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  1. Abstracts from the 2016 Joint Meeting of the International Confocal Group (ICG), the International Dermoscopy Society (IDS), and the International Society for Digital Imaging of the Skin (ISDIS)

    PubMed Central

    2016-01-01

    What follows are the abstracts presented at the Joint Meeting of the International Confocal Group (ICG), the International Dermoscopy Society (IDS), and the International Society for Digital Imaging of the Skin (ISDIS). The meeting was held on March 5, 2016, in Washington, DC, USA, in conjunction with the annual meeting of the American Academy of Dermatology (Figure 1). The abstracts appear in the order in which they were presented.

  2. Anorexia Nervosa--Parents in Crisis--The Parent Group.

    ERIC Educational Resources Information Center

    Hueth, Colleen Kirkpatrick

    Parents who live with and deal with anorexia nervosa in a daughter often find themselves in crisis. The parent group is one response to that crisis. This study surveyed 30 Montana treatment centers, the 13 Montana AA high schools, and the 12 Montana colleges, universities, and junior colleges to determine what, if any, parent groups existed and…

  3. Using Family Crisis Groups to Treat Rural Child Sexual Abuse.

    ERIC Educational Resources Information Center

    Hagen, Beverly Hartung; McKinley, Kathryn

    1992-01-01

    Discusses various concepts of crisis intervention theory as applied to the treatment of rural victims of child sexual abuse and their families. Describes a working example of a rural child sexual abuse crisis group, including the initial stages of group development, the cohesive/working stage, and the termination stage. (LP)

  4. ICG fluorescence imaging and its medical applications

    NASA Astrophysics Data System (ADS)

    Miwa, Mitsuharu; Shikayama, Takahiro

    2008-12-01

    This paper presents a novel optical angiography system, and introduces its medical applications. We developed the optical enhanced imaging system which can observe the blood and lymphatic vessels as the Indocyanine green (ICG) fluorescence image. The imaging system consists of 760nm light emitted diode (LED) as excite light, CCD camera as a detector, a high-pass optical filter in front of the CCD and video processing system. The advantage of ICG fluorescence method is safe (radiation free), high sensitive, real time monitoring of blood and/or lymphatic flow, small size, easy to operate and cost effective compared to conventional X-ray angiography or scintigraphy. We have applied this method to several clinical applications such as breast cancer sentinel lymph node (SLN) navigation, lymph edema diagnostic and identification of liver segmentation. In each application, ICG fluorescence method shows useful result. It's indicated that this method is promising technique as optical angiography.

  5. Group crisis intervention for children during ongoing war conflict.

    PubMed

    Thabet, Abdel Aziz; Vostanis, Panos; Karim, Khalid

    2005-08-01

    The aim of this study was to evaluate the short-term impact of a group crisis intervention for children aged 9-15 years from five refugee camps in the Gaza Strip during ongoing war conflict. Children were selected if they reported moderate to severe posttraumatic stress reactions, and were allocated to group intervention (N=47) encouraging expression of experiences and emotions through storytelling, drawing, free play and role-play; education about symptoms (N=22); or no intervention (N=42). Children completed the CPTSD-RI and the CDI pre- and post-intervention. No significant impact of the group intervention was established on children's posttraumatic or depressive symptoms. Possible explanations of the findings are discussed, including the continuing exposure to trauma and the non-active nature of the intervention. PMID:15981138

  6. ICG laser therapy of acne vulgaris

    NASA Astrophysics Data System (ADS)

    Tuchin, Valery V.; Altshuler, Gregory B.; Genina, Elina A.; Bashkatov, Alexey N.; Simonenko, Georgy V.; Odoevskaya, Olga D.; Yaroslavsky, Ilya V.

    2004-07-01

    The near-infrared (NIR) laser radiation due to its high penetration depth is widely used in phototherapy. In application to skin appendages a high selectivity of laser treatment is needed to prevent light action on surrounding tissues. Indocyanine Green (ICG) dye may provide a high selectivity of treatment due to effective ICG uploading by a target and its narrow band of considerable absorption just at the wavelength of the NIR diode laser. The goal of this study is to demonstrate the efficacy of the NIR diode laser phototherapy in combination with topical application of ICG suggested for soft and thermal treatment of acne vulgaris. 28 volunteers with facile or back-located acne were enrolled. Skin sites of subjects were stained by ICG and irradiated by NIR laser-diode light (803 or 809 nm). Untreated, only stained and only light irradiated skin areas served as controls. For soft acne treatment, the low-intensity (803 nm, 10 - 50 mW/cm2, 5-10 min) or the medium-intensity (809 nm, 150 - 190 mW/cm2, 15 min) protocols were used. The single and multiple (up to 8-9) treatments were provided. The individual acne lesions were photothermally treated at 18 W/cm2 (803 nm, 0.5 sec) without skin surface cooling or at 200 W/cm2 (809 nm, 0.5 sec) with cooling. The results of the observations during 1-2 months after the completion of the treatment have shown that only in the case of the multiple-wise treatment a combined action of ICG and NIR irradiation reduces inflammation and improves skin state during a month without any side effects. At high power densities (up to 200 W/cm2) ICG stained acne inflammatory elements were destructed for light exposures of 0.5 sec. Based on the concept that hair follicle, especially sebaceous gland, can be intensively and selectively stained by ICG due to dye diffusion through pilosebaceous canal and its fast uptake by living microorganisms, by vital keratinocytes of epithelium of the canal and sebaceous duct, and by rapidly proliferating sebocytes, new technologies of soft and thermal acne lesions treatment that could be used in clinical treatment of acne were proposed.

  7. Development of anti-HER2 conjugated ICG-loaded polymeric nanoparticles for targeted optical imaging of ovarian cancer

    NASA Astrophysics Data System (ADS)

    Bahmani, Baharak; Vullev, Valentine; Anvari, Bahman

    2012-03-01

    Targeted delivery of therapeutic and imaging agents using surface modified nanovectors has been explored immensely in recent years. The growing demand for site-specific and efficient delivery of nanovectors entails stable surface conjugation of targeting moieties. We have developed a polymeric nanocapsule doped with Indocyanine green (ICG) with potential for targeted and deep tissue optical imaging and phototherapy. Our ICG-loaded nanocapsules (ICG-NCs) have potential for covalent coupling of various targeting moieties and materials due to presence of amine groups on the surface. Here, we covalently bioconjugate polyethylene glycol(PEG)-coated ICG-NCs with monoclonal antibody against HER2 through reductive amination-mediated procedures. The irreversible and stable bonds are formed between anti- EGFR and aldehyde termini of PEG chains on the surface of ICG-NCs. We confirm the uptake of conjugated ICG-NCs by ovarian cancer cells over-expressing HER2 using fluorescent confocal microscopy. The proposed process for covalent attachment of anti-HER2 to PEGylated ICG-NCs can be used as a methodology for bioconjugation of various antibodies to such nano-constrcuts, and provides the capability to use these optically active nano-probes for targeted optical imaging of ovarian and other cancer types.

  8. Effects of ICG concentration and particle diameter on photophysical properties of ICG-doped nanoparticles

    NASA Astrophysics Data System (ADS)

    Crovisier, Jason; Bahmani, Baharak; Saleh, Reema; Vullev, Valentine; Anvari, Bahman

    2014-03-01

    The variety of nanoparticles developed by numerous investigators has presented a diverse platform for various optical imaging applications in biomedicine. We have previously reported that the FDA-approved chromophore Indocyanine Green (ICG) can be successfully encapsulated by cross-linked poly-allylamine hydrochloride (PAH)-Disodium Monophosphate (Na2HPO4) to form a nanoparticle for near-infrared imaging applications. The diameter of the constructs is dependent on the charge ratio between the polymer and salt used to encapsulate the chromophore. Modifications of the synthesis methods can alter the photophysical properties of the capsules, either through the adjustment of the charge ratio between PAH and Na2HPO4 or concentration of ICG successfully impregnated into the capsule. Through understanding the effects of tuning the nanoparticle properties, the photophysical characteristics of the constructs can be optimized. Here we present the results of adjusting the diameter of the nanoparticle and amount of ICG on the hydrodynamic diameters, absorption and fluorescence characteristics, and the relative fluorescence quantum yield. Optimizing the photophysical properties of the constructs can lead to increased imaging sensitivity and contrast for potential translational applications, including tumor imaging, which may utilize these nanoconstructs.

  9. ICG-loaded polymeric nanocapsules functionalized with anti-HER2 for targeted fluorescence imaging and photodestruction of ovarian cancer cells

    NASA Astrophysics Data System (ADS)

    Bahmani, Baharak; Guerrero, Yadir; Vullev, Valentine; Singh, Sheela P.; Kundra, Vikas; Anvari, Bahman

    2013-03-01

    Optical nano-materials present a promising platform for targeted molecular imaging of cancer biomarkers and its photodestruction. Our group is investigating the use of polymeric nanoparticles, loaded with indocyanine green, an FDA-approved chromophore, as a theranostic agent for targeted intraoperative optical imaging and laser-mediated destruction of ovarian cancer. These ICG-loaded nanocapsules (ICG-NCs) can be functionalized by covalent attachment of targeting moieties onto their surface. Here, we investigate ICG-NCs functionalized with anti-HER2 for targeted fluorescence imaging and laser-mediated destruction of ovarian cancer cells in vitro. ICG-NCs are formed through ionic cross-linking between polyallylamine hydrochloride chains and sodium phosphate ions followed by diffusion-mediated loading with ICG. Before functionalization with antibodies, the surface of ICG-NCs is coated with single and double aldehyde terminated polyethylene glycol (PEG). The monoclonal anti-HER2 is covalently coupled to the PEGylated ICG-NCs using reductive amination to target the HER2 receptor, a biomarker whose over-expression is associated with increased risk of cancer progression. We quantify uptake of anti-HER2 conjugated ICG-NCs by ovarian cancer cells using flow cytometery. The in-vitro laser-mediated destruction of SKOV3 cells incubated with anti-HER2 functionalized ICG-NCs is performed using an 808 nm diode laser. Cell viability is characterized using the Calcein and Ethidium homodimer-1 assays following laser irradiation. Our results indicate that anti-HER2 functionalized ICG-NCs can be used as theranostic agents for optical molecular imaging and photodestruction of ovarian cancers in-vitro.

  10. Risk, interest groups and the definition of crisis: the case of volcanic ash.

    PubMed

    Hutter, Bridget M; Lloyd-Bostock, Sally

    2013-09-01

    This paper considers a key aspect of the 'risk society' thesis: the belief that we should be able to manage risks and control the world around us. In particular it focuses on the interface between risk and risk events as socially constructed and the insights that 'critical situations' give us into 'the routine and mundane', the otherwise taken for granted assumptions underlying risk regulation. It does this with reference to the events precipitated by the April 2010 volcanic eruption in the Eyjafjallajökull area of Iceland. The resulting cloud of volcanic ash spread across Europe and much of Europe's airspace was closed to civil aviation for six days, with far reaching consequences including huge financial losses for airlines. The social processes of defining and reacting to risk and crisis both reveal and generate dilemmas and challenges in regulation. This paper examines the role of different interest groups in defining risk expectations and thereby redefining the ash crisis as a regulatory crisis. PMID:23998317

  11. Simulation of near infrared spectroscopy with ICG on an adult head

    NASA Astrophysics Data System (ADS)

    Mudra, R.; Niederer, P.; Keller, E.

    2005-05-01

    Conventional near infrared spectroscopy (NIRS) for oxymetry has been extended recently with an indocyanine green (ICG) dye dilution method. The injection of ICG allows estimation of cerebral blood volume (CBV ), the mean transit time (mttICG) and the cerebral blood flow (CBF) from the optical density signals. However, the optical density signal obtained through the skull is substantially in influenced by extracerebral tissue. Monte Carlo simulation is used to simulate for the first time light propagation during NIRS with ICG to characterize extracerebral contamination. Simulations are performed on the anatomical structure of an adult head obtained using 3D-magnetic resonance imaging (MRI). ICG is modelled by increasing the absorption coefficients of the tissues, taking their relative blood volumes into account. The effect of ICG on extracerebral contamination of NIRS signals is discussed.

  12. Drug delivery monitoring by photoacoustic tomography with an ICG encapsulated double emulsion

    NASA Astrophysics Data System (ADS)

    Wang, Xueding; Rajian, Justin R.; Fabiilli, Mario L.; Fowlkes, J. Brian; Carson, Paul L.

    2012-02-01

    We successfully encapsulated ICG in an ultrasound-triggerable perfluorocarbon double emulsion that prevents ICG from binding with plasma proteins. Photoacoustic spectral measurements on point target as well as 2-D photoacoustic images of blood vessels revealed that the photoacoustic spectrum changes significantly in blood when the ICG-loaded emulsion undergoes acoustic droplet vaporization (ADV), which is the conversion of liquid droplets into gas bubbles using ultrasound. Other than providing a new photoacoustic contrast agent, the ICG encapsulated double emulsion, when imaged with photoacoustic tomography, could facilitate spatial and quantitative monitoring of ultrasound initiated drug delivery.

  13. Perfusion measures from dynamic ICG scanning laser ophthalmoscopy

    NASA Astrophysics Data System (ADS)

    Larkin, Sean; Invernizzi, Alessandro; Beecher, David; Staurenghi, Giovanni; Holmes, Tim

    2010-02-01

    Movies acquired from fundus imaging using Indocyanine Green (ICG) and a scanning laser ophthalmoscope provide information for identifying vascular and other retinal abnormalities. Today, the main limitation of this modality is that it requires esoteric training for interpretation. A straightforward interpretation of these movies by objective measurements would aid in eliminating this training barrier. A software program has been developed and tested that produces and visualizes 2D maps of perfusion measures. The program corrects for frame-to-frame misalignment caused by eye motion, including rigid misalignment and warp. The alignment method uses a cross-correlation operation that automatically detects the distance due to motion between adjacent frames. The d-ICG movie is further corrected by removing flicker and vignetting artifacts. Each pixel in the corrected movie sequence is fit with a least-squares spline to yield a smooth intensity temporal profile. From the dynamics of these intensity curves, several perfusion measures are calculated. The most effective of these measures include a metric that represents the amount of time required for a vessel to fill with dye, a metric that represents the diffusion of dye, and a metric that is affected by local blood volume. These metrics are calculated from movies acquired before and after treatment for a neovascular condition. A comparison of these before and after measures may someday provide information to the clinician that helps them to evaluate disease progression and response to treatment.

  14. Endoscopic ICG perfusion imaging for flap transplants: technical development

    NASA Astrophysics Data System (ADS)

    Stepp, Herbert; Schachenmayr, Hilmar; Ehrhardt, André; Göbel, Werner; Zhorzel, Sven; Betz, Christian Stephan

    2010-02-01

    Objective: Following tumour surgery in the head and neck region, skin flap transplants are usually required to cover the resection area. The purpose of the development was to provide a simple and reliable means to assess whether the transplanted flap is sufficiently perfused. Methods: Fluorescence of intravenously injected Indocyanine green (ICG) was detected with a slightly modified 3-chip CCD camera. Appropriately coated optical filters allow for excitation of ICG with NIR light and detection of NIR ICGfluorescence with the blue channel of the camera. In addition, low intensities of white light can be transmitted to allow for simultaneous display of a remission image in the green and red channels of the camera. Further processing was performed with a LabVIEW program. Results: A satisfactory white light image (red, green and blue display (RGB)) could be calculated from the remission images recorded with the green and red channels of the camera via a look-up table. The look-up table was programmed to provide an optimized blue intensity value for each combination of red and green values. This was generated using a reference image. Implementation of image tracking and intensity measurements in regions of interest (ROIs) in the images is useful to reliably monitor perfusion kinetics of flap and adjacent normal tissue.

  15. Focus group discussions on the coverage of the southern separatist movement crisis in Yemeni newspapers.

    PubMed

    Al-Majdhoub, Fatima Mohamed; Hamzah, Azizah Binti; Ariffin, Moh Yahya

    2015-01-01

    A qualitative method using focus group discussions (FGDs) was applied in this study to identify people's perceptions on newspaper reporting pertaining to the Southern Separatist Movement (SSM) by different Yemeni newspapers. This paper also looked into the attitudes towards the movement and the popularity of the issue of Yemeni unification. Five FGD groups with a total of 30 participants discussed the subject and some other aspects related to it. The findings of the focu19 groups showed that the southern crisis and SSM had shaken the people's trust on the current form of the unity. The discussion with the groups revealed that media in general and the selected four papers from various political persuasions have no credibility and objectivity, but these papers are trying to instill democratic values which is consistent with their ideology, which have a serious impact on the value of liberal democracy. The participants assured that reporting on the southern cause and the SSM indicated the absence of professional journalism in the media and the political discourse in general. PMID:26110101

  16. From Crisis to Transition: The State of Russian Science Based on Focus Groups with Nuclear Physicists

    SciTech Connect

    Gerber, T P; Ball, D Y

    2001-12-09

    The collapse of the Soviet system led to a sharp contraction of state funding for science. Formerly privileged scientists suddenly confronted miserly salaries (often paid late), plummeting social prestige, deteriorating research facilities and equipment, and few prospects for improvement. Many departed the field of science for more lucrative opportunities, both within Russia and abroad. The number of inventions, patent applications, and publications by Russian scientists declined. Reports of desperate nuclear physicists seeking work as tram operators and conducting hunger strikes dramatized the rapid collapse of one of the contemporary world's most successful scientific establishments. Even more alarming was the 1996 suicide of Vladimir Nechai, director of the second largest nuclear research center in Russia (Chelyabinsk-70, now known as Snezhinsk). Nechai, a respected theoretical physicist who spent almost 40 years working on Soviet and Russian nuclear programs, killed himself because he could no longer endure his inability to rectify a situation in which his employees had not been paid for more than 5 months and were ''close to starvation.'' The travails of Russia's scientists sparked interest in the West primarily because of the security threat posed by their situation. The seemingly relentless crisis in science raised fears that disgruntled scientists might sell their nuclear weapons expertise to countries or organizations that harbor hostile intentions toward the United States. Such concerns are particularly pressing in the wake of the September 2001 terrorist attacks in the US. At the same time, we should not overlook other critical implications that the state of Russian science has for Russia's long-term economic and political development. It is in the West's interest to see Russia develop a thriving market economy and stable democracy. A successful scientific community can help on both counts. Science and technology can attract foreign investment and fuel renewed economic progress in Russia. Russian scientists could also be an important source of support for democratic norms: sociologists of science have long argued that scientists tend to support democracy because it provides them with the freedom in which their research can flourish. At the same time, a more recent study suggests that funding shortages may override the researcher's need for freedom and drive scientists to align themselves with the economic policies espoused by Nationalists and Communists in order to survive. Therefore, much turns on the question: ''What is the state of science in Russia today?'' The good news is that focus group interviews with Russian nuclear physicists conducted in October 2001 suggest that the ''science in crisis'' image is one-sided and misleading. Though scientists still complained about low salaries, lack of respect in society, and other similar issues, the participants in the focus groups also expressed positive sentiments about recent changes in the field of science. To be sure, the financing of science remains at a considerably lower level than during the heyday of Soviet times. Yet, it is now possible to earn a decent living as a scientist because of the greater availability of foreign and domestic grants and contracts. In addition, state funding has stabilized over the past few years. Thus, it is more accurate to say that Russian science is in a state of transition rather than in a state of crisis.

  17. Interest of ICG blood clearance monitoring for reproducible 810-nm diode laser coagulation of blood vessels

    NASA Astrophysics Data System (ADS)

    Desmettre, Thomas; Soulie-Begu, Sylvie; Devoisselle, Jean-Marie; Mordon, Serge R.

    1999-02-01

    Purpose: To evaluate a method of control of diode laser fluence leading to a reproducible ICG-enhanced selective photocoagulation of blood vessels. This method would use the chromophore clearance, i.e. ICG blood concentration decay to adapt the laser fluence. Materials and Methods: A skin flap window was used on hamsters. After a 15 mg/kg ICG solution injection, photocoagulation of vessels were performed. Results: Selective photocoagulation of blood vessels was obtained only during the first 10 minutes. The fluence required to obtain a selective photocoagulation of vessels (F) was modelized using a one compartment phamacokinetic equation: F equals Of(1-e-t/(tau )). The best fit was obtained for a time constant (tau) equals 4.8 min and Of equals 300 J/cm2 (correlation coefficient r2 equals 0.996). During the first 10 minutes, the fluence required for selective photocoagulation of vessels was increased by a factor 4.5. Conclusion: Fluence required for a selective photocoagulation of vessels was correlated to ICG blood concentration decay. The time constant was equivalent to ICG half-life time in human blood. These results demonstrate that diode laser ICG-enhanced photocoagulation can be controlled by monitoring the ICG blood clearance.

  18. The discrepancy between plasma clearance tests of indocyanine green (ICG) and sulfobromophthalein (BSP): --report of cases and a study of ICG-binding pattern of serum proteins.

    PubMed

    Adachi, Y; Yamamoto, T; Onishi, S; Tanaka, S; Wakisaka, G

    1976-01-01

    Two cases of Gilbert's syndrome and three cases of other diseases showed abnormally low plasma indocyanine green (ICG) clearance as contrated with normal or nearly normal plasma sulfobromphthalein (BSP) clearance. To evaluate the role of serum proteins in pathogenesis of these cases, ICG-binding patterns of serum proteins of the patients were compared with that of normal persons by the method of Sephadex G200 column chromatography. No qualitative differences in binding patterns were observed between serum proteins of the patients and normal persons. From these results, serum proteins were thought to be minor determinants of the hepatic ICG uptake mechanism. Because of normal or nearly normal plasma BSP clearance in these patients, the contents of hepatic organic anion-binding proteins, Y and Z, were thought to be sufficient. Possible qualitative abnormalities of the Y and/or Z proteins were also discussed. PMID:976692

  19. Photocurrent Enhancement in the ICG Dye Sensitized ZnO Nanowire Device

    NASA Astrophysics Data System (ADS)

    Long, Gen; Beattie, Michael; Xu, Huizhong; Sadoqi, Mostafa

    In this presentation, we report a systematic study of photocurrent in ICG dye sensitized ZnO nanowire/FTO devices. ZnO nanowire is grown by hydrothermal method, with length of ~200nm to1 μm and diameter of ~30 to 60nm. ICG dye is incorporated by immersing ZnO grown FTO substrate. Different concentrations, solvents of ICG dye, sizes of ZnO nanowires and annealing temperatures and atmosphere after immersion were studied. The synthesized nanostructures and devices were characterized by XRD, UV-VIS absorption, SEM, AFM, solar simulator, etc. And an enhancement in the photocurrent due to ICG is observed. The authors thank Center for Functional Nanomaterials of DOE for providing facilities access.

  20. The CREB binding protein inhibitor ICG-001 suppresses pancreatic cancer growth

    PubMed Central

    Arensman, Michael D.; Telesca, Donatello; Lay, Anna R.; Kershaw, Kathleen M.; Wu, Nanping; Donahue, Timothy R.; Dawson, David W.

    2014-01-01

    Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal cancer due in part to a lack of highly robust cytotoxic or molecular-based therapies. Recent studies investigating ligand-mediated Wnt/β-catenin signaling have highlighted its importance in pancreatic cancer initiation and progression, as well as its potential as a therapeutic target in PDAC. The small molecule ICG-001 binds CREB-binding protein (CBP) to disrupt its interaction with β-catenin and inhibit CBP function as a co-activator of Wnt/β-catenin-mediated transcription. Given its ability to inhibit Wnt/β-catenin-mediated transcription in vitro and in vivo, as well as its efficacy in preclinical models of colorectal cancer and other Wnt-driven diseases, we examined ICG-001 and its potential role as a therapeutic in PDAC. ICG-001 alone significantly inhibited anchorage-dependent and -independent growth of multiple PDAC lines, and augmented in vitro growth inhibition when used in combination with gemcitabine. ICG-001 had only variable modest effects on PDAC apoptosis and instead mediated PDAC growth inhibition primarily through robust induction of G1 cell cycle arrest. These effects, however, appeared decoupled from its inhibition of Wnt/β-catenin-mediated transcription. DNA microarrays performed on PDAC cells in the context of ICG-001 treatment revealed ICG-001 altered the expression of several genes with well-established roles in DNA replication and cell cycle progression, including direct actions on SKP2 and CDKN1A. ICG-001 also significantly prolonged survival in an in vivo orthotopic xenograft model of PDAC, indicating ICG-001 or derived compounds that disrupt CBP activity are potentially useful small molecule therapeutics for pancreatic cancer. PMID:25082960

  1. Effects of ICG concentration on the optical properties of erythrocyte-derived nano-vectors

    NASA Astrophysics Data System (ADS)

    Tang, Jack; Bahmani, Baharak; Burns, Joshua; Nuñez, Vicente; Mac, Jenny; Bacon, Danielle; Vullev, Valentine; Sun, Victor; Jia, Wangcun; Nelson, J. S.; Anvari, Bahman

    2015-03-01

    Erythrocyte-based nanoparticle platforms can offer long circulation times not offered by traditional drug delivery methods. We have developed a novel erythrocyte-based nanoparticle doped with indocyanine green (ICG), the only FDA-approved near-infrared chromophore. Here, we report on the absorption and fluorescence emission characteristics of these nanoparticles fabricated using ICG concentrations in the range of 161-323 μM. These nanoparticles may serve as biocompatible optical materials for various clinical imaging and phototherapeutic applications.

  2. Drug delivery monitoring by photoacoustic tomography with an ICG encapsulated double emulsion

    NASA Astrophysics Data System (ADS)

    Rajian, Justin Rajesh; Fabiilli, Mario L.; Fowlkes, J. Brian; Carson, Paul L.; Wang, Xueding

    2011-07-01

    The absorption spectrum of indocyanine green (ICG), a nontoxic dye used for medical diagnostics, depends upon its concentration as well as the nature of its environment, i.e., the solvent medium into which it is dissolved. In blood, ICG binds with plasma proteins, thus causing changes in its photoacoustic spectrum. We successfully encapsulated ICG in an ultrasound-triggerable perfluorocarbon double emulsion that prevents ICG from binding with plasma proteins. Photoacoustic spectral measurements on point target as well as 2-D photoacoustic images of blood vessels revealed that the photoacoustic spectrum changes significantly in blood when the ICG-loaded emulsion undergoes acoustic droplet vaporization (ADV), which is the conversion of liquid droplets into gas bubbles using ultrasound. We propose that these changes in the photoacoustic spectrum of the ICG emulsion in blood, coupled with photoacoustic tomography, could be used to spatially and quantitatively monitor ultrasound initiated drug delivery. In addition, we suggest that the photoacoustic spectral change induced by ultrasound exposure could also be used as contrast in photoacoustic imaging to obtain a background free image.

  3. Systematic evaluation of ICG and trypan blue related effects on ARPE-19 cells in vitro.

    PubMed

    Peters, Swaantje; Altvater, Andreas; Bopp, Silvia; Vonthein, Reinhard; Szurman, Peter; Spitzer, Martin S; Warga, Max; Lueke, Matthias; Bartz-Schmidt, Karl-Ulrich; Grisanti, Salvatore

    2007-12-01

    The aim of our study was a systematic analysis of the impact of variable parameters on indocyanine green (ICG) and trypan blue (TB) related cytotoxicity on human RPE cells. ARPE-19 cells were incubated with ICG (5.0-0.025mg/ml), with ICG-free solutions of corresponding osmolarities or with TB (1.5-0.0375mg/ml). Incubation lasted 1-20min with or without endolight illumination for 1min or 5min. Cell viability and morphology were examined after 6h, 24h and 72h to detect acute and delayed effects. In the absence of endolight, ICG cytotoxicity depends on osmolarity and exposure time. In the presence of endolight, cytotoxic effects are influenced by dye concentration. TB cytotoxicity depends on dye concentration and exposure time, but not on illumination. All observed cytotoxic effects were mainly acute. Both ICG and TB can be cytotoxic depending on concentration and exposure time. ICG related cytotoxic effects are additionally determined by osmolarity and phototoxicity. However, concentrations (<1mg/ml) and incubation times (<5min) as used in clinical practice would appear to be well tolerated. PMID:17920588

  4. Therapeutic Effect of Diode Laser Photodynamic Therapy with ICG Dye in ARMD: A Case Report

    PubMed Central

    Yoon, Chang Kyoon; Kyoung, Seung Eun

    2007-01-01

    Purpose To evaluate the diode laser photodynamic therapy efficacy on choroidal neovascularization (CNV) in the treatment of three patients with age-related macular degeneration (ARMD). Methods The authors selected three patients with ARMD whose vision has decreased due to CNV, and applied diode laser treatment after injecting an indocyanine green (ICG) solution. The patients were followed for at least three months after treatment, and examinations included evaluating vision changes and possible leakage on fluorescein angiography (FAG). Results The final vision of two patients improved by more than one line on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart after at least three months of follow-up. However, the final vision of the third patient decreased by one line on ETDRS chart. FAG was done in all patients, and in two of the patients, there was no evidence of leakage at the laser-applied site. In the other patient, there was evidence of minimal leakage, with the area of leakage decreasing by more than fifty percent. Side effects of ICG were not found during or after the photodynamic therapy sessions. Conclusions The photodynamic usage of ICG treatment of CNV in patients with ARMD, was effective in preventing or improving the visual outcome. Compared to the widely used verteporfin, ICG is more stable and is more cost effective. The authors therefore came to a conclusion that ICG can be very useful in the treatment of CNV. However, further studies are necessary. PMID:17460435

  5. Simultaneous OCT/confocal-OCT/ICG system for imaging the eye

    NASA Astrophysics Data System (ADS)

    Podoleanu, Adrian G.; Rosen, Richard B.; Dobre, George; Rogers, John A.; Garcia, Patricia; Pedro, Justin; Dunne, Shane; Jackson, David A.; Weitz, Rishard

    2004-10-01

    En-face OCT acquired simultaneously with paired confocal ophthalmoscopic (CO) images provides unprecedented point-to-point correlation between surface and subsurface anatomy of the retina. An advanced prototype of a dual channel OCT/CO instrument was developed in terms of signal to noise ratio and image size. The system can operate in A, B and C-scan regimes. The design is such that there is a strict pixel to pixel correspondence between the OCT and confocal images. An extensive array of clinic pathologies were studied including macular degeneration, central serous retinopathy (CSR), macular hole, macular pucker, cystoid macular edema (CME), diabetic maculopathy, and macular trauma. We report observation of reoccurring patterns in the en-face OCT images which could be identified with different diseases. The system can also simultaneously produce en-face OCT and indocyanine green (ICG) fluorescence images where the same source is used to produce the OCT image and excite the ICG. The system is compact and assembled on a chin rest and it enables the clinician to visualise the same area of the eye fundus in terms of both en face OCT slices and ICG angiograms, displayed side by side. The images are collected by fast en-face scanning (T-scan) followed by slower scanning along a transverse direction and depth scanning. The system is capable of providing chosen OCT B-scans at selected points from the ICG image.

