home language literacies, less research examines how local public spaces sustain…

  2. The Moderator as an Emerging Democratic Intermediairy: The Role of the Moderator in Internet Discussions about Public Issues

    NARCIS (Netherlands)

    A.R. Edwards (Arthur)

    2002-01-01

    textabstractA common approach towards the role of the moderator in Internet discussions is to see him as a filter. In this article I want to show that the moderator in government-initiated Internet discussions about public issues can be seen as a democratic intermediary, and that this role has the p

  3. An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program.

    Science.gov (United States)

    Giles, S

    2005-04-01

    In Canada, as in many other countries, there exists an organ procurement/donation crisis. This paper reviews some of the most common kidney procurement and allocation programmes, analyses them in terms of public and private administration, and argues that privately administered living donor models are an inequitable stopgap measure, the good intentions of which are misplaced and opportunistic. Focusing on how to improve the publicly administered equitable cadaveric donation programme, and at the same time offering one possible explanation for its current failure, it is suggested that the simple moral principle of "give and you shall receive", already considered by some, be extended further. This would allow for those who are willing to sign up to be a public cadaveric donor be given a priority for receiving an organ donation should they ever require it. It is argued that this priority may provide the motivation to give that is so far lacking in Canada. This model is called the Public Cadaveric Organ Donation Program.

  4. The Emerging Role of the Federal Government in Public Elementary and Secondary Education in the United States.

    Science.gov (United States)

    Shannon, Thomas A.

    When President Reagan took office in January 1981, the federal government had a four-fold function in public secondary and elementary education that included financing high-cost programs of overriding national significance and advancing the cause of civil rights throughout the nation. According to Reagan's "new federalism," the role of…

  5. Cultural text mining: using text mining to map the emergence of transnational reference cultures in public media repositories

    NARCIS (Netherlands)

    Pieters, Toine; Verheul, Jaap

    2014-01-01

    This paper discusses the research project Translantis, which uses innovative technologies for cultural text mining to analyze large repositories of digitized public media, such as newspapers and journals.1 The Translantis research team uses and develops the text mining tool Texcavator, which is base

  6. Public Safety Transmitter Towers, Emergency communication towers developed for Risk Management in Oct., 2004. Completeness is unknown. Not published., Published in 2004, 1:1200 (1in=100ft) scale, Sedgwick County, Kansas.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Public Safety Transmitter Towers dataset, published at 1:1200 (1in=100ft) scale as of 2004. It is described as 'Emergency communication towers developed for...

  7. Public Safety Transmitter Towers, Emergency communication towers developed for Risk Management in Oct., 2004. Completeness is unknown. Not published., Published in 2004, 1:1200 (1in=100ft) scale, Sedgwick County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Public Safety Transmitter Towers dataset current as of 2004. Emergency communication towers developed for Risk Management in Oct., 2004. Completeness is unknown. Not...

  8. From urban planning and emergency training to Pokémon Go: applications of virtual reality GIS (VRGIS) and augmented reality GIS (ARGIS) in personal, public and environmental health

    National Research Council Canada - National Science Library

    Kamel Boulos, Maged N; Lu, Zhihan; Guerrero, Paul; Jennett, Charlene; Steed, Anthony

    2017-01-01

    .... From smart urban planning and emergency training to Pokemon Go, this article offers a snapshot of some of the most remarkable VRGIS and ARGIS solutions for tackling public and environmental health...

  9. 41 CFR 105-60.305-10 - Fee schedule.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Fee schedule. 105-60.305-10 Section 105-60.305-10 Public Contracts and Property Management Federal Property Management... Administration 60-PUBLIC AVAILABILITY OF AGENCY RECORDS AND INFORMATIONAL MATERIALS 60.3-Availability of...

  10. Automated Scheduling Via Artificial Intelligence

    Science.gov (United States)

    Biefeld, Eric W.; Cooper, Lynne P.

    1991-01-01

    Artificial-intelligence software that automates scheduling developed in Operations Mission Planner (OMP) research project. Software used in both generation of new schedules and modification of existing schedules in view of changes in tasks and/or available resources. Approach based on iterative refinement. Although project focused upon scheduling of operations of scientific instruments and other equipment aboard spacecraft, also applicable to such terrestrial problems as scheduling production in factory.

  11. Real-time Medical Emergency Response System: Exploiting IoT and Big Data for Public Health.

    Science.gov (United States)

    Rathore, M Mazhar; Ahmad, Awais; Paul, Anand; Wan, Jiafu; Zhang, Daqiang

    2016-12-01

    Healthy people are important for any nation's development. Use of the Internet of Things (IoT)-based body area networks (BANs) is increasing for continuous monitoring and medical healthcare in order to perform real-time actions in case of emergencies. However, in the case of monitoring the health of all citizens or people in a country, the millions of sensors attached to human bodies generate massive volume of heterogeneous data, called "Big Data." Processing Big Data and performing real-time actions in critical situations is a challenging task. Therefore, in order to address such issues, we propose a Real-time Medical Emergency Response System that involves IoT-based medical sensors deployed on the human body. Moreover, the proposed system consists of the data analysis building, called "Intelligent Building," depicted by the proposed layered architecture and implementation model, and it is responsible for analysis and decision-making. The data collected from millions of body-attached sensors is forwarded to Intelligent Building for processing and for performing necessary actions using various units such as collection, Hadoop Processing (HPU), and analysis and decision. The feasibility and efficiency of the proposed system are evaluated by implementing the system on Hadoop using an UBUNTU 14.04 LTS coreTMi5 machine. Various medical sensory datasets and real-time network traffic are considered for evaluating the efficiency of the system. The results show that the proposed system has the capability of efficiently processing WBAN sensory data from millions of users in order to perform real-time responses in case of emergencies.

  12. Referrals between Public Sector Health Institutions for Women with Obstetric High Risk, Complications, or Emergencies in India - A Systematic Review.

    Science.gov (United States)

    Singh, Samiksha; Doyle, Pat; Campbell, Oona M; Mathew, Manu; Murthy, G V S

    2016-01-01

    Emergency obstetric care (EmOC) within primary health care systems requires a linked referral system to be effective in reducing maternal death. This systematic review aimed to summarize evidence on the proportion of referrals between institutions during pregnancy and delivery, and the factors affecting referrals, in India. We searched 6 electronic databases, reviewed four regional databases and repositories, and relevant program reports from India published between 1994 and 2013. All types of study or reports (except editorials, comments and letters) which reported on institution-referrals (out-referral or in-referral) for obstetric care were included. Results were synthesized on the proportion and the reasons for referral, and factors affecting referrals. Of the 11,346 articles identified by the search, we included 232 articles in the full text review and extracted data from 16 studies that met our inclusion criteria Of the 16, one was RCT, seven intervention cohort (without controls), six cross-sectional, and three qualitative studies. Bias and quality of studies were reported. Between 25% and 52% of all pregnancies were referred from Sub-centres for antenatal high-risk, 14% to 36% from nurse run delivery or basic EmOC centres for complications or emergencies, and 2 to 7% were referred from doctor run basic EmOC centres for specialist care at comprehensive EmOC centres. Problems identified with referrals from peripheral health centres included low skills and confidence of staff, reluctance to induce labour, confusion over the clinical criteria for referral, non-uniform standards of care at referral institutions, a tendency to by-pass middle level institutions, a lack of referral communication and supervision, and poor compliance. The high proportion of referrals from peripheral health centers reflects the lack of appropriate clinical guidelines, processes, and skills for obstetric care and referral in India. This, combined with inadequate referral communication

  13. Schedules of controlled substances: temporary placement of three synthetic cathinones in Schedule I. Final Order.

    Science.gov (United States)

    2011-10-21

    The Administrator of the Drug Enforcement Administration (DEA) is issuing this final order to temporarily schedule three synthetic cathinones under the Controlled Substances Act (CSA) pursuant to the temporary scheduling provisions of 21 U.S.C. 811(h). The substances are 4-methyl-N-methylcathinone (mephedrone), 3,4-methylenedioxy-N-methylcathinone (methylone), and 3,4-methylenedioxypyrovalerone (MDPV). This action is based on a finding by the Administrator that the placement of these synthetic cathinones and their salts, isomers, and salts of isomers into Schedule I of the CSA is necessary to avoid an imminent hazard to the public safety. As a result of this order, the full effect of the CSA and its implementing regulations including criminal, civil and administrative penalties, sanctions and regulatory controls of Schedule I substances will be imposed on the manufacture, distribution, possession, importation, and exportation of these synthetic cathinones.

  14. Analysis of 2006-2012 Huanggu district public health emergencies%2006年-2012年皇姑区突发公共卫生事件分析

    Institute of Scientific and Technical Information of China (English)

    杜娟

    2014-01-01

    2006年-2012年,皇姑区发生并报告的突发公共卫生事件均发生在学校,全部都是呼吸道传染病类疫情,包括风疹、水痘、流行性腮腺炎,发病主要集中在冬春季节。为了更好地预防和控制学校突发公共卫生事件的发生,减少因事件给学生造成的身心健康危害,需采取有效的控制措施。%2006-2012, the public health emergency in Huanggu district and report occurred in the school, all respiratory infectious disease epidemic, class, including rubella varicella, mumps, mainly concentrated in the incidence in winter and spring. In order to better prevention and control of emergencies of school public health events, reduce the event causes students' physical and mental health, to take effective control measures.