  6. Photothermal and photochemical effects of laser light absorption by indocyanine green (ICG)

    NASA Astrophysics Data System (ADS)

    Yaseen, Mohammad A.; Diagaradjane, Parmeswaran; Pikkula, Brian M.; Yu, Jie; Wong, Michael S.; Anvari, Bahman

    2005-04-01

    Indocyanine Green (ICG) is clinically used as a fluorescent dye for imaging purposes. Its rapid circulation kinetics and minimal toxicity has prompted investigation into ICG's utility as a photosentitizer for therapeutic applications. Traditionally, optically mediated tumor therapy has focused on photodynamic therapy, which employs a photochemical mechanism resulting from the absorption of low intensity CW laser light by localized photosensitizers such as Photofrin II, Benzoporphyrin Derivative (BPD), ICG. Treatment of cutaneous vascular malformations such as port-wine stains, on the other hand, is based on a photothermal mechanism resulting from the absorption of high intensity pulsed laser light by hemoglobin. In this study, we compared the effectiveness of combining photochemical and photothermal mechanisms during application of ICG in conjunction with laser irradiation with the intention that the combined approach may lead to a reduction in the threshold dose of pulsed laser light required to treat hypervascular malformations. The blood vessels in rabbit ears were used as an in vivo model for targeted vasculature. Irradiation of the ears with IR light (λ=785 nm, Δτ = 3 min, Io = 120 mW) was used to elicit photochemical damage, while photothermal damage was brought about using pulses from a ruby laser (λ=694 nm, τ = 3 ms) with different fluences. For the combined modality, photochemical damage was induced first and followed by photothermal irradiation. This modality was compared with photothermal irradiation alone. The effectiveness of each irradiation scheme was assessed using histopathological analysis. We present preliminary data that suggests that pretreatment with photodynamic therapy before photothermal coagulation results in more severe vascular damage with lower photothermal fluence levels. The results of this study provide the foundation work for further exploration of the therapeutic potentials of photochemical and photothermal effects during application of ICG in conjunction with laser irradiation.

  7. Crisis, What Crisis?

    ERIC Educational Resources Information Center

    Jones, Ken

    2010-01-01

    Responding to the recent work of Andrew Gamble, the article discusses the extent to which the British situation can be described in terms of crisis. It suggests that an essential element of crisis is that of political and social contestation, and explores the terms on which contestation is taking shape in and around British education.

  8. Predicting psychological ripple effects: the role of cultural identity, in-group/out-group identification, and attributions of blame in crisis communication.

    PubMed

    Anagondahalli, Deepa; Turner, Monique Mitchell

    2012-04-01

    Incidents of intentional food contamination can produce ripple effects in consumers such as reduced trust and increased anxiety. In their postcrisis communication, food companies often direct the blame at the perpetrator in an effort to mitigate potential losses and regain consumer trust. The attempt to placate consumers may, in itself, potentially create psychological ripple effects in message readers. This study examined the interacting influence of two message characteristics: identity of the perpetrator of the crime (in-group/out-group membership), and the attribution of blame (reason why the perpetrator committed the crime), with message receiver characteristic (cultural identity) on psychological ripple effects such as blame, trust, anxiety, and future purchase intention. Results indicated that although group membership of the perpetrator was not significant in predicting outcomes for the organization, the attribution communicated in the message was. American message receivers blamed the organization more and trusted it less when personal dispositional attributions were made about the perpetrator. Asian message receivers blamed the organization more and trusted it less when situational attributions were made about the perpetrator. Lowered trust in the company and increased anxiety correlated with lower purchase intent for both American and Asian message receivers. Implications for crisis message design are discussed. PMID:22050442

  9. Promoting Group Work at Key Stage 3: Solving an Attitudinal Crisis among Young Adolescents?

    ERIC Educational Resources Information Center

    Pell, Tony; Galton, Maurice; Steward, Susan; Page, Charlotte; Hargreaves, Linda

    2007-01-01

    The attitudes and behaviour of 1040 pupils aged 12-14 years have been measured at the beginning and end of the school year with a battery of attitude, motivation and personality tests in an investigation of the differential effects of group work compared to whole-class learning. A total of 44 secondary teachers of English, mathematics and science…

  10. Crisis behavior

    SciTech Connect

    Grinspoon, L.

    1984-04-01

    The Department of Defense has rules and procedures to minimize the opportunity for error and improper behavior among those with access to strategic weapons, but no psychiatric screening system can predict with assurance who will or will not behave rationally during a crisis. Personal problems and institutional decision-making pressures may destroy nuclear deterrence. Certain features of military life, including drug and alcohol abuse, heavy responsibility, tension, and group decision making, can destreoy rationality. 12 references.

  11. The Small Molecule Wnt Signaling Modulator ICG-001 Improves Contractile Function in Chronically Infarcted Rat Myocardium

    PubMed Central

    Nguyen, Cu; Kloner, Robert A.; Kahn, Michael

    2013-01-01

    The adult mammalian heart has limited capability for self-repair after myocardial infarction. Therefore, therapeutic strategies that improve post-infarct cardiac function are critically needed. The small molecule ICG-001 modulates Wnt signaling and increased the expression of genes beneficial for cardiac regeneration in epicardial cells. Lineage tracing experiments, demonstrated the importance of ?-catenin/p300 mediated transcription for epicardial progenitor contribution to the myocardium. Female rats given ICG-001 for 10 days post-occlusion significantly improved ejection fraction by 8.4%, compared to controls (P<0.05). Taken together, Wnt modulation via ?-catenin/CBP inhibition offers a promising therapeutic strategy towards restoration of myocardial tissues and an enhancement of cardiac functions following infarction. PMID:24069374

  12. Effect of capsid proteins to ICG mass ratio on fluorescent quantum yield of virus-resembling optical nano-materials

    NASA Astrophysics Data System (ADS)

    Gupta, Sharad; Ico, Gerardo; Matsumura, Paul; Rao, A. L. N.; Vullev, Valentine; Anvari, Bahman

    2012-03-01

    We recently reported construction of a new type of optical nano-construct composed of genome-depleted plant infecting brome mosaic virus (BMV) doped with Indocyanine green (ICG), an FDA-approved chromophore. We refer to these constructs as optical viral ghosts (OVGs) since only the capsid protein (CP) subunits of BMV remain to encapsulate ICG. To utilize OVGs as effective nano-probes in fluorescence imaging applications, their fluorescence quantum yield needs to be maximized. In this study, we investigate the effect of altering the CP to ICG mass ratio on the fluorescent quantum yield of OVGs. Results of this study provide the basis for construction of OVGs with optimal amounts of CP and ICG to yield maximal fluorescence quantum yield.

  13. In vivo non-ionizing photoacoustic mapping of sentinel lymph nodes and bladders with ICG-enhanced carbon nanotubes

    NASA Astrophysics Data System (ADS)

    Koo, Jasung; Jeon, Mansik; Oh, Yunok; Kang, Hyun Wook; Kim, Jeehyun; Kim, Chulhong; Oh, Junghwan

    2012-12-01

    We demonstrate the feasibility of mapping a sentinel lymph node (SLN) and urinary bladder by using modified single-walled carbon nanotubes (SWNTs) as a nonionizing photoacoustic (PA) contrast agent. To improve the PA sensitivity, indocyanine green (ICG) was conjugated with SWNTs and the optical absorption of SWNTs-ICG was enhanced by approximately four times compared to that of plain SWNTs at a concentration of 0.3 µM. In vivo PA imaging results showed that the SLN and bladder were clearly visualized due to accumulation of SWNTs-ICG. This implies that the SWNTs-ICG could be potentially utilized to identify SLNs in breast cancer patients and tracking vesicoureteral reflux in combination with PA imaging.

  14. Crisis Management Research Summaries

    ERIC Educational Resources Information Center

    Brock, Stephen E., Ed.

    2009-01-01

    In this column, Crisis Management in the Schools Interest Group members summarize recent crisis management publications. The first article summarized was a meta-analysis of the risk factors associated with Posttraumatic Stress Disorder (PTSD) among adults. The second study looked at the presence of life stressors among students who were expelled…

  15. In vivo laser assisted end-to-end anastomosis with ICG-infused chitosan patches

    NASA Astrophysics Data System (ADS)

    Rossi, Francesca; Matteini, Paolo; Esposito, Giuseppe; Scerrati, Alba; Albanese, Alessio; Puca, Alfredo; Maira, Giulio; Rossi, Giacomo; Pini, Roberto

    2011-07-01

    Laser assisted vascular repair is a new optimized technique based on the use of ICG-infused chitosan patch to close a vessel wound, with or even without few supporting single stitches. We present an in vivo experimental study on an innovative end-to-end laser assisted vascular anastomotic (LAVA) technique, performed with the application of ICGinfused chitosan patches. The photostability and the mechanical properties of ICG-infused chitosan films were preliminary measured. The in vivo study was performed in 10 New Zealand rabbits. After anesthesia, a 3-cm segment of the right common carotid artery was exposed, thus clamped proximally and distally. The artery was then interrupted by means of a full thickness cut. Three single microsutures were used to approximate the two vessel edges. The ICG-infused chitosan patch was rolled all over the anastomotic site and welded by the use of a diode laser emitting at 810 nm and equipped with a 300 μm diameter optical fiber. Welding was obtained by delivering single laser spots to induce local patch/tissue adhesion. The result was an immediate closure of the anastomosis, with no bleeding at clamps release. Thus animals underwent different follow-up periods, in order to evaluate the welded vessels over time. At follow-up examinations, all the anastomoses were patent and no bleeding signs were documented. Samples of welded vessels underwent histological examinations. Results showed that this technique offer several advantages over conventional suturing methods: simplification of the surgical procedure, shortening of the operative time, better re-endothelization and optimal vascular healing process.

  16. Peptide-Based Optical uPAR Imaging for Surgery: In Vivo Testing of ICG-Glu-Glu-AE105.

    PubMed

    Juhl, Karina; Christensen, Anders; Persson, Morten; Ploug, Michael; Kjaer, Andreas

    2016-01-01

    Near infrared intra-operative optical imaging is an emerging technique with clear implications for improved cancer surgery by enabling a more distinct delineation of the tumor margins during resection. This modality has the potential to increase the number of patients having a curative radical tumor resection. In the present study, a new uPAR-targeted fluorescent probe was developed and the in vivo applicability was evaluated in a human xenograft mouse model. Most human carcinomas express high level of uPAR in the tumor-stromal interface of invasive lesions and uPAR is therefore considered an ideal target for intra-operative imaging. Conjugation of the flourophor indocyanine green (ICG) to the uPAR agonist (AE105) provides an optical imaging ligand with sufficiently high receptor affinity to allow for a specific receptor targeting in vivo. For in vivo testing, human glioblastoma xenograft mice were subjected to optical imaging after i.v. injection of ICG-AE105, which provided an optimal contrast in the time window 6-24 h post injection. Specificity of the uPAR-targeting probe ICG-AE105 was demonstrated in vivo by 1) no uptake of unconjugated ICG after 15 hours, 2) inhibition of ICG-AE105 tumor uptake by a bolus injection of the natural uPAR ligand pro-uPA, and finally 3) the histological colocalization of ICG-AE105 fluorescence and immunohistochemical detected human uPAR on resected tumor slides. Taken together, our data supports the potential use of this probe for intra-operative optical guidance in cancer surgery to ensure complete removal of tumors while preserving adjacent, healthy tissue. PMID:26828431

  17. Peptide-Based Optical uPAR Imaging for Surgery: In Vivo Testing of ICG-Glu-Glu-AE105

    PubMed Central

    Juhl, Karina; Christensen, Anders; Persson, Morten; Ploug, Michael; Kjaer, Andreas

    2016-01-01

    Near infrared intra-operative optical imaging is an emerging technique with clear implications for improved cancer surgery by enabling a more distinct delineation of the tumor margins during resection. This modality has the potential to increase the number of patients having a curative radical tumor resection. In the present study, a new uPAR-targeted fluorescent probe was developed and the in vivo applicability was evaluated in a human xenograft mouse model. Most human carcinomas express high level of uPAR in the tumor-stromal interface of invasive lesions and uPAR is therefore considered an ideal target for intra-operative imaging. Conjugation of the flourophor indocyanine green (ICG) to the uPAR agonist (AE105) provides an optical imaging ligand with sufficiently high receptor affinity to allow for a specific receptor targeting in vivo. For in vivo testing, human glioblastoma xenograft mice were subjected to optical imaging after i.v. injection of ICG-AE105, which provided an optimal contrast in the time window 6–24 h post injection. Specificity of the uPAR-targeting probe ICG-AE105 was demonstrated in vivo by 1) no uptake of unconjugated ICG after 15 hours, 2) inhibition of ICG-AE105 tumor uptake by a bolus injection of the natural uPAR ligand pro-uPA, and finally 3) the histological colocalization of ICG-AE105 fluorescence and immunohistochemical detected human uPAR on resected tumor slides. Taken together, our data supports the potential use of this probe for intra-operative optical guidance in cancer surgery to ensure complete removal of tumors while preserving adjacent, healthy tissue. PMID:26828431

  18. International Centre for Geohazards (ICG) Established at the Norwegian Geotechnical Institute in Oslo, Norway.

    NASA Astrophysics Data System (ADS)

    Solheim, A.; Nadim, F.

    2003-12-01

    As one of 13 new `Centres of Excellence' awarded by the Norwegian Research Council with a 10-year funding schedule, the International Centre for Geohazards (ICG) was established at the Norwegian Geotechnical Institute (NGI), in January 2003. The Centre is formed through a co-operation between several institutions, which in addition to NGI are the Gelogical Survey of Norway (NGU), Norwegian Seismic Array (NORSAR), University of Oslo (UiO) and the Norwegian University for Science and Technology (NTNU). The Centre is located in the NGI building in Oslo, Norway. Funding is for 10 years, and the centre is staffed by researchers from the partner institutions, visiting scientists, post-doctoral fellows and Ph.D. students. With the ultimate goal of geohazard mitigation and preventing the loss of lives and damage to infrastructure and environment, key research topics of the Centre are: Unsaturated soils and mechanisms for precipitation-induced slides in steep slopes; Risk and vulnerability analysis for geohazards; Earthquake hazard, vulnerability and risk evaluation; Rock slope failures - models and risks; Landslides in soft clay slopes (quick clay), fjord margins and coastal zones; GIS applications to geohazards; SAR applications to geohazards; Slide dynamics and mechanics of disintegration; Tsunami modelling and prediction; and Offshore Geohazards. As prospecting for hydrocarbons move into increasingly deeper waters of the world's continental margins, research on offshore geohazard forms an important activity of the new centre. Main offshore geohazards include slope instability, effects of shallow gas and gas hydrates on the behaviour of seafloor sediments, mud volcanism and diapirism. Of these, slope instability is considered to be the major hazard, because of the potentially serious third party impact. The current offshore geohazards project within ICG consists of three main themes: Assessment of offshore geohazards (site surveys); Geophysical methods for offshore geohazard studies, including improved modelling; and Pore pressures in offshore sediments: prediction and measurements. Education is a highly prioritised task of the Centre, and new courses are being offered at NTNU and UiO. These courses aim at giving graduate level education in geohazards, with thesis work carried out on ICG projects.

  19. Advantages of fluorescence over diffuse reflectance measurements tested in phantom experiments with dynamic inflow of ICG

    NASA Astrophysics Data System (ADS)

    Milej, D.; Kacprzak, M.; Żołek, N.; Sawosz, P.; Gerega, A.; Maniewski, R.; Liebert, A.

    2010-06-01

    Time-resolved measurements of diffuse reflectance and fluorescence were carried out using phantom with dynamic inflow of indocyanine green (ICG) in tubes located at different depths. Better sensitivity of fluorescence signals related to the inflow of the dye was observed in comparison to simultaneously acquired diffuse reflectance. Obtained results can be referred to results of in-vivo measurements. We have observed much larger amplitude of changes in relative number of detected photons, mean time of flight and variance of the distributions of times of arrival of fluorescence photons than amplitudes of respective parameters measured from diffuse reflectance distributions of times of flight of photons. The constructed phantom allows us to study influence of concentration of the dye in the tube and the surrounding medium as well as temporal relation between appearance of the boli in deeper and superficial tube. Results of the study were used in optimization of the time-resolved multichannel system for simultaneous monitoring of fluorescence and reflectance.

  20. Contrast-enhanced diffuse optical tomography of brain perfusion in humans using ICG

    NASA Astrophysics Data System (ADS)

    Habermehl, Christina; Schmitz, Christoph; Steinbrink, Jens

    2012-02-01

    Regular monitoring of brain perfusion at the bedside in neurointensive care is desirable. Currently used imaging modalities are not suited for constant monitoring and often require a transport of the patient. Noninvasive near infrared spectroscopy (NIRS) in combination with an injection of a safe dye (indocyanine green, ICG) could serve as a quasi-continuous brain perfusion monitor. In this work, we evaluate prerequisites for the development of a brain perfusion monitor using continuous wave (cw) NIRS technique. We present results from a high-resolution diffuse optical tomography (HR-DOT) experiment in humans demonstrating the separation of signals from skin from the brain. This technique can help to monitor neurointensive care patients on a regular basis, detecting changes in cortical perfusion in time.

  1. Consequences of players' dismissal in professional soccer: a crisis-related analysis of group-size effects.

    PubMed

    Bar-Eli, Michael; Tenenbaum, Gershon; Geister, Sabine

    2006-10-01

    This study documents the effect of players' dismissals on team performance in professional soccer. Our aim was to determine whether the punishment meted out for unacceptable player behaviour results in reduced team performance. The official web site of the German Soccer Association was used for coding data from games played in the first Bundesliga between the 1963 - 64 and 2003 - 04 (n = 41) seasons. A sample of 743 games where at least one red card was issued was used to test hypotheses derived from crisis theory (Bar-Eli & Tenenbaum, 1989a). Players' dismissals weaken a sanctioned team in terms of the goals and final score following the punishment. The chances of a sanctioned team scoring or winning were substantially reduced following the sanction. Most cards were issued in the later stages of matches. The statistics pertaining to outcome results as a function of game standing, game location, and time phases - all strongly support the view that teams can be considered conceptually similar to individuals regarding the link between stress and performance. To further develop the concept of team and individual psychological performance crisis in competition, it is recommended that reversal theory (Apter, 1982) and self-monitoring and distraction theories (Baumeister, 1984) be included in the design of future investigations pertaining to choking under pressure. PMID:17115523

  2. ICG enhanced co-registered diffuse optical tomography and photoacoustic tomography

    NASA Astrophysics Data System (ADS)

    Xu, Chen; Kumavor, Patrick D.; Xu, Yan; Zhu, Quing

    2013-03-01

    To overcome the intensive light scattering in the biological tissue, diffuse optical tomography (DOT) in the near infrared range for breast lesion detection usually is combined with other imaging modalities such as ultrasound, X-ray, and MRI, to provide guidance. However, the guided imaging modalities may depend on different contrast mechanics compared to the optical contrast in the DOT. As a result, they can't provide reliable guidance for diffuse optical tomography because some lesions may not be detectable by a non-optical modality but yet have high optical contrast. An imaging modality which can provide the guidance from optical contrast is desirable for DOT. In this paper, we present a system that combines diffuse optical tomography and photoacoustic tomography (PAT), to detect and characterize the deeply-seated targets embedded in a turbid medium. Photoacoustic tomography utilizes a short-pulsed laser beam to penetrate into tissue diffusively. Upon absorption of the light by the target, photoacoustic waves are generated and used to reconstruct, at ultrasound resolution, the optical absorption distribution that reveals optical contrast. The combined system used in the experiment combines a 64-channel photoacoustic system with a frequency-domain diffused optical system. To further improve the contrast, the exogenous contrast agent, indocyanine green (ICG) is used. Our experiment results show that the combined system can detect a tumormimicking phantom up to 2.5 cm in depth and 10 μM in concentration. Mice experiments also confirmed that the combined system can detect the tumor region and monitor the ICG uptake and washout in the tumor region. This method can potentially improve the accuracy to detect the small breast lesions or any lesions which are sensitive to the reference change, such as the lesions located on the chest wall.

  3. In vivo experimental study on laser welded ICG-loaded chitosan patches for vessel repair

    NASA Astrophysics Data System (ADS)

    Rossi, Francesca; Matteini, Paolo; Esposito, Giuseppe; Albanese, Alessio; Puca, Alfredo; Maira, Giulio; Rossi, Giacomo; Pini, Roberto

    2011-03-01

    Laser welding of microvessels provides several advantages over conventional suturing techniques: surgical times reduction, vascular healing process improvement, tissue damage reduction. We present the first application of biopolymeric patches in an in vivo laser assisted procedure for vessel repair. The study was performed in 20 New Zealand rabbits. After anesthesia, a 3-cm segment of the right common carotid artery was exposed and clamped proximally and distally. A linear lesion 3 mm in length was carried out. We used a diode laser emitting at 810 nm and equipped with a 300 μm diameter optical fiber. To close the cut, ICG-loaded chitosan films were prepared: chitosan is characterized by biodegradability, biocompatibility, antimicrobial, haemostatic and wound healing-promoting activity. ICG is an organic chromophore commonly used in the laser welding procedures to mediate the photothermal conversion at the basis of the welding effect. The membranes were used to wrap the whole length of the cut, and then they were welded in the correct position by delivering single laser spots to induce local patch/tissue adhesion. The result is an immediate closure of the wound, with no bleeding at clamps release. The animals were observed during follow-up and sacrificed after 2, 7, 30 and 90 days. All the repaired vessels were patent, no bleeding signs were documented. The carotid samples underwent histological examinations. The advantages of the proposed technique are: simplification of the surgical procedure and shortening of the operative time; good strength of the vessel repair; decreased foreign-body reaction, reduced inflammatory response and improved vascular healing process.

  4. Indocyanine green (ICG) as a new adjuvant for the antimicrobial photo-dynamic therapy (aPDT) in dentistry

    NASA Astrophysics Data System (ADS)

    Meister, Joerg; Hopp, Michael; Schäfers, Johannes; Verbeek, Jonas; Kraus, Dominik; Frentzen, Matthias

    2014-02-01

    Clinical surveys show a continuous increase of antimicrobial resistance related to the frequency of the administrated medication. The antimicrobial photodynamic therapy (aPDT) is an effective adjuvant to reduce the need of antibiotics in dentistry, especially in periodontics. The antimicrobial effect of lightactivated photosensitizers in periodontics is demonstrated in clinical studies and case reports. Indocyanine green (ICG) as a new adjuvant shows the high potential of antiphlogistic and antimicrobial effects in combination with laser-light activation. In trying to answer the question of just how far the influence of temperature is acting on bacteria, this study was carried out. The influences of ICG at different concentrations (0.01 up to 1 mg/ml) in combination with a culture medium (brain-heart-infusion) and a bacteria culture (Streptococcus salivarius) at different optical densities (OD600 0.5 and 0.1) were investigated under laser-light activation. Laser activation was carried out with diode laser at 810 nm and two different power settings (100 mW/300 mW). The pulse repetition rate was 2 kHz. Taking account of the fiber diameter, distance and spot size on the sample surface, the applicated intensities were 6.2 and 18.7 W/cm2. Total irradiation time was 20 s for all meaurements. Transmitted laser power and temperature increase in the culture medium as well as in the bacteria culture were determined. Additionally the influence of ICG regarding bacterial growth and bactericidal effect was investigated in the bacteria culture without laser irradiation. Without laser, no bactericidal effect of ICG was observed. Only a bacteriostatic effect could be proved. In dependence of the ICG concentration and the applied intensities a temperature increase of ΔT up to 80°C was measured.

  5. Sickle Cell Crisis (Pain Crisis)

    MedlinePlus

    ... and kidneys), these organs can't do their job. People who do not get medical treatment for a pain crisis may have long-term organ damage. How to Recognize a Sickle Cell Crisis The most common sign of a ...

  6. Portable widefield imaging device for ICG-detection of the sentinel lymph node

    NASA Astrophysics Data System (ADS)

    Govone, Angelo Biasi; Gómez-García, Pablo Aurelio; Carvalho, André Lopes; Capuzzo, Renato de Castro; Magalhães, Daniel Varela; Kurachi, Cristina

    2015-06-01

    Metastasis is one of the major cancer complications, since the malignant cells detach from the primary tumor and reaches other organs or tissues. The sentinel lymph node (SLN) is the first lymphatic structure to be affected by the malignant cells, but its location is still a great challenge for the medical team. This occurs due to the fact that the lymph nodes are located between the muscle fibers, making it visualization difficult. Seeking to aid the surgeon in the detection of the SLN, the present study aims to develop a widefield fluorescence imaging device using the indocyanine green as fluorescence marker. The system is basically composed of a 780nm illumination unit, optical components for 810nm fluorescence detection, two CCD cameras, a laptop, and dedicated software. The illumination unit has 16 diode lasers. A dichroic mirror and bandpass filters select and deliver the excitation light to the interrogated tissue, and select and deliver the fluorescence light to the camera. One camera is responsible for the acquisition of visible light and the other one for the acquisition of the ICG fluorescence. The software developed at the LabVIEW® platform generates a real time merged image where it is possible to observe the fluorescence spots, related to the lymph nodes, superimposed at the image under white light. The system was tested in a mice model, and a first patient with tongue cancer was imaged. Both results showed the potential use of the presented fluorescence imaging system assembled for sentinel lymph node detection.

  7. Activatable thermo-sensitive ICG encapsulated pluronic nanocapsules for temperature sensitive fluorescence tomography

    NASA Astrophysics Data System (ADS)

    Kwong, Tiffany C.; Nouizi, Farouk; Sampathkumaran, Uma; Zhu, Yue; Alam, Maksudul M.; Gulsen, Gultekin

    2015-03-01

    Fluorescent tomography has been hindered by poor tissue penetration and weak signal which results in poor spatial resolution and quantification accuracy. Recently, it has been reported that activatable temperature responsive fluorescent probes which respond to focused ultrasound heating can improve the resolution and quantification of fluorescent tomography in deep tissue. This has lead to a new imaging modality, "Temperature-modulated fluorescent tomography." This technique relies on activatable thermo-sensitive fluorescent nanocapsules for whose fluorescence quantum efficiency is temperature dependent. Within a 4-5° C temperature range, the fluorescent signal increase more than 10-fold. In this molecular probe, Indocyanine Green (ICG) is encapsulated inside the core of a thermo-reversible pluronic micelle. Here we show the fluorescence response and temperature range of the nanocapsules which have been optimized for a higher temperature range to be used for in vivo animal imaging. We report on the feasibility of these temperature-sensitive reversible nanocapsules for in vivo applications by studying the pharmacokinetics in a subcutaneous mouse tumor model in vivo.

  8. Bridging the Gap from Bench to Bedside--An Informatics Infrastructure for Integrating Clinical, Genomics and Environmental Data (ICGED).

    PubMed

    2015-01-01

    The abundance of heterogeneous biomedical data from a variety of sources demands the development of strategies to address data integration and management issues, so that the data can be used effectively in clinical practices and biomedical research. This research presents an Informatics Infrastructure for Integrating Clinical, Genomics and Environmental Data (ICGED) and provides a roadmap that envisions utilizing the clinical and biomedical resources in our case study. This work describes a data integration approach, proposed by ICGED, with a two-fold purpose: personalized medicine and biomedical data storage and sharing platform. It describes our experiences integrating disease specific clinical and genomics datasets with Data Integration and Analysis Tools (DIAT)--using Informatics for Integrating Biology and the Bedside, and discusses work in progress and future work for extending DIAT, and the development of Risk Assessment and Prediction Tools, Clinical Decision Support Systems and a Bioinformatics Data Warehouse. PMID:26262353

  9. Assessment of Liver Remnant Using ICG Clearance Intraoperatively during Vascular Exclusion: Early Experience with the ALIIVE Technique

    PubMed Central

    Lau, Lawrence; Christophi, Christopher; Nikfarjam, Mehrdad; Starkey, Graham; Goodwin, Mark; Weinberg, Laurence; Ho, Loretta

    2015-01-01

    Background. The most significant risk following major hepatectomy is postoperative liver insufficiency. Current preoperative assessment of the future liver remnant relies upon assumptions which may not be valid in the setting of advanced resection strategies. This paper reports the feasibility of the ALIIVE technique which assesses the liver remnant with ICG clearance intraoperatively during vascular exclusion. Methods. 10 patients undergoing planned major liver resection (hemihepatectomy or greater) were recruited. Routine preoperative assessment included CT and standardized volumetry. ICG clearance was measured noninvasively using a finger spectrophotometer at various time points including following parenchymal transection during inflow and outflow occlusion before vascular division, the ALIIVE step. Results. There were one case of mortality and three cases of posthepatectomy liver failure. The patient who died had the lowest ALIIVE ICG clearance (7.1%/min versus 14.4 ± 4.9). Routine preoperative CT and standardized volumetry did not predict outcome. Discussion/Conclusion. The novel ALIIVE technique is feasible and assesses actual future liver remnant function before the point of no return during major hepatectomy. This technique may be useful as a check step to offer a margin of safety to prevent posthepatectomy liver failure and death. Further confirmatory studies are required to determine a safety cutoff level. PMID:26106254

  10. Characterization of Intracellular Growth Regulator icgR by Utilizing Transcriptomics To Identify Mediators of Pathogenesis in Shigella flexneri

    PubMed Central

    Morris, Carolyn R.; Grassel, Christen L.; Redman, Julia C.; Sahl, Jason W.

    2013-01-01

    Shigella species Gram-negative bacteria which cause a diarrheal disease, known as shigellosis, by invading and destroying the colonic mucosa and inducing a robust inflammatory response. With no vaccine available, shigellosis annually kills over 600,000 children in developing countries. This study demonstrates the utility of combining high-throughput bioinformatic methods with in vitro and in vivo assays to provide new insights into pathogenesis. Comparisons of in vivo and in vitro gene expression identified genes associated with intracellular growth. Additional bioinformatics analyses identified genes that are present in S. flexneri isolates but not in the three other Shigella species. Comparison of these two analyses revealed nine genes that are differentially expressed during invasion and that are specific to S. flexneri. One gene, a DeoR family transcriptional regulator with decreased expression during invasion, was further characterized and is now designated icgR, for intracellular growth regulator. Deletion of icgR caused no difference in growth in vitro but resulted in increased intracellular replication in HCT-8 cells. Further in vitro and in vivo studies using high-throughput sequencing of RNA transcripts (RNA-seq) of an isogenic ΔicgR mutant identified 34 genes that were upregulated under both growth conditions. This combined informatics and functional approach has allowed the characterization of a gene and pathway previously unknown in Shigella pathogenesis and provides a framework for further identification of novel virulence factors and regulatory pathways. PMID:23753632

  11. Crisis communications.

    PubMed

    Niewenhous, Daria; Sterling, Nancy

    2008-01-01

    Whether healthcare security is directly or indirectly involved in a crisis that will involve the media, it will pay to better familiarize yourself with the kind of planned responses discussed in this article to mitigate negative outcomes. PMID:18409459

  12. Families in Crisis

    ERIC Educational Resources Information Center

    Krim, Alaine S.

    1974-01-01

    A midtown New York City cooperative project which is providing a wide range of on-site and referral services to families in crisis is depicted. The program, located in the emergency relocation hotel provides a day care center, psychiatric and social services, a pediatric clinic, recreational programs, and parent discussion groups. (CS)

  13. Preparing for a Crisis.

    ERIC Educational Resources Information Center

    Perea, Rosalie D.; Morrison, Shirley

    1997-01-01

    To handle unforeseen crises, Albuquerque Public Schools established a critical-incident response team with a simple, understandable chain of command. The group aims to ensure maximum safety and people' well-being, develop a districtwide crisis-response-management plan, coordinate necessary training, and collaborate with community agencies…

  14. Experiences with TRIDEC's Crisis Management Demonstrator in the Turkish NEAMWave12 exercise tsunami scenario

    NASA Astrophysics Data System (ADS)

    Hammitzsch, Martin; Necmioglu, Ocal; Lendholt, Matthias; Reißland, Sven; Schulz, Jana; Aksari, Dogan; Koseoglu, Aysegul; Ozer, Ceren; Comoglu, Mustafa; Meral Ozel, Nurcan; Wächter, Joachim

    2013-04-01

    On November 27-28, 2012, the Kandilli Observatory and Earthquake Research Institute (KOERI) joined other countries in the North-eastern Atlantic, the Mediterranean and Connected Seas (NEAM) region as participants in an international tsunami response exercise. The exercise, titled NEAMWave12, simulated widespread Tsunami Watch situations throughout the NEAM region. It is the first international exercise as such, in this region, where the UNESCO-IOC ICG/NEAMTWS tsunami warning chain has been tested to a full scale for the first time with different systems. One of the systems is developed in the project Collaborative, Complex, and Critical Decision-Support in Evolving Crises (TRIDEC) and has been validated in this exercise among others by KOERI. KOERI, representing the Tsunami National Contact (TNC) and Tsunami Warning Focal Point (TWFP) for Turkey, is one of the key partners in TRIDEC. KOERI is responsible for the operation of a National Tsunami Warning Centre (NTWC) for Turkey and establishes candidate Tsunami Watch Provider (TWP) responsibilities for the Eastern Mediterranean, Aegean, Marmara and Black Seas. Based on this profound experience KOERI is contributing valuable requirements to the overall TRIDEC system and is responsible for the definition and development of feasible tsunami-related scenarios in the context of UNESCO-IOC ICG/NEAMTWS activities. However, KOERI's, most important input focuses on testing and evaluating the TRIDEC system according to specified evaluation and validation criteria in order to meet ICG/NEAMTWS requirements. The TRIDEC system will be implemented in three phases, each with a demonstrator. Successively, the demonstrators are addressing related challenges. The first and second phase system demonstrator, deployed at KOERI's crisis management room has been designed and implemented, firstly, to support plausible scenarios for the Turkish NTWC to demonstrate the treatment of simulated tsunami threats with an essential subset of a NTWC. Secondly, the feasibility and the potentials of the implemented approach are demonstrated covering ICG/NEAMTWS standard operations as well as tsunami detection and alerting functions beyond ICG/NEAMTWS requirements. The demonstrator presented addresses information management and decision-support processes for a hypothetical tsunami-related crisis situation in the context of the ICG/NEAMTWS NEAMWave12 exercise. Experiences and results gained with the TRIDEC system during the exercise will be reported.

  15. Crisis Management

    ERIC Educational Resources Information Center

    Brock, Stephen E., Ed.

    2011-01-01

    This paper presents summaries of four articles relevant to school crisis response. The first article, "Peritraumatic Dissociation Predicts Posttraumatic Stress in Youth Following Accidents" summarized by Jim Matthews, suggests that peritraumatic dissociation is a powerful predictor of PTSD symptoms among youth who have been in a car accident. The…

  16. Hypertensive Crisis

    MedlinePlus

    ... hypertensive crisis . If you can't access the emergency medical services (EMS), have someone drive you to the hospital ... 1-1. If you can't access the emergency medical services (EMS), have someone drive you to the hospital ...

  17. Crisis Management

    ERIC Educational Resources Information Center

    Brock, Stephen E., Ed.

    2011-01-01

    This paper presents summaries of four articles relevant to school crisis response. The first article, "Peritraumatic Dissociation Predicts Posttraumatic Stress in Youth Following Accidents" summarized by Jim Matthews, suggests that peritraumatic dissociation is a powerful predictor of PTSD symptoms among youth who have been in a car accident. The

  18. ICG Fluorescence Technique for the Detection of Sentinel Lymph Nodes in Breast Cancer: Results of a Prospective Open-label Clinical Trial

    PubMed Central

    Grischke, E.-M.; Röhm, C.; Hahn, M.; Helms, G.; Brucker, S.; Wallwiener, D.

    2015-01-01

    Introduction: Detection of sentinel lymph nodes (SLN) is the standard procedure to evaluate axillary lymph node status in breast cancer. In addition to known and established procedures such as the blue dye method and scintigraphy, this study investigated the efficacy of a method based on use of the fluorescent dye indocyanine green (ICG). Patients and Method: A total of 126 women with breast cancer histologically verified by punch biopsy were studied during surgical removal of SLN. In addition to SLN marking with technetium and scintigraphy, intra-individual comparison was done using indocyanine green (ICG) for marking instead of the standard blue dye. Results: Scintigraphy had a detection rate of 96 %; the detection rate with ICG was just under 89 %. A body mass index (BMI) > 40 was found to be a limiting factor for the fluorescent method. Investigation into potential toxicities associated with the use of the fluorescent dye ICG revealed no systemic or even local side effects. The fluorescent method was found to be significantly less expensive than the scintigraphy method. Conclusion: The ICG fluorescence technique for the detection of SLN was found to be a valid and feasible method in clinical practice when compared directly with the blue dye method and scintigraphy. PMID:26500370

  19. Time-resolved detection of fluorescent light during inflow of ICG to the brain-a methodological study.

    PubMed

    Milej, Daniel; Gerega, Anna; Zołek, Norbert; Weigl, Wojciech; Kacprzak, Michał; Sawosz, Piotr; Mączewska, Joanna; Fronczewska, Katarzyna; Mayzner-Zawadzka, Ewa; Królicki, Leszek; Maniewski, Roman; Liebert, Adam

    2012-10-21

    It was reported that time-resolved reflectance measurements carried out during inflow and washout of an optical contrast agent may provide information on the blood supply to the brain cortex of human adults. It was also shown that a measurement of fluorescence excited in the dye circulating in the brain is feasible. Unfortunately, patterns of time-resolved fluorescence signals observed during in vivo measurements are difficult to interpret. The aim of this study was to analyze the influence of several factors on the fluorescence signals measured during in vivo experiments. A laboratory instrument for recording the distributions of arrival of fluorescence photons was constructed and optimized for measurements on humans. Monte Carlo simulations and laboratory measurements on liquid phantoms as well as in vivo measurements on healthy volunteers were carried out. An influence of source-detector separation, position of the source-detector pair on the head, as well as a dose of the injected indocyanine green (ICG) on the fluorescence signals were studied in detail. It was shown that even for a small dose of ICG (0.025 mg kg(-1)) the time-resolved signals can be successfully detected on the surface of the head. Strong influence of the studied factors on the fluorescence signals was observed. It was also noted that the changes in moments of distributions of arrival times of fluorescence photons depend on the anatomical structure of the tissues located between the source and the detector. PMID:23032301

  20. Time-resolved detection of fluorescent light during inflow of ICG to the brain—a methodological study

    NASA Astrophysics Data System (ADS)

    Milej, Daniel; Gerega, Anna; Żołek, Norbert; Weigl, Wojciech; Kacprzak, Michał; Sawosz, Piotr; Mączewska, Joanna; Fronczewska, Katarzyna; Mayzner-Zawadzka, Ewa; Królicki, Leszek; Maniewski, Roman; Liebert, Adam

    2012-10-01

    It was reported that time-resolved reflectance measurements carried out during inflow and washout of an optical contrast agent may provide information on the blood supply to the brain cortex of human adults. It was also shown that a measurement of fluorescence excited in the dye circulating in the brain is feasible. Unfortunately, patterns of time-resolved fluorescence signals observed during in vivo measurements are difficult to interpret. The aim of this study was to analyze the influence of several factors on the fluorescence signals measured during in vivo experiments. A laboratory instrument for recording the distributions of arrival of fluorescence photons was constructed and optimized for measurements on humans. Monte Carlo simulations and laboratory measurements on liquid phantoms as well as in vivo measurements on healthy volunteers were carried out. An influence of source-detector separation, position of the source-detector pair on the head, as well as a dose of the injected indocyanine green (ICG) on the fluorescence signals were studied in detail. It was shown that even for a small dose of ICG (0.025 mg kg-1) the time-resolved signals can be successfully detected on the surface of the head. Strong influence of the studied factors on the fluorescence signals was observed. It was also noted that the changes in moments of distributions of arrival times of fluorescence photons depend on the anatomical structure of the tissues located between the source and the detector.

  1. Navigation surgery for intraoperative sentinel lymph node detection using Indocyanine green (ICG) fluorescence real-time imaging in breast cancer.

    PubMed

    Toh, U; Iwakuma, N; Mishima, M; Okabe, M; Nakagawa, S; Akagi, Y

    2015-09-01

    A new sensitive fluorescence imaging system was developed for the real-time identification of sentinel lymph nodes (SLNs) in patients with early breast cancer. The purpose of this study was to evaluate the utility of a color charge-coupled device camera system for the intraoperative detection of SLNs and to determine its clinical efficacy and sensitivity in patients with operable breast cancer. We assessed a total of 168 patients diagnosed with or suspected of having early-stage breast cancer without metastasis in SLNs. The intraoperative detection of SLNs was performed using the conventional Indigo Carmine dye (indigotindisulfonate sodium) technique combined with a new Indocyanine green (ICG) imaging system (HyperEye Medical System: HEMS, MIZUHO IKAKOGYO, Japan) to map SLNs, in which the lymphatic vessels and SLNs were visualized transcutaneously with illuminating ICG fluorescence. Between January 2012 and May 2013, SLNs were successfully identified in all 168 patients (detection rate: 100%). By histopathology, the sensitivity was 93.8% for the detection of the metastatic involvement of SLNs (15 of 16 nodal-positive patients). After a median follow-up of 30.5 months, none of the patients presented with axillary recurrence. These results suggest that the HEMS imaging system is a feasible and effective method for the detection of SLNs in breast cancer. Furthermore, the HEMS device permitted the transcutaneous visualization of lymphatic vessels under light conditions, thus facilitating the identification and detection of SLNs without affecting the surgical procedure, together with a high sensitivity and specificity. PMID:26267663

  2. Does a quarterlife crisis exist?

    PubMed

    Rossi, Nicole E; Mebert, Carolyn J

    2011-01-01

    In this study, the authors examined quarterlife crisis, defined in the popular press as an identity crisis that leaves recent college graduates depressed, anxious, and full of doubt. To determine if a unique crisis exists, 4 groups of young adults (recent high school [n = 23] and college [n = 117] graduates in the workforce, present undergraduate [n = 75], and graduate [n = 57] students) completed self-report measures assessing identity development, future time perspective, social support, coping, depression, anxiety, and job and life satisfaction. No support was found for a quarterlife crisis among these 4 groups. Working high school graduates displayed the highest anxiety, followed by present undergraduates. Depression was predicted by family support and identity commitment. Job satisfaction was associated with income and support from friends. Life satisfaction was associated with income, social support from friends and family, and identity commitment. PMID:21675544

  3. Caller Characteristics, Call Contents, and Types of Assistance Provided by Caller Sex and Age Group in a Canadian Inuit Crisis Line in Nunavut, 1991-2001

    ERIC Educational Resources Information Center

    Tan, Josephine C. H.; Maranzan, Kathryn Amanda; Boone, Margaret; Vander Velde, John; Levy, Sheila

    2012-01-01

    Analysis of calls made to a northern Canadian Inuit crisis line in the territory of Nunavut between 1991 and 2001 revealed that the majority of users were adult females who called to discuss problems primarily related to relationships and loneliness/boredom. Younger callers tended to make prank calls. The volunteer staff used mostly empathetic…

  4. Veterans Crisis Line

    MedlinePlus

    ... Enter ZIP code here Enter ZIP code here Suicide Prevention Veterans Crisis Line Warning Signs Resources Educational ... at www.VeteransCrisisLine.net , or text 838255 today. Suicide Prevention Resources Veterans Chat - Veterans Crisis Line : Veterans ...

  5. Simulation of 'pathologic' changes in ICG waveforms resulting from superposition of the 'preejection' and ejection waves induced by left ventricular contraction

    NASA Astrophysics Data System (ADS)

    Ermishkin, V. V.; Kolesnikov, V. A.; Lukoshkova, E. V.; Sonina, R. S.

    2013-04-01

    The impedance cardiography (ICG) is widely used for beat-to-beat noninvasive evaluation of the left ventricular stroke volume and contractility. It implies the correct determination of the ejection start and end points and the amplitudes of certain peaks in the differentiated impedance cardiogram. An accurate identification of ejection onset by ICG is often problematic, especially in the cardiologic patients, due to peculiar waveforms. Using a simple theoretical model, we tested the hypothesis that two major processes are responsible for the formation of impedance systolic wave: (1) the changes in the heart geometry and surrounding vessels produced by ventricular contraction, which occur during the isovolumic phase and precede ejection, and (2) expansion of aorta and adjacent arteries during the ejection phase. The former process initiates the preejection wave WpE and the latter triggers the ejection wave WEj. The model predicts a potential mechanism of generating the abnormal shapes of dZ/dt due to the presence of preejection waves and explains the related errors in ICG time and amplitude parameters. An appropriate decomposition method is a promising way to avoid the masking effects of these waves and a further step to correct determination of the onset of ejection and the corresponding peak amplitudes from 'pathologically shaped' ICG signals.

  6. Crisis Paper No. 33. The Energy Crisis.

    ERIC Educational Resources Information Center

    Atlantic Information Centre for Teachers, London (England).

    This Crisis Paper is thirty-third in a series which expands the analysis of the crisis under discussion to provide a multi-national view of the issue by quoting comment from a selection of newspapers and journals of several countries. A brief introduction outlines the history and background of the energy crisis, emphasizing the underestimated…

  7. Three-dimensional dynamics of temperature fields in phantoms and biotissue under IR laser photothermal therapy using gold nanoparticles and ICG dye

    NASA Astrophysics Data System (ADS)

    Akchurin, Georgy G.; Garif, Akchurin G.; Maksimova, Irina L.; Skaptsov, Alexander A.; Terentyuk, Georgy S.; Khlebtsov, Boris N.; Khlebtsov, Nikolai G.; Tuchin, Valery V.

    2010-02-01

    We describe applications of silica (core)/gold (shell) nanoparticles and ICG dye to photothermal treatment of phantoms, biotissue and spontaneous tumor of cats and dogs. The laser irradiation parameters were optimized by preliminary experiments with laboratory rats. Three dimensional dynamics of temperature fields in tissue and solution samples was measured with a thermal imaging system. It is shown that the temperature in the volume region of nanoparticles localization can substantially exceed the surface temperature recorded by the thermal imaging system. We have demonstrated effective optical destruction of cancer cells by local injection of plasmon-resonant gold nanoshells and ICG dye followed by continuous wave (CW) diode laser irradiation at wavelength 808 nm.

  8. Hepatic ICG removal in the pig depends on plasma protein and hematocrit: evidence of sinusoidal binding disequilibrium and unstirred water layer effects.

    PubMed

    Ott, P; Bass, L; Keiding, S

    1997-09-01

    The influence of binding protein concentration and hematocrit on hepatic uptake of indocyanine green (ICG) was studied in anesthetized pigs during constant infusion of ICG. By exchange transfusions, we either substituted plasma protein with dextran 70 (n = 8) or changed hematocrit (n = 8). Intrinsic hepatic clearance of ICG, K, was calculated from plasma flow rate and concentrations in peripheral artery and liver vein after correction for extrahepatic distribution. By analyzing the relative change of K versus either the protein dilution factor or the change in plasma volume fraction (1-hct), we evaluated four current models for hepatic uptake of protein-bound substances even though a number of model parameters were unknown (parameter-free testing). Protein dilution factors (unitless) of 0.506 +/- 0.027, 0.673 +/- 0.011, and 0.749 +/- 0.028 were associated with inverse K ratios of 0.621 +/- 0.025, 0.758 +/- 0.021, and 0.817 +/- 0.013. These data rejected the traditional hypothesis that ICG uptake is proportional to the unbound concentration. They were compatible with development of binding disequilibrium along the sinusoidal lumen, an unstirred water layer close to the hepatocyte surface, or facilitated uptake from the bound pool. A plasma volume ratio [(1-hct2)/(1-hct1)] of 1.14 +/- 0.02 was associated with a K ratio of 1.07 +/- 0.02 (P = .01). Only sinusoidal binding disequilibrium predicted this finding, whereas an additional unstirred water layer effect could not be excluded. The observations could be simulated by a model that included both of these effects. Thus, neither the relative changes of K nor the absolute K values required the assumption of facilitated uptake from the bound pool. The parameter-free design presented may be useful with other ligands in intact animals. PMID:9303499

  9. Near-Infrared Sentinel Lymph Node Mapping With Indocyanine Green Using the VITOM II ICG Exoscope for Open Surgery for Gynecologic Malignancies.

    PubMed

    Buda, Alessandro; Dell'Anna, Tiziana; Vecchione, Francesca; Verri, Debora; Di Martino, Giampaolo; Milani, Rodolfo

    2016-01-01

    Sentinel lymph node (SLN) mapping is emerging as an effective method for surgical staging of different gynecologic malignancies. Near-infrared (NIR) technology using a fluorescent dye such as indocyanine green (ICG) represents an interesting and feasible method for SLN mapping even in traditional open surgeries by applying video telescope operating microscope (VITOM) system technology. We report our preliminary experience in 12 women who underwent surgical nodal staging for early-stage vulvar and uterine or cervical cancer. Surgical and pathological outcomes are described, and the VITOM II ICG system's intraoperative image quality, handling and docking, and teaching value are assessed. The general impression of the surgical staff was that the VITOM II system is easy to use, and that the image quality of the anatomic structures is impressive. Traditional open SLN mapping with ICG appears to be easy to perform and reproducible, providing a new tool in the management of patients with gynecologic malignancies. Moreover, we believe that this technology has great potential as an operative teaching and learning modality for trainers for open surgical cases. Additional studies involving the VITOM system with a large sample size of patients are needed to confirm these promising results. PMID:26921484

  10. Usage of invisible near infrared light (NIR) fluorescence with indocyanine green (ICG) and methylene blue (MB) in urological oncology. Part 1

    PubMed Central

    Markuszewski, Marcin; Rho, Young Soo; Matuszewski, Marcin

    2014-01-01

    Introduction Near infrared (NIR) technology has recently garnered much interest as a tool for intraoperative image–guided surgery in various surgical sub–disciplines. In urology, although nascent, NIR technology is also fostering much enthusiasm. This review discusses the two major fluorophores, indocyanine green (ICG) and methlyene blue (MB), with NIR guidance in experimental and clinical urology. The authors aim to illustrate and analyze the currently available initial studies to better understand the potential and practicability of NIR–guided imaging in the diagnosis and surgical outcome improvement. In the first part of the study we analyzed problems associated with sentinel lymph node biopsy, NIR–guided detection and imaging of tumors. Material and methods PubMed and Medline databases were searched for ICG and MB use in urological settings, along with data published in abstracts of urological conferences. Results Although NIR–guided ICG and MB are still in their initial phases, there have been significant developments in major domains of urology, including uro–oncological surgery: 1) sentinel lymph node biopsy, 2) detection and imaging of tumors Conclusions Much like in other fields of surgical medicine, the application of NIR technology in urology is at its early stages. Therefore, more studies are needed to assess the true potential and limitations of the technology. However, initial developments hint towards a pioneering tool that may influence various aspects of urology. PMID:25140227

  11. Teaching Crisis Creatively.

    ERIC Educational Resources Information Center

    Regan, JoAnne Howland

    1982-01-01

    Describes a creative approach to teaching the application of crisis theory to nursing students. Students experience crisis themselves, evaluate their own and others' coping mechanisms, and learn to recognize the various physical and psychological symptoms of people in crisis. (Author/CT)

  12. Images for Crisis Management.

    ERIC Educational Resources Information Center

    Raffan, James

    1984-01-01

    Most take canoeing, leadership, first aid, CPR and other courses to help cope when something happens, but there is more to dealing with crisis than learning proper procedures and techniques. Three areas of concern interlock to form the Crisis Management Triangle: knowledge and skill, preventive awareness, and crisis management planning. (ERB)

  13. Crisis Management: Research Summaries

    ERIC Educational Resources Information Center

    Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel

    2013-01-01

    This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…

  14. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    ERIC Educational Resources Information Center

    Chebbi, Hela; Pndrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper

  15. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    ERIC Educational Resources Information Center

    Chebbi, Hela; Pündrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…

  16. Comparison of the ability of the PDD-ICG clearance test, CTP, MELD, and MELD-Na to predict short-term and medium-term mortality in patients with decompensated hepatitis B cirrhosis

    PubMed Central

    Cheng, Xiang-Pu; Zhao, Jing; Chen, Yu; Meng, Fan-Kun; Xu, Bin; Yu, Hong-Wei; Meng, Qing-Hua; Liu, Yan-Min; Zhang, Shi-Bin; Meng, Sha; Zhang, Jing-Yun; Zhang, Jin-Yan; Duan, Zhong-Ping

    2016-01-01

    Objective Various methods, including the indocyanine green (ICG) clearance test, the Child–Turcotte–Pugh score (CTP), model for end-stage liver disease (MELD), and MELD combined with serum sodium concentration (MELD-Na), have been used widely in liver function evaluation in patients with end-stage liver disease. In this study, we compared the ability of these methods to predict mortality in patients with decompensated hepatitis B cirrhosis. Methods A total of 98 patients with decompensated hepatitis B cirrhosis were included in this study and followed up for 12 months. The ICG-derived measurements (ICG-PDR, ICG-R15, EHBF), CTP, MELD, and MELD-Na were obtained within 2 days after patients’ admission and patients’ survival at 1, 3, 6, and 12 months was recorded. Receiver operating curve was used to evaluate the ability of these methods to predict mortality in these patients with decompensated hepatitis B cirrhosis. Results At 1 month, 3 months, 6 months and 12 months, the cumulative number of deaths and liver transplant recipients was 12 (12.2%), 17 (17.3%), 21 (21.4%) and 25 (25.5%), respectively. The ICG-derived measurements, CTP, MELD, and MELD-Na of nonsurvivors were significantly different compared with that in survivors. All methods yielded viable values in predicting short-term and medium-term prognosis for patients with decompensated hepatitis B cirrhosis, with most area under the curve exceeding 0.8. Moreover, the ICG-derived measurements showed a significant correlation with that of CTP, MELD, and MELD-Na. Conclusion All four methods, ICG clearance test, CTP, MELD, and MELD-Na, provided reliable prediction of mortality in patients with decompensated hepatitis B cirrhosis for both short-term and medium-term prognosis. PMID:26649802

  17. The Book of Chemical Crisis.

    ERIC Educational Resources Information Center

    Sours, Floyd P.

    This book presents a crisis management model that effectively bridges the areas of substance abuse and crisis intervention. A crisis alternatives model which can be incorporated into drug counseling programs is discussed, along with a four-step crisis intervention plan for use by crisis workers that includes: (1) establishing rapport; (2)…

  18. Maintenance Crisis vs Solutions.

    ERIC Educational Resources Information Center

    Haggard, Susie

    Industrial maintenance in Northeast Georgia is facing an acute crisis. Contributing factors are economic development that is depleting the work force, aging of the population, downsizing of the military, and lack of technical school graduates. Solutions to the crisis fall into three categories: short-term, mid-term, and long-term. For short-term…

  19. When a Crisis Strikes.

    ERIC Educational Resources Information Center

    Keebler, Barbara A.

    1989-01-01

    Urges Catholic educators to develop a crisis communication plan to ensure that all communication with the press and public is handled promptly and thoroughly by a designated spokesperson. Describes workshops which simulate real-life challenges as a means of testing crisis management plans. Offers guidelines for the development of a crisis…

  20. Educational Technology in Crisis

    ERIC Educational Resources Information Center

    Fainholc, Beatriz

    2008-01-01

    The presentation of the historical epistemological path is needed to understand and reconsider the discipline of Educational Technology in articulation to contributions of rupturistic theorists in order to reach to a critical proposal and a revision of its field. This field is facing a deep crisis within a time of world crisis, specially in the…

  1. Creativity in Crisis.

    ERIC Educational Resources Information Center

    Roff, Glenn

    This paper suggests that educational resources and opportunities currently in operation in rural Australia are brought forward during times of crisis. The paper discusses five aspects of education in rural Australia that are a response to the perceived sense of crisis and that have improved the general and comparative quality of rural education,…

  2. Crisis Communication and Management: Surviving a Public Relations Crisis

    ERIC Educational Resources Information Center

    Eramo, Eric M.

    2009-01-01

    Crisis management, or crisis communication, is never a good thing for a business to experience. It is, however, a public relations' professional moment to shine and put their honed skills to good use. A good crisis management plan is not only action during the crisis but preparation and reflection. Hiring a PR firm that deals with crisis…

  3. Knowledge communication: a key to successful crisis management.

    PubMed

    Johansson, Anders; Härenstam, Malin

    2013-09-01

    A winning concept of crisis management can be summarized in 2 words: knowledge communication. If decision makers, communicators, experts, and the public understand what the crisis is about and share their knowledge, the process of handling it will be optimized. Effective crisis communication implies the necessity of an unhindered but purposeful exchange of information within and between authorities, organizations, media, involved individuals, and groups before, during, and after a crisis. This article focuses on the importance of the before, or prevention, part of a crisis since it holds a rich possibility to enhance the chances for successful crisis management of a bioterrorism incident. An extended perspective on crisis communication efficiently links to a more thorough understanding of risk perception with various stakeholders and the public, which also will be helpful for situational awareness. Furthermore, the grounded baseline for the dialogue type of crisis communication suitable in modern society and to modern social media is achieved by linking to those risk communication efforts that are made. The link between risk and crisis should be afforded more attention since, especially in biosecurity, there would be no crisis without risk negligence and poor or malfunctioning preventive efforts. PMID:23971816

  4. Vermont School Crisis Guide, 2004

    ERIC Educational Resources Information Center

    Vermont Department of Education, 2004

    2004-01-01

    The 2004 Vermont School Crisis Guide has been revised to improve its use by School Crisis Teams and Public Safety Committees. The Guide is now organized by roles so users can quickly locate their responsibilities in a crisis. The Crisis Guide pages can be used to document pertinent information (time, witnesses) immediately after an emergency…

  5. Acute adrenal crisis

    MedlinePlus

    ... cortisol and adrenaline are released in response to stress . Cortisol production is regulated by the pituitary gland. This ... adrenal crisis include: Dehydration Infection and other physical ... medications such as prednisone or hydrocortisone Surgery Trauma

  6. Crisis management strategies.

    PubMed

    Koster, Maria C; Politis-Norton, Helen

    2004-01-01

    This paper discusses the different facets of crisis as experienced within the pharmaceutical industry but which are also prevalent throughout other industries. It highlights the importance of early identification and management of crises and issues, which in return are strongly intertwined with a fundamental positive internal corporate climate. A corporate philosophy should always embrace crisis management with the attitude of 'when' and not 'if'; therefore, a company should act today and not tomorrow once a crisis is on its doorstep. Preparation is of utmost importance and there are several items that can be addressed even before a crisis has arisen. Further, this paper also provides guidance on how to deal with the media, what to do and what not to do, and how to appoint the appropriate spokesperson. In this era of fast exchange of information, crisis, which previously may have stayed behind corporate doors, may not do so any longer. Image is very important and should therefore not be risked. Crisis and issue management should therefore be integrated in every company's philosophy and standard operating procedures. PMID:15154831

  7. Crisis and connection.

    PubMed

    Mead, Shery; Hilton, David

    2003-01-01

    Psychiatric interventions for crisis care lie at the center of the conflict between involuntary commitment and recovery/wellness systems in mental health services. Though crisis can mean completely different things to people who have the experience, the general public has been convinced by the media that people with psychiatric disabilities are to be feared. More and more this has led to social control but is erroneously still called treatment. This does nothing to help the person and in fact further confuses people already trying to make meaning of their experience. This paper offers a fundamental change in understanding and working with people in psychiatric crises. Rather than objectifying and naming the crisis experience in relation to illness, people can begin to explore the subjective experience of the person in crisis while offering their own subjective reality to the relationship. Out of this shared dynamic in which a greater sense of trust is built, the crisis can be an opportunity to create new meaning, and offer people mutually respectful relationships in which extreme emotional distress no longer has to be pathologized. The authors, who have had personal experience with psychiatric crises, have provided this kind of successful crisis counseling and planning and have designed and implemented peer support alternatives to psychiatric hospitalizations that support this model. PMID:12967238

  8. Family Crisis: A Broad Spectrum Bibliography.

    ERIC Educational Resources Information Center

    Bodine, George E.