  15. Determinants of emergency response willingness in the local public health workforce by jurisdictional and scenario patterns: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Barnett Daniel J

    2012-03-01

    Full Text Available Abstract Background The all-hazards willingness to respond (WTR of local public health personnel is critical to emergency preparedness. This study applied a threat-and efficacy-centered framework to characterize these workers' scenario and jurisdictional response willingness patterns toward a range of naturally-occurring and terrorism-related emergency scenarios. Methods Eight geographically diverse local health department (LHD clusters (four urban and four rural across the U.S. were recruited and administered an online survey about response willingness and related attitudes/beliefs toward four different public health emergency scenarios between April 2009 and June 2010 (66% response rate. Responses were dichotomized and analyzed using generalized linear multilevel mixed model analyses that also account for within-cluster and within-LHD correlations. Results Comparisons of rural to urban LHD workers showed statistically significant odds ratios (ORs for WTR context across scenarios ranging from 1.5 to 2.4. When employees over 40 years old were compared to their younger counterparts, the ORs of WTR ranged from 1.27 to 1.58, and when females were compared to males, the ORs of WTR ranged from 0.57 to 0.61. Across the eight clusters, the percentage of workers indicating they would be unwilling to respond regardless of severity ranged from 14-28% for a weather event; 9-27% for pandemic influenza; 30-56% for a radiological 'dirty' bomb event; and 22-48% for an inhalational anthrax bioterrorism event. Efficacy was consistently identified as an important independent predictor of WTR. Conclusions Response willingness deficits in the local public health workforce pose a threat to all-hazards response capacity and health security. Local public health agencies and their stakeholders may incorporate key findings, including identified scenario-based willingness gaps and the importance of efficacy, as targets of preparedness curriculum development efforts and

  16. Cidadania e modernidade: emergência da questão social na agenda pública Citizenship and modernity: the emergence of the social issue on the public agenda

    Directory of Open Access Journals (Sweden)

    Regina Cele de A. Bodstein

    1997-04-01

    Full Text Available A inclusão da chamada questão social na agenda pública desde a modernidade até seus desdobramentos mais atuais constituiu-se no fio condutor do artigo. Procurou-se mostrar que um dos sentidos da modernidade é exatamente a inversão radical entre o significado do público e do privado, ensejando o alargamento do espaço público. A modernidade, longe de estar associada a um determinado modelo capitalista-burguês, projeta-se como uma reinvenção dos direitos, da cidadania e da experiência democrática contemporânea. Nessa trajetória, o processo de individualização foi visto como fator crucial para a compreensão da ideologia das sociedades modernas e, paradoxalmente, da própria emergência das ciências sociais. A concepção individualista, enfatizando a especificidade da representação moderna do social, isto é, sua característica de sociedade auto-instituinte, permite a compreensão ampliada do domínio público. Nesse sentido, a polarização ideológica entre as concepções liberal (favorável ao individualismo e marxista (vinculada às representações holísticas do social, deve ser revista, inclusive, porque repercute no próprio instrumental analítico das ciências sociais.The guiding thread of this article is the inclusion of the so-called "social issue" on the public agenda from modernity through its more current developments. The study seeks to demonstrate that one of the meanings of modernity is precisely the radical inversion of the meaning of public and private, providing for the broadening of public space. Far from being associated with a given bourgeois capitalist model, modernity thus projects itself as a reinvention of rights, citizenship, and contemporary democratic experience. Over this long course, the individualization process has been seen as a crucial factor for understanding both the ideology of modern societies and - paradoxically - the very emergence of social sciences. The individualist concept

  17. The development of reactions of the public to warning and emergency situations in France, Greece, and the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Wiegman, O.; Boer, H.; Gutteling, J.M.; Komilis, E.; Cadet, B. (Department of Psychology, University of Twente, (Netherlands))

    1992-02-01

    This article describes the different reactions to emergency warning messages among residents living within a 3-km radius of a hazardous chemical complex and by people living at least 10 km from an industrial site in France, Greece, and the Netherlands. Belief in warning, primary and secondary appraisal, emotional response, and adherence to normal routine were assessed by conducting face-to-face interviews in which a four-phase scenario simulating a credible industrial accident was presented. The results showed that respondents who did not reside in the neighborhood of the hazardous site were, in general, more inclined to trust the warning messages than respondents who resided in the neighborhood were. With the exception of primary appraisal, the warning phases evoked very distinct reactions in the respondents from all three countries with regard to warning belief, secondary appraisal, emotional response, and adherence to normal routine.

  18. CMS multicore scheduling strategy

    Energy Technology Data Exchange (ETDEWEB)

    Perez-Calero Yzquierdo, Antonio [Madrid, CIEMAT; Hernandez, Jose [Madrid, CIEMAT; Holzman, Burt [Fermilab; Majewski, Krista [Fermilab; McCrea, Alison [UC, San Diego

    2014-01-01

    In the next years, processor architectures based on much larger numbers of cores will be most likely the model to continue 'Moore's Law' style throughput gains. This not only results in many more jobs in parallel running the LHC Run 1 era monolithic applications, but also the memory requirements of these processes push the workernode architectures to the limit. One solution is parallelizing the application itself, through forking and memory sharing or through threaded frameworks. CMS is following all of these approaches and has a comprehensive strategy to schedule multicore jobs on the GRID based on the glideinWMS submission infrastructure. The main component of the scheduling strategy, a pilot-based model with dynamic partitioning of resources that allows the transition to multicore or whole-node scheduling without disallowing the use of single-core jobs, is described. This contribution also presents the experiences made with the proposed multicore scheduling schema and gives an outlook of further developments working towards the restart of the LHC in 2015.

  19. Model Migration Schedules

    OpenAIRE

    1981-01-01

    This report draws on the fundamental regularity exhibited by age profiles of migration all over the world to develop a system of hypothetical model schedules that can be used in multiregional population analyses carried out in countries that lack adequate migration data.

  20. Personnel Scheduling in Laboratories

    NARCIS (Netherlands)

    Franses, Philip; Post, Gerhard; Burke, Edmund; De Causmaecker, Patrick

    2003-01-01

    We describe an assignment problem particular to the personnel scheduling of organisations such as laboratories. Here we have to assign tasks to employees. We focus on the situation where this assignment problem reduces to constructing maximal matchings in a set of interrelated bipartite graphs. We d

  1. Location-based Scheduling

    DEFF Research Database (Denmark)

    Andersson, Niclas; Christensen, Knud

    The coordination of activities and resources in order to establish an effective production flow is central to the management of construction projects. The traditional technique for coordination of activities and resources in construction projects is the CPM-scheduling, which has been the predomin......The coordination of activities and resources in order to establish an effective production flow is central to the management of construction projects. The traditional technique for coordination of activities and resources in construction projects is the CPM-scheduling, which has been...... the predominant scheduling method since it was introduced in the late 1950s. Over the years, CPM has proven to be a very powerful technique for planning, scheduling and controlling projects, which among other things is indicated by the development of a large number of CPM-based software applications available...... on the market. However, CPM is primarily an activity based method that takes the activity as the unit of focus and there is criticism raised, specifically in the case of construction projects, on the method for deficient management of construction work and continuous flow of resources. To seek solutions...

  2. Round Robin Schedules.

    Science.gov (United States)

    Iannone, Michael A.

    1983-01-01

    Presented is a computer program written in BASIC that covers round-robin schedules for team matches in competitions. The program was originally created to help teams in a tennis league play one match against every other team. Part of the creation of the program involved use of modulo arithmetic. (MP)

  3. Harmonious personnel scheduling

    NARCIS (Netherlands)

    Fijn van Draat, Laurens; Post, Gerhard; Veltman, Bart; Winkelhuijzen, Wessel

    2006-01-01

    The area of personnel scheduling is very broad. Here we focus on the ‘shift assignment problem’. Our aim is to discuss how ORTEC HARMONY handles this planning problem. In particular we go into the structure of the optimization engine in ORTEC HARMONY, which uses techniques from genetic algorithms, l

  4. Harmonious personnel scheduling

    NARCIS (Netherlands)

    Fijn van Draat, Laurens; Post, Gerhard F.; Veltman, Bart; Winkelhuijzen, Wessel

    2006-01-01

    The area of personnel scheduling is very broad. Here we focus on the ‘shift assignment problem’. Our aim is to discuss how ORTEC HARMONY handles this planning problem. In particular we go into the structure of the optimization engine in ORTEC HARMONY, which uses techniques from genetic algorithms,

  5. 14 CFR 1215.109 - Scheduling user service.

    Science.gov (United States)

    2010-01-01

    ... occurring after the user has been accepted and placed in the TDRSS mission model as specified in § 1215.108.... Services shall be provided either as normally scheduled service or as emergency/disruptive update service. Priorities will be different for emergency/disruptive updates than for normal services. (1) Normally...

  6. A emergência da medicina tradicional indígena no campo das políticas públicas The emergence of traditional indigenous medicine in the public policy field

    Directory of Open Access Journals (Sweden)

    Luciane Ouriques Ferreira

    2013-03-01

    Full Text Available Trata o surgimento da medicina tradicional indígena como objeto de discurso no campo das políticas públicas de saúde indígena. Os sentidos que nesse campo informam a noção de medicina tradicional indígena são diversos e constantemente revisados e/ou criados em situações dialógicas concretas, o que lhes confere caráter emergente. Se os discursos oficiais usam o poder de nomear para conceituar as medicinas tradicionais, as falas indígenas remetem a saberes e a práticas de autoatenção inscritos em contextos locais particulares. As políticas públicas são apropriadas e indigenizadas pelos povos indígenas, adquirindo novos sentidos e influenciando a reorganização sociocultural do cuidado com a saúde.The article explores the emergence of traditional indigenous medicine as an object of discourse within the field of public policy and indigenous health. There are a gamut of meanings that inform the notion of traditional indigenous medicine in this field and they are steadily being revised and/or created in concrete dialogical situations, which endows them with an emergent nature. If official discourses use the power of naming to conceptualize traditional medicine, indigenous discourse designates knowledge and practices of self-attention rooted in specific local contexts. Public policy is appropriated and indigenized by indigenous peoples, gaining new meanings and influencing the sociocultural re-organization of health care.