    This bibliography of research on family crises includes theoretical and clinical material as well as research devoted to substantive crisis areas. Over 400 entries are grouped under 15 separate categories: theoretical and clinical, alcoholism, death and dying, divorce, exceptional children, illness, mental illness, widowhood, other situational

  9. Applying Yalom's principles to crisis work...some intriguing results.

    PubMed

    Chen, M E

    1978-06-01

    In this paper, the writer has shared some of the results of an innovative eight- to sixteen-week, open-ended crisis group developed at the Community Mental Health Center at Strong Memorial Hospital. The group has been running for over a year and a half. Some of the significant findings were that process interventions can be creatively used in a modified manner to enhance the group interaction, while maintaining the crisis-oriented focus. There were two dimensions of process commentary described, the sense data material of an individual, interpersonal nature, and the mass group interventions with a broader, group development focus. In addition, the secondary function of the group, which was to serve as an assessment tool for an individual's capabilities in long-term group work, proved to be reliable for eighteen out of the twenty members, eventually referred to other groups. A theoretical framework, based on Yalom's work, as well as the writer's synthesis of previous crisis group theory, was outlined. Two clinical illustrations were described, using the paradigm. In closing, the writer wishes to validate the impression that crisis group work is indeed an exciting, clinical adventure. Each week the gestalt of the group varies, so that the crisis therapist must remain a versatile strategist and sensitive role model of communication theory. The interweaving of process issues with more concrete, content-focused group work provides the members with an in-depth, sharply practical interpersonal arena for growth. PMID:213583

  10. The superpowers in crisis

    SciTech Connect

    Krickus, R.J.

    1987-01-01

    The author discusses how the domestic political, economic, and socio-cultural problems afflicting the US and the USSR may threaten the security of each country and jeopardize world peace. Contents (partial): The Soviet Union in Crisis: An economy in crisis; A minority in their ''own country;'' Eastern Europe: An asset or liability; What is to be done.; The American Predicament: American liberalism; Ronald Reagan and the conservative counter-reformation; Taking stock; International Implications; Domestic strife; implications for the superpower rivalry; Global economic disorder and the American predicament; Conclusions.

  11. [Psychoanalytic aspects of crisis and crisis intervention].

    PubMed

    Battegay, R

    1995-01-01

    "Crisis" is defined as the lack of the development of defense- and/or coping-mechanisms in the conflict between drive-claims or narcissistic needs versus the influences of the super-ego and/or conditions of outside reality. The term crisis, introduced by Erich Lindemann (1944), characterizes a state which was already known to Sigmund Freud. Central to his thought was an antagonism between the pleasure principle dominating the unconscious and the reality principle being directed toward the outside world. Different possible causes of crises are for example sudden and unexpected intrusions in a life situation which was previously experienced as stable, or a narcissistic trauma and loss that could not be worked through as grief and that lead to a reactive-depressive state, or a shock resulting from demands of the super-ego during inner or outer experiences. Principles of a psychoanalytically oriented therapy are discussed, the outcome of which is the better, the more there is a good working alliance and good development of insight. PMID:7709654

  12. School Crisis Preparedness and Response.

    ERIC Educational Resources Information Center

    Schonfeld, David J.; Newgass, Scott

    Dealing with the impact of crisis on school children and staff is not the primary mission of schools. Therefore, many schools remain unprepared to respond to a crisis affecting students and staff. Too often they respond to each successive crisis in a reflexive manner with little preplanned coordination or structure. This workshop provides an…

  13. When Crisis Strikes on Campus.

    ERIC Educational Resources Information Center

    Larson, Wendy Ann, Ed.

    This handbook aids in planning for effective crisis communication at institutions of higher education. The book opens with a behind-the-scenes look at a particular crisis--the 1990 murders of five students at the University of Florida. This first section offers tested advice from a campus communicator, an account of the crisis and the

  14. When Crisis Strikes on Campus.

    ERIC Educational Resources Information Center

    Larson, Wendy Ann, Ed.

    This handbook aids in planning for effective crisis communication at institutions of higher education. The book opens with a behind-the-scenes look at a particular crisis--the 1990 murders of five students at the University of Florida. This first section offers tested advice from a campus communicator, an account of the crisis and the…

  15. Keeping Cool in a Crisis

    ERIC Educational Resources Information Center

    Padgett, Raven

    2006-01-01

    Many schools are able to avoid disasters by creating a strong, deliberate crisis plan and knowing how to implement it effectively. Good crisis preparedness requires leadership from the top, a critical mass of trained staff members, careful planning, and excellent communication. This article discusses how to prepare for a crisis.

  16. 'Childhood' in 'Crisis'?

    ERIC Educational Resources Information Center

    Scraton, Phil, Ed.

    Based on multi-disciplinary academic research and professional practice, this book is a response to the current political and policy debates in Britain that maintain that "childhood" is in a state of "crisis"; that there is a breakdown in discipline, professional, or parental guidance; and that young people lack any sense of social responsibility.…

  17. The Phony Funding Crisis

    ERIC Educational Resources Information Center

    Guthrie, James W.; Peng, Arthur

    2010-01-01

    If one relies on newspaper headlines for education funding information, one might conclude that America's schools suffer from a perpetual fiscal crisis, every year perched precariously on the brink of financial ruin, never knowing whether there will be sufficient funding to continue operating. Budgetary shortfalls, school district bankruptcies,

  18. The Phony Funding Crisis

    ERIC Educational Resources Information Center

    Guthrie, James W.; Peng, Arthur

    2010-01-01

    If one relies on newspaper headlines for education funding information, one might conclude that America's schools suffer from a perpetual fiscal crisis, every year perched precariously on the brink of financial ruin, never knowing whether there will be sufficient funding to continue operating. Budgetary shortfalls, school district bankruptcies,…

  19. NAS Considers Energy Crisis

    ERIC Educational Resources Information Center

    Environmental Science and Technology, 1974

    1974-01-01

    Reports the key issues discussed at a national two-day forum of the National Academy of Sciences held in Washington, D.C. The symposium sought answers to problems brought on by the energy crisis and focused on future alternatives and risks. (JR)

  20. Ghosts of Crisis Past.

    ERIC Educational Resources Information Center

    Klopfer, Leopold E.; Champagne, Audrey B.

    1990-01-01

    Discussed is the history of school science curriculum reform from the Sputnik era to 1990. The relationship between the crisis in the 1950s and 1990 is addressed. A list of curriculum development programs for all levels and special needs students is included. (KR)

  1. Crisis Counseling: An Overview

    ERIC Educational Resources Information Center

    Sandoval, Jonathan; Scott, Amy Nicole; Padilla, Irene

    2009-01-01

    Psychologists working in schools are often the first contacts for children experiencing a potentially traumatizing event or change in status. This article reviews basic concepts in crisis counseling and describes the components of psychological first aid. This form of counseling must be developmentally and culturally appropriate as well as…

  2. The Coming Accounting Crisis

    ERIC Educational Resources Information Center

    Eaton, Tim V.

    2007-01-01

    The accounting profession is facing a potential crisis not only from the overall shortage of accounting faculty driven by smaller numbers of new faculty entering the profession as many existing faculty retire but also from changes that have been less well documented. This includes: (1) changes in attitude towards the roles of teaching, service and

  3. Nursing in Crisis

    ERIC Educational Resources Information Center

    Fulcher, Roxanne

    2007-01-01

    Both the nation's health-care and nursing education systems are in crisis. While the care provided by registered nurses (RNs) is essential to patients' recovery from acute illness and to the effective management of their chronic conditions, the United States is experiencing a nursing shortage that is anticipated to increase as baby boomers age and…

  4. The Coming Accounting Crisis

    ERIC Educational Resources Information Center

    Eaton, Tim V.

    2007-01-01

    The accounting profession is facing a potential crisis not only from the overall shortage of accounting faculty driven by smaller numbers of new faculty entering the profession as many existing faculty retire but also from changes that have been less well documented. This includes: (1) changes in attitude towards the roles of teaching, service and…

  5. Crisis Management Research Summaries

    ERIC Educational Resources Information Center

    Brock, Stephen E., Ed.; Zhe, Elizabeth; Torem, Chris; Comeaux, Natashia; Dempsey, Allison

    2010-01-01

    This article presents a summary of recent crisis management publications. The first research report summarized, "Predictors of PTSD," was a study of predictor variables for responses to the World Trade Center attack. The second paper, "Effective Mental Health Response to Catastrophic Events," looked at effective responses following Hurricane…

  6. Coping with Crisis.

    ERIC Educational Resources Information Center

    Akenhead, James; Andreani, Alan

    2002-01-01

    School officials put a crisis communications plan into action after two Ohio students died and a third became critically ill from meningitis in May 2001. A mass immunization program prevented a major outbreak, and rumor control helped calm the public's fears. Recounts things learned from the experience. (MLF)

  7. Crisis Management Research Summaries

    ERIC Educational Resources Information Center

    Brock, Stephen E., Ed.; Zhe, Elizabeth; Torem, Chris; Comeaux, Natashia; Dempsey, Allison

    2010-01-01

    This article presents a summary of recent crisis management publications. The first research report summarized, "Predictors of PTSD," was a study of predictor variables for responses to the World Trade Center attack. The second paper, "Effective Mental Health Response to Catastrophic Events," looked at effective responses following Hurricane

  8. Crisis in the Cafeteria.

    ERIC Educational Resources Information Center

    White, Patrick

    1998-01-01

    Because schools are entrusted with children's safety, any crisis (particularly food poisoning) affecting that inviolable trust is fodder for a ravenous media. Proactive school business officials and food-service personnel work together to publicize the school nutrition department's good work. Communicating clearly and assigning a food-service…

  9. Crisis intervention: a review.

    PubMed

    Flannery, R B; Everly, G S

    2000-01-01

    Critical incidents are sudden, unexpected, often life-threatening time-limited events that may overwhelm an individual's capacity to respond adaptively. Frequently, extreme critical incident stressors may result in personal crises, traumatic stress, and even Posttraumatic Stress Disorder. This paper presents a concise, fully-referenced, state-of-the-art review of crisis intervention procedures within the context of Critical Incident Stress Management. PMID:11232174

  10. Dutch guideline for the management of hypertensive crisis -- 2010 revision.

    PubMed

    van den Born, B J H; Beutler, J J; Gaillard, C A J M; de Gooijer, A; van den Meiracker, A H; Kroon, A A

    2011-05-01

    Hypertensive crises are divided into hypertensive urgencies and emergencies. Together they form a heterogeneous group of acute hypertensive disorders depending on the presence or type of target organs involved. Despite better treatment options for hypertension, hypertensive crisis and its associated complications remain relatively common. In the Netherlands the number of patients starting renal replacement therapy because of 'malignant hypertension' has increased in the past two decades. In 2003, the first Dutch guideline on hypertensive crisis was released to allow a standardised evidence-based approach for patients presenting with a hypertensive crisis. In this paper we give an overview of the current management of hypertensive crisis and discuss several important changes incorporated in the 2010 revision. These changes include a modification in terminology replacing 'malignant hypertension' with 'hypertensive crisis with retinopathy and reclassification of hypertensive crisis with retinopathy under hypertensive emergencies instead of urgencies. With regard to the treatment of hypertensive emergencies, nicardipine instead of nitroprusside or labetalol is favoured for the management of perioperative hypertension, whereas labetalol has become the drug of choice for the treatment of hypertension associated with pre-eclampsia. For the treatment of hypertensive urgencies, oral administration of nifedipine retard instead of captopril is recommended as first-line therapy. In addition, a section on the management of hypertensive emergencies according to the type of target organ involved has been added. Efforts to increase the awareness and treatment of hypertension in the population at large may lower the incidence of hypertensive crisis and its complications. PMID:21646675

  11. Organizational Crisis Experience and Public Relations Roles.

    ERIC Educational Resources Information Center

    Guth, David W.

    1995-01-01

    Suggests a relationship between organizational crisis experience and the placement of the public relations function. Notes a relationship between organization size and crisis experience. Uncovers an alarming absence of crisis planning and training in organizations. (SR)

  12. Risk perception and the economic crisis: a longitudinal study of the trajectory of perceived risk.

    PubMed

    Burns, William J; Peters, Ellen; Slovic, Paul

    2012-04-01

    We conducted a longitudinal survey of public response to the economic crisis to understand the trajectory of risk perception amidst an ongoing crisis. A nation-wide panel responded to seven surveys beginning in late September 2008 at the peak of the crisis and concluded in October 2009. At least 600 respondents participated in each survey, with 413 completing all seven surveys. Our online survey focused on perceptions of risk (savings, investments, retirement, job), negative emotions toward the financial crisis (sadness, anxiety, fear, anger, worry, stress), confidence in national leaders to manage the crisis (President Obama, Congress, Treasury Secretary, business leaders), and belief in one's ability to realize personal objectives despite the crisis. We employed latent growth curve modeling to analyze change in risk perception throughout the crisis. Our results suggest that, in general, people's perceptions of risk appear to decrease most rapidly during the initial phase of a crisis and then begin to level off. Negative emotion about the crisis was the most predictive of increased risk perception, supporting the notion of risk as feelings. Belief in one's ability to realize personal objectives was also predictive. Confidence in national leaders, however, was not predictive of perceived risk. Finally, our results demonstrate that groups may experience a crisis differently depending on a combination of personal characteristics such as gender, income, numeracy, and political attitude. Risk management and communication should work in sync with these mechanisms and differences across groups. PMID:22150242

  13. Before Crisis Hits: Building a Strategic Crisis Plan.

    ERIC Educational Resources Information Center

    Smith, Larry L.; Millar, Dan P.

    This guide offers suggestions to college administrators for dealing with a variety of emergency or crisis situations that could affect a community college's effectiveness. The authors used the Institute for Crisis Management's (ICM) four types of crises in higher education as the framework for the guide. The four types of crises are: (1) sudden;…

  14. Crisis Communication Plans: Poor Predictors of Excellent Crisis Public Relations.

    ERIC Educational Resources Information Center

    Marra, Francis J.

    1998-01-01

    Argues that newly developed theory in crisis public relations suggests a shift is necessary in the way practitioners view crises. Notes that the new paradigm defines excellent crisis public relations very differently from the literature of the past 20 years. (RS)

  15. The Usefulness of Information and Communication Technologies in Crisis Response

    PubMed Central

    Paul, Sharoda A.; Reddy, Madhu; Abraham, Joanna; DeFlitch, Christopher

    2008-01-01

    Information and communication technologies (ICTs) play a vital role in coordinating crisis response between pre-hospital services and emergency departments of hospitals. In spite of the advances in these technologies, there remain a variety of challenges to their usage during a crisis. To identify these challenges, we conducted focus group interviews with emergency department (ED) and emergency medical services (EMS) personnel. We found that ED and EMS personnel have widely varying perceptions about the usefulness and ease-of-use of information tools and communication tools used in crisis management. We discuss the importance of bringing together communication and information tools into integrated networks of ICTs for effective crisis response. We also highlight design features of ICTs which can support seamless and effective communication and coordination between ED and EMS teams. PMID:18998898

  16. [Crisis in medical ethics].

    PubMed

    Stellamor, K

    1996-01-01

    There is a disproportion between diagnostic and therapeutic medical achievements and the doctor/patient relationship. Are we allowed to do everything we are able to do in medicine? People are concerned and worried (genetic technology, invasive medicine, embryos in test tubes etc.). The crisis of ethics in medicine is evident. The analysis of the situation shows one of the causes in the shift of the paradigma-modern times to postmodern following scientific positivism-but also a loss of ethics in medicine due to an extreme secularism and to modern philosophical trends (Hans Jonas and the responsibility for the future and on the other hand modern utilitarism). PMID:9036685

  17. Spanning trees and the Eurozone crisis

    NASA Astrophysics Data System (ADS)

    Dias, João

    2013-12-01

    The sovereign debt crisis in the euro area has not yet been solved and recent developments in Spain and Italy have further deteriorated the situation. In this paper we develop a new approach to analyze the ongoing Eurozone crisis. Firstly, we use Maximum Spanning Trees to analyze the topological properties of government bond rates’ dynamics. Secondly, we combine the information given by both Maximum and Minimum Spanning Trees to obtain a measure of market dissimilarity or disintegration. Thirdly, we extend this measure to include a convenient distance not limited to the interval [0, 2]. Our empirical results show that Maximum Spanning Tree gives an adequate description of the separation of the euro area into two distinct groups: those countries strongly affected by the crisis and those that have remained resilient during this period. The measures of market dissimilarity also reveal a persistent separation of these two groups and, according to our second measure, this separation strongly increased during the period July 2009-March 2012.

  18. Organizational Learning and Crisis Management

    ERIC Educational Resources Information Center

    Wang, Jia

    2007-01-01

    The impact of crises on organizations has been stronger than ever. This article explores the role of organizational learning in crisis management, an area that has received little attention from HRD community. Recognizing the dynamics and interconnectedness of crisis management, organizational learning, and organizational change, the article…

  19. A Crisis of Legendary Proportions.

    ERIC Educational Resources Information Center

    Simpson, Christopher

    2001-01-01

    Describes the activities of Indiana University's crisis communications team during the Bob Knight controversy. Discusses how the school's response was based on four crisis communications principles: create a plan, appoint a single spokesperson, respond with open and continuous communications, and expect the unexpected. (EV)

  20. The Little-Known Crisis

    ERIC Educational Resources Information Center

    Eckholm, Erik P.

    1975-01-01

    For one-third of the world's people, the energy crisis means the daily scramble to find the wood they need to cook. The accelerating destruction of forests throughout Africa, Asia and Latin America and the utilization of manure as a firewood substitute may produce the most profound ecological crisis of this century. (BT)

  1. School Buildings in Today's Crisis

    ERIC Educational Resources Information Center

    Blyth, Alastair

    2009-01-01

    To get a picture of the impact of the current economic and financial crisis on educational building programmes so far, the OECD Centre for Effective Learning Environments (CELE) has been conducting a survey of member countries and regions. The survey focuses on three main issues: the impact of the crisis on publicly funded projects, the impact on…

  2. The malpractice liability crisis.

    PubMed

    Brenner, R James; Smith, John J

    2004-01-01

    Most medical malpractice cases are tried under the civil tort of negligence and are often triggered by adverse outcomes. These proceedings are aimed primarily at determining whether the conduct of a health care provider was reasonable. Such legal actions have mostly been subject to state jurisdiction. Increasingly, a number of factors are converging that are threatening the continued practice of medicine in some states and hence patients' access to care. These include higher amounts of monetary damages awarded to successful plaintiffs, consequent rising malpractice premiums, and the threatened economic insolvency of medical liability insurance carriers as a result of the broader economic downturn. The result is a serious public health dilemma. The national scope of the problem has been considered a crisis, which has prompted unprecedented federal legislative proposals directed toward providing new and preemptive parameters for capitated noneconomic damages, restrictions on certain civil procedures affecting lawsuit outcomes, and methods for attorney compensation, which some states have either not previously addressed or found unconstitutional. A survey of different states' problems and common issues should assist the reader in understanding the nature of the crisis and proposed solutions. PMID:17411514

  3. The Mediterranean salinity crisis

    SciTech Connect

    Hsue, K.J.

    1988-08-01

    That the Mediterranean Sea underwent a salinity crisis during the Miocene (Messinian) is proven by the 1970 JOIDES deep sea drilling expedition. Subsequent work by ocean drilling and by studies on land have recorded the history of this crisis. Based upon the deep desiccated-basin model, the use of event-stratigraphy, calibrated by strontium-isotope dating and magnetostratigraphy, has enabled them to decipher the following events between 6.0 and 5.1 Ma: (1) deposition of marine diatom-rich sediments in a partially restricted basin, (2) first desiccation of the Mediterranean when Calcare di base was deposited at a time of isolation from the Atlantic because of a glacial eustatic drop of sea level, (3) influx of marine waters through southern Spanish basins to furnish brines for the deposition of the main salt, (4) Intra-Messinian desiccation, as evidenced by the erosional unconformity above the lower evaporite, (5) Intra-Messinian denudation, when reefs grew on Cyprus and marine sediments were deposited in basins, (6) frequency isolations due to oscillating sea level, when the upper evaporite was deposited, (7) Lago mare, formation of freshwater and brackish lakes due to influx of Paratethys water, (8) opening of the Gibraltar and Pliocene inundation of the Mediterranean.

  4. Impact of the Syrian Crisis on the Hospitalization of Syrians in a Psychiatric Setting.

    PubMed

    Lama, Souaiby; François, Kazour; Marwan, Zoghbi; Sami, Richa

    2016-01-01

    Determine the impact of the Syrian crisis on the hospitalization of Syrians in a psychiatric setting. All Syrians admitted to a psychiatric hospital in Lebanon between the 1st of January 2009 and the 31st of December 2013 were included. Number of admissions, psychiatric disorders and demographic and clinical data relative to patients were compared between those admitted before and after the crisis. 44 patients were admitted before the crisis and 106 after it. The distribution of diagnosis varied significantly after the crisis (p = 0.056) with the majority of patients being admitted for schizophrenia (37.7 %). The prevalence of suicidal ideation was higher after the crisis (p = 0.03) but suicidal attempts, need for electroconvulsive therapy and length of hospitalization did not differ significantly between both groups. Clinicians should be aware of the possible burden of mental illness in Syrians after the beginning of the Syrian crisis. PMID:25982832

  5. The Impending Crisis

    PubMed Central

    Kaplan, Raymond L.; Burgess, Thomas E.

    2010-01-01

    When you are ill and consult a physician for his or her expertise, many times laboratory testing is part of the clinical workup. This testing is critical to the physician’s ability to diagnose the patient’s condition. What if testing was not available … because there was no one to do the testing? Although seemingly far-fetched, this scenario could play itself out in the next ten years due to an impending manpower crisis in laboratory medicine. The profession of Medical Technology, also known as Clinical Laboratory Science, is experiencing a shortage of qualified individuals for a variety of reasons – not the least of which is the closure of almost 70% of the schools teaching this critical profession. Health care workers (HCW) rely on accurate and timely clinical laboratory results in order to make decisions for their patients. Because ∼ 70% of patient care decisions are based on clinical laboratory results, it is important to have a well-trained supply of laboratory professionals. This article will give an overview of the situation and the possible causes of this shortage, and pose challenges to our profession as to how this crisis can be averted. Visibility of this profession must be a prime focus of this effort in order for the population in general to be aware of the role Clinical Laboratory Scientists play in the health care consortium. This effort should begin early in the educational process, potentially as early as Middle School (junior high school), bringing awareness of the profession not only to students but to educators as well. PMID:23653714

  6. The Crisis "Hotline" as Mediated Therapeutic Communication.

    ERIC Educational Resources Information Center

    Fish, Sandra L.

    Hotlines, or telephone crisis-lines, begun in the 1960s and currently numbering in the hundreds provide assistance to callers in crisis, frequently around the clock. Crisis-line communication can be seen as a form of mediated therapeutic communication premised on the existence of a crisis and the medium of the telephone which shapes the…

  7. School Crisis Management: A Model of Dynamic Responsiveness to Crisis Life Cycle

    ERIC Educational Resources Information Center

    Liou, Yi-Hwa

    2015-01-01

    Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,

  8. School Crisis Management: A Model of Dynamic Responsiveness to Crisis Life Cycle

    ERIC Educational Resources Information Center

    Liou, Yi-Hwa

    2015-01-01

    Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,…

  9. School Response to Violence: A Case Study in Developing Crisis Response Teams

    ERIC Educational Resources Information Center

    Walsh, Ronald J.

    2010-01-01

    The purpose of this case study was to evaluate the perceptions of participants regarding their effectiveness in responding to defiant student violence as a crisis response team, following crisis response team training. The participants were a group of 10 volunteer PK-6 public school educators from western Wisconsin. The study took place during the…

  10. Primary hyperparathyroidism presenting as hypercalcemic crisis: Twenty-year experience

    PubMed Central

    Singh, Dependra Narayan; Gupta, Sushil Kumar; Kumari, Niraj; Krishnani, Narendra; Chand, Gyan; Mishra, Anjali; Agarwal, Gaurav; Verma, Ashok Kumar; Mishra, Saroj Kanta; Agarwal, Amit

    2015-01-01

    Context: To study hyperparathyroid-induced hypercalcemic crisis (HIHC). Aims: We see very advanced cases of primary hyperparathyroidism (PHPT) and therefore, we sought to determine the incidence of HIHC in our surgically-treated PHPT patients, clinical presentation, and short- and long-term results with the use of bisphosphonate therapy and expeditious parathyroidectomy over a 20-year period at a single institution. Settings and Design: Retrospective review of PHPT patients at Department of Endocrine Surgery, a tertiary care referral center. Materials and Methods: Retrospective review of 177 patients of advanced PHPT who underwent parathyroidectomy at a single institution from 1989 to 2010. All patients with serum calcium ?14 mg/dl (?3.5 mmol/l) were included in HIHC group. Statistical Analysis: Analysis of variance (ANOVA) was used to determine differences between groups. Data is expressed as mean standard error of the mean (SEM); P values less than 0.05 were considered significant. Results: We observed a higher incidence of HIHC (n = 37, 21%) with higher incidence of pancreatitis (n = 5, 13.5%). Crisis patients had heavier (6,717 mg) glands. Use of bisphosphonate therapy in seven crisis patients resulted in quicker lowering of serum calcium (mean: 4.5 vs 14.6 days in other crisis patients, P = 0.027) permitting early surgery. The incidence of postoperative hypocalcemia was not higher in these patients. Although the parathyroid adenoma was common pathology in both the groups, the incidence of parathyroid carcinoma was higher in crisis group (10.8%). Outcome with regards to postoperative eucalcemia was similar in both groups. Conclusions: Crisis patients are at risk of developing pancreatitis. Bisphosphonate therapy has the potential to quickly lower the serum calcium permitting early surgery without added risk of postoperative hypocalcemia. Successful and sustained eucalcemia with excellent long-term survival is possible with use of bisphosphonates and semi-emergent, focused parathyroidectmy. PMID:25593835

  11. Science Education and Environmental Crisis

    ERIC Educational Resources Information Center

    Kirk, J. T. O.

    1973-01-01

    Discusses a wide range of topics related to the environmental crisis with particular emphasis on consequences for Australia. Suggests that Australian science teachers have both the opportunity and responsibility to play an active role in environmental education. (JR)

  12. Technology Education Tackles Energy Crisis.

    ERIC Educational Resources Information Center

    Cutshall, Sandy

    2002-01-01

    Describes the solar-hydrogen technologies at the East Valley Institute of Technology, the only technology center in the nations that offers this class. Describes its focus on solving the energy crisis. (JOW)

  13. [Crisis management in emergency medicine].

    PubMed

    Mizobata, Yasumitsu

    2016-02-01

    There is no "complete safety" in the medical treatment. Unavoidable events or human errors may frighten the patients' safety. Because of its characteristics, emergency medicine is one of the medical fields where treating the patients under the vast safety is difficult. It is inevitable to understand the background of human errors in the emergency medicine under the "SHEL" model. The implementation of the safety measures, such as minimum encounter, minimum probability, multiple detections, and minimum damage is helpful to prevent unfortunate outcomes. Since the emergency medicine treats the severely injured or critical ill patients, its daily works are the picture of the crisis management, and the most suitable environment to train the crisis management competence. The person in charge of crisis management of the institution should put the emergency department to practical use of medical staffs' crisis management training. PMID:26915239

  14. Coasts in Crisis

    SciTech Connect

    Hinrichsen, D.

    1996-11-01

    Coastal areas are staggering under an onslaught of human activity. We are presently in the process of destroying 70 percent of the world`s 600,000 square kilometers of coral reefs, an ecosystem containing some 200,000 different species and rivaling tropical rain forests in biodiversity. A combination of pollution, habitat destruction, and gross overfishing has led to the collapse of major fisheries and paved the way for malnutrition and disease in regions where people fish for subsistence. Globally, little is being done to manage the crisis of our coasts. Management strategies, if they exist at all, often deal with economic development along a wafer-thin strip of coastal land. Resource degradation is ignored, and watershed management is mostly rhetoric. Although some 55 countries have drawn up coastal management plans, only a handful have been properly implemented. Coasts must be managed in an integrated manner that takes into account the full range of human activities. Initiating this process is costly, time-consuming, and difficult. Yet we have more than three decades of accumulated experience to draw on.

  15. Teaching Crisis Management: A National Security Council Simulation.

    ERIC Educational Resources Information Center

    Chernotsky, Harry I.

    1990-01-01

    Presents a simulation used in a political science course on U.S. foreign policy in which college students role play National Security Council members and government officials during a hijacking incident. Analyzes four groups' responses to the exercise. Suggests the simulation involves students in crisis decision making, developing better…

  16. Teaching Crisis Management: A National Security Council Simulation.

    ERIC Educational Resources Information Center

    Chernotsky, Harry I.

    1990-01-01

    Presents a simulation used in a political science course on U.S. foreign policy in which college students role play National Security Council members and government officials during a hijacking incident. Analyzes four groups' responses to the exercise. Suggests the simulation involves students in crisis decision making, developing better

  17. Crisis and Loss: What Can a Library Media Specialist Do?

    ERIC Educational Resources Information Center

    Barron, Daniel D.