  7. Reducing rural maternal mortality and the equity gap in northern Nigeria: the public health evidence for the Community Communication Emergency Referral strategy

    Science.gov (United States)

    Aradeon, Susan B; Doctor, Henry V

    2016-01-01

    The Sustainable Development Goal (SDG) maternal mortality target risks being underachieved like its Millennium Development Goal (MDG) predecessor. The MDG skilled birth attendant (SBA) strategy proved inadequate to end preventable maternal deaths for the millions of rural women living in resource-constrained settings. This equity gap has been successfully addressed by integrating a community-based emergency obstetric care strategy into the intrapartum care SBA delivery strategy in a large scale, northern Nigerian health systems strengthening project. The Community Communication Emergency Referral (CCER) strategy catalyzes community capacity for timely evacuations to emergency obstetric care facilities instead of promoting SBA deliveries in environments where SBA availability and accessibility will remain inadequate for the near and medium term. Community Communication is an innovative, efficient, equitable, and culturally appropriate community mobilization approach that empowers low- and nonliterate community members to become the communicators. For the CCER strategy, this community mobilization approach was used to establish and maintain emergency maternal care support structures. Public health evidence demonstrates the success of integrating the CCER strategy into the SBA strategy and the practicability of this combined strategy at scale. In intervention sites, the maternal mortality ratio reduced by 16.8% from extremely high levels within 4 years. Significantly, the CCER strategy contributed to saving one-third of the lives saved in the project sites, thereby maximizing the effectiveness of the SBAs and upgraded emergency obstetric care facilities. Pre- and postimplementation Knowledge, Attitude, and Practice Survey results and qualitative assessments support the CCER theory of change. This theory of change rests on a set of implementation steps that rely on three innovative components: Community Communication, Rapid Imitation Practice, and CCER support

  8. 17 CFR 210.6A-05 - What schedules are to be filed.

    Science.gov (United States)

    2010-04-01

    ... ACT OF 1934, PUBLIC UTILITY HOLDING COMPANY ACT OF 1935, INVESTMENT COMPANY ACT OF 1940, INVESTMENT... audited. Schedule I—Investments. A schedule substantially in form prescribed by § 210.12-12 shall be filed.... Schedule II—Allocation of plan assets and liabilities to investment program. If the plan provides...

  9. 42 CFR 414.62 - Fee schedule for clinical psychologist services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Fee schedule for clinical psychologist services... Physicians and Other Practitioners § 414.62 Fee schedule for clinical psychologist services. The fee schedule for clinical psychologist services is set at 100 percent of the amount determined for...

  10. Class Schedules--Computer Loaded or Student Self-Scheduled?

    Science.gov (United States)

    Wall, Edward F.

    1979-01-01

    In the two-step process of student scheduling, the initial phase of course selection is the most important. At Chesterton High School in Indiana, student self-scheduling is preferred over computer loading. (Author/MLF)

  11. Public radiotelevision Corporations in European Union and the emerging use of Web 2.0 to communicate CSR

    Directory of Open Access Journals (Sweden)

    Tania FERNÁNDEZ LOMBAO FERNÁNDEZ LOMBAO

    2014-10-01

    Full Text Available Corporate Social Responsibility is a concept that defines the model of corporate governance based on responsible, horizontal and interactive accountability as opposed to closed and rail control systems. This type of management has been associated, at an initial moment, with private enterprise in the context of globalization, although gradually being implemented in the public, and consequently in the state-owned broadcasting corporations of the European Union. The three first corporations who have introduced CSR in their management are the BBC in the UK, RTÉ in Ireland, and ZDF in Germany. They develop their strategies in the fields of governance, working conditions, human rights, consumer, good practices in the activity, environment and community involvement. Annually these three corporations publish memories to evaluate the success or failure of their CSR activities, in order to provide detailed information to its stakeholders or interest groups: managers, suppliers, employees, partners, local communities and international communities. The purpose of this paper is to analyze the way in which the three corporations use Web 2.0 through their corporate websites in order to spread their CSR activities. Thus, detail the peculiarities and possibilities offered by each of the spaces 2.0 and how it encourages interaction, understood as a pillar of the `social media 'against excessive elite control prevailing in the traditional media. Also, check if the three public broadcasting corporations use Web 2.0 share CSR as a management philosophy or whether, on the contrary, does not go beyond simple social marketing. To do this, we will identify the spaces dedicated to Corporate Social Responsibility, specify the category in which it is included and the importance given to it in the middle of other content contained in the corporate websites. Overall, we aim to find out if the web 2.0. is the method of choice for corporations to communicate their CSR

  12. More than 20 years after re-emerging in the 1990s, diphtheria remains a public health problem in Latvia.

    Science.gov (United States)

    Kantsone, Ieva; Lucenko, Irina; Perevoscikovs, Jurijs

    2016-12-01

    In 1994, the World Health Organization (WHO) declared the goal of eliminating diphtheria within the WHO European Region by the year 2000. However, in 1990 an epidemic emerged within the Russian Federation and spread to other countries, including Latvia, by 1994. We describe national surveillance and immunisation coverage data in Latvia from 1994 to 2014 and present historical data from 1946. We defined a laboratory-confirmed case as a clinical case in which toxin-producing Corynebacterium diphtheriae, C. ulcerans or C. pseudotuberculosis was isolated. From 1994 to 2014, 1,515 cases were reported, giving an average annual incidence of 3.2 cases per 100,000 inhabitants (range 0.1-14.8), with the highest incidence in age groups 5-19 and 40-49 years (4.4 and 4.3/100,000, respectively); 111 deaths were reported, 83.8% cases were laboratory-confirmed. Most cases occurred in unvaccinated adults. To improve disease control a supplementary immunisation campaign for adults was initiated in 1995, and by the end of 1998 national coverage among adults reached 70%, and reached 77% in 2003, but declined to 59% by 2014. Diphtheria remains a problem in Latvia with continued circulation of toxin-producing strains of C. diphtheriae. We recommend to strengthen immunisation to cover adults, as well as the education of health professionals and a serological survey. This article is copyright of The Authors, 2016.

  13. Level of impact on the public health of universal human immunodeficiency virus screening in an Emergency Department.

    Science.gov (United States)

    Reyes-Urueña, Juliana; Fernàndez-López, Laura; Force, Luis; Daza, Manel; Agustí, Cristina; Casabona, Jordi

    The aim of this study was to determine the prevalence of HIV and the acceptability of rapid testing in an emergency department (ED), Barcelona (6/07/2011 to 8/03/2013). A convenience sample was used, depending on nurse availability in the ED. Participants signed an informed consent. Results were confirmed by conventional methods. A total of 2,140 individuals were offered testing, and 5% rejected taking part (107/2,140). Three subjects (3/2,033 [0.15%]) had confirmed reactive test. Individuals with a higher education were more likely to perform a rapid HIV test in ED (P<.005). A low prevalence of new HIV diagnoses was found among participants, although there was a high acceptability rate to perform rapid testing in the ED. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  14. Emergency contraception: knowledge, attitudes and practices among married Malay women staff at a public university in Malaysia.

    Science.gov (United States)

    Najafi, Fatemeh; Rahman, Hejar Abdul; Hanafiah, Muhamad; Momtaz, Yadollah A; Ahmad, Zaiton

    2012-11-01

    There is a high rate of unintended pregnancies in Malaysia due to low contraceptive use. Only 30% of married women use modern contraceptive methods. Emergency contraception (EC) is used within a few days of unprotected sex to prevent pregnancy. The purpose of this study was to investigate the knowledge, attitudes, and practices regarding EC pill use among Malay women. A cross sectional study was conducted among married female staff using stratified random sampling from 15 faculties in the Universiti Putra Malaysia (UPM). Data about sociodemographic factors, reproductive health, knowledge, attitudes and practices regarding EC use were gathered using validated self-administered questionnaire. The response rate was 87%. Half the 294 subjects who participated had a low knowledge, 33.0% a moderate knowledge and 17.0% a good knowledge about the EC pill. Eighty-eight percent of respondents had a positive attitude and 12.0% a negative attitude toward EC. Eleven percent of respondents had previously used EC. Unplanned and unwanted pregnancies were reported by 35.0% and 14.0% of respondents, respectively. Most respondents lacked knowledge about the indications for using EC, its mechanism of action, when it can be used and its side effects. Our findings show a need to educate women about EC.

  15. The effect of public Polices on the attractiveness of emerging countries for the development of innovation activities by multinational firms

    Directory of Open Access Journals (Sweden)

    Eva Stal

    2009-03-01

    Full Text Available Multinational firms contribute to the development of innovative capacity in countries where they establish subsidiaries and research centers. However, they still conduct most of their R&D at home or in developed countries’ based subsidiaries. The resources offered by the host country affect the level of local R&D, and they constitute what Dunning calls the L (location variable of his Eclectic Paradigm of International Production. It includes a big domestic market, availability of qualified and low-cost professionals, technological (universities and research institutes and communication infrastructure, protection of intellectual property rights, commercial policies and the scale of the national technological effort. These aspects define the type and scope of R&D that will be done locally. The article aims at showing that emerging countries need a strong action from the government, in order to improve their attractiveness to MNCs. The Brazilian Informatics Act is an example of a successful policy, which attracted many foreign companies, in exchange of tax incentives and the requirement of local R&D activities. The results are based on interviews with a group of firms established in the Campinas region.

  16. The influence of hierarchical group scheduling emergency mode on critically ill pa-tients' treatment effect%分层成组排班急救模式对急危重症患者救治效果的影响

    Institute of Scientific and Technical Information of China (English)

    何冰

    2016-01-01

    目的:探讨分层成组排班急救模式与传统急救模式对急危重症患者的救治效果差异,寻求更有效的急救模式。方法选择我院急诊科2013年2月至2015年2月96例急危重症患者作为实验组,对患者实施分层成组排班急救模式救治;另选择我院急诊科2010年2月至2012年2月96例急危重症患者作为对照组,对患者实施传统急救救治。对两组研究对象的有效救治时间、救治效果、护理满意度、心理状态进行对比和分析。结果实验组患者有效救治总有效率为92.7%,护理满意率93.8%;对照组患者有效救治总有效率为83.3%,护理满意率79.2%,两组比较差异均具有统计学意义( P<0.05)。抢救后,实验组患者焦虑和抑郁评分均低于对照组,差异有统计学意义( P<0.05)。结论急危重症患者实施分层成组排班急救模式可以有利于提高救治效果,降低不良反应发生率,改善患者心理状态,提高护理满意度。%Objective To explore the differences of the treatment effect between hierarchical group scheduling emergency mode and traditional mode of emergency for critically ill patients to seek more effective emergency mode. Methods A total of 96 cases of critically ill patients in the emergency department of our hospital from February 2013 to February 2015 were selected as the experimental group. The patients of the experimental group implemented hi-erarchical grouping scheduling emergency treatment mode; another 96 cases of critically ill patients in the emergency department of our hospital from February 2010 to February 2012 were chosen as the control group and all the patients were given traditional emergency treatment. The effective treatment time, treatment effect, nursing satisfaction degree and psychological status of the two groups were compared and analyzed. Results The total efficiency rate of the effective treatment for the patients of the experimental group was

  17. Public Opinion Guidance of Sensitive Emergency Involved Police%涉警突发敏感事件网络舆论引导

    Institute of Scientific and Technical Information of China (English)

    丁帆

    2016-01-01

    在网络技术快速发展的今天,网络媒体在信息发布的领域不再一者独大,自媒体对网络舆论的发展起着极大的催化推动作用。涉警突发敏感事件的网络舆论,具有网络舆论主体多元化、匿名性,形成高速性,传播互动性、互文性的特点。由于警察的特殊身份,涉警突发敏感事件网络舆论的内容往往较为敏感,部分网民的观点容易夹杂着宣泄的心理,负面影响较大。针对涉警敏感事件网络舆论的独特之处,在涉警突发敏感事件发生之后,公安机关在舆论引导的过程中应着重把握“快”、“准”、“狠”三大原则和策略;找准时机进行议题的设置与置换;发挥网络舆论领袖的重要作用;建立一支专业的网络技术队伍,对涉警突发敏感事件网络舆论进行技术引导。%In the current rapid development of network technology, the network media in the field of information release is no longer unique, since the self-media plays a catalytic role for the development of network public opinion. The network public opinion of the sensitive emergency involved police has the characteristics of diversification, anonymity, recommend suite, interaction and intertextuality. Because of the police's special status, the content of the emergency is often sensitive, some netizens’ opinion easily mixed with psychological catharsis, whose negative impact is bigger. According to this situation, the public security organ should build a professional network technology team, and play an important leading role in guiding the network public opinion.

  18. Availability and use of emergency obstetric care services in public hospitals in Laos PDR: a systems analysis.

    Science.gov (United States)

    Douangphachanh, Xaysomphou; Ali, Moazzam; Outavong, Phathammavong; Alongkon, Phengsavanh; Sing, Menorath; Chushi, Kuroiwa

    2010-12-01

    The maternal mortality ratio in Laos in 2005 was 660 per 100,000 lives birth which was the third highest in Asia-Pacific Region. The objective was to determine the availability and use of emergency obstetric care (EmOC) in provincial and district hospitals in Borikhamxay, Khammouane, and Savannakhet provinces using UN guidelines. A hospital-based cross sectional survey was conducted from January to March 2008. All district (30) and provincial hospitals (3) from three provinces were included. Analysis was based on hospital records reflecting 12 months of facility data. Data indicates that only 14 hospitals (42.4%) were providing EmOC services, i.e., 9 basic, 5 comprehensive services. The proportion of births in EmOC facilities was only 11.2%, the met need was a very low 14.5%, and the cesarean section rate was only 0.9%. The case fatality rate in Borikhanxay province was 2.8%; in Khammouane and in Savannakhet provinces it was less than 1%. Record keeping at hospitals was poor. Signal functions provided in the last three months showed only 48.5% of the facilities performed assisted vaginal delivery. This is the first study in Lao PDR to assess EmOC services. Almost all the indicators were below the UN recommendations. Health planners must take evidence-based decisions to rectify and improve the situation in the hospitals regarding EmOC services. These data can therefore help government to assign and allocate budgets appropriately, and help policymakers and planners to identify systemic bottlenecks and prioritize solutions and will help in improving maternal health.

  19. Racial/Ethnic Minority Children’s Use of Psychiatric Emergency Care in California’s Public Mental Health System

    Science.gov (United States)

    Snowden, Lonnie R.; Masland, Mary C.; Libby, Anne M.; Wallace, Neal; Fawley, Kya

    2008-01-01

    Objectives. We examined rates and intensity of crisis services use by race/ethnicity for 351174 children younger than 18 years who received specialty mental health care from California’s 57 county public mental health systems between July 1998 and June 2001. Methods. We used fixed-effects regression for a controlled assessment of racial/ethnic disparities in children’s use of hospital-based services for the most serious mental health crises (crisis stabilization services) and community-based services for other crises (crisis intervention services). Results. African American children were more likely than were White children to use both kinds of crisis care and made more visits to hospital-based crisis stabilization services after initial use. Asian American/Pacific Islander and American Indian/Alaska Native children were more likely than were White children to use hospital-based crisis stabilization services but, along with Latino children, made fewer hospital-based crisis stabilization visits after an initial visit. Conclusions. African American children used both kinds of crisis services more than did White children, and Asian Americans/Pacific Islander and American Indians/Alaska Native children visited only when they experienced the most disruptive and troubling kind of crises, and made nonrecurring visits. PMID:18048783

  20. Dog Bite Emergencies

    Science.gov (United States)

    ... Emergency Care Animal Welfare Veterinary Careers Public Health Dog bite emergencies What do I do if I’ ... vaccination records. What do I do if my dog bites someone? Dog bites are scary for everyone ...

  1. Revisiting conjugate schedules.

    Science.gov (United States)

    MacAleese, Kenneth R; Ghezzi, Patrick M; Rapp, John T

    2015-07-01

    The effects of conjugate reinforcement on the responding of 13 college students were examined in three experiments. Conjugate reinforcement was provided via key presses that changed the clarity of pictures displayed on a computer monitor in a manner proportional to the rate of responding. Experiment 1, which included seven parameters of clarity change per response, revealed that responding decreased as the percentage clarity per response increased for all five participants. These results indicate that each participant's responding was sensitive to intensity change, which is a parameter of conjugate reinforcement schedules. Experiment 2 showed that responding increased during conjugate reinforcement phases and decreased during extinction phases for all four participants. Experiment 3 also showed that responding increased during conjugate reinforcement and further showed that responding decreased during a conjugate negative punishment condition for another four participants. Directions for future research with conjugate schedules are briefly discussed.

  2. Zika Virus Diseases – The New Face of an Ancient Enemy as Global Public Health Emergency (2016): Brief Review and Recent Updates

    Science.gov (United States)

    Passi, Deepak; Sharma, Sarang; Dutta, Shubha Ranjan; Ahmed, Musharib

    2017-01-01

    Zika virus (ZIKV) disease is caused by a virus transmitted by Aedes mosquito. It presents as flu-like symptoms lasting for 5–7 days and shows potential association with neurological and autoimmune complications such as congenital microcephaly and adult paralysis disorder, Guillain–Barré syndrome. Treatment measures are conservative as the disease is self-limiting. ZIKV earlier affected several tropical regions of Africa and Asia from 1951 to 2006. Subsequently, it moved out from these regions to land as outbreaks in Yap Island, French Polynesia, South America, and most recently in Brazil. The WHO declared it as an international public health emergency in 2016 and an extraordinary event with recommendations for improving communications, tightening vigil on ZIKV infections, and improving mosquito control measures. The authors in this article aim to briefly discuss ZIKV infection, its epidemiology, clinical manifestations, management, and prevention. PMID:28250906

  3. A scoping review of the evidence for public health risks of three emerging potentially zoonotic viruses: hepatitis E virus, norovirus, and rotavirus.

    Science.gov (United States)

    Wilhelm, Barbara; Waddell, Lisa; Greig, Judy; Rajić, Andrijana; Houde, Alain; McEwen, Scott A

    2015-04-01

    Emerging zoonoses are defined as those newly recognized, or increasing in incidence or geographic range. Hepatitis E virus (HEV), norovirus (NoV), and rotavirus (RV), while well known to be transmitted person-person, have also been hypothesized to be emerging zoonoses. Our objective was to investigate their potential public health risks from animal reservoirs. Given the diversity of evidence sources, a scoping review incorporating a mixed methods synthesis approach was used. A broad search was conducted in five electronic databases. Each citation was appraised independently by two reviewers using screening tools designed and tested a priori. Level 1 relevance screening excluded irrelevant citations; level 2 confirmed relevance and categorized. At level 3 screening, data were extracted to support a risk profile. A stakeholder group provided input on study tools and knowledge translation and transfer. Level 1 screening captured 2471 citations, with 1270 advancing to level 2 screening, and 1094 to level 3. We defined criteria for case attribution to zoonosis for each virus. Using these criteria, we identified a small number of zoonotic cases (HEV n=3, NoV=0, RV=40 (zoonoses=3; human-animal re-assortants=37)) categorized as 'likely'. The available evidence suggests the following potential HEV human exposure sources: swine, other domestic animals, wildlife, surface waters, and asymptomatic human shedders. Possible at-risk groups include the immunocompromised and the elderly. Reports of NoV intergenogroup recombinants suggest potential for human-animal recombination. Greatest public health impact for RV zoonoses may be the potential effect of human-animal reassortants on vaccination efficacy.