    2001-01-01

    Highlights Web sites school library media specialists can use to help children deal with crisis and loss. Sources include: government; authorities in the field; media access and support; professional associations; and centers/other support groups. Includes suggestions provided on Web sites of the American Psychological Association, the National…

  18. Leaders Urge Colleges to Think Globally Despite Economic Crisis

    ERIC Educational Resources Information Center

    McMurtrie, Beth; Wheeler, David

    2008-01-01

    The global economic crisis has accelerated the fear that the United States' international power is fading. It has also made clear the need for American higher education to engage more deeply with the rest of the world, not run from it. That was the consensus among a group of presidents and provosts who met in New York this month as part of "Higher…

  19. Crisis at the summit.

    PubMed

    Parsons, George D; Pascale, Richard T

    2007-03-01

    An unrecognized affliction is striking certain gifted performers at the top of their game. Its cause, paradoxically, is success itself. These stars, who thrive on conquering new challenges, can lose their bearings and question their purpose once a job has been mastered. A vague dissatisfaction gives way to confusion and then to inner turmoil. Left unattended, this summit syndrome can derail promising careers. The syndrome has three phases. In the approach phase, when most of the challenges of a current job have been met, sufferers tend to push harder in a vain attempt to recapture the adrenaline rush of the climb. Then, in the plateauing phase, when virtually all the challenges have been conquered, these individuals, who are incapable of coasting, bear down to try to produce ever more stellar results, but to less effect and greater dissatisfaction. This leads to the terminal descending phase, when performance slips noticeably. As their superstar status fades, they jump ship, accept demotions, or take lateral transfers. It's a terrible waste, for if the syndrome is recognized, steps can be taken before performance slips to dispel the confusion and set the stage for productive growth to the next assignment. There are four parts to this process: First, understand your "winning formula"--the characteristic way you approach a situation--and the vital part it plays in feeling stale or losing your edge. Second, reconnect with your core purpose in life. Third, recast your current, or future, job to better align your inner aspirations with the external requirements of your work. And fourth, create a developmental path by honing a handful of core leadership competencies. None of this is easy, but for talented individuals--and the organizations that rely on them--the vaccine of preventive awareness is far better than gambling on an after-the-fact cure once the crisis is full-blown. PMID:17348172

  20. [Economic crisis and communicable diseases. SESPAS report 2014].

    PubMed

    Llácer, Alicia; Fernández-Cuenca, Rafael; Martínez-Navarro, Ferrán

    2014-06-01

    Past economic crises have increased the impact of communicable diseases especially on groups particularly vulnerable to the social and health consequences of the recession. However, it has been shown that the impact of these crises largely depends on the response of governments and the inhabitants of affected countries. We describe the consequences of the current crisis in the causal chain of infectious disease, including the response of the health system, and explore whether there is evidence of its impact in Spain. It is assumed that the possible effect of the crisis on living and working conditions is due to individual and social debt coupled with high unemployment as defining features of the crisis. We highlight the potential negative consequences of healthcare cuts on vulnerable populations, which have been partly excluded with the recent reform of health coverage. We compare mortality and morbidity data between two periods: before and after 2008, integrating, where possible, observed trends and institutional reports. Overall, no effect on infectious disease has been detected so far, although some signs of worsening, which could be compatible with the effects of the crisis, have been observed and need to be monitored and confirmed. We review the limitations of data sources that may not be sufficiently sensitive or up-to-date to detect changes that may require a latency period to become manifest. Instead of cutting resources, surveillance of these diseases should be improved, and an equitable social health response, which targets the population most affected by the crisis, should be guaranteed. PMID:24863999

  1. [Crisis and future of humanity].

    PubMed

    Bellver Capella, Vicente

    2012-09-01

    We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e.,just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the "weak signals" the latent opportunities that await we become them realities. PMID:23066563

  2. Using Crisis Simulations in Public Relations Education

    ERIC Educational Resources Information Center

    Veil, Shari R.

    2010-01-01

    Objectives: Students will demonstrate research, decision making, team building, and public speaking skills, while applying issues management and crisis communication concepts in a realistic setting. Courses: Introduction to Public Relations, Public Relations Cases, Crisis Communication.

  3. Crisis: an alternative to complacency

    SciTech Connect

    Dreyfus, D.A.

    1986-01-01

    Despite a prevailing skepticism of forecasting, decision making is necessarily a future-oriented process. Forecasting, because of this, affects the future. Earlier energy forecasts of a severe energy crisis led to global policy initiatives that have improved the world energy picture even though the predictions did not come true. A new consensus is emerging among energy forecasts which sees a continuation of current trends, with stable or diminishing energy prices coupled with secure supplies. Complacency based on these projections could lead to a future crisis if the decisions based upon these assumptions prove faulty.

  4. Crisis and Employment: The Case of Korea

    ERIC Educational Resources Information Center

    Cho, Dongchul; Shin, Sukha

    2012-01-01

    This paper examines Korea's employment dynamics and analyzes how adverse impacts could be mitigated during the recent economic crisis in comparison with the 1997 to 1998 Asian crisis. A clear lesson is that policies to mitigate adverse impacts of financial crisis on the macroeconomic level should be given priority for preserving employment. In

  5. Campus Crisis Response at Viberg College

    ERIC Educational Resources Information Center

    Eaker, Rachel; Viars, Jamie

    2014-01-01

    This fictional case study examines crisis response in higher education settings. Information about current crisis response procedures, plans, and trends was gathered from informational interviews, current crisis management literature, and multiple college and university websites. The information was synthesized into a fictional case study using

  6. Crisis and Employment: The Case of Korea

    ERIC Educational Resources Information Center

    Cho, Dongchul; Shin, Sukha

    2012-01-01

    This paper examines Korea's employment dynamics and analyzes how adverse impacts could be mitigated during the recent economic crisis in comparison with the 1997 to 1998 Asian crisis. A clear lesson is that policies to mitigate adverse impacts of financial crisis on the macroeconomic level should be given priority for preserving employment. In…

  7. Campus Crisis Response at Viberg College

    ERIC Educational Resources Information Center

    Eaker, Rachel; Viars, Jamie

    2014-01-01

    This fictional case study examines crisis response in higher education settings. Information about current crisis response procedures, plans, and trends was gathered from informational interviews, current crisis management literature, and multiple college and university websites. The information was synthesized into a fictional case study using…

  8. Psychological Health Before, During, and After an Economic Crisis: Results from Indonesia, 1993 – 2000

    PubMed Central

    Friedman, Jed; Thomas, Duncan

    2015-01-01

    The 1997 Indonesian financial crisis resulted in severe economic dislocation and political upheaval, and the detrimental consequences for economic welfare, physical health, and child education have been established in several studies. The crisis also adversely impacted the psychological well-being of the Indonesian population. Comparing responses of the same individuals interviewed before and after the crisis, we document substantial increases in several different dimensions of psychological distress among male and female adults across the entire age distribution. In addition, the imprint of the crisis can be seen in the differential impacts of the crisis on low education groups, the rural landless, and residents in those provinces that were most affected by the crisis. Elevated levels of psychological distress persist even after indicators of economic well-being such as household consumption had returned to pre-crisis levels, suggesting the deleterious effects of the crisis on the psychological well-being of the Indonesian population may be longer lasting than the impacts on economic well-being. PMID:25892838

  9. Hungry Kids: The Solvable Crisis

    ERIC Educational Resources Information Center

    Felling, Christy

    2013-01-01

    The numbers speak for themselves in terms of the crisis of hunger among kids in the United States: More than 16 million children--one in five--live in households that struggle to put food on the table. Nearly half of all food stamp recipients are children. But, argues Felling, the battle against childhood hunger can be won; the United States has

  10. Technology Use in Campus Crisis

    ERIC Educational Resources Information Center

    Mastrodicasa, Jeanna

    2008-01-01

    In this article, the author focuses on technology use related to campus crisis and shows the impact that newer technologies have on making the world seem much smaller and united. When crises occur, such as at Virginia Tech shootings or Hurricane Katrina, students across the United States and even the world reach out to one another through new…

  11. A Crisis in Civic Education

    ERIC Educational Resources Information Center

    American Council of Trustees and Alumni, 2016

    2016-01-01

    There is a crisis in American civic education. Survey after survey shows that recent college graduates are alarmingly ignorant of America's history and heritage. They cannot identify the term lengths of members of Congress, the substance of the First Amendment, or the origin of the separation of powers. They do not know the Father of the…

  12. Energy Crisis: The Leisurely Solution.

    ERIC Educational Resources Information Center

    Mobily, Ken

    1980-01-01

    Because of their automotive lifestyles, Americans account for the greatest portion of fossil fuel consumption in the world. The desirable leisure lifestyle traits of the past should be incorporated into contemporary American culture. Americans need to wean themselves away from the automobile if the energy crisis is to be solved. (JN)

  13. Energy Crisis Fuels NSF Budget

    ERIC Educational Resources Information Center

    Russell, Cristine

    1974-01-01

    The energy crisis has proved to be a boon to the National Science Foundation. The Foundation has requested approximately $788.2 million for 1975. Nearly all the increase over the 1974 budget and about 1/3 of the total budget is energy related. (RH)

  14. Vygotsky's Crisis: Argument, context, relevance.

    PubMed

    Hyman, Ludmila

    2012-06-01

    Vygotsky's The Historical Significance of the Crisis in Psychology (1926-1927) is an important text in the history and philosophy of psychology that has only become available to scholars in 1982 in Russian, and in 1997 in English. The goal of this paper is to introduce Vygotsky's conception of psychology to a wider audience. I argue that Vygotsky's argument about the "crisis" in psychology and its resolution can be fully understood only in the context of his social and political thinking. Vygotsky shared the enthusiasm, widespread among Russian leftist intelligentsia in the 1920s, that Soviet society had launched an unprecedented social experiment: The socialist revolution opened the way for establishing social conditions that would let the individual flourish. For Vygotsky, this meant that "a new man" of the future would become "the first and only species in biology that would create itself." He envisioned psychology as a science that would serve this humanist teleology. I propose that The Crisis is relevant today insofar as it helps us define a fundamental problem: How can we systematically account for the development of knowledge in psychology? I evaluate how Vygotsky addresses this problem as a historian of the crisis. PMID:22520196

  15. Responsibility for the Ecological Crisis

    ERIC Educational Resources Information Center

    Wright, Richard T.

    1970-01-01

    Critically analyzes the thesis of Christian responsibility for the ecological crisis and leads to its rejection. Present day environmental misuse results from greed, carelessness, and ignorance." Advocates ecological strategy of corrective action, with supplementary theological strategy" for church-influenced citizens. (AL)

  16. The Crisis in Extramural Funding

    ERIC Educational Resources Information Center

    Norris, Joel

    2011-01-01

    When "crisis" and "extramural funding" are mentioned, most academics think about problems such as the low percentage of proposals funded by federal agencies (now approaching single digits in many fields) or inadequate indirect-cost recovery rates that fail to reimburse universities for all costs of research. These are great problems draining…

  17. California Faces a Curriculum Crisis

    ERIC Educational Resources Information Center

    Manzo, Kathleen Kennedy

    2009-01-01

    School administrators in California are getting greater flexibility in how they spend more than $300 million intended for instructional materials, along with encouragement to use some free digital textbooks for high school courses, as a result of cost-cutting measures brought on by the state's budget crisis. Extensive changes to the state's…

  18. Owl Pellets and Crisis Management.

    ERIC Educational Resources Information Center

    Anderson, Tom

    2002-01-01

    Describes a press conference that was used as a "teachable moment" when owl pellets being used for instructional purposes were found to be contaminated with Salmonella. The incident highlighted the need for safe handling of owl pellets, having a crisis management plan, and the importance of conveying accurate information to concerned parents.…

  19. Folk Heritage Collections in Crisis.

    ERIC Educational Resources Information Center

    Council on Library and Information Resources, Washington, DC.

    The American Folklore Society and the American Folklife Center at the Library of Congress collaborated on a conference, "Folk Heritage Collections in Crisis," held on December 1-2, 2000, and gathered experts to formulate recommendations for the preservation and access of America's folk heritage sound collections. To facilitate informed discussion…

  20. Addressing the world water crisis

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The world is facing an impinging crisis on water as population growth continues, energy use increases, and affluence (standard of living) increases all requiring more water. Agriculture must find ways to use water more productively while improving the impact of agriculture on the environment. Agri...

  1. Systematics and the biodiversity crisis

    SciTech Connect

    Savage, J.M.

    1995-11-01

    This article discusses the importance of systematics in evaluating the global biodiversity crisis. Topics covered include the following: what systematic biology is; the diversity of species and higher taxa; biodiversity undersiege; systematics and conservation; systematics and global climatic change. 28 refs., 2 figs., 1 tab.

  2. Hungry Kids: The Solvable Crisis

    ERIC Educational Resources Information Center

    Felling, Christy

    2013-01-01

    The numbers speak for themselves in terms of the crisis of hunger among kids in the United States: More than 16 million children--one in five--live in households that struggle to put food on the table. Nearly half of all food stamp recipients are children. But, argues Felling, the battle against childhood hunger can be won; the United States has…

  3. Energy Crisis vs. Extension Opportunities

    ERIC Educational Resources Information Center

    Liles, Harold R.

    1978-01-01

    Discusses what steps were taken by the Cooperative Extension Service in Oklahoma, after the energy crisis began, to help landowners make better decisions regarding oil and gas leases. Oklahoma's Extension educational efforts in mineral rights management have been successful because they met the needs of the people. (EM)

  4. Technology Use in Campus Crisis

    ERIC Educational Resources Information Center

    Mastrodicasa, Jeanna

    2008-01-01

    In this article, the author focuses on technology use related to campus crisis and shows the impact that newer technologies have on making the world seem much smaller and united. When crises occur, such as at Virginia Tech shootings or Hurricane Katrina, students across the United States and even the world reach out to one another through new

  5. Malaysia urges ASEAN to tackle AIDS crisis.

    PubMed

    2000-08-01

    Urgent action is needed to fight the alarming spread of HIV/AIDS that infected 1.3 million people in Southeast Asia last year alone, Malaysia's foreign minister said July 24, 2000. Syed Hamid said the Association of Southeast Asian Nations (ASEAN) should tackle at regional and national level an epidemic that was taking its most drastic toll among the region's youth. "HIV/AIDS not only represents a major public health and social problem but is a serious challenge to development as well," Syed Hamid told the opening ceremony of ASEAN's 33rd annual foreign ministers' meeting. The crisis requires commitment at the "highest political level," he said, warning that HIV/AIDS could become a transnational problem within the 10-member group. Foreign ministers have recommended their leaders discuss the crisis later this year at an informal summit in Singapore and hold a summit on HIV/AIDS in conjunction with the 7th ASEAN Summit in Brunei next year. "I think people recognized the importance and the adverse impacts on our social development," Syed Hamid told reporters later. "I think it is a real issue that we cannot run away from." Among ASEAN members, Thailand, Cambodia, and Myanmar have some of the highest infection rates in Asia of HIV, the virus that causes AIDS. PMID:12349742

  6. The Relationship Trauma Crisis

    ERIC Educational Resources Information Center

    Larson, Scott

    2008-01-01

    When the Commission on Children At Risk--a group of 33 children's doctors, research scientists, mental health and youth service professionals--presented to the Nation its report on the crises of deteriorating mental and behavioral health of children in the US, the 83-page report was entitled "Hardwired to Connect: The New Scientific Case for…

  7. Foreign oil companies weathering Peru's political crisis

    SciTech Connect

    Not Available

    1992-07-06

    This paper reports that foreign oil companies are weathering Peru's political crisis, and the outlook for increased foreign participation in Peru's petroleum sector remains promising. There has been improvement in the political turmoil and soured international relations that followed President Alberto Fujimori's Apr. 5 suspension of Peru's Congress, charging political corruption and attempts to block his fiscal reforms. But there are fresh concerns over an increase in terrorism aimed at oil industry facilities by antigovernment guerrilla groups in Peru. Meanwhile, state-owned oil company Petroleos del Peru (Petroperu) continues efforts to sell assets as part of Fujimori's mandated privatization program. And foreign companies continue to grapple with uncertainty and bureaucratic red tape in chasing investment opportunities in Peru's beleaguered but opening petroleum sector.

  8. The financial crisis in Italy: implications for the healthcare sector.

    PubMed

    de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter

    2012-06-01

    The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis. PMID:22551787

  9. Approaching water-supply crisis

    SciTech Connect

    Eason, H.

    1983-08-01

    Experts warn that US per capita use of 2000 gallons of water per day may lead to a resource crisis in the 1990s comparable to the energy crisis of the 70s. The drain on groundwater and the Ogallala and other aquifers for irrigation and industry is causing water tables to drop, ground to subside, seawater contamination, and other problems. Wornout and rusted water systems in the Northeast waste as much as 40% of the water they carry. Conservation efforts include user fees designed to increase awareness of the value of water, water recycling, and coordinated efforts to prevent pollution. Geologists blame the recent drop in water consumption on economic conditions, and warn that public policy must still come to grips with a program to manage supply and demand. Some farmers and businesses, however, are already employing water-saving techniques. 6 figures. (DCK)

  10. [Attempted suicide during the financial crisis in Athens].

    PubMed

    Stavrianakos, K; Kontaxakis, V; Moussas, G; Paplos, K; Papaslanis, T; Havaki-Kontaxaki, B; Papadimitriou, Gn

    2014-01-01

    Suicidal behavior is considered as the result of complex cognitive and emotional processes and it is a timeless, global and multifactorial phenomenon. Periods of financial crises in the past, such as the Great Depression in the USA in 1929 and the economic crises of Asia, Russia and Argentina in the late 1990s, have been associated with impairment of mental health of the economically affected. Unemployment, job insecurity, debts, poverty and social exclusion seems to lead to higher incidence of anxiety and depressive symptoms and increased suicidality. Alcohol and substance use and the reduction of the state budget for health services reinforce the negative effects of the economic recession on mental health. The financial crisis which currently affects many European countries began in 2008 and its impact on the mental health of European citizens is in progress. Greece is probably the most affected country by the European financial crisis. The aim of this study is to investigate the potential impact of the crisis' consequences on the attempted suicide rates in the Athens population and the differentiation of suicide attempters on social, demographic and clinical-psychopathological parameters during the crisis. A retrospective study was conducted. The semi-structured records of 165 attempters who were hospitalized in the Internal Medicine Clinics of the "Sotiria" General Hospital in Athens, after attempted suicide in the years 2007 and 2011, before and during the financial crisis respectively, were studied. Among suicide attempters 95(57.6%) were suffering from mental disorders. Most often diagnoses were these of mood disorders (n=60, 63.2%). Demographic data, current psychiatric disorder, previous suicide attempt and severity of psychopathology at the time of suicide attempt were recorded for each patient. Furthermore, the severity of each suicide attempt was estimated. Suicide attempts were 70 in 2007, before the financial crisis (mean age 36.9 years, 71% women) and 95 in 2011, during the financial crisis (mean age 41.0 years, women 65%). There is an increase of suicide attempts by 35.71%. There were no statistically significant differences between the two periods regarding the gender and age of attempters. There was a statistically significant increase of unemployed (p=0.004), as well as of married/widowed/divorced (p=0.02) suicide attempters during the crisis. There was not statistically significant difference in the severity of suicide attempts before and during the economic crisis or the severity of psychopathology of the attempters. The financial crisis is probably associated with upward trend in attempted suicide of the Athens population. Most affected are those who are unemployed, married, widowed, divorced. Suicide prevention programs are essential for the accurate and timely identification and the immediate and effective management of this special high risk group of attempters during the financial crisis. PMID:25035179

  11. School Crisis Management Manual: Guidelines for Administrators. Second Edition.

    ERIC Educational Resources Information Center

    Smith, Judie

    This three-part manual is intended for principals and other administrators responsible for developing and managing school crisis plans. Part 1, preparation for a school crisis, includes sections on the selection and training of members of the school crisis team, steps in developing a school crisis plan, and four crisis scenarios to train team…

  12. School-Based Crisis Intervention: Its Effectiveness and Role in Broader Crisis Intervention Plans

    ERIC Educational Resources Information Center

    Morrison, Julie; Russo, Charles J.; Ilg, Timothy J.

    2006-01-01

    Crisis in the context of a school has many unique features related to the social structure and sense of community within schools. A school crisis exposes children and staff to threat, loss, and trauma that undermine the safety and stability of the entire school. Crisis intervention has as its explicit aim the goal of providing immediate support to…

  13. An Evaluation of Crisis Hotline Outcomes. Part 1: Nonsuicidal Crisis Callers

    ERIC Educational Resources Information Center

    Kalafat, John; Gould, Madelyn S.; Munfakh, Jimmie Lou Harris; Kleinman, Marjorie

    2007-01-01

    The effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' crisis state from the beginning to the end of their calls to eight centers in the U.S. and intermediate outcomes within 3 weeks of their calls, was evaluated. Between March 2003 and July 2004, 1,617 crisis callers were assessed…

  14. Waiting for a Crisis: Case Studies of Crisis Leaders in Higher Education

    ERIC Educational Resources Information Center

    Muffet-Willett, Stacy L.

    2010-01-01

    This study examines the system of crisis leadership in higher education. Using case study methods, five crisis leadership participants were interviewed to develop a deep understanding of how they perceive their university crisis leadership system. Two participants were from a private institution, and three were from a public institution. Higher…

  15. Supervision Experiences of Professional Counselors Providing Crisis Counseling

    ERIC Educational Resources Information Center

    Dupre, Madeleine; Echterling, Lennis G.; Meixner, Cara; Anderson, Robin; Kielty, Michele

    2014-01-01

    In this phenomenological study, the authors explored supervision experiences of 13 licensed professional counselors in situations requiring crisis counseling. Five themes concerning crisis and supervision were identified from individual interviews. Findings support intensive, immediate crisis supervision and postlicensure clinical supervision.

  16. The financial crisis and the expected effects on vaccinations in Europe: a literature review.

    PubMed

    Maltezou, Helena C; Lionis, Christos

    2015-07-01

    Starting in 2008 several European countries experienced a financial crisis. Historically, diseases whose prevention and treatment depend highly on the continuity of healthcare re-emerge during political and financial crises. Evidence suggests that the current financial crisis has had an impact on the health and welfare of Europeans and that population health status and morbidity as well as mortality patterns may change in the coming years. At the same time decisions about expenditure for health services may impact the ability of public health providers to respond. It is expected that the current crisis will further exacerbate socioeconomic and health inequalities and novel vulnerable groups will emerge in addition to existing ones. We review the available evidence and discuss how the current crisis may have an impact on vaccine-preventable diseases and influence vaccination coverage rates in Europe. PMID:25739315

  17. Medical liability reform crisis 2008.

    PubMed

    Weinstein, Stuart L

    2009-02-01

    The crisis of medical liability has resulted in drastic increases in insurance premiums and reduced access for patients to specialty care, particularly in areas such as obstetrics/gynecology, neurosurgery, and orthopaedic surgery. The current liability environment neither effectively compensates persons injured from medical negligence nor encourages addressing system errors to improve patient safety. The author reviews trends across the nation and reports on the efforts of an organization called "Doctors for Medical Liability Reform" to educate the public and lawmakers on the need for solutions to the chaotic process of adjudicating medical malpractice claims in the United States. PMID:18989732

  18. Australian baby boomers face retirement during the global financial crisis.

    PubMed

    Kendig, Hal; Wells, Yvonne; O'Loughlin, Kate; Heese, Karla

    2013-01-01

    This paper examines the impact in Australia of the global financial crisis on the baby boom cohort approaching later life. Data from national focus groups of people aged 50 to 64 years (N = 73), conducted in late 2008, found widespread but variable concern and uncertainty concerning work and retirement plans and experiences. A national survey (N = 1,009) of those aged 50 to 64 years in mid-2009 reported lower levels of financial satisfaction compared with other life domains; many planned to postpone retirement. Findings are interpreted in the context of policies and markets that differed significantly from those in the United States, notwithstanding the global nature of the financial crisis. PMID:23837628

  19. The Midlife Crisis and Educational Programming.

    ERIC Educational Resources Information Center

    McKenzie, Leon

    Following a brief summary of research relating to midlife crisis, a theory of the midlife crisis is presented that is based on the philosophical insights of Plato and Heidegger: The emotional pain at midlife is associated with a collapse of a person's ontic field (relationships with others, to things, and to institutions) or a stagnation of a…

  20. The Leading Edge: Enduring a Campus Crisis

    ERIC Educational Resources Information Center

    Moeser, James

    2003-01-01

    On June 2003, the University of North Carolina at Chapel Hill (UNC) faced a frightening crisis when an employee was diagnosed with Severe Acute Respiratory Syndrome (SARS). In this article, the author looks back and identifies four factors that enabled the university to navigate this crisis. These factors were: (1) leadership at every level; (2)…

  1. The "Obesity Crisis" and School Physical Education

    ERIC Educational Resources Information Center

    Kirk, David

    2006-01-01

    The article builds on a number of recent critical reviews to argue that claims that we are experiencing an obesity crisis are almost entirely without foundation. The possibility is explored that this crisis is manufactured through a complex process of the social production of knowledge. The article marshals evidence to challenge the basis upon…

  2. Do You Have a Crisis Management Plan?

    ERIC Educational Resources Information Center

    Pleviak, Walter; Milkevitch, Frank

    2001-01-01

    Although certain crises cannot be prevented, reactions to many can be planned. A crisis-management team should be organized for each building. Critical crisis-plan elements include telephone trees, forms, reference articles, sample letters, and processes for dealing with local media. Spokespersons should have facts straight before speaking. (MLH)

  3. Creating Your School's Crisis Management Team.

    ERIC Educational Resources Information Center

    Blythe, Bruce T.

    2001-01-01

    Schools can reduce their vulnerability to violence and other hazards by analyzing foreseeable risks, assembling a broad-based crisis-management team (CMT), providing adequate staff training, and developing a crisis manual. Common response problems concerning decision-making authority, communication, and performance expectations for CMTs are…

  4. Neo-Liberalism in Crisis? Educational Dimensions

    ERIC Educational Resources Information Center

    Small, David

    2011-01-01

    Until the global financial crisis, neo-liberalism had appeared invincible. This article examines the global rise of neo-liberalism and its impact on education, particularly its treatment of the social democratic ideal of equality. Drawing on examples from education and other socio-political factors, it considers whether the financial crisis is…

  5. Crisis Management's New Role in Educational Settings

    ERIC Educational Resources Information Center

    Gainey, Barbara S.

    2009-01-01

    From natural disasters to the financial debacle, it is clear to the educational community that crises know no boundaries. Far from a passing fad, crisis planning must be an integrated part of effective school district leadership. Two studies explore the status of crisis management in selected public school systems and offer recommendations for…

  6. Content Knowledge--The Real Reading Crisis

    ERIC Educational Resources Information Center

    Kato, Tsuguhiko; Manning, Maryann

    2007-01-01

    The perceived crisis in reading achievement may be misplaced--the real crisis may be what is ignored in the curriculum. People are alarmed at the lack of emphasis being placed on teaching content knowledge in many of today's classrooms. They laugh when Jay Leno takes to the street, interviewing teenagers and young adults who do not have the…

  7. Crisis Communications in a Digital World

    ERIC Educational Resources Information Center

    Trump, Kenneth S.

    2015-01-01

    Kenneth Trump, a school safety expert who consults with districts on how to respond to school safety crises, explains how the new prevalence of threats of violence being delivered over digital and social media creates for administrators a "communication crisis" that unfolds alongside the real or perceived crisis of school safety being

  8. Miscarriage: A Special Type of Family Crisis.

    ERIC Educational Resources Information Center

    Day, Randal D.; Hooks, Daniel

    1987-01-01

    Surveyed 102 women about their experience with miscarriage. Found that family resource variables were a much stronger predictor of level of crisis and recovery than were personal or community resource variables. Adaptation and cohesion were significant predictors of speed or recovery and level of crisis, respectively. (Author/NB)

  9. Crisis and Loss: Information for Educators.

    ERIC Educational Resources Information Center

    Canter, Andrea, Ed.

    1999-01-01

    Crisis intervention is a vital component of any comprehensive approach to maintaining psychological well being. An active school-based crisis intervention team can make a powerful contribution to a school's sense of community and commitment to taking care of each other. This special edition presents promising practices that may be helpful to…

  10. Electronic Gaming and the Obesity Crisis

    ERIC Educational Resources Information Center

    Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.

    2013-01-01

    Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and

  11. The Farm Crisis of the 1980s.

    ERIC Educational Resources Information Center

    Hines, Fred K.; And Others

    1986-01-01

    The Midwest, Plains, and Delta are among the regions hit hardest by the current farm crisis. The vulnerability of an area to the financial crisis in farming depends on the financial conditions of its farmers, its dependence on farming--especially on export-sensitive crops--and the strength of its nonfarm economy. (JHZ)

  12. Crisis Intervention with Highly Lethal Suicidal People.

    ERIC Educational Resources Information Center

    Leenaars, Antoon A.

    1994-01-01

    Outlines model for crisis intervention with highly lethal suicidal people. Explores idea that crisis is a perception, including issues of lethality and perturbation, object relations, responsibility, weapon availability, and active versus passive response. Highlights specific problems with transference and countertransference. Suggests that there…

  13. School Crisis Aftermath: Care for the Caregivers

    ERIC Educational Resources Information Center

    Paine, Cathy Kennedy

    2009-01-01

    "Professional" crisis caregivers (e.g., emergency responders, mental health providers, medical professionals, victim assistance counselors, and faith leaders) are trained to handle exposure to images of destruction and loss and to help victims or survivors cope with the impact of a crisis. They try to help individuals, schools, and communities…

  14. Crisis Communications in a Digital World

    ERIC Educational Resources Information Center

    Trump, Kenneth S.

    2015-01-01

    Kenneth Trump, a school safety expert who consults with districts on how to respond to school safety crises, explains how the new prevalence of threats of violence being delivered over digital and social media creates for administrators a "communication crisis" that unfolds alongside the real or perceived crisis of school safety being…

  15. School Crisis Response: Expecting the Unexpected.

    ERIC Educational Resources Information Center

    Lichtenstein, Robert; And Others

    1994-01-01

    The typical administrator certification program does not devote specific attention to shootings, suicide, terminal illness, and natural disasters. A crisis of major proportion calls for enlightened leadership: a take-charge manner, combined with effective teamwork and delegation of vital operations. Crisis teams should exist at regional, district,…

  16. Electronic Gaming and the Obesity Crisis

    ERIC Educational Resources Information Center

    Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.

    2013-01-01

    Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and…

  17. Crisis Management's New Role in Educational Settings

    ERIC Educational Resources Information Center

    Gainey, Barbara S.

    2009-01-01

    From natural disasters to the financial debacle, it is clear to the educational community that crises know no boundaries. Far from a passing fad, crisis planning must be an integrated part of effective school district leadership. Two studies explore the status of crisis management in selected public school systems and offer recommendations for

  18. A Human Rights Crisis in Indian Country

    ERIC Educational Resources Information Center

    Vigil, Chris

    2015-01-01

    There is a human rights crisis in Indian Country. This crisis--one of many--is the result of an almost universal lack of legal representation of Native people when they appear as defendants in tribal courts. The lack of lay advocates and attorneys representing Native defendants creates tremendous problems for tribal members who find themselves in

  19. Resource Guide for Crisis Management in Schools.

    ERIC Educational Resources Information Center

    LaPointe, Richard T.; And Others

    A crisis can occur at any time, whether or not a school's staff plans for it. This resource guide is a compilation of user-friendly examples of policies, procedures, guidelines, checklists, and forms to help Virginia schools develop and implement a systematic crisis-management plan. Chapter 1 provides an introductory overview of the essential…

  20. A Human Rights Crisis in Indian Country

    ERIC Educational Resources Information Center

    Vigil, Chris

    2015-01-01

    There is a human rights crisis in Indian Country. This crisis--one of many--is the result of an almost universal lack of legal representation of Native people when they appear as defendants in tribal courts. The lack of lay advocates and attorneys representing Native defendants creates tremendous problems for tribal members who find themselves in…

  1. Life crisis as a precursor to child abuse.

    PubMed Central

    Justice, B; Duncan, D F

    1976-01-01

    A number of theories have been proposed on the causation of child abuse, and many of these theories assign some role to stress. Stress is variously conceptualized as a continuous state resulting from poverty, poor housing, and the like, or as an immediate crisis such as an argument or the breakdown of an appliance. An alternate perspective on stress identifies it with life change events which require readjustment in the lifestyle of a person. When an excessive number or magnitude of such life change events occur, the person affected may be said to be in a state of life crisis. Such states of life crisis have been found to be associated with the onset of physical illness and with the occurrence of accidents and injuries. In this study, a questionnaire was administered to 35 abusing parents and 35 matched controls who had experienced problems with their children but had not been abusive. The two groups were compared for their life change scores on the Social Readjustment Rating Scale for the year before their abuse or problems began with their children. The mean score of the nonabusers was 124, which does not indicate a life crisis. For the abusers, the mean score was 234, which indicates a moderate life crisis. These means are significantly different at the .001 level by the t test. The role of symbiosis, an emotiontional attachment in which a person seeks to be taken care of by another person, was also explored. It is argued that abusive parents are competing with each other and with their children for the role of being cared for. This kind of behavior seems to make the person particularly vulnerable to life changes, which in turn produce stress. Support for this view was found in the responses to the questionnaire. Prevention strategies aimed at reducing change and stress might include better provision of crisis-intervention services, measures aimed at reducing unemployment or lack of opportunity, effective health maintenance services, and greater provision of counseling and mental health services. Use of the Social Readjustment Rating Scale in a preventive program of early intervention is also possible. PMID:822456

  2. The global economic crisis, household income and pre-adolescent overweight and underweight: a nationwide birth cohort study in Japan

    PubMed Central

    Ueda, P; Kondo, N; Fujiwara, T

    2015-01-01

    Background: We hypothesized that children from lower income households and in households experiencing a negative income change in connection to the global economic crisis in 2008 would be at increased risk of adverse weight status during the subsequent years of economic downturn. Methods: Data were obtained from a nationwide longitudinal survey comprising all children born during 2 weeks of 2001. For 16,403 boys and 15,206 girls, information about anthropometric measurements and household characteristics was collected from 2001 to 2011 on multiple occasions. Interactions between the crisis onset (September 2008) and household income group, as well as the crisis onset and a >30% negative income change in connection to the crisis, were assessed with respect to risk of childhood over- and underweight. Results: Adjusted for household and parental characteristics, boys and girls in the lower household income quartiles had a larger increase in risk of overweight after the crisis onset relative to their peers in the highest income group. (Odds ratio (95% confidence interval) for interaction term in boys=1.23 (1.02–1.24); girls=1.35 (1.23–1.49) comparing the lowest with the highest income group.) Among girls, an interaction between the crisis onset and a >30% negative change in household income with respect to risk of overweight was observed (odds ratio for interaction term=1.23 (1.09–1.38)). Girls from the highest income group had an increased risk of underweight after the crisis onset compared with girls from the lowest income group. Conclusions: Boys and girls from lower household income groups and girls from households experiencing a negative income change in connection to the global economic crisis in 2008, may be at increased risk of overweight. Vulnerability to economic uncertainty could increase risk of overweight in preadolescence. PMID:25982791

  3. Enhancing crisis leadership in public health emergencies.

    PubMed

    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. PMID:24274133

  4. The crisis of middle age

    PubMed Central

    Steiner, Betty W.

    1973-01-01

    Today's emphasis on youth makes it increasingly difficult to accept growing old. The denial of ageing is reflected in society's attitudes and in the paucity of medical and psychiatric literature on the subject. In the middle years there is the greatest demand for adequate emotional adaptation during a rapidly changing period in life, which frequently involves two people, both separately and together. This paper discusses some of the problems which may be encountered from the psychosomatic, sexual and psychological aspects in the middle-aged man, woman and the couple. It emphasizes the need for the family physician to be aware of these difficulties and to be able to help the patient deal with them. The more successful the resolution of the middle-age crisis, the more contented and peaceful will be the acceptance of old age by the individual. PMID:4758860

  5. Searching for the biofuel energy crisis in rural Java

    SciTech Connect

    McGranahan, G.

    1986-01-01

    Biofuel shortage in peasant economies is often reported to reach crisis proportions in conditions of high population density. As a group, peasants are portrayed as engaging in irrational biofuel resource abuse. At times this abuse is treated as the inevitable outcome of excess biofuel demand. Otherwise, an explanation is often given in terms of resource-use problems inherent in common property. An alternative explanation is proposed in this dissertation. Rather than the effect of common property (a structure), such crises are more likely the result of capitalist expansion (a process). Systems of common foraging are prone to ownership conflict during transitions to private property. This conflict provides a more cogent explanation for biofuel shortage than any structural flaw in common-use systems. Contemporary rural Java contradicts mechanistic applications of supply/demand models of biofuel shortage. Despite high population pressure, biofuel is not inordinately scarce. There is little basis for the crisis predictions. While assessments of biofuel demand and supply can provide scarcity indicators, they ought not be used to predict overuse. The traditional crisis predictions of supply/demand balancing and common property analysis must be replaced by a more skeptical multi-disciplinary approach.

  6. Financial crisis and criminality in Greece: 2008 vs 2011.

    PubMed

    Tsouvelas, G; Kontaxakis, V; Giotakos, O; Konstantakopoulos, G; Kontaxaki, M-I; Papaslanis, Th

    2016-01-01

    Α number of previous articles have dealt with the negative impact of the Greek Economic crisis on public health, including significant increases in major depression prevalence and suicide and homicide rates. The mentally ill seem to represent a vulnerable social group, with particular difficulties in this context. The number of compulsory assessments and involuntary admissions was recorded by reviewing patient records in the Department of Psychiatry of the University Hospital of Patras, through years 2006-2013. Compulsory assessments increased from 176 in 2006 to 262 in 2009 and 354 in 2013, representing a 48.86% and 101.13% increase in the first and the fifth year of economic crisis, respectively. The assessments resulted in 160 involuntary admissions in 2006, which escalated to 262 admissions (63.75% rise) in 2013. Even though a rise in involuntary placements could be attributed to other factors as well, it may also partly represent a not so evident side of the Greek economic crisis. PMID:27110884

  7. Analysis of distribution and severity of inflammation in patients with osteoarthitis compared to rheumatoid arthritis by ICG-enhanced fluorescence optical imaging and musculoskeletal ultrasound: a pilot study

    PubMed Central

    Glimm, A-M; Werner, S G; Burmester, G R; Backhaus, M; Ohrndorf, S

    2016-01-01

    Background In rheumatoid arthritis (RA), hand synovitis appears especially in wrist, metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. In hand osteoarthritis (OA), potential inflammatory changes are mainly present in PIP and distal interphalangeal (DIP) joints. Joint inflammation can be visualised by fluorescence optical imaging (FOI) and musculoskeletal ultrasound (US). Objective Comparison of the amount and distribution of inflammatory signs in wrist and finger joints of the clinically dominant hand in patients with OA and RA by FOI and gray-scale (GSUS) and power Doppler US (PDUS). Methods FOI and GSUS/PDUS were performed in 1.170 joints (wrists, MCP, PIP, DIP) in 90 patients (67 RA, 23 OA). Joint inflammation was graded by a semiquantitative score (0–3) for each imaging method. Results GSUS/PDUS showed wrist and MCP joints mostly affected in RA. DIP joints were graded higher in OA. In FOI, RA and OA featured inflammatory changes in the respective joint groups depending on the phase of fluorescence dye flooding. Conclusions US and FOI detected inflammation in both RA and OA highlighting the inflammatory component in the course of OA. The different inflammatory patterns and various shapes of fluorescence enhancement in FOI may offer opportunities to distinguish and determine the inflammatory status in both diseases. PMID:26311723

  8. Communicating through Crisis: A Strategy for Organizational Survival.

    ERIC Educational Resources Information Center

    Sturges, David L.

    1994-01-01

    Suggests that crisis communication should be a part of the larger issues of communication policy and strategy. Builds a case for the need to consider crisis communication in a larger context. Proposes a model of crisis communication content that may serve as a framework for research into the efficacy of communication during crisis episodes. (RS)

  9. Agrofuels, Food Sovereignty, and the Contemporary Food Crisis

    ERIC Educational Resources Information Center

    Rosset, Peter

    2009-01-01

    In this article, agrofuels are examined in the context of the world food price crisis and the "food sovereignty" proposal for addressing the crisis. Both short- and long-term causes of the crisis are examined, and while agrofuels are presently not a prime causal factor they are clearly contraindicated by the crisis. Food sovereignty, including a…

  10. 40 CFR 166.45 - Duration of crisis exemption.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Duration of crisis exemption. 166.45... EXEMPTION OF FEDERAL AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.45 Duration of crisis exemption. A crisis exemption may be authorized for: (a) Only as long as...

  11. 40 CFR 166.45 - Duration of crisis exemption.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Duration of crisis exemption. 166.45... EXEMPTION OF FEDERAL AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.45 Duration of crisis exemption. A crisis exemption may be authorized for: (a) Only as long as...

  12. The IGY and the Satellite Race: A Reconsideration of a Cold War Crisis that Never Should Have Been

    NASA Astrophysics Data System (ADS)

    Launius, R. D.

    2006-05-01

    In October 1957 the Soviet Union launched the first Earth-circling artificial satellite and the crisis that resulted led to numerous actions in the United States aimed at "remediating" a Cold War crisis. This included the establishment of a separate civilian space agency charged with the conduct of an official program of scientific and technological space exploration, consolidation of Department of Defense space activities, the passage of the National Defense Education Act, the creation of a Presidential Science Advisor, and a host of lesser actions. The politics of these changes is fascinating, and has been interpreted as an appropriate political response to a unique crisis situation. Interest groups, all for differing reasons, prodded national leaders to undertake large-scale efforts, something the president thought unnecessarily expensive and once set in place impossible to dismantle. But was the Sputnik crisis truly a crisis in any real sense? Was it made into one by interest groups who used it for their own ends? This paper will trace briefly some of the major themes associated with the IGY and Sputnik and describe the political construction of the crisis as it emerged in 1957- 1958. It will also discuss something about the transformation of federal science and technology that took place in the aftermath of the "crisis" and how it set in train a series of processes and policies that did not unravel until the end of the Cold War.

  13. Electronic Gaming and the Obesity Crisis

    PubMed Central

    Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.

    2014-01-01

    Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and increase consumption of high-calorie foods and beverages that are low in nutritional value. Electronic games, however, may increase children’s physical activity and expose them to healthier foods. We examine the role of electronic games in the pediatric obesity crisis and their contribution to more favorable health outcomes. PMID:23483693

  14. K-12 School Leaders and School Crisis: An Exploration of Principals' School Crisis Competencies and Preparedness

    ERIC Educational Resources Information Center

    McCarty, Sean P.

    2012-01-01

    On any given day, principals could find themselves faced with a situation that could define their roles as crisis leaders. This dissertation research offers an exploratory study in the field of crisis response and educational leadership. From experts in the field of crisis response, the author compiled a list of crisis management competencies…

  15. Energy Crisis Spurs Congress Into Action

    ERIC Educational Resources Information Center

    Chemical and Engineering News, 1973

    1973-01-01

    Discusses legislation recently passed by Congress in response to the energy crisis, and the Nixon Administration's proposal for creating a new Energy Research and Development Administration (ERDA) and a Nuclear Energy Commission (NEC). (JR)

  16. Inquiry Activities for the Energy Crisis

    ERIC Educational Resources Information Center

    Campbell, Lloyd P.

    1973-01-01

    A unit to be used as a means of assisting students in formalizing their position on the fundamental issues within the energy crisis includes objectives, learning activities, and a resource list. (Author/KM)

  17. The Energy Crisis: What Physicists Can Contribute

    ERIC Educational Resources Information Center

    Chiang, Tay Yong

    1976-01-01

    Divides the components of the energy crisis into those which demand immediate, moderate term, and long term research efforts. Delineates specific topics in each category and solicits physicists' efforts in these areas. (CP)

  18. What kind of crisis for capitalism?

    NASA Astrophysics Data System (ADS)

    1982-09-01

    This week's meeting of the International Monetary Fund at Toronto will avoid an immediate crisis. But more international credit will not allow rich and poor to behave as if they live on different planets.

  19. The Energy Crisis and Solar Energy

    ERIC Educational Resources Information Center

    Bockris, J. O'M.

    1974-01-01

    Examines the status of the energy crisis in Australia. Outlines energy alternatives for the 1990's and describes the present status of solar energy research and the economics of solar energy systems. (GS)

  20. Chromothripsis and Kataegis Induced by Telomere Crisis.

    PubMed

    Maciejowski, John; Li, Yilong; Bosco, Nazario; Campbell, Peter J; de Lange, Titia

    2015-12-17

    Telomere crisis occurs during tumorigenesis when depletion of the telomere reserve leads to frequent telomere fusions. The resulting dicentric chromosomes have been proposed to drive genome instability. Here, we examine the fate of dicentric human chromosomes in telomere crisis. We observed that dicentric chromosomes invariably persisted through mitosis and developed into 50-200?m chromatin bridges connecting the daughter cells. Before their resolution at 3-20hr after anaphase, the chromatin bridges induced nuclear envelope rupture in interphase, accumulated the cytoplasmic 3' nuclease TREX1, and developed RPA-coated single stranded (ss) DNA. CRISPR knockouts showed that TREX1 contributed to the generation of the ssDNA and the resolution of the chromatin bridges. Post-crisis clones showed chromothripsis and kataegis, presumably resulting from DNA repair and APOBEC editing of the fragmented chromatin bridge DNA. We propose that chromothripsis in human cancer may arise through TREX1-mediated fragmentation of dicentric chromosomes formed in telomere crisis. PMID:26687355

  1. Energy crisis: Unresolved issues and enduring legacies

    SciTech Connect

    Lewis, D.L.

    1996-12-31

    The energy crisis of 1973--1974 was a pivotal event in twentieth-century American history. In the wake of the Vietnam War, it exposed the nation`s economic vulnerability to foreign powers and precipitated an awareness of limits to the exploitation of natural resources. Further, it forced Americans and the American government in particular to think about the future of energy production and consumption in novel ways and made such thinking more imperative than ever. Twenty years later, questions about the energy crisis persist. What were the underlying causes of the crisis. What has been learned from it. How has it affected current energy policies. Will another energy crisis occur in the future. In the book, David Lewis Feldman brings together a wide range of energy policy experts to address these questions and explore the appropriate role of governments and markets in ensuring a stable, economical, and sustainable energy supply.

  2. The Energy Crisis: A Continuing Disaster

    ERIC Educational Resources Information Center

    Savage, David

    1976-01-01

    To school business managers, the energy crisis is a continuing economic disaster as energy costs continue to climb and schools are without money to make necessary renovations to reduce energy consumption. (Author/IRT)

  3. Crisis management during anaesthesia: recovering from a crisis

    PubMed Central

    Bacon, A; Morris, R; Runciman, W; Currie, M

    2005-01-01

    Preventing harm to the patient is the priority during a crisis. After a major incident, and especially when a patient has been harmed, there are a number of matters to be addressed: the ongoing care of the patient; documentation of the incident; investigation of the root causes; completion of reports; interviews with the patient and/or the next of kin, together with apologies and expression of regret; updates and ongoing support for friends and relatives; a word of thanks to the staff involved for their assistance; formal debriefing of staff for quality assurance and possibly ongoing support and a separate debriefing for psychological purposes; ensuring that the recommendations of the root cause analysis are carried out; or, failing that, that the issues are logged on a risk register. The extent and depth of the follow up protocol depends on what, if any, harm may have been done. This may constitute completion of an incident report; notification of an equipment failure to a federal regulatory authority; arranging consultations with a mental health professional to manage psychological sequelae (especially following an awareness episode); follow up during weeks of intensive care treatment; or, when a death has occurred, a full medico-legal and/or coronial set of procedures. A précis is appended in an action card format. PMID:15933299

  4. Analyzing Crisis in Global Financial Indices

    NASA Astrophysics Data System (ADS)

    Kumar, Sunil; Deo, Nivedita

    We apply the Random Matrix Theory and complex network techniques to 20 global financial indices and study the correlation and network properties before and during the financial crisis of 2008 respectively. We find that the largest eigenvalue deviate significantly from the upper bound which shows a strong correlation between financial indices. By using a sliding window of 25 days we find that largest eigenvalue represent the collective information about the correlation between global financial indices and its trend indicate the market conditions. It is confirmed that eigenvectors corresponding to second largest eigenvalue gives useful information about the sector formation in the global financial indices. We find that these clusters are formed on the basis of the geographical location. The correlation network is constructed using threshold method for different values of threshold θ in the range 0 to 0.9, at θ=0.2 the network is fully connected. At θ=0.6, the Americas, Europe and Asia/Pacific form different clusters before the crisis but during the crisis Americas and Europe are strongly linked. If we further increase the threshold to 0.9 we find that European countries France, Germany and UK consistently constitute the most tightly linked markets before and during the crisis. We find that the structure of Minimum Spanning Tree before the crisis is more star like whereas during the crisis it changes to be more chain like. Using the multifractal analysis, we find that Hurst exponents of financial indices increases during the period of crisis as compared to the period before the crisis. The empirical results verify the validity of measures, and this has led to a better understanding of complex financial markets.

  5. Crisis stability of space-based defenses

    SciTech Connect

    Canavan, G.H.

    1992-06-01

    Deploying space-based interceptors (SBIs) to defend offensive forces dominated by submarine-launched ballistic missiles (SLBMs) increases crisis stability. SBIs increase the fraction of land missiles and aircraft that survive the first strike, which is stabilizing. For small numbers of SLBMs, first and second strikes and costs become similar, and stability increases. This note gives numerical and analytic estimates of the crisis stability of SLBM-dominated build downs stabilized with SBIs, using the stability analysis derived in earlier reports.

  6. Urbanization eases water crisis in China

    USGS Publications Warehouse

    Wu, Yiping; Liu, Shu-Guang; Ji, Chen

    2012-01-01

    Socioeconomic development in China has resulted in rapid urbanization, which includes a large amount of people making the transition from rural areas to cities. Many have speculated that this mass migration may have worsened the water crisis in many parts of the country. However, this study shows that the water crisis would be more severe if the rural-to-urban migration did not occur.

  7. Timing crisis information release via television.

    PubMed

    Wei, Jiuchang; Zhao, Dingtao; Yang, Feng; Du, Shaofu; Marinova, Dora

    2010-10-01

    When and how often to release information on television are important issues in crisis and emergency risk communication. There is a lot of crisis information, including warnings and news, to which people should have access, but most of it is not significantly urgent to interrupt the broadcasting of television programmes. Hence, the right timing for the release of crisis information should be selected based on the importance of the crisis and any associated communication requirements. Using recursive methods, this paper builds an audience coverage model of crisis information release. Based on 2007 Household Using TV (HUT) data for Hefei City, China, the optimal combination of broadcasting sequence (with frequencies between one and eight times) is obtained using the implicit enumeration method. The developed model is applicable to effective transmission of crisis information, with the aim of reducing interference with the normal television transmission process and decreasing the psychological effect on audiences. The same model can be employed for other purposes, such as news coverage and weather and road information. PMID:20572851

  8. [On the health sector crisis].

    PubMed

    Lopez Sarmiento, A

    1997-09-01

    The chronic crisis in Ecuador's health sector is an indication of the general deterioration of the country, whose multiple unmet needs signify a condition of underdevelopment. Theorizing on health problems should not be allowed to substitute for action. Developing a health policy giving priority to the most disadvantaged sectors will require a development model with a participatory character that promotes equity and solidarity and does not benefit the macroeconomy exclusively. The political will of all sectors must be committed to development of a national health system. A well-coordinated regional system of services, comprising integrated levels of care with functioning referral systems, is needed. The existing network of services must be made to function effectively, without strikes or suspension of activities. The government has a constitutional, legal, and moral obligation to provide health care. Ecuador directs about 6% of the gross national product to health, with 1.6% financing the Ministry of Public Health, which attends to at least 60% of the population. A country like Ecuador--with a very poor population--should not require copayment for services. Ecuador needs an environmental policy to guarantee a healthy food supply, treat sewage, and control use of pesticides--measures which will reduce health care costs in the long run. Finally, it is necessary to improve attention to the human values of medical practice. PMID:12178223

  9. Cholinergic crisis after rodenticide poisoning.

    PubMed

    Waseem, Muhammad; Perry, Christopher; Bomann, Scott; Pai, Meena; Gernsheimer, Joel

    2010-12-01

    Rodenticides have historically been common agents in attempted suicides. As most rodenticides in the United States (U.S.) are superwarfarins, these ingestions are generally managed conservatively with close monitoring for coagulopathy, and if necessary, correction of any resulting coagulopathy. However, alternate forms of rodenticides are imported illegally into the U.S. and may be ingested either accidentally or in suicide attempts. We present an unusual case of poisoning by the illegally imported rodenticide, "Tres Pasitos." The main ingredient of this rat poison is aldicarb, a potent carbamate pesticide that causes fulminant cholinergic crisis. This case is relevant and timely because carbamates and organophosphates are still used as insecticides and emergency physicians (EP) working in rural areas may have to evaluate and manage patients with these poisonings. As international travel and immigration have increased, so has the possibility of encountering patients who have ingested toxic substances from other countries. In addition, there has been increased concern about the possibility of acts of terrorism using chemical substances that cause cholinergic toxidromes.1,2 EPs must be able to recognize and manage these poisonings. This report describes the mechanism of action, clinical manifestations, laboratory evaluation and management of this type of poisoning. The pertinent medical literature on poisoning with aldicarb and similar substances is reviewed. PMID:21293782

  10. The crisis in american archeology.

    PubMed

    Davis, H A

    1972-01-21

    The current crisis in American archeology has been brought about by a combination of the greatly increased rate of destruction of unique, irreplaceable archeological information and material, and the lack of adequate funding for salvage of what is being destroyed. Since World War II, land alteration has increased almost geometrically. Land leveling, urban development, inexperienced or ignorant diggers, commercial dealers in Indian relics-these and many other agents of destruction are obliterating traces of the past. Anything that disturbs the ground where people once lived destroys forever whatever information is left about them and their way of life. Interpretations of man's cultural development through time, of his ability to cope with and use the environment wisely, and of a long, fascinating, and irreplaceable heritage are only possible if the evidence left in the ground is undisturbed and is properly recorded when it is excavated. The problem of the destruction of archeological sites and information is a complex one, with no single solution. A combination of increased support for archeological research through increased funding, and development of a knowledgeable, interested public will go a long way toward assuring this country that a significant portion of the past will be available for the benefit of future generations. If solutions are not sought and found now, it will be too late-we will have committed ourselves, irretrievably and irreversibly, to the future, without benefit or knowledge of the mistakes and the lessons of the past. PMID:17814527

  11. Health without wealth? Costa Rica's health system under economic crisis.

    PubMed

    Morgan, L M

    1987-01-01

    The recent history of Costa Rica's health system is reviewed, emphasizing the health-related effects of the economic crisis of the 1980s. This economic crisis has stopped and in some instances reversed the marked health improvements Costa Rica realized during the decade of the 1970s. The effects of the economic crisis emerge in 4 areas: deterioration in health status, as poverty contributed to higher disease rates; reductions in the government's ability to maintain public health and medical services; increased reliance on foreign aid to finance the health system; and growing national debate over the role of the state in health care. The result of the economic crisis was a reduction in health services and a questioning of the Costa Rican health model. This occurred following the implementation of an expensive health infrastructure and at a time when people most needed health services. During the 1941-70 period, domestic initiative can account for much of the expansion of Costa Rica's social security system, but also at this time international agencies such as the US Agency for International Development (USAID) and the Inter-American Development began to assist in the expansion of the health system. In 1971 a plan was initiated to create a nationalized health system. By 1980 the success of the health sector reorganization was evident in the statistics: marked improvements in life expectancy, infant mortality, and infectious disease mortality had surpassed the goals set by the Pan American Health Organization (PAHO) and the Ministry of Health. Costa Rica's success was a vindication of both policy goals and funding priorities, for it has been "proved" that primary health care was capable of improving health indices, particularly where the agencies had the active and conscientious support of the national government. By 1977, foreign contracts for aid had expired, and the Ministry declared that the rural health program would be supported totally by the government. The Minister of Health continued in 1982 to champion self-sufficiency despite a changed economic climate, but by early 1984 Costa Rica had to abandon its plan to wean the health sector from outside aid. In 1982 the health sector became the center of a nationwide debate. Representatives of the large agricultural export sector, who usually support free-market solutions to economic problems, lobbied for "reprivatization" of medical care. Those committed to expansion of the welfare state argued from the other extreme. The government offered concessions to both groups. The debate did end in 1986, most likely because of the overall easing of the economic crisis. The government needs to maintain state control over the health system while not exceeding its austerity budget and not reducing health services. PMID:3108317

  12. Energy intake during economic crisis depends on initial wealth and access to rice fields: the case of pregnant Indonesian women.

    PubMed

    Hartini, T N S; Winkvist, A; Lindholm, L; Stenlund, H; Surjono, A; Hakimi, M

    2002-07-01

    Starting in August 1997, Indonesia experienced a radical and rapid deterioration in its economy. Between 1996 and 1998, dietary intake during the second trimester was measured in 450 pregnant women in Purworejo, Central Java, Indonesia. Using six 24 h recalls we describe the consequences of the economic crisis on the energy intake of pregnant Indonesian women. Depending on the date of data collection, women were grouped into 'before crisis', 'transition' and 'during crisis'. Mean energy intake among groups was compared using ANOVA and Student's t-test. All groups of pregnant women already had a mean energy intake before the emerging crisis that was lower than the Indonesian recommended dietary allowances (RDA). Nevertheless, energy intake differed significantly among women with different education levels (P = 0.00) and from different socio-economic groups (P = 0.00). 'During transition', a significant decrease in energy intake was experienced by urban poor women (P = 0.01). Poor women with access to rice fields had a higher rice consumption than other groups throughout the period. Our results most likely reflect the effect of higher rice price on income and welfare. 'During crisis', energy intake improved among vulnerable groups, perhaps reflecting government intervention. PMID:12173497

  13. A Crisis in Counseling: Questioning the Role of Crisis Counselors Within Police Departments.

    PubMed

    Jacobs, Angela S

    2014-09-01

    This essay highlights the author's personal journey through suicide loss and the subsequent police investigation of her spouse's death. Through a recounting of the loss itself, and details of the police interrogation and attempts at crisis counseling, the author demonstrates how current police protocol and crisis counseling initiatives may (re)victimize trauma survivors. PMID:24171477

  14. The Achievement Crisis Is Real: A Review of "The Manufactured Crisis."

    ERIC Educational Resources Information Center

    Stedman, Lawrence C.

    1996-01-01

    In "The Manufactured Crisis," D. Berliner and B. Biddle argue that there has been no decline in achievement test scores, that today's students outperform their parents and do well in international examinations, and that the supposed crisis in American education does not exist. This review refutes all these claims. (SLD)

  15. Chaos and Crisis: Propositions for a General Theory of Crisis Communication.

    ERIC Educational Resources Information Center

    Seeger, Matthew W.

    2002-01-01

    Presents key concepts of chaos theory (CT) as a general framework for describing organizational crisis and crisis communication. Discusses principles of predictability, sensitive dependence on initial conditions, bifurcation as system breakdown, emergent self-organization, and fractals and strange attractors as principles of organization. Explores…

  16. Expanding the Crisis Planning Function: Introducing Elements of Risk Communication to Crisis Communication Practice.

    ERIC Educational Resources Information Center

    Williams, David E.; Olaniran, Bolanle A.

    1998-01-01

    Suggests use of elements of risk communication by crisis communication practitioners facing increasing industrial reliance on new technologies which might be associated with potential health/environment harm. Studies a small company crisis which reveals that elements of anticipation, public involvement/trust, technological comparison, and media…

  17. Helping Crisis Managers Protect Reputational Assets: Initial Tests of the Situational Crisis Communication Theory.

    ERIC Educational Resources Information Center

    Coombs, W. Timothy; Holladay, Sherry J.

    2002-01-01

    Explains a comprehensive, prescriptive, situational approach for responding to crises and protecting organizational reputation: the situational crisis communication theory (SCCT). Notes undergraduate students read two crisis case studies from a set of 13 cases and responded to questions following the case. Validates a key assumption in SCCT and…

  18. Helping Crisis Managers Protect Reputational Assets: Initial Tests of the Situational Crisis Communication Theory.

    ERIC Educational Resources Information Center

    Coombs, W. Timothy; Holladay, Sherry J.

    2002-01-01

    Explains a comprehensive, prescriptive, situational approach for responding to crises and protecting organizational reputation: the situational crisis communication theory (SCCT). Notes undergraduate students read two crisis case studies from a set of 13 cases and responded to questions following the case. Validates a key assumption in SCCT and

  19. Chaos and Crisis: Propositions for a General Theory of Crisis Communication.

    ERIC Educational Resources Information Center

    Seeger, Matthew W.