  4. Multiprocessor scheduling with rejection

    Energy Technology Data Exchange (ETDEWEB)

    Bartal, Y. [Tel-Aviv Univ. (Israel); Leonardi, S.; Marchetti-Spaccamela, A. [Universita di Roma (Italy); Sgall, J. [Mathematical Inst., Zitna (Czechoslovakia)] [and others

    1996-12-31

    We consider a version of multiprocessor scheduling with the special feature that jobs may be rejected for a certain penalty. An instance of the problem is given by m identical parallel machines and a set of n jobs, each job characterized by a processing time and a penalty. In the on-line version the jobs arrive one by one and we have to schedule or reject a job before we have any information about future jobs. The objective is to minimize the makespan of the schedule for accepted jobs plus the sum of the penalties of rejected jobs. The main result is a 1 + {phi} {approx} 2.618 competitive algorithm for the on-line version of the problem, where 0 is the golden ratio. A matching lower bound shows that this is the best possible algorithm working for all m. For fixed m we give improved bounds, in particular for m = 2 we give an optimal {phi} {approx} 1.618 competitive algorithm. For the off-line problem we present a fully polynomial approximation scheme for fixed m and an approximation algorithm which runs in time O(n log n) for arbitrary m and guarantees 2 - 1/m approximation ratio.

  5. CMS Multicore Scheduling Strategy

    CERN Document Server

    Perez-Calero Yzquierdo, Antonio

    2014-01-01

    In the next years, processor architectures based on much larger numbers of cores will be most likely the model to continue Moores Law style throughput gains. This not only results in many more jobs in parallel running the LHC Run 1 era monolithic applications. Also the memory requirements of these processes push the workernode architectures to the limit. One solution is parallelizing the application itself, through forking and memory sharing or through threaded frameworks. CMS is following all of these approaches and has a comprehensive strategy to schedule multi-core jobs on the GRID based on the glideIn WMS submission infrastructure. We will present the individual components of the strategy, from special site specific queues used during provisioning of resources and implications to scheduling; to dynamic partitioning within a single pilot to allow to transition to multi-core or whole-node scheduling on site level without disallowing single-core jobs. In this presentation, we will present the experiences mad...

  6. Customer Appeasement Scheduling

    CERN Document Server

    Nikseresht, Mohammad R; Maheshwari, Anil

    2010-01-01

    Almost all of the current process scheduling algorithms which are used in modern operating systems (OS) have their roots in the classical scheduling paradigms which were developed during the 1970's. But modern computers have different types of software loads and user demands. We think it is important to run what the user wants at the current moment. A user can be a human, sitting in front of a desktop machine, or it can be another machine sending a request to a server through a network connection. We think that OS should become intelligent to distinguish between different processes and allocate resources, including CPU, to those processes which need them most. In this work, as a first step to make the OS aware of the current state of the system, we consider process dependencies and interprocess communications. We are developing a model, which considers the need to satisfy interactive users and other possible remote users or customers, by making scheduling decisions based on process dependencies and interproce...

  7. Scheduling a C-Section

    Science.gov (United States)

    ... Pregnancy > Labor & birth > Scheduling a c-section Scheduling a c-section E-mail to a friend Please fill in all fields. Please enter ... and develop before she’s born. Why can scheduling a c-section for non-medical reasons be a ...

  8. Flexible Scheduling: Making the Transition

    Science.gov (United States)

    Creighton, Peggy Milam

    2008-01-01

    Citing literature that supports the benefits of flexible scheduling on student achievement, the author exhorts readers to campaign for flexible scheduling in their library media centers. She suggests tips drawn from the work of Graziano (2002), McGregor (2006) and Stripling (1997) for making a smooth transition from fixed to flexible scheduling:…

  9. Probabilistic Bisimulation for Realistic Schedulers

    DEFF Research Database (Denmark)

    Eisentraut, Christian; Godskesen, Jens Christian; Hermanns, Holger

    2015-01-01

    . This holds in the classical context of arbitrary schedulers, but it has been argued that this class of schedulers is unrealistically powerful. This paper studies a strictly coarser notion of bisimilarity, which still enjoys these properties in the context of realistic subclasses of schedulers: Trace...

  10. Continuous Media Tasks Scheduling Algorithm

    Directory of Open Access Journals (Sweden)

    Myungryun Yoo

    2016-03-01

    Full Text Available In this paper the authors propose modified proportional share scheduling algorithm considering the characteristics of continuous media such as its continuity and time dependency. Proposed scheduling algorithm shows graceful degradation of performance in overloaded situation and decreases the number of context switching. Proposed scheduling algorithm is evaluated using several numerical tests under various conditions, especially overloaded situation.

  11. Flexible Software for Flexible Scheduling

    Science.gov (United States)

    Economou, Frossie; Jenness, Tim; Tilanus, Remo P. J.; Hirst, Paul; Adamson, Andy J.; Rippa, Mathew; Delorey, Kynan K.; Isaak, Kate G.

    The JAC Observation Management Project (OMP) provides software for the James Clerk Maxwell (JCMT) and the United Kingdom Infrared (UKIRT) telescopes that manages the life-cycle of flexibly scheduled observations. Its aim is to increase observatory efficiency under flexible (queue) scheduled observing, without depriving the principal investigator (PI) of the flexibility associated with classical scheduling.

  12. Epidemiological Trends of Traumatic Brain Injury Identified in the Emergency Department in a Publicly-Insured Population, 2002-2010.

    Directory of Open Access Journals (Sweden)

    Terence S Fu

    Full Text Available To examine epidemiological trends of Traumatic Brain Injury (TBI treated in the Emergency Department (ED, identify demographic groups at risk of TBI, and determine the factors associated with hospitalization following an ED visit for TBI.A province-wide database was used to identify all ED visits for TBI in Ontario, Canada between April 2002 and March 2010. Trends were analyzed using linear regression, and predictors of hospital admission were evaluated using logistic regression.There were 986,194 ED visits for TBI over the eight-year study period, resulting in 49,290 hospitalizations and 1,072 deaths. The age- and sex-adjusted rate of TBI decreased by 3%, from 1,013.9 per 100,000 (95% CI 1,008.3-1,010.6 to 979.1 per 100,000 (95% CI 973.7-984.4; p = 0.11. We found trends towards increasing age, comorbidity level, length of stay, and ambulatory transport use. Children and young adults (ages 5-24 sustained peak rates of motor vehicle crash (MVC and bicyclist-related TBI, but also experienced the greatest decline in these rates (p = 0.003 and p = 0.005. In contrast, peak rates of fall-related TBI occurred among the youngest (ages 0-4 and oldest (ages 85+ segments of the population, but rates remained stable over time (p = 0.52 and 0.54. The 5-24 age group also sustained the highest rates of sports-related TBI but rates remained stable (p = 0.80. On multivariate analysis, the odds of hospital admission decreased by 1% for each year over the study period (OR = 0.991, 95% CI = 0.987-0.995. Increasing age and comorbidity, male sex, and ambulatory transport were significant predictors of hospital admission.ED visits for TBI are involving older populations with increasingly complex comorbidities. While TBI rates are either stable or declining among vulnerable groups such as young drivers, youth athletes, and the elderly, these populations remain key targets for focused injury prevention and surveillance. Clinicians in the ED setting should be cognizant

  13. Clinical, Virologic, Immunologic Outcomes and Emerging HIV Drug Resistance Patterns in Children and Adolescents in Public ART Care in Zimbabwe.

    Directory of Open Access Journals (Sweden)

    A T Makadzange

    Full Text Available To determine immunologic, virologic outcomes and drug resistance among children and adolescents receiving care during routine programmatic implementation in a low-income country.A cross-sectional evaluation with collection of clinical and laboratory data for children (0-<10 years and adolescents (10-19 years attending a public ART program in Harare providing care for pediatric patients since 2004, was conducted. Longitudinal data for each participant was obtained from the clinic based medical record.Data from 599 children and adolescents was evaluated. The participants presented to care with low CD4 cell count and CD4%, median baseline CD4% was lower in adolescents compared with children (11.0% vs. 15.0%, p<0.0001. The median age at ART initiation was 8.0 years (IQR 3.0, 12.0; median time on ART was 2.9 years (IQR 1.7, 4.5. On ART, median CD4% improved for all age groups but remained below 25%. Older age (≥ 5 years at ART initiation was associated with severe stunting (HAZ <-2: 53.3% vs. 28.4%, p<0.0001. Virologic failure rate was 30.6% and associated with age at ART initiation. In children, nevirapine based ART regimen was associated with a 3-fold increased risk of failure (AOR: 3.5; 95% CI: 1.3, 9.1, p = 0.0180. Children (<10 y on ART for ≥4 years had higher failure rates than those on ART for <4 years (39.6% vs. 23.9%, p = 0.0239. In those initiating ART as adolescents, each additional year in age above 10 years at the time of ART initiation (AOR 0.4 95%CI: 0.1, 0.9, p = 0.0324, and each additional year on ART (AOR 0.4, 95%CI 0.2, 0.9, p = 0.0379 were associated with decreased risk of virologic failure. Drug resistance was evident in 67.6% of sequenced virus isolates.During routine programmatic implementation of HIV care for children and adolescents, delayed age at ART initiation has long-term implications on immunologic recovery, growth and virologic outcomes.

  14. Visualization and Simulation in Scheduling

    Directory of Open Access Journals (Sweden)

    R. Čapek

    2008-01-01

    Full Text Available This paper deals with the representation of scheduling results and it introduces a new tool for visualization and simulation in time scheduling called VISIS. The purpose of this tool is to provide an environment for visualization, e.g. in production line scheduling. The simulation also proposes a way to simulate the influence of a schedule on a user defined system, e.g. for designing filters in digital signal processing. VISIS arises from representing scheduling results using the well-known Gantt chart. The application is implemented in the Matlab programming environment using Simulink and the Virtual Reality toolbox. 

  15. CPU Scheduling Algorithms: A Survey

    Directory of Open Access Journals (Sweden)

    Imran Qureshi

    2014-01-01

    Full Text Available Scheduling is the fundamental function of operating system. For scheduling, resources of system shared among processes which are going to be executed. CPU scheduling is a technique by which processes are allocating to the CPU for a specific time quantum. In this paper the review of different scheduling algorithms are perform with different parameters, such as running time, burst time and waiting times etc. The reviews algorithms are first come first serve, Shortest Job First, Round Robin, and Priority scheduling algorithm.

  16. An automated, broad-based, near real-time public health surveillance system using presentations to hospital Emergency Departments in New South Wales, Australia

    Directory of Open Access Journals (Sweden)

    Chiu Clayton

    2005-12-01

    Full Text Available Abstract Background In a climate of concern over bioterrorism threats and emergent diseases, public health authorities are trialling more timely surveillance systems. The 2003 Rugby World Cup (RWC provided an opportunity to test the viability of a near real-time syndromic surveillance system in metropolitan Sydney, Australia. We describe the development and early results of this largely automated system that used data routinely collected in Emergency Departments (EDs. Methods Twelve of 49 EDs in the Sydney metropolitan area automatically transmitted surveillance data from their existing information systems to a central database in near real-time. Information captured for each ED visit included patient demographic details, presenting problem and nursing assessment entered as free-text at triage time, physician-assigned provisional diagnosis codes, and status at departure from the ED. Both diagnoses from the EDs and triage text were used to assign syndrome categories. The text information was automatically classified into one or more of 26 syndrome categories using automated "naïve Bayes" text categorisation techniques. Automated processes were used to analyse both diagnosis and free text-based syndrome data and to produce web-based statistical summaries for daily review. An adjusted cumulative sum (cusum was used to assess the statistical significance of trends. Results During the RWC the system did not identify any major public health threats associated with the tournament, mass gatherings or the influx of visitors. This was consistent with evidence from other sources, although two known outbreaks were already in progress before the tournament. Limited baseline in early monitoring prevented the system from automatically identifying these ongoing outbreaks. Data capture was invisible to clinical staff in EDs and did not add to their workload. Conclusion We have demonstrated the feasibility and potential utility of syndromic surveillance using

  17. 医务人员件应对突发公共卫生事件能力的培养%Training of medical personnel's abilities in response to public health emergencies

    Institute of Scientific and Technical Information of China (English)

    庄英杰; 贾红军; 马洪滨; 杨静; 李可萍

    2011-01-01

    OBJECTIVE The medical personnel's ability in response to public health emergencies is the important guarantee for solving the emergent public health events properly. METHODS Based on analyzing the general situation of health system, the epidemic situation and the situation of emergent public health event nearly 10 years and the actuality of Beijing medical institution to public health emergencies, the current situation of emergent public health event emergency disposal, problems existing in the medical personnel and deficiency were analyzed, and in view of the above situation, the measures to improve the the medical personnel’s abilities in response to public health emergencies were proposed. RESULTS The medical personnel's ability in response to public health emergencies has been improved. CONCLUSION The medical personnel can thus faithfully perform their duties and properly use the relevant laws and regulations; The health emergency plans have been implemented comprehensively and exactly; The health care emergency work has been developed normatively and orderly.%目的 医务人员应对突发公共卫生事件能力是妥善解决突发公共卫生事件预防控制的重要保障. 方法 通过分析卫生体系概况、近10年传染病疫情态势以及突发卫生公共事件的发生情况以及北京医疗机构卫生应急现状等,剖析突发卫生公共事件应急处置中存在的问题以及医务人员应对突发公共卫生事件的不足之处,提出医务人员应对突发公共卫生事件能力培养措施及方法. 结果 提高了医务人员应对突发公共卫生事件的能力. 结论 通过对医务人员突发公共卫生事件应急能力的培训,使之正确地运用法律法规,忠实地履行其职责;全面、准确地实施卫生应急预案;规范、有序地开展卫生应急工作.

  18. Scheduling theory, algorithms, and systems

    CERN Document Server

    Pinedo, Michael L

    2016-01-01

    This new edition of the well-established text Scheduling: Theory, Algorithms, and Systems provides an up-to-date coverage of important theoretical models in the scheduling literature as well as important scheduling problems that appear in the real world. The accompanying website includes supplementary material in the form of slide-shows from industry as well as movies that show actual implementations of scheduling systems. The main structure of the book, as per previous editions, consists of three parts. The first part focuses on deterministic scheduling and the related combinatorial problems. The second part covers probabilistic scheduling models; in this part it is assumed that processing times and other problem data are random and not known in advance. The third part deals with scheduling in practice; it covers heuristics that are popular with practitioners and discusses system design and implementation issues. All three parts of this new edition have been revamped, streamlined, and extended. The reference...

  19. Train operation in emergencies

    CERN Document Server

    Jia, Limin; Qin, Yong

    2017-01-01

    This book presents the latest findings on train operation theories and methods in the context of emergencies. It examines and assesses a range of aspects—including the definition of a railway emergency, transport organization modes in emergencies, calculating railway transport capacity in emergencies, line planning in emergencies, train re-pathing in emergencies and train re-scheduling in emergencies—that are urgently needed in the railway transportation field, which faces the serious challenge of dealing with emergencies worldwide. The book highlights the latest research results in an integrated and systematic way, and the methodology presented is oriented on real-world problems, allowing it to be used not only directly in railway operational management, but also as the point of departure for further applications or theoretical research. As such, the book will be of considerable interest to graduate students and researchers in the field of traffic and transportation engineering.>.

  20. 41 CFR 105-50.302 - Special fee schedules.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Special fee schedules. 105-50.302 Section 105-50.302 Public Contracts and Property Management Federal Property Management... TO STATE AND LOCAL UNITS OF GOVERNMENT 50.3-Principles Governing Reimbursements to GSA §...

  1. The Dynamical Kernel Scheduler - Part 1

    CERN Document Server

    Adelmann, Andreas; Suter, Andreas

    2015-01-01

    Emerging processor architectures such as GPUs and Intel MICs provide a huge performance potential for high performance computing. However developing software using these hardware accelerators introduces additional challenges for the developer such as exposing additional parallelism, dealing with different hardware designs and using multiple development frameworks in order to use devices from different vendors. The Dynamic Kernel Scheduler (DKS) is being developed in order to provide a software layer between host application and different hardware accelerators. DKS handles the communication between the host and device, schedules task execution, and provides a library of built-in algorithms. Algorithms available in the DKS library will be written in CUDA, OpenCL and OpenMP. Depending on the available hardware, the DKS can select the appropriate implementation of the algorithm. The first DKS version was created using CUDA for the Nvidia GPUs and OpenMP for Intel MIC. DKS was further integrated in OPAL (Object-or...

  2. Signal functions for emergency obstetric care as an intervention for reducing maternal mortality: a survey of public and private health facilities in Lusaka District, Zambia.

    Science.gov (United States)

    Tembo, Tannia; Chongwe, Gershom; Vwalika, Bellington; Sitali, Lungowe

    2017-09-06

    Zambia's maternal mortality ratio was estimated at 398/100,000 live births in 2014. Successful aversion of deaths is dependent on availability and usability of signal functions for emergency obstetric and neonatal care. Evidence of availability, usability and quality of signal functions in urban settings in Zambia is minimal as previous research has evaluated their distribution in rural settings. This survey evaluated the availability and usability of signal functions in private and public health facilities in Lusaka District of Zambia. A descriptive cross sectional study was conducted between November 2014 and February 2015 at 35 public and private health facilities. The Service Availability and Readiness Assessment tool was adapted and administered to overall in-charges, hospital administrators or maternity ward supervisors at health facilities providing maternal and newborn health services. The survey quantified infrastructure, human resources, equipment, essential drugs and supplies and used the UN process indicators to determine availability, accessibility and quality of signal functions. Data on deliveries and complications were collected from registers for periods between June 2013 and May 2014. Of the 35 (25.7% private and 74.2% public) health facilities assessed, only 22 (62.8%) were staffed 24 h a day, 7 days a week and had provided obstetric care 3 months prior to the survey. Pre-eclampsia/ eclampsia and obstructed labor accounted for most direct complications while postpartum hemorrhage was the leading cause of maternal deaths. Overall, 3 (8.6%) and 5 (14.3%) of the health facilities had provided Basic and Comprehensive EmONC services, respectively. All facilities obtained blood products from the only blood bank at a government referral hospital. The UN process indicators can be adequately used to monitor progress towards maternal mortality reduction. Lusaka district had an unmet need for BEmONC as health facilities fell below the minimum UN standard

  3. The Simultaneous Vehicle Scheduling and Passenger Service Problem

    DEFF Research Database (Denmark)

    Petersen, Hanne Løhmann; Larsen, Allan; Madsen, Oli B.G.