    2002-01-01

    Presents key concepts of chaos theory (CT) as a general framework for describing organizational crisis and crisis communication. Discusses principles of predictability, sensitive dependence on initial conditions, bifurcation as system breakdown, emergent self-organization, and fractals and strange attractors as principles of organization. Explores

  20. Crisis in the Curriculum? New Counselors' Crisis Preparation, Experiences, and Self-Efficacy

    ERIC Educational Resources Information Center

    Morris, Carrie A. Wachter; Minton, Casey A. Barrio

    2012-01-01

    Professional counselors are responsible for providing crisis assessment, referral, and intervention (Council for Accreditation of Counseling and Related Educational Programs, 2009); however, little is known about their preparation and experiences in these areas. This study examined new professional counselors' (N= 193) crisis intervention…

  1. [The economic-financial crisis and health in Spain. Evidence and viewpoints. SESPAS report 2014].

    PubMed

    Cortès-Franch, Imma; González López-Valcárcel, Beatriz

    2014-06-01

    The objectives of the SESPAS 2014 Report are as follows: a) to analyze the impact of the economic crisis on health and health-related behaviors, on health inequalities, and on the determinants of health in Spain; b) to describe the changes in the Spanish health system following measures to address the crisis and assess its potential impact on health; c) to review the evidence on the health impact of economic crises in other countries, as well as policy responses; and d) to suggest policy interventions alternative to those carried out to date with a population health perspective and scientific evidence in order to help mitigate the impact of the economic downturn on health and health inequalities. The report is organized in five sections: 1) the economic, financial and health crisis: causes, consequences, and contexts; 2) the impact on structural determinants of health and health inequalities; 3) the impact on health and health-related behaviors, and indicators for monitoring; 4) the impact on health systems; and 5) the impact on specific populations: children, seniors, and immigrants. There is some evidence on the relationship between the crisis and the health of the Spanish population, health inequalities, some changes in lifestyle, and variations in access to health services. The crisis has impacted many structural determinants of health, particularly among the most vulnerable population groups. Generally, policy responses on how to manage the crisis have not taken the evidence into account. The crisis may contribute to making public policy vulnerable to corporate action, thus jeopardizing the implementation of healthy policies. PMID:24863987

  2. HRD Challenges Faced in the Post-Global Financial Crisis Period--Insights from the UK

    ERIC Educational Resources Information Center

    Keeble-Ramsay, Diane Rose; Armitage, Andrew

    2015-01-01

    Purpose: The paper aims to report initial empirical research that examines UK employees' perceptions of the changing nature of work since the Global Financial Crisis (GFC) to consider how the financial context may have constrained HRD practice and more sustainable approaches. Design/methodology/approach: Focus group research was facilitated…

  3. Accelerating and Braking in Times of Economic Crisis: Organisational Learning in a Top Management Team

    ERIC Educational Resources Information Center

    Wallo, Andreas; Kock, Henrik; Nilsson, Peter

    2012-01-01

    Purpose: The purpose of this article is to present the results of a study of an industrial company's top management team (TMT) that fought to survive an economic crisis. Specifically, the article seeks to focus on describing the TMT's composition, group processes, and work during a period of high external pressure; analysing the TMT's work in

  4. Open Distance Learning for Development: Lessons from Strengthening Research Capacity on Gender, Crisis Prevention, and Recovery

    ERIC Educational Resources Information Center

    Babu, Suresh Chandra; Ferguson, Jenna; Parsai, Nilam; Almoguera, Rose

    2013-01-01

    This paper documents the experience and lessons from implementing an e-learning program aimed at creating research capacity for gender, crisis prevention, and recovery. It presents a case study of bringing together a multidisciplinary group of women professionals through both online and face-to-face interactions to learn the skills needed to be a…

  5. Accelerating and Braking in Times of Economic Crisis: Organisational Learning in a Top Management Team

    ERIC Educational Resources Information Center

    Wallo, Andreas; Kock, Henrik; Nilsson, Peter

    2012-01-01

    Purpose: The purpose of this article is to present the results of a study of an industrial company's top management team (TMT) that fought to survive an economic crisis. Specifically, the article seeks to focus on describing the TMT's composition, group processes, and work during a period of high external pressure; analysing the TMT's work in…

  6. Osage Avenue Is Burning: The Influence of Race upon Crisis Public Relations in Philadelphia.

    ERIC Educational Resources Information Center

    Bishop, Robert L.; Boles, Wendy Gotchel

    A study examined public relations aspects of the police confrontation and bombing of the revolutionary Black group, MOVE, in Philadelphia, in which 11 persons were killed, 250 were left homeless, and 61 homes were destroyed. It explored if and how race affected the crisis and whether Black media and general media were treated differently. City…

  7. The Puerto Rico Healthcare Crisis.

    PubMed

    Roman, Jesse

    2015-12-01

    The Commonwealth of Puerto Rico is an organized nonincorporated territory of the United States with a population of more than 3.5 million U.S. citizens. The island has been the focus of much recent attention due to the recent default on its debt (estimated at more than $70 billion), high poverty rates, and increasing unemployment. Less attention, however, has been given to the island's healthcare system, which many believe is on the verge of collapsing. Healthcare makes up 20% of the Puerto Rican economy, and this crisis affects reimbursement rates for physicians while promoting the disintegration of the island's healthcare infrastructure. A major contributor relates to a disparity in federal funding provided to support the island's healthcare system when compared with that provided to the states in the mainland and Hawaii. Puerto Rico receives less federal funding for healthcare than the other 50 states and the District of Columbia even though it pays its share of social security and Medicare taxes. To make matters worse, the U.S. Center for Medicaid and Medicare Services is planning soon to implement another 11% cut in Medical Advantage reimbursements. This disparity in support for healthcare is considered responsible for ∼$25 billion of Puerto Rico's total debt. The impact of these events on the health of Puerto Ricans in the island cannot be entirely predicted, but the loss of healthcare providers and diminished access to care are a certainty, and quality care will suffer, leading to serious implications for those with chronic medical disorders including respiratory disease. PMID:26551268

  8. The current crisis in obstetrics.

    PubMed

    Low, James A

    2005-11-01

    Of the issues leading to legal actions in obstetrics, the most important are events occurring before delivery that are deemed to account for the birth of a physically or mentally challenged child. In determining causation in the clinical setting, the diagnosis of fetal asphyxia can be made using blood gas and acid-base assessment. However, there are many subsidiary questions that in most cases cannot be answered, including when the asphyxia began, the severity and nature of the asphyxia during the exposure, the quality of the cardiovascular compensation, and when the brain damage occurred. When scientific proof is not available, the dilemma for the court is the requirement to reach a conclusion about the timing of brain damage on the balance of probabilities. Although it is of value, clinical risk scoring using fetal heart rate (FHR) monitoring may result in false positive predictions of fetal asphyxia. The problem in FHR monitoring is the lack of a detailed algorithm for the interpretation of FHR patterns with appropriate recommendations for management. Until such an algorithm is developed, health care workers cannot be expected to respond to fetal heart rate patterns consistently. Responsibility for the crisis in obstetrics must rest with the members of the health care disciplines who provide expert testimony. Progress made in research encourages us to assume that more is known about the causes of brain damage in the clinical setting than in fact is known. Similarly, health care professionals, parents, and lawyers often assume current methods of prediction and diagnosis to be more effective than they actually are. PMID:16529671

  9. [Impact of the economic crisis on the right to a healthy diet. SESPAS report 2014].

    PubMed

    Antentas, Josep Maria; Vivas, Esther

    2014-06-01

    The present article analyzes the impact of the economic crisis on food consumption in Spain, the most affected social profiles, and the consequences of changing patterns of food consumption on health. This article is based on official reports and previous empirical studies. The crisis has affected diet and food consumption. Families are attempting to spend less money on food. Food insecurity is rising and the most affected groups are those spending a higher proportion of their income on food. Cuts in food spending run parallel with unhealthy eating habits that encourage obesity. Consequently, the crisis contributes to undermining the right to a healthy diet, recognized by the International Covenant on Economic, Social and Cultural Rights of the United Nations. PMID:24863995

  10. Sovereign debt crisis in the European Union: A minimum spanning tree approach

    NASA Astrophysics Data System (ADS)

    Dias, João

    2012-03-01

    In the wake of the financial crisis, sovereign debt crisis has emerged and is severely affecting some countries in the European Union, threatening the viability of the euro and even the EU itself. This paper applies recent developments in econophysics, in particular the minimum spanning tree approach and the associate hierarchical tree, to analyze the asynchronization between the four most affected countries and other resilient countries in the euro area. For this purpose, daily government bond yield rates are used, covering the period from April 2007 to October 2010, thus including yield rates before, during and after the financial crises. The results show an increasing separation of the two groups of euro countries with the deepening of the government bond crisis.

  11. "We belong to them": the costs of funding for rape crisis centers.

    PubMed

    Maier, Shana L

    2011-11-01

    This research explores the transformation of rape crisis centers and whether directors, staff, interns, and volunteers see changes as beneficial or detrimental to rape crisis centers and the victims they serve. Data from 63 interviews with directors, staff, interns, and volunteers from six rape crisis centers located in four East Coast states indicate that although centers may have been formed for different reasons depending on when they opened, all have become more professional, rely less on volunteers, engage in more collaboration with other agencies, and have largely abandoned their traditional activism agenda. Traditional activism through political protests and membership in consciousness raising groups has been replaced by community education and outreach. Some of these changes are viewed as positive whereas others are viewed as negative. PMID:22083657

  12. Group Psychotherapy in Italy.

    PubMed

    Giannone, Francesca; Giordano, Cecilia; Di Blasi, Maria

    2015-10-01

    This article describes the history and the prevailing orientations of group psychotherapy in Italy (psychoanalytically oriented, psychodrama, CBT groups) and particularly group analysis. Provided free of charge by the Italian health system, group psychotherapy is growing, but its expansion is patchy. The main pathways of Italian training in the different group psychotherapy orientations are also presented. Clinical-theoretical elaboration on self development, psychopathology related to group experiences, and the methodological attention paid to objectives and methods in different clinical groups are issues related to group therapy in Italy. Difficulties in the relationship between research and clinical practice are discussed, as well as the empirical research network that tries to bridge the gap between research and clinical work in group psychotherapy. The economic crisis in Italy has led to massive cuts in health care and to an increasing demand for some forms of psychological treatment. For these reasons, and because of its positive cost-benefit ratio, group psychotherapy is now considered an important tool in the national health care system to expand the clinical response to different forms of psychological distress. PMID:26401793

  13. Role of Committed Minorities in Times of Crisis

    NASA Astrophysics Data System (ADS)

    Turalska, Malgorzata; Grigolini, Paolo; West, Bruce J.

    2013-03-01

    The surprising social phenomena of the Arab Spring and the Occupy Wall Street movement posit the question of whether the active role of committed groups may produce political changes of significant importance. Under what conditions are the convictions of a minority going to dominate the future direction of a society? We use a Cooperative Decision Making (CDM) model to study the effect of committed minorities on group behavior in time of crisis. The CDM model has been shown to generate consensus through a phase-transition process that at criticality establishes long-range correlations among the individuals within a model society. In a condition of high consensus, the correlation function vanishes, thereby making the network recover the ordinary locality condition. However, this state is not permanent and times of crisis occur when there is an ambiguity concerning a given social issue. The correlation function within the cooperative system becomes similarly extended as it is observed at criticality. This combination of independence (free will) and long-range correlation makes it possible for very small but committed minorities to produce substantial changes in social consensus.

  14. On the Epistemological Crisis in Genomics

    PubMed Central

    Dougherty, Edward R

    2008-01-01

    There is an epistemological crisis in genomics. At issue is what constitutes scientific knowledge in genomic science, or systems biology in general. Does this crisis require a new perspective on knowledge heretofore absent from science or is it merely a matter of interpreting new scientific developments in an existing epistemological framework? This paper discusses the manner in which the experimental method, as developed and understood over recent centuries, leads naturally to a scientific epistemology grounded in an experimental-mathematical duality. It places genomics into this epistemological framework and examines the current situation in genomics. Meaning and the constitution of scientific knowledge are key concerns for genomics, and the nature of the epistemological crisis in genomics depends on how these are understood. PMID:19440447

  15. Greece Financial Crisis and Quality of Life.

    PubMed

    Mechili, Aggelos E; Kalokairinou, Athena; Kaitelidou, Dafni; Diomidous, Marianna

    2015-01-01

    The last six years the global community is facing an economic crisis that first appeared in USA. This crisis has a lot of impacts especially in health sector. Unemployment, job insecurity and the loss of disposable income have a significant impact in health too. The main objective of this research was to investigate the quality of life of the general population in Greece during the financial crisis. To collect the data it has been used the Greek version of Short Form (36) Health Survey (SF-36v2). In general, income, level of education, cohabitation and parenthood had a significant impact in quality of life. As a conclusion, unemployed participants' score was lower in the entire dimensions and in the two summary scales too. PMID:26152994

  16. Utilization of medical care following the Three Mile Island crisis

    SciTech Connect

    Houts, P.S.; Hu, T.W.; Henderson, R.A.; Cleary, P.D.; Tokuhata, G.

    1984-02-01

    Four studies are reported on how utilization of primary health care was affected by the Three Mile Island (TMI) crisis and subsequent distress experienced by persons living in the vicinity of the plant. The studies concerned: Blue Cross-Blue Shield records of claims by primary care physicians in the vicinity of TMI; utilization rates in a family practice located near the facility; interviews with persons living within five miles of TMI following the crisis; and responses to a questionnaire by primary care physicians practicing within 25 miles of TMI. All four studies indicated only slight increases in utilization rates during the year following the crisis. One study found that persons who were upset during the crisis tended to be high practice utilizers both before and after the crisis. These results suggest that, while patterns of physician utilization prior to the TMI crisis predicted emotional response during the crisis, the impact of the TMI crisis on subsequent physician utilization was small.

  17. Crisis Communication: The Business Communicator's Strategies for Communicating under Stress.

    ERIC Educational Resources Information Center

    Vielhaber, Mary E.

    1990-01-01

    Uses the 1979 Three Mile Island nuclear plant accident to illustrate the communication problems embedded in a crisis. Describes the reactions created by the stress related to crisis. Suggests business communication strategies for improving communication to the public. (SR)

  18. [Family interventions in crisis: a clinical case].

    PubMed

    Tavelli, P H; Seywert, F

    1986-01-01

    The authors make a clear difference between the traditional pattern of the psychiatric emergency and the interactional and more integrating conceptualization of the crisis' state. In an ecosystemic perspective they chiefly pay attention to the relation context in which the designated patient and his family are living. They make this clear by describing how the admission to the hospital of a "designated patient" has been avoided by the help of an intervention in the crisis' family and how they have been helped in gathering their resources during a critical period of their life-cycle. PMID:2433755

  19. The crisis in mental health research.

    PubMed

    Brown, B S

    1977-02-01

    The author states that the mental health research program of the United States is facing a threat to its survival as a force for public health. He describes the antecedents of this crisis, which include the separation of the National Institute of Mental Health from the National Institutes of Health and other organizational changes, the public's disappointment that overly great expectations were not met, and monetary inflation coupled with budgetary cutbacks. He concludes that, because research cannot be separated from the goals of service and training, the success of the total mental health program in the United States depends on resolving the research support crisis. PMID:319690

  20. Commercial speech in crisis: Crisis Pregnancy Center regulations and definitions of commercial speech.

    PubMed

    Gilbert, Kathryn E

    2013-02-01

    Recent attempts to regulate Crisis Pregnancy Centers, pseudoclinics that surreptitiously aim to dissuade pregnant women from choosing abortion, have confronted the thorny problem of how to define commercial speech. The Supreme Court has offered three potential answers to this definitional quandary. This Note uses the Crisis Pregnancy Center cases to demonstrate that courts should use one of these solutions, the factor-based approach of Bolger v. Youngs Drugs Products Corp., to define commercial speech in the Crisis Pregnancy Center cases and elsewhere. In principle and in application, the Bolger factor-based approach succeeds in structuring commercial speech analysis at the margins of the doctrine. PMID:23461000

  1. The Global Economic Crisis: Setbacks to the Educational Agenda for the Minority in Sub-Saharan Africa

    ERIC Educational Resources Information Center

    Ingubu, Moses Shiasha

    2010-01-01

    This paper captures the impact of the Global Economic Crisis on educational programs serving minority groups in developing countries. It has been established that the most vulnerable groupings include nomadic and pastoralist communities, slum dwellers, children in war zones, and women. Various educational interventions such as mobile schooling,…

  2. An Analysis of Secondary Schools' Crisis Management Preparedness: National Implications

    ERIC Educational Resources Information Center

    Adams, Cheantel M.; Kritsonis, William Allan

    2006-01-01

    The purpose of this study is to analyze crisis management plans of schools that have experienced crisis situations in the past. The plans used by these schools to manage these crisis situations will be evaluated for their effectiveness or ineffectiveness in re-establishing stability to their organization. With such information, other schools may…

  3. How Should the Financial Crisis Change How We Teach Economics?

    ERIC Educational Resources Information Center

    Shiller, Robert J.

    2010-01-01

    Student dissatisfaction with teaching of economics--particularly with macroeconomics--during the current financial crisis mirrors dissatisfaction that was expressed during the last big crisis, the Great Depression. Then and now, a good number of students have felt that their lectures bear little relation to the economic crisis raging outside the…

  4. Governing during an Institutional Crisis: 10 Fundamental Principles

    ERIC Educational Resources Information Center

    White, Lawrence

    2012-01-01

    In today's world, managing a campus crisis poses special challenges for an institution's governing board, which may operate some distance removed from the immediate events giving rise to the crisis. In its most challenging form, a campus crisis--a shooting, a natural disaster, a fraternity hazing death, the arrest of a prominent campus…

  5. Managing Organizational Legitimacy: Communication Strategies for Organizations in Crisis.

    ERIC Educational Resources Information Center

    Massey, Joseph Eric

    2001-01-01

    Considers how crisis situations can cause internal and external stakeholders to question the legitimacy of organizations. Notes that when faced with a crisis, organizations are compelled to communicate strategically with stakeholders to manage legitimacy. Synthesizes literature on organizational legitimacy, crisis management, and niche-width…

  6. Proactive Communication in a Crisis-Driven World.

    ERIC Educational Resources Information Center

    Kleinz, Karen H.

    1999-01-01

    Administrators can prepare for crisis situations by conducting safety assessments at all schools and district facilities, involving community resources, updating district and school discipline and crisis-communication plans, establishing a crisis-intervention team, providing staff training, establishing "suspicious behavior" reporting procedures,…

  7. Write the Plan before You Have the Crisis.

    ERIC Educational Resources Information Center

    Wirth, Eileen

    2002-01-01

    Outlines the development process and essential elements of a crisis communication strategy. Key steps include: (1) selecting a spokesperson; (2) publicizing the spokesperson's identity; (3) preparing a crisis notebook; (4) providing cell phones; (5) choosing a news conference location; (6) rehearsing crisis scenarios; and (7) obtaining interview…

  8. Crisis Assessment: A Three-Dimensional Model for Triage.

    ERIC Educational Resources Information Center

    Myer, Rick A.; And Others

    1992-01-01

    Presents triage assessment model for crisis intervention that enables mental health counselors to initiate appropriate crisis interventions in variety of situations. Model guides assessment of clients in crisis on three domains: affective, cognitive, and behavioral. Describes assessment and rating of severity of impairment for each of the three…

  9. The Alpha Crisis Game. Origins of World War I.

    ERIC Educational Resources Information Center

    Nesbitt, William A.

    The Alpha Crisis Game, a simulation for secondary students about the outbreak of World War I, is intended as an introduction to a case study of the July 1917 crisis. Playing in teams while deciding among the action choices to solve the crisis situation, students act as heads of state and ministers of five mythical European countries, when an…

  10. Being PREPaREd for Crisis in Northern Colorado

    ERIC Educational Resources Information Center

    Hancock, Kathy; Malvey, Michelle; Rastatter, Dennis

    2010-01-01

    The Thompson School District recognized after the Columbine incident in the spring of 1999 that it was lacking an adequate plan for crisis response. Colorado legislation led to a mandate for having a crisis response plan so the district purchased a "canned" crisis response plan that served the needs of response in a very immediate but impersonal…

  11. Responding to the Unthinkable: School Crisis Response and Recovery

    ERIC Educational Resources Information Center

    Cowan, Katherine C.; Rossen, Eric

    2014-01-01

    The mental health implications of crisis exposure have emerged as a critical and challenging facet of school safety and crisis response, expanding our focus to encompass both psychological and physical safety, as well as prevention and recovery. Best practice reflects this evolution in our understanding and encompasses the continuum of crisis and…

  12. 40 CFR 166.49 - Public notice of crisis exemptions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Public notice of crisis exemptions... PROGRAMS EXEMPTION OF FEDERAL AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.49 Public notice of crisis exemptions. (a) Periodic notices. At least quarterly,...

  13. 40 CFR 166.49 - Public notice of crisis exemptions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Public notice of crisis exemptions... PROGRAMS EXEMPTION OF FEDERAL AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.49 Public notice of crisis exemptions. (a) Periodic notices. At least quarterly,...

  14. Improving outcomes for people in mental health crisis: a rapid synthesis of the evidence for available models of care.

    PubMed Central

    Paton, Fiona; Wright, Kath; Ayre, Nigel; Dare, Ceri; Johnson, Sonia; Lloyd-Evans, Brynmor; Simpson, Alan; Webber, Martin; Meader, Nick

    2016-01-01

    BACKGROUND Crisis Concordat was established to improve outcomes for people experiencing a mental health crisis. The Crisis Concordat sets out four stages of the crisis care pathway: (1) access to support before crisis point; (2) urgent and emergency access to crisis care; (3) quality treatment and care in crisis; and (4) promoting recovery. OBJECTIVES To evaluate the clinical effectiveness and cost-effectiveness of the models of care for improving outcomes at each stage of the care pathway. DATA SOURCES Electronic databases were searched for guidelines, reviews and, where necessary, primary studies. The searches were performed on 25 and 26 June 2014 for NHS Evidence, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, NHS Economic Evaluation Database, and the Health Technology Assessment (HTA) and PROSPERO databases, and on 11 November 2014 for MEDLINE, PsycINFO and the Criminal Justice Abstracts databases. Relevant reports and reference lists of retrieved articles were scanned to identify additional studies. STUDY SELECTION When guidelines covered a topic comprehensively, further literature was not assessed; however, where there were gaps, systematic reviews and then primary studies were assessed in order of priority. STUDY APPRAISAL AND SYNTHESIS METHODS Systematic reviews were critically appraised using the Risk Of Bias In Systematic reviews assessment tool, trials were assessed using the Cochrane risk-of-bias tool, studies without a control group were assessed using the National Institute for Health and Care Excellence (NICE) prognostic studies tool and qualitative studies were assessed using the Critical Appraisal Skills Programme quality assessment tool. A narrative synthesis was conducted for each stage of the care pathway structured according to the type of care model assessed. The type and range of evidence identified precluded the use of meta-analysis. RESULTS AND LIMITATIONS One review of reviews, six systematic reviews, nine guidelines and 15 primary studies were included. There was very limited evidence for access to support before crisis point. There was evidence of benefits for liaison psychiatry teams in improving service-related outcomes in emergency departments, but this was often limited by potential confounding in most studies. There was limited evidence regarding models to improve urgent and emergency access to crisis care to guide police officers in their Mental Health Act responsibilities. There was positive evidence on clinical effectiveness and cost-effectiveness of crisis resolution teams but variability in implementation. Current work from the Crisis resolution team Optimisation and RElapse prevention study aims to improve fidelity in delivering these models. Crisis houses and acute day hospital care are also currently recommended by NICE. There was a large evidence base on promoting recovery with a range of interventions recommended by NICE likely to be important in helping people stay well. CONCLUSIONS AND IMPLICATIONS Most evidence was rated as low or very low quality, but this partly reflects the difficulty of conducting research into complex interventions for people in a mental health crisis and does not imply that all research was poorly conducted. However, there are currently important gaps in research for a number of stages of the crisis care pathway. Particular gaps in research on access to support before crisis point and urgent and emergency access to crisis care were found. In addition, more high-quality research is needed on the clinical effectiveness and cost-effectiveness of mental health crisis care, including effective components of inpatient care, post-discharge transitional care and Community Mental Health Teams/intensive case management teams. STUDY REGISTRATION This study is registered as PROSPERO CRD42014013279. FUNDING The National Institute for Health Research HTA programme. PMID:26771169

  15. Teaching the Crisis Management/Communication Course.

    ERIC Educational Resources Information Center

    Coombs, W. Timothy

    2001-01-01

    Argues that a course or unit in crisis management/communication is an excellent way of teaching public relations theory, management concepts, information management, problem solving, and communication management. Identifies course objectives, discusses main topics and student evaluation, and concludes with advice and a list of readings. (SR)

  16. The African Orphan Crisis and International Adoption

    ERIC Educational Resources Information Center

    Roby, Jini L.; Shaw, Stacey A.

    2006-01-01

    The plight of Africa's AIDS orphans has reached crisis proportions, and the international community is beginning to mobilize at the family, community, national, and international levels. Despite these encouraging efforts, the response is inadequate, and increased attention and action are needed. The authors suggest that international adoption,

  17. The Cuban Missile Crisis. Lesson Plan.

    ERIC Educational Resources Information Center

    Miller, Linda K.; McAuliffe, Mary

    1994-01-01

    Presents a secondary lesson plan based on primary sources recently released by the Central Intelligence Agency on the Cuban Missile Crisis. Provides a background essay on the event. Includes five maps and three documents, all of which have been declassified from top secret or secret status. (CFR)

  18. Culture and Crisis Response in New Zealand

    ERIC Educational Resources Information Center

    Annan, Jean; Dean, Shelley; Henry, Geoff; McGhie, Desiree; Phillipson, Roger

    2010-01-01

    New Zealand is a bicultural nation, founded on the signing of the Treaty of Waitangi by the native Maori and the British Crown. It is also home to people from many countries, cultures and ethnicities. Therefore, culturally-relevant response to crisis events has become a significant aspect of the Ministry of Education's interdisciplinary Traumatic…

  19. Using Religious Resources in Crisis Intervention.

    ERIC Educational Resources Information Center

    Duncan, Harold D.; And Others

    1981-01-01

    Proposes clients in a crisis situation can find, by means of religious resources, a strength which may not be available by any other means. The client, thus, may come to realize more practically than ever before the full and personal meaning of hope, love, forgiveness, and purpose in life. (JAC)

  20. Africa's New Crisis: A Dearth of Professors

    ERIC Educational Resources Information Center

    Lindow, Megan

    2009-01-01

    With many professors approaching retirement. a shortage of qualified academics has reached crisis proportions at a number of African universities. The shortfall is a consequence of decades of neglect of African higher education, as donors and governments concentrated limited resources on primary and secondary schools, and young scholars who manage…

  1. Crisis Paper Number 38. World Food Conference.

    ERIC Educational Resources Information Center

    Atlantic Information Centre for Teachers, London (England).

    This paper is thirty-eighth in a series which expands the analysis of the crisis under discussion to provide a multinational view by quoting comment from a selection of newspapers of several countries. The issue presented here is the problem of world food shortages, which is briefly introduced in relation to the attemps at the Rome Conference to…

  2. Exploring the "Boy Crisis" in Education

    ERIC Educational Resources Information Center

    Cappon, Paul

    2011-01-01

    The issue of the "boy gap" or "boy crisis" in education has been the subject of increasing attention across a number of Organization for Economic Cooperation and Development (OECD) countries. Given the importance of this issue and the need to better understand the situation in boys' education, this report draws on material and data from a review…

  3. Camp Crisis Management: Responding to New Challenges.

    ERIC Educational Resources Information Center

    Evans, Will

    2002-01-01

    Camps should have crisis management plans. Steps to formulating a plan include involving appropriate off-site agencies, identifying potential threats, gathering resources, crafting an appropriate response, training via role-playing, managing incoming and outgoing information, and writing it down. Sidebars present resources, successful response…

  4. Forgotten Fundamentals of the Energy Crisis.

    ERIC Educational Resources Information Center

    Bartlett, Albert A.

    1992-01-01

    Applies exponential growth and the speed of doubling times to the energy crises. Increases comprehension of this mathematical law and the significance of findings made through its use. Examines statements from authoritative sources on energy to illustrate the lack of understanding of arithmetic's relationship to the energy crisis. Suggests ways to…

  5. Building Map Skills: The Other Energy Crisis.

    ERIC Educational Resources Information Center

    Branson, Margaret S.

    1980-01-01

    As a means of helping students build map skills, the article presents information on how the energy crisis affects poor people in developing nations (lack of firewood, disappearing forests, erosion due to removal of ground cover). Presents a global map showing the extension of desert conditions and includes questions to help students analyze the…

  6. Forgotten Fundamentals of the Energy Crisis.

    ERIC Educational Resources Information Center

    Bartlett, Albert A.

    1980-01-01

    Examines what is believed to be the forgotten fundamental of the energy crisis, the elementary arithmetic of growth. The arithmetic is applied to what is known about the reserves of fossil fuels. A large number of erroneous pronouncements from public figures and news media are collected here. (SA)

  7. The Classical Diffusion Paradigm in Crisis.

    ERIC Educational Resources Information Center

    Hooks, Gregory

    The erosion of the credibility of the classical diffusion paradigm by recent challenges to its fundamental assumptions has resulted in a "paradigmatic crisis" as related to research on the diffusion of agricultural innovations. Such basic assumptions as that of a harmonious and cooperative society and of agricultural research guided by endogenous…

  8. SAAB Tackling the Black, Brown Male Crisis

    ERIC Educational Resources Information Center

    Pluviose, David

    2007-01-01

    Increasingly, dropping out of high school is a one-way ticket to prison for Black men. Recent research conducted by sociologists Becky Pettit and Bruce Western indicates that 3 percent of Whites and 20 percent of Blacks born between 1965 and 1969 had served time in prison by their early thirties. The crisis among Black and Hispanic men mobilized

  9. Community Health Crisis: Solving the Nurse Shortage.

    ERIC Educational Resources Information Center

    Vitiello, Erie

    2003-01-01

    Describes how Los Rios Community College District (LRCCD), California, the major provider of nursing graduates to the Sacramento area, addressed the issue of the nursing shortage crisis. LRCCD faced the dual issues of student/faculty ratio restrictions of 10/1 and funding that accommodated a 40/1 ratio. Describes LRCCD's new off-campus,…

  10. Crisis Management in a Primary School

    ERIC Educational Resources Information Center

    Barclay, Colette

    2004-01-01

    Dunblane Primary School, Scotland, and Columbine High School, USA. Two headline tragedies that have led to trauma for their pupils and staff. Trauma that could be devastating because of the psychological impact and the practical requirements a crisis brings. Children's social and personal development can be negatively affected, their academic…

  11. Arab-Americans and the Gulf Crisis.

    ERIC Educational Resources Information Center

    Noor Al-Deen, Hana S.

    A study examined the sentiment and impact of different types, channels, and forms of aggression against the Arab-American community during the Gulf Crisis. Data were selected from entries in the 1990 Anti-Arab Discrimination and Hate Crimes Log of the American-Arab Anti-Discrimination (ADC) National Office. Results show that there were 129 acts of…

  12. Regulatory T Cells: A Crisis Averted.

    PubMed

    Malhotra, Deepali; Jenkins, Marc K

    2016-05-17

    Although regulatory T cells protect people from autoimmunity, two recent papers in Immunity (Malchow et al., 2016; Kieback et al., 2016) demonstrate that these cells are also a crisis averted. Without the proper education in the thymus, these cells will turn on their host and cause autoimmunity. PMID:27192571

  13. Assessing Cultural Competency in School Crisis Plans

    ERIC Educational Resources Information Center

    Annandale, Neil O.; Heath, Melissa Allen; Dean, Brenda; Kemple, Ana; Takino, Yozo

    2011-01-01

    This study reviewed school-based crisis planning resources and guidelines provided by 40 state departments of education and offices of safe and drug-free schools. Content was examined for indications of cultural competency. The most frequently reported topics included: (a) assisting students with mental and physical disabilities, (b) tapping into

  14. Crisis Management in a Primary School

    ERIC Educational Resources Information Center

    Barclay, Colette

    2004-01-01

    Dunblane Primary School, Scotland, and Columbine High School, USA. Two headline tragedies that have led to trauma for their pupils and staff. Trauma that could be devastating because of the psychological impact and the practical requirements a crisis brings. Children's social and personal development can be negatively affected, their academic

  15. Assessing Cultural Competency in School Crisis Plans

    ERIC Educational Resources Information Center

    Annandale, Neil O.; Heath, Melissa Allen; Dean, Brenda; Kemple, Ana; Takino, Yozo

    2011-01-01

    This study reviewed school-based crisis planning resources and guidelines provided by 40 state departments of education and offices of safe and drug-free schools. Content was examined for indications of cultural competency. The most frequently reported topics included: (a) assisting students with mental and physical disabilities, (b) tapping into…

  16. Image Repair Discourse and Crisis Communication.

    ERIC Educational Resources Information Center

    Benoit, William L.

    1997-01-01

    Describes the theory of image restoration discourse as an approach for understanding corporate crisis situations. States this theory can be used by practitioners to help design messages during crises and by critics or educators to critically evaluate such messages. Describes and illustrates the theory's basic concepts. Offers suggestions for…

  17. School Leadership in Times of Crisis

    ERIC Educational Resources Information Center

    Smith, Larry; Riley, Dan

    2012-01-01

    The leadership attributes and skills required of school leaders in times of crisis are fundamentally different from those generally required as part of the "normal" school environment. Strong school leadership generally is about positioning the school for the future, and about supporting and empowering staff and students in the pursuit of teaching…

  18. Death and Dying Training for Crisis Intervention.

    ERIC Educational Resources Information Center

    Hutchison, Theresa D.; Scherman, Avraham

    This document presents a program for training volunteers to assist individuals and families who are going through a crisis related to terminal illness and death. The training is described as being both didactic and experiential. A discussion of the didactic portion of the program includes descriptions of: (1) the stages of preparatory grief as…

  19. Africa's New Crisis: A Dearth of Professors

    ERIC Educational Resources Information Center

    Lindow, Megan

    2009-01-01

    With many professors approaching retirement. a shortage of qualified academics has reached crisis proportions at a number of African universities. The shortfall is a consequence of decades of neglect of African higher education, as donors and governments concentrated limited resources on primary and secondary schools, and young scholars who manage

  20. Simulating a Volcanic Crisis in the Classroom.

    ERIC Educational Resources Information Center

    Harpp, Karen S.; Sweeney, William J.

    2002-01-01

    Reports on the design of a multi-week cooperative learning activity for an undergraduate introductory volcanology class which culminates in the simulation of a volcanic monitoring crisis. Suggests that this activity creates an effective and exciting learning environment in which students have the opportunity to apply theoretical concepts to a more…

  1. Preparing to Help Students after a Crisis

    ERIC Educational Resources Information Center

    Brock, Stephen E.; Cowan, Kathy

    2004-01-01

    Generally, when a student or a staff member coped with the psychological aftermath of a tragedy, they did so without the involvement-or responsibility-of school personnel. But educators have come to recognize that schools play a critical role in any crisis response and care system serving children and youth. This is true whether teachers are…

  2. Managing a Crisis with Social Media

    ERIC Educational Resources Information Center

    Bender, T. Gregory

    2012-01-01

    Thanks to the proliferation of handheld devices and social media such as Facebook and Twitter, people can share information instantly and succinctly. The December 8, 2011, shooting on the Virginia Tech campus underscores how important it is for information to go out quickly but accurately to help school administrators effectively manage a crisis.

  3. From Crisis to Renewal: One School's Journey

    ERIC Educational Resources Information Center

    Skelcher, Ann M.

    2011-01-01

    This case study describes a time period of 6 years in the history of a school, a period marked by crisis recovery and organizational response to a mandated large-scale reform. Despite its challenges, when speaking of this period a number of the staff reflected on it as a kind of magical moment in time. Twenty years later, I began to wonder what…

  4. Crisis/Opportunity: 2011 WICHE Workplan

    ERIC Educational Resources Information Center

    Western Interstate Commission for Higher Education, 2010

    2010-01-01

    Public higher education has faced a crisis of massive proportions in the first decade of this millennium. Nevertheless, for higher education, this year represents a turning point and, yes, an opportunity. The opportunity, then, for the West is one that generations of Americans are familiar with: to do more with less. Dealing with scarcity--whether…

  5. Why the Economic Crisis Was Not Anticipated

    ERIC Educational Resources Information Center

    Posner, Richard A.

    2009-01-01

    An article in the October 11 "New York Times" attributed the almost universal failure to anticipate the current economic crisis to "insanity"--more precisely, to a psychological inability to give proper weight to past events, so that if there is prosperity today people assume that it will last forever, even though they know that in the past booms…

  6. The Impact of Economic Crisis on Happiness

    ERIC Educational Resources Information Center

    Gudmundsdottir, Dora Gudrun

    2013-01-01

    There is a common belief that economic crisis will lead to a decrease in subjective wellbeing. Previous studies indicate that income is correlated with happiness and unemployment with unhappiness. The relationship between increased income and happiness is well documented while the impact of decreased income has been less explored. The aim of this

  7. Threat Assessment Teams Target School Crisis

    ERIC Educational Resources Information Center

    Stover, Del

    2005-01-01

    In this article, the author discusses the creation of a threat-assessment team to be utilized in order to analyze each threat and the usage of threat-assessment protocols for the purpose of guiding school administrators through a crisis. These are actually developed with the advice from the US Department of Education and the Secret Service. When a…

  8. The Impact of Economic Crisis on Happiness

    ERIC Educational Resources Information Center

    Gudmundsdottir, Dora Gudrun

    2013-01-01

    There is a common belief that economic crisis will lead to a decrease in subjective wellbeing. Previous studies indicate that income is correlated with happiness and unemployment with unhappiness. The relationship between increased income and happiness is well documented while the impact of decreased income has been less explored. The aim of this…

  9. Religion and Crisis in Jungian Analysis.

    ERIC Educational Resources Information Center

    Smith, Curtis D.

    1990-01-01

    In Jungian terminology, a crisis occurs when one's persona-based personality structure collapses and ego is displaced as the center of the psyche. Subsequent confusion is necessary for establishment of self as new center of personality. Religiously speaking, confrontation of ego with self is experienced as a power or force beyond the control of…

  10. Infertility: A Crisis with No Resolution.

    ERIC Educational Resources Information Center

    Butler, Robert R.; Koraleski, Stephanie

    1990-01-01

    Discusses helpful ways for mental health counselors to work with infertile clients, explaining nature of infertility, psychological crisis it provokes, common reactions of infertile clients, and strategies to help clients cope. Discusses specific strategies for assessing clients' potential for suicide or self-destructive acts and improving their…

  11. Characteristics of the Biopsychosocial Crisis of Infertility.

    ERIC Educational Resources Information Center

    Cook, Ellen Piel

    1987-01-01

    Presents a framework for understanding the crisis of infertility which is characterized by extensive anxiety, damaged self-esteem, grief, uncertainty about the future, and estranged relationships with each other and with family and friends. Proposes some interventions appropriate to helpers from a variety of disciplines. (ABB)

  12. Infertility: An Unanticipated and Prolonged Life Crisis.

    ERIC Educational Resources Information Center

    Forrest, Linda; Gilbert, Mary S.

    1992-01-01

    Reviews literature on infertility with a focus on myths and misunderstandings about the causes of infertility; a description of the crisis of infertility including common psychological responses; the additional psychological complexity introduced by medical procedures and reproductive technology; and suggestions for mental health counselors.…

  13. The Crisis in Air Pollution Manpower Development

    ERIC Educational Resources Information Center

    Moeller, Dade W.

    1974-01-01

    Three studies conducted by the National Air Pollution Manpower Development Advisory Committee concluded there is a crisis in air pollution manpower development within the United States today. The studies investigated the existing federal manpower program, air pollution educational requirements and the quality of graduate level university programs.

  14. Effective Crisis Management at the Smaller Campus.

    ERIC Educational Resources Information Center

    DeWitt, Robert C.

    Pennsylvania State University Beaver Campus developed crisis guidelines and a formal working relationship with a local community mental health center in order to be able to deal with on-campus crises and their followup. The guidelines provide each employee with a single, easy-to-follow document that outlines the decision making process to be…

  15. The Cultural Basis for Our Environmental Crisis

    ERIC Educational Resources Information Center

    Moncrief, Lewis W.

    1970-01-01

    Pollution is seen as prevalent throughout man's history and currently accentuated by democracy, industrialization, and capitalism. Faith in technology, lack of decisive response by social institutions, and absence of personal moral direction mediate against rapid solution of the environmental crisis. (JM)

  16. Fortysomething: Helping Employees through the Midlife Crisis.

    ERIC Educational Resources Information Center

    Nickle, Blair Warman; Maddox, Robert C.

    1988-01-01

    Although midlife transition is an emotional crisis for an individual, it means expensive turnover for the organization. There are three approaches an organization can take in dealing with midlife transitions: education, counseling, and restructuring jobs and tasks. Education is necessary before counseling and restructuring can begin. (JOW)

  17. Television and the Crisis in the Humanities.

    ERIC Educational Resources Information Center

    Burns, Gary

    It is indeed a problem, perhaps even a crisis, that many Americans are ignorant of "The Tempest," the Civil War, the location of the Persian Gulf, the Constitution, or the chief justice of the Supreme Court. However, if conservative humanists continue to ostracize, scorn, and ignore both media studies and the media themselves, the result will not…

  18. SAAB Tackling the Black, Brown Male Crisis

    ERIC Educational Resources Information Center

    Pluviose, David

    2007-01-01

    Increasingly, dropping out of high school is a one-way ticket to prison for Black men. Recent research conducted by sociologists Becky Pettit and Bruce Western indicates that 3 percent of Whites and 20 percent of Blacks born between 1965 and 1969 had served time in prison by their early thirties. The crisis among Black and Hispanic men mobilized…

  19. The Crisis in Air Pollution Manpower Development

    ERIC Educational Resources Information Center

    Moeller, Dade W.

    1974-01-01

    Three studies conducted by the National Air Pollution Manpower Development Advisory Committee concluded there is a crisis in air pollution manpower development within the United States today. The studies investigated the existing federal manpower program, air pollution educational requirements and the quality of graduate level university programs.…

  20. Confidentiality in Crisis Counseling: A Philosophical Perspective.

    ERIC Educational Resources Information Center

    Mayo, David J.

    1984-01-01

    Crisis interventionists frequently confront a moral dilemma when violating client trust seems necessary if self-destructive behavior is to be prevented. Concern for client welfare and respect for client rights and autonomy which are grounded in Utilitarianism and Kantian Formalism, respectively, conflict in such cases. These theories are examined,…

  1. The Crisis in Black and Black.

    ERIC Educational Resources Information Center

    Hutchinson, Earl Ofari

    These essays explore why the historic conflict between blacks and whites in the United States has become a crisis that divides many African Americans. The changing racial dynamic is not marked by conflicts. between the black middle class and the poor, black men and women, the black intellectual elite and rappers, black politicians and the urban…

  2. America's Energy Crisis: Reality or Hysteria?

    ERIC Educational Resources Information Center

    Spinrad, Bernard I.

    1971-01-01

    The American energy crisis is real in that our supplies of fuel which can meet standards imposed on utility emissions are short, and their price is high. It is artificial in that many of the standards could be partially relaxed, and cheaper fuel used by utilities without significant public insult. ...Nuclear power from fission is our best bet."…

  3. Crisis Paper Number 38. World Food Conference.

    ERIC Educational Resources Information Center

    Atlantic Information Centre for Teachers, London (England).

    This paper is thirty-eighth in a series which expands the analysis of the crisis under discussion to provide a multinational view by quoting comment from a selection of newspapers of several countries. The issue presented here is the problem of world food shortages, which is briefly introduced in relation to the attemps at the Rome Conference to

  4. Managing a Crisis for School Security

    ERIC Educational Resources Information Center

    Badzmierowski, William F.

    2011-01-01

    In recent years, campus tragedies across the country have prompted leaders of education institutions to redouble their crisis planning efforts. Too often, however, these emergency plans focus almost exclusively on facilities, hardware and systems without sufficient consideration for the people they potentially affect. People, not equipment, will…

  5. [Intraoperative crisis and surgical Apgar score].

    PubMed

    Oshiro, Masakatsu; Sugahara, Kazuhiro

    2014-03-01

    Intraoperative crisis is an inevitable event to anesthesiologists. The crisis requires effective and coordinated management once it happened but it is difficult to manage the crises properly under extreme stressful situation. Recently, it is reported that the use of surgical crisis checklists is associated with significant improvement in the management of operating-room crises in a high-fidelity simulation study. Careful preoperative evaluation, proper intraoperative management and using intraoperative crisis checklists will be needed for safer perioperative care in the future. Postoperative complication is a serious public health problem. It reduces the quality of life of patients and raises medical cost. Careful management of surgical patients is required according to their postoperative condition for preventing postoperative complications. A 10-point surgical Apgar score, calculated from intraoperative estimated blood loss, lowest mean arterial pressure, and lowest heart rate, is a simple and available scoring system for predicting postoperative complications. It undoubtedly predicts higher than average risk of postoperative complications and death within 30 days of surgery. Surgical Apgar score is a bridge between proper intraoperative and postoperative care. Anesthesiologists should make effort to reduce the postoperative complication and this score is a tool for it. PMID:24724435

  6. Whatever Happened to the College Enrollment Crisis?

    ERIC Educational Resources Information Center

    Harrington, Paul E.; Sum, Andrew M.

    1988-01-01

    The 1980s college enrollment crisis never materialized because demographics are not the sole determinant of enrollment trends. The actual employment and earnings experiences of graduates will heavily influence the economic well-being of most postsecondary institutions. If private investment in postsecondary education remains high, enrollments will…

  7. Crisis/Opportunity: 2011 Annual Report

    ERIC Educational Resources Information Center

    Western Interstate Commission for Higher Education, 2011

    2011-01-01

    If there's one quality that WICHE's home region, the West, is famous for, it's endurance in the face of crisis. And if there's another, it's the ability to find--and make--opportunities even in tough times. Over the last fiscal year, WICHE has done just that. The organization has been highly successful in terms of developing new projects and…

  8. American Electrical: Managing an Environmental Crisis.

    ERIC Educational Resources Information Center

    O'Rourke, James S., IV

    1998-01-01

    Presents a case study for use in business communication classes to help students understand and learn both the context and the strategies for communication with business and management. Deals with an electrical company that finds itself with an environmental crisis on its hands. Includes five assignments as well as five samples. (SR)

  9. The Identity Crisis of Educational Planning.

    ERIC Educational Resources Information Center

    Levin, Henry M.

    Educational planning is presently confronted by an identity crisis. As long as it was believed that educational expansion was a principal ingredient for securing economic growth, democratic political processes, and greater equality of economics and social participation, the tenets and practice of educational planning were rarely questioned.…

  10. The Racial Crisis in American Higher Education.

    ERIC Educational Resources Information Center

    Altbach, Philip G., Ed.; Lomotey, Kofi, Ed.

    This collection of essays addresses the need for continued research in race-related issues on college campuses. The book examines the causes and the impact of campus racial tensions by studying some key university case studies and by investigating some of the underlying elements of the crisis. Essays and their authors are as follows: "The Racial…

  11. Mental health in the foreclosure crisis.

    PubMed

    Houle, Jason N

    2014-10-01

    Current evidence suggests that the rise in home foreclosures that began in 2007 created feelings of stress, vulnerability, and sapped communities of social and economic resources. Minority and low SES communities were more likely to be exposed to predatory lending and hold subprime mortgages, and were the hardest hit by the foreclosure crisis. Little research has examined whether and how the foreclosure crisis has undermined population mental health. I use data from 2245 counties in 50 U.S. states to examine whether living in high foreclosure areas is associated with residents' mental health and whether the foreclosure crisis has the potential to exacerbate existing disparities in mental health during the recessionary period. I use county-level data from RealtyTrac and other data sources, and individual-level data from the Behavioral Risk Factor Surveillance Survey from 2006 to 2011. I find that - net of time invariant unobserved between-county differences, national time trends, and observed confounders - a rise in a county's foreclosure rate is associated with a decline in residents' mental health. This association is especially pronounced in counties with a high concentration of low SES and minority residents, which supports the perspective that the foreclosure crisis has the potential to exacerbate existing social disparities in mental health. PMID:25084488

  12. Managing a Crisis with Social Media

    ERIC Educational Resources Information Center

    Bender, T. Gregory

    2012-01-01

    Thanks to the proliferation of handheld devices and social media such as Facebook and Twitter, people can share information instantly and succinctly. The December 8, 2011, shooting on the Virginia Tech campus underscores how important it is for information to go out quickly but accurately to help school administrators effectively manage a crisis.…

  13. Crisis GIS: Preparing for the Next Volcanic Crisis in the United States

    NASA Astrophysics Data System (ADS)

    Ramsey, D. W.; Robinson, J. E.; Schilling, S. P.; Schaefer, J. R.; Kimberly, P.; Trusdell, F. A.; Guffanti, M. C.; Mayberry, G. C.; Cameron, C. E.; Smith, J. G.; McIntire, J. A.; Snedigar, S.; Ewert, J. W.

    2004-12-01

    Geographic Information Systems (GIS) specialists from the Volcano Hazards Program (VHP) of the U.S. Geological Survey (USGS), including personnel at Menlo Park, California, the Cascades Volcano Observatory in Vancouver, Washington, the Alaska Volcano Observatory in Anchorage and Fairbanks, Alaska, the Hawaiian Volcano Observatory in Hawaii National Park, Hawaii, and the Smithsonian Institution Global Volcanism Program in Washington, DC, are developing a GIS response plan in the event of a volcano crisis. This plan, referred to as "Crisis GIS", outlines how VHP can ensure rapid, reliable delivery of spatial and ancillary information for data analysis and visualization at any required location during a volcanic crisis or event within the United States. An effective Crisis GIS needs the capacity to store multiple, large datasets, including: base layer data, elevation data, geologic maps, hazard assessment maps, satellite data, and aerial photography for volcanoes around the U.S. It must be readily accessible by VHP GIS specialists stationed around the Nation. Such a GIS should also support installations of monitoring instruments and telemetry equipment that relay monitoring signals, and provision of updates to public officials, the media, and the public during a crisis. GIS technology has proven to be an invaluable tool for crisis response. Recently, GIS was applied as part of the response efforts to two large-scale crises: the terrorist attacks of September 11, 2001, and the Southern California wildfires of Fall 2003. In each case, GIS was used to organize large quantities of spatial data and to produce electronic and paper maps that illustrated hazards, supported decision making, and communicated developing situations to responsible emergency-management authorities and to the populace affected (Kant, 2002, and Pratt, 2003). VHP GIS specialists are currently testing the software and hardware employed in recent major crisis response efforts and are learning to adapt the technology for volcano crisis response.

  14. Understanding the importance of an energy crisis

    NASA Astrophysics Data System (ADS)

    Mechtenberg, Abigail Reid

    Human development and energy, in general, and electrical energy, specifically, co-exist seamlessly in high HDI countries where reliability and availability is greater than 99%. In numerous low HDI countries, there is 2-50% electric grid availability with reliability at or below 50% due to load shedding and faults. In Africa, solar, wind, biomass and hydroelectric energy production are cited to meet growing demand and increase reliability and availability; however, the capital costs are greater than the ability-to-pay for wide scale implementation. Since the 1970s, the United States has continued to argue over the new sustainable energy infrastructure solution(s); thus resulting in no new infrastructure being built for wide scale implementation. Together the world is facing the daunting task of averting an energy crisis in developed countries and facing energy crises in developing countries. This thesis explores the importance of energy crises: from the past, current, and future. The first part entails arguing that the United States is not on a pathway to prevent an energy crisis based on an analysis of 1986 and 2004 niche and status-quo manufacturing of light-duty vehicles. The second part answers the question of what an energy crisis looks like by exploring and investigating current electrical energy crises in Fort Portal, Uganda. This part used both anthropological and physics education empowerment research to co-design and build for various energy crisis situations in hospitals, schools, and businesses all from locally available materials and expertise. Finally, looking into the US light-duty vehicle's future, I design a new hybrid vehicle powertrain (called transition mode hybrid). This third part describes my new patent as a way to avert an energy crisis in the light-duty transportation sector.

  15. Population and the Environmental Crisis

    ERIC Educational Resources Information Center

    International Understanding at School, 1972

    1972-01-01

    A group of young scientists from various countries met at Unesco headquarters in May of 1972 to discuss the current issues in growth of world populations. The factors considered merit reflexion by teachers who plan to give attention to these issues in the classroom. (Author)

  16. The European Union Integrated Political Crisis Response Arrangements: Improving the European Union's Major Crisis Response Coordination Capacities.

    PubMed

    de Miguel Beriain, Iñigo; Atienza-Macías, Elena; Armaza, Emilio Armaza

    2015-06-01

    In recent years, the European Union (EU) has progressively assumed more and more of a primary role in crisis response coordination. The EU Integrated Political Crisis Response arrangements (IPCR) were recently approved to facilitate this task. These new agreements, which substitute for the Crisis Coordination Agreements, will add more flexibility to crisis response mechanisms in the EU. They will also strengthen cooperation between the different relevant agents in a major crisis situation and create new useful tools, such as the Integrated Situational Awareness and Analysis. Their real performance still needs to be fully tested, but some weakness can already be foreseen. This article provides a deep analysis of this new legislation. PMID:25781225

  17. Confronting the coral reef crisis

    NASA Astrophysics Data System (ADS)

    Bellwood, D. R.; Hughes, T. P.; Folke, C.; Nyström, M.

    2004-06-01

    The worldwide decline of coral reefs calls for an urgent reassessment of current management practices. Confronting large-scale crises requires a major scaling-up of management efforts based on an improved understanding of the ecological processes that underlie reef resilience. Managing for improved resilience, incorporating the role of human activity in shaping ecosystems, provides a basis for coping with uncertainty, future changes and ecological surprises. Here we review the ecological roles of critical functional groups (for both corals and reef fishes) that are fundamental to understanding resilience and avoiding phase shifts from coral dominance to less desirable, degraded ecosystems. We identify striking biogeographic differences in the species richness and composition of functional groups, which highlight the vulnerability of Caribbean reef ecosystems. These findings have profound implications for restoration of degraded reefs, management of fisheries, and the focus on marine protected areas and biodiversity hotspots as priorities for conservation.

  18. Confronting the coral reef crisis.

    PubMed

    Bellwood, D R; Hughes, T P; Folke, C; Nyström, M

    2004-06-24

    The worldwide decline of coral reefs calls for an urgent reassessment of current management practices. Confronting large-scale crises requires a major scaling-up of management efforts based on an improved understanding of the ecological processes that underlie reef resilience. Managing for improved resilience, incorporating the role of human activity in shaping ecosystems, provides a basis for coping with uncertainty, future changes and ecological surprises. Here we review the ecological roles of critical functional groups (for both corals and reef fishes) that are fundamental to understanding resilience and avoiding phase shifts from coral dominance to less desirable, degraded ecosystems. We identify striking biogeographic differences in the species richness and composition of functional groups, which highlight the vulnerability of Caribbean reef ecosystems. These findings have profound implications for restoration of degraded reefs, management of fisheries, and the focus on marine protected areas and biodiversity hotspots as priorities for conservation. PMID:15215854

  19. Role of committed minorities in times of crisis

    PubMed Central

    Turalska, Malgorzata; West, Bruce J.; Grigolini, Paolo

    2013-01-01

    The surprising social phenomena of the Arab Spring and the Occupy Wall Street movement posit the question of whether the active role of committed groups may produce political changes of significant importance. Under what conditions are the convictions of a minority going to dominate the future direction of a society? We address this question with the help of a Cooperative Decision Making model (CDMM) which has been shown to generate consensus through a phase-transition process. We observe that in a system of a finite size the global consensus state is not permanent and times of crisis occur when there is an ambiguity concerning a given social issue. The correlation function within the cooperative system becomes similarly extended as it is observed at criticality. This combination of independence (free will) and long-range correlation makes it possible for very small but committed minorities to produce substantial changes in social consensus. PMID:23455718

  20. Pastoral crisis intervention with children: recognizing and responding to the spiritual reaction of children.

    PubMed

    McPherson, Kenneth F

    2004-01-01

    Many individuals struggle to express their thoughts and feelings following a crisis situation. When these feelings include questions related to spiritual issues such as bad things happening to good people, meaning in life and its tragedies, and the very existence of a caring and loving God, people shut down even more tightly. Imagine how much greater this difficulty becomes for those who lack the ability to verbalize what they are experiencing. Many of our most widely used crisis intervention models rely on verbal techniques to elicit people's thoughts and feelings about stressful incidents they've just experienced. The main focus of this paper is to provide alternative techniques for eliciting the thoughts and feelings of children during traumatic times. The paper reviews basic principles of pastoral crisis intervention (PCI), presents typical spiritual reactions of children to trauma by age groups, presents Crisis Response Play Therapy (CRPT) as one alternative method that bypasses the need for verbalization, and proposes the use of similar experiential techniques for special needs populations, including adults, who have difficulty giving voice to their experiences. PMID:15635904

  1. The effect of the subprime crisis on the credit risk in global scale

    NASA Astrophysics Data System (ADS)

    Lee, Sangwook; Kim, Min Jae; Lee, Sun Young; Kim, Soo Yong; Ban, Joon Hwa

    2013-05-01

    Credit default swap (CDS) has become one of the most actively traded credit derivatives, and its importance in finance markets has increased after the subprime crisis. In this study, we analyzed the correlation structure of credit risks embedded in CDS and the influence of the subprime crisis on this topological space. We found that the correlation was stronger in the cluster constructed according to the location of the CDS reference companies than in the one constructed according to their industries. The correlation both within a given cluster and between different clusters became significantly stronger after the subprime crisis. The causality test shows that the lead lag effect between the portfolios (into which reference companies are grouped by the continent where each of them is located) is reversed in direction because the portion of non-investable and investable reference companies in each portfolio has changed since then. The effect of a single impulse has increased and the response time relaxation has become prolonged after the crisis as well.

  2. Health care in Costa Rica: boom and crisis.

    PubMed

    Mesa-Lago, C

    1985-01-01

    In 1960-1980 Costa Rica experienced a health boom, achieving significant improvements which moved that country into the number two position in Latin America for indicators such as population coverage, infant mortality, life expectancy and health services. In addition, there was a gradual process of integration of health services. But in the same period, the cost of health care as a percentage of GNP increased almost 5-fold and in 1980 was the fourth highest in the region. The economic crisis of the 1980s aggravated the financial difficulties; to cope with them, the government introduced an austere program to reduce costs and plans to transform the current model of health care into a more efficient one capable of maintaining Costa Rica's high health standards in the future. The paper is divided into five sections: summary of the historical development of health care, and description of its current organization and of its gradual process of integration; estimation of population coverage and its trends, evaluation of inequalities in coverage, and identification of the non-covered group; analysis of health-care financing and its sources, as well of the recent financial desequilibrium, its causes and measures to restore the equilibrium; description of health care benefits and their differences among groups and regions, analysis of the country's advances in health-care facilities and standards, and measurement of the impact of the health care system in income distribution; and description of the rising cost of health care and the current crisis, analysis of the causes of both phenomena, and review of the measures that have been and should be implemented to solve these problems. PMID:3929390

  3. Greece's health crisis: from austerity to denialism.

    PubMed

    Kentikelenis, Alexander; Karanikolos, Marina; Reeves, Aaron; McKee, Martin; Stuckler, David

    2014-02-22

    Greece's economic crisis has deepened since it was bailed out by the international community in 2010. The country underwent the sixth consecutive year of economic contraction in 2013, with its economy shrinking by 20% between 2008 and 2012, and anaemic or no growth projected for 2014. Unemployment has more than tripled, from 7·7% in 2008 to 24·3% in 2012, and long-term unemployment reached 14·4%. We review the background to the crisis, assess how austerity measures have affected the health of the Greek population and their access to public health services, and examine the political response to the mounting evidence of a Greek public health tragedy. PMID:24560058

  4. Reviewing the definition of crisis in dementia care

    PubMed Central

    2013-01-01

    Background Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice. Methods We systematically searched for articles containing definitions of crisis in the context of dementia care. We created an operational framework of crisis based on retrieved definitions. Recommendations to address crisis situations were reviewed and classified according to care settings. Results Abstracts and titles of 1,113 articles, screened from PubMed and EMBASE, were narrowed down to 27 articles. After review, crisis in dementia was defined as a process where a stressor causes an imbalance requiring an immediate decision to be made which leads to a desired outcome and therefore a resolution of the crisis. If the crisis is not resolved, the cycle continues. Recommendations for resolving crisis involving persons with dementia and their caregivers include awareness