    Passengers using public transport systems often experience waiting times when transferring between two scheduled services. We propose a planning approach which seeks to obtain a favorable trade-off between the conflicting objectives passenger service and operating cost, by allowing some moderate...... by the express-bus network in the Greater Copenhagen Area. The results are encouraging and indicate a potential decrease of passenger waiting times in the network of 10-20%, with the vehicle scheduling costs remaining largely unaffected....

  4. Using Google Forms to Schedule Classes in Your Library

    OpenAIRE

    Janet Kenney

    2011-01-01

    Google forms are a great way to collect information from patrons. The author describes her use of Google forms as a class scheduling tool to collect information about potential class visits to the media center and to publicize the many services and resources available. The scheduling form is a time saver for teachers and librarians alike and the information received through it is far superior to the information collected via e-mails.

  5. Residency Applicants Prefer Online System for Scheduling Interviews

    Directory of Open Access Journals (Sweden)

    Wills, Charlotte

    2015-03-01

    Full Text Available Introduction: Residency coordinators may be overwhelmed when scheduling residency interviews. Applicants often have to coordinate interviews with multiple programs at once, and relying on verbal or email confirmation may delay the process. Our objective was to determine applicant mean time to schedule and satisfaction using online scheduling. Methods: This pilot study is a retrospective analysis performed on a sample of applicants offered interviews at an urban county emergency medicine residency. Applicants were asked their estimated time to schedule with the online system compared to their average time using other methods. In addition, they were asked on a five-point anchored scale to rate their satisfaction. Results: Of 171 applicants, 121 completed the survey (70.8%. Applicants were scheduling an average of 13.3 interviews. Applicants reported scheduling interviews using the online system in mean of 46.2 minutes (median 10, range 1-1800 from the interview offer as compared with a mean of 320.2 minutes (median 60, range 3-2880 for other programs not using this system. This difference was statistically significant. In addition, applicants were more likely to rate their satisfaction using the online system as “satisfied” (83.5% vs 16.5%. Applicants were also more likely to state that they preferred scheduling their interviews using the online system rather than the way other programs scheduled interviews (74.2% vs 4.1% and that the online system aided them coordinating travel arrangements (52.1% vs 4.1%. Conclusion: An online interview scheduling system is associated with higher satisfaction among applicants both in coordinating travel arrangements and in overall satisfaction. [West J Emerg Med. 2015;16(2:352-354.

  6. SCHEDULING PROBLEMS-AN OVERVIEW

    Institute of Scientific and Technical Information of China (English)

    Asmuliardi MULUK; Hasan AKPOLAT; Jichao XU

    2003-01-01

    There seems to be a significant gap between the theoretical and the practical aspects of scheduling problems in the job shop environment. Theoretically, scheduling systems are designed on the basis of an optimum approach to the scheduling model. However in the practice, the optimum that is built into the scheduling applications seems to face some challenges when dealing with the dynamic character of a scheduling system, for instance machine breakdown or change of orders. Scheduling systems have become quite complex in the past few years. Competitive business environments and shorter product life cycles are the imminent challenges being faced by many companies these days.These challenges push companies to anticipate a demand driven supply chain in their business environment. A demand-driven supply chain incorporates the customer view into the supply chain processes. As a consequence of this, scheduling as a core process of the demand-driven supply chain must also reflect the customer view. In addition, other approaches to solving scheduling problems, for instance approaches based on human factors, prefer the scheduling system to be more flexible in both design and implementation. After discussion of these factors, the authors propose the integration of a different set of criteria for the development of scheduling systems which not only appears to have a better flexibility but also increased customer-focus.

  7. Emergency Plan life-cycle Management Viewed from Public Goods%公共产品视域下应急预案周期管理探讨

    Institute of Scientific and Technical Information of China (English)

    张小兵; 王建飞; 解玉宾; 李伟; 刘军

    2015-01-01

    According to evaluation results from China Earthquake Administration for special earthquake emer-gency plans in key provinces and cities, management of the current plans has problems as lack of system, chaos in-stitutions and so on, which need to be studied and solved.Based on public goods property of emergency plan, and combined with Product Life-Cycle Theory, plan management process is divided into five stages as designing period, testing period, popularizing period, integrating period and upgrading period.After analyzing the property differ-ences and management needs of each stage, the distribution pattern of plan-management tasks in time dimension is revealed, and a management framework for life cycle of plans is initially constructed.The framework is a realistic thinking and combing of plan management practice, and has a reference value for specific operating and implement-ating of the newly started Regulations on Management on Emergency Plans of Sudden Events.%中国地震局对全国重点省区地震专项应急预案的最新评审结果显示,当前预案管理存在体系欠缺、制度混乱等问题,亟待研究解决。该文基于应急预案公共产品属性,结合产品生命周期理论,将预案管理过程划为设计期、测试期、推广期、整合期、升级期等5个阶段,分析了不同阶段的特征差异和管理需求,揭示了预案管理任务在时间维的分布模式,初步构建了应急预案生命周期管理框架。该框架是对预案管理实务的现实思考与梳理,对新启动《突发事件应急预案管理办法》的具体操作和执行有一定借鉴价值。

  8. 突发事件网络舆情社会影响研究%On Social Effects of Network Public Opinion of Emergencies

    Institute of Scientific and Technical Information of China (English)

    方付建

    2014-01-01

    为分析突发事件网络舆情的社会影响,以系列砍人事件为案例,在概念界定基础上,将网络舆情的社会影响分解为正向影响与负向影响、强影响与弱影响、态度影响与行为影响等形态,指出网络舆情社会影响的发生是不同群体谋求报复最大化或损伤最小化等理性计算的结果,认为突发事件网络舆情社会影响的呈现会带来族群裂痕、事件类化、行为同化等负面后果,提出应通过政府微型治理、媒体审慎报道、民众自我反思等方式消解其负面影响。%In order to analyze the social effects of network public opinion of emergencies, taking the chopping crimes as an example, we will divide social effects of network public opinion into positive and negative effects, strong and weak effects, and attitude and behavior effects on the basis of concept definition. We will state briefly that the happening of the effects is a result which involves the maximization of retaliation from different groups or minimization of injuries, holding that the effects may bring some negative consequences, such as eth-nic divergences, events internalization, behaviors internalization etc. , presenting an idea that we should eliminate the negative impacts through the micro governance of our government, the cautious media reports as well as the self-reflection of the people.

  9. The LSST OCS scheduler design

    Science.gov (United States)

    Delgado, Francisco; Schumacher, German

    2014-08-01

    The Large Synoptic Survey Telescope (LSST) is a complex system of systems with demanding performance and operational requirements. The nature of its scientific goals requires a special Observatory Control System (OCS) and particularly a very specialized automatic Scheduler. The OCS Scheduler is an autonomous software component that drives the survey, selecting the detailed sequence of visits in real time, taking into account multiple science programs, the current external and internal conditions, and the history of observations. We have developed a SysML model for the OCS Scheduler that fits coherently in the OCS and LSST integrated model. We have also developed a prototype of the Scheduler that implements the scheduling algorithms in the simulation environment provided by the Operations Simulator, where the environment and the observatory are modeled with real weather data and detailed kinematics parameters. This paper expands on the Scheduler architecture and the proposed algorithms to achieve the survey goals.

  10. DTS: Building custom, intelligent schedulers

    Science.gov (United States)

    Hansson, Othar; Mayer, Andrew

    1994-01-01

    DTS is a decision-theoretic scheduler, built on top of a flexible toolkit -- this paper focuses on how the toolkit might be reused in future NASA mission schedulers. The toolkit includes a user-customizable scheduling interface, and a 'Just-For-You' optimization engine. The customizable interface is built on two metaphors: objects and dynamic graphs. Objects help to structure problem specifications and related data, while dynamic graphs simplify the specification of graphical schedule editors (such as Gantt charts). The interface can be used with any 'back-end' scheduler, through dynamically-loaded code, interprocess communication, or a shared database. The 'Just-For-You' optimization engine includes user-specific utility functions, automatically compiled heuristic evaluations, and a postprocessing facility for enforcing scheduling policies. The optimization engine is based on BPS, the Bayesian Problem-Solver (1,2), which introduced a similar approach to solving single-agent and adversarial graph search problems.

  11. Littoral Combat Ship Crew Scheduling

    Science.gov (United States)

    2015-03-01

    package DON Department of the Navy F&R Fix and Relax GAMS General Algebraic Modeling System LCS Littoral Combat Ship LCSRON Littoral Combat Ship...but that can be acceptable depending on the scheduler needs. F&R produces superior long-term schedules when compared to a similar-length RH schedule...LEFT BLANK 29 IV. MODEL IMPLEMENTATION LCSS is implemented with the General Algebraic Modeling System (GAMS) using the GAMS/CPLEX (GAMS, 2014

  12. An Analysis of Shuttle Crew Scheduling Violations

    Science.gov (United States)

    Bristol, Douglas

    2012-01-01

    From the early years of the Space Shuttle program, National Aeronautics and Space Administration (NASA) Shuttle crews have had a timeline of activities to guide them through their time on-orbit. Planners used scheduling constraints to build timelines that ensured the health and safety of the crews. If a constraint could not be met it resulted in a violation. Other agencies of the federal government also have scheduling constraints to ensure the safety of personnel and the public. This project examined the history of Space Shuttle scheduling constraints, constraints from Federal agencies and branches of the military and how these constraints may be used as a guide for future NASA and private spacecraft. This was conducted by reviewing rules and violations with regard to human aerospace scheduling constraints, environmental, political, social and technological factors, operating environment and relevant human factors. This study includes a statistical analysis of Shuttle Extra Vehicular Activity (EVA) related violations to determine if these were a significant producer of constraint violations. It was hypothesized that the number of SCSC violations caused by EVA activities were a significant contributor to the total number of violations for Shuttle/ISS missions. Data was taken from NASA data archives at the Johnson Space Center from Space Shuttle/ISS missions prior to the STS-107 accident. The results of the analysis rejected the null hypothesis and found that EVA violations were a significant contributor to the total number of violations. This analysis could help NASA and commercial space companies understand the main source of constraint violations and allow them to create constraint rules that ensure the safe operation of future human private and exploration missions. Additional studies could be performed to evaluate other variables that could have influenced the scheduling violations that were analyzed.

  13. Blog and Podcast Watch: Orthopedic Emergencies.

    Science.gov (United States)

    Grock, Andrew; Rezaie, Salim; Swaminathan, Anand; Min, Alice; Shah, Kaushal H; Lin, Michelle

    2017-04-01

    The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing ALiEM Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of orthopedic emergencies from the AIR series. The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight AIR board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27-29 receive an honorable mention label, if the executive board agrees that the post is accurate and educationally valuable. A total of 87 blog posts and podcasts were evaluated. Key educational pearls from the three AIR posts and the 14 honorable mentions are summarized. The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on orthopedic emergencies.

  14. Research on ontology-based meta event model of public emergencies%突发公共事件基于本体的元事件模型研究

    Institute of Scientific and Technical Information of China (English)

    王涛; 王延章; 鲁艳霞

    2012-01-01

    突发公共事件时有发生,如何应用历史突发公共事件,快速获取应对当前突发事件的解决思路,以应对突发的公共事件,是急需解决的关键问题.通过对突发公共事件实体层级体系的研究,将其公共属性进行描述和抽取,采用OWL语言对突发公共事件的本体进行了描述,并给出了突发公共事件的元事件的定义,讨论了元事件之间的相互关系.结合CBR的相关理念,提出了基于元事件的突发公共事件的推理机制,使得决策者依据元事件库可以快速地获得应急处置方案;最后实例验证和说明该模型具有良好的应用效果.%Public emergencies occur constantly. How to apply history public emergencies and obtain corresponding solutions rapidly is the key problem for coping with public emergencies. The level system of entity of public emergencies is researched, and the public attributes are described and extracted. OWL language is adopted to describe the ontology of public emergency, the definition of meta event is proposed, and the relationship among the meta events is discussed. Combining the related theory of CBR, the reasoning mechanism based on meta event is put forward, which will make decision-maker obtain the disposal schema rapidly according to meta event database. Finally, an example testified the feasibility.

  15. Instruction Scheduling Across Control Flow

    Directory of Open Access Journals (Sweden)

    Martin Charles Golumbic

    1993-01-01

    Full Text Available Instruction scheduling algorithms are used in compilers to reduce run-time delays for the compiled code by the reordering or transformation of program statements, usually at the intermediate language or assembly code level. Considerable research has been carried out on scheduling code within the scope of basic blocks, i.e., straight line sections of code, and very effective basic block schedulers are now included in most modern compilers and especially for pipeline processors. In previous work Golumbic and Rainis: IBM J. Res. Dev., Vol. 34, pp.93–97, 1990, we presented code replication techniques for scheduling beyond the scope of basic blocks that provide reasonable improvements of running time of the compiled code, but which still leaves room for further improvement. In this article we present a new method for scheduling beyond basic blocks called SHACOOF. This new technique takes advantage of a conventional, high quality basic block scheduler by first suppressing selected subsequences of instructions and then scheduling the modified sequence of instructions using the basic block scheduler. A candidate subsequence for suppression can be found by identifying a region of a program control flow graph, called an S-region, which has a unique entry and a unique exit and meets predetermined criteria. This enables scheduling of a sequence of instructions beyond basic block boundaries, with only minimal changes to an existing compiler, by identifying beneficial opportunities to cover delays that would otherwise have been beyond its scope.

  16. Scheduling the powering tests

    CERN Document Server

    Barbero-Soto, E; Casas-Lino, M P; Fernandez-Robles, C; Foraz, K; Pojer, M; Saban, R; Schmidt, R; Solfaroli-Camillocci, M; Vergara-Fernandez, A

    2008-01-01

    The Large Hadron Collider is now entering in its final phase before receiving beam, and the activities at CERN between 2007 and 2008 have shifted from installation work to the commissioning of the technical systems ("hardware commissioning"). Due to the unprecedented complexity of this machine, all the systems are or will be tested as far as possible before the cool-down starts. Systems are firstly tested individually before being globally tested together. The architecture of LHC, which is partitioned into eight cryogenically and electrically independent sectors, allows the commissioning on a sector by sector basis. When a sector reaches nominal cryogenic conditions, commissioning of the magnet powering system to nominal current for all magnets can be performed. This paper briefly describes the different activities to be performed during the powering tests of the superconducting magnet system and presents the scheduling issues raised by co-activities as well as the management of resources.

  17. Routing and scheduling problems

    DEFF Research Database (Denmark)

    Reinhardt, Line Blander

    In today’s globalized society, transport contributes to our daily life in many different ways. The production of the parts for a shelf ready product may take place on several continents and our travel between home and work, vacation travel and business trips has increased in distance the last......, the effectiveness of the network is of importance aiming at satisfying as many costumer demands as possible at a low cost. Routing represent a path between locations such as an origin and destination for the object routed. Sometimes routing has a time dimension as well as the physical paths. This may...... to a destination on a predefined network, the routing and scheduling of vessels in a liner shipping network given a demand forecast to be covered, the routing of manpower and vehicles transporting disabled passengers in an airport and the vehicle routing with time windows where one version studied includes edge...

  18. Risk factors for acute chemical releases with public health consequences: Hazardous Substances Emergency Events Surveillance in the U.S., 1996–2001

    Directory of Open Access Journals (Sweden)

    Kaye Wendy E

    2004-10-01

    Full Text Available Abstract Background Releases of hazardous materials can cause substantial morbidity and mortality. To reduce and prevent the public health consequences (victims or evacuations from uncontrolled or illegally released hazardous substances, a more comprehensive analysis is needed to determine risk factors for hazardous materials incidents. Methods Hazardous Substances Emergency Events Surveillance (HSEES data from 1996 through 2001 were analyzed using bivariate and multiple logistic regression. Fixed-facility and transportation-related events were analyzed separately. Results For fixed-facility events, 2,327 (8% resulted in at least one victim and 2,844 (10% involved ordered evacuations. For transportation-related events, 759 (8% resulted in at least one victim, and 405 (4% caused evacuation orders. Fire and/or explosion were the strongest risk factors for events involving either victims or evacuations. Stratified analysis of fixed-facility events involving victims showed a strong association for acid releases in the agriculture, forestry, and fisheries industry. Chlorine releases in fixed-facility events resulted in victims and evacuations in more industry categories than any other substance. Conclusions Outreach efforts should focus on preventing and preparing for fires and explosions, acid releases in the agricultural industry, and chlorine releases in fixed facilities.

  19. Understanding the emergence of the tobacco industry's use of the term tobacco harm reduction in order to inform public health policy.

    Science.gov (United States)

    Peeters, Silvy; Gilmore, Anna B

    2015-03-01

    To explore the history of transnational tobacco companies' use of the term, approach to and perceived benefits of 'harm reduction'. Analysis of internal tobacco industry documents, contemporary tobacco industry literature and 6 semistructured interviews. The 2001 Institute of Medicine report on tobacco harm reduction appears to have been pivotal in shaping industry discourse. Documents suggest British American Tobacco and Philip Morris International adopted the term 'harm reduction' from Institute of Medicine, then proceeded to heavily emphasise the term in their corporate messaging. Documents and interviews suggest harm reduction offered the tobacco industry two main benefits: an opportunity to (re-) establish dialogue with and access to policy makers, scientists and public health groups and to secure reputational benefits via an emerging corporate social responsibility agenda. Transnational tobacco companies' harm reduction discourse should be seen as opportunistic tactical adaptation to policy change rather than a genuine commitment to harm reduction. Care should be taken that this does not undermine gains hitherto secured in efforts to reduce the ability of the tobacco industry to inappropriately influence policy. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  20. Routing and Scheduling Algorithms for WirelessHARTNetworks: A Survey

    Directory of Open Access Journals (Sweden)

    Marcelo Nobre

    2015-04-01

    Full Text Available Wireless communication is a trend nowadays for the industrial environment. A number of different technologies have emerged as solutions satisfying strict industrial requirements (e.g., WirelessHART, ISA100.11a, WIA-PA. As the industrial environment presents a vast range of applications, adopting an adequate solution for each case is vital to obtain good performance of the system. In this context, the routing and scheduling schemes associated with these technologies have a direct impact on important features, like latency and energy consumption. This situation has led to the development of a vast number of routing and scheduling schemes. In the present paper, we focus on the WirelessHART technology, emphasizing its most important routing and scheduling aspects in order to guide both end users and the developers of new algorithms. Furthermore, we provide a detailed literature review of the newest routing and scheduling techniques forWirelessHART, discussing each of their features. These routing algorithms have been evaluated in terms of their objectives, metrics, the usage of theWirelessHART structures and validation method. In addition, the scheduling algorithms were also evaluated by metrics, validation, objectives and, in addition, by multiple superframe support, as well as by the redundancy method used. Moreover, this paper briefly presents some insights into the main WirelessHART simulation modules available, in order to provide viable test platforms for the routing and scheduling algorithms. Finally, some open issues in WirelessHART routing and scheduling algorithms are discussed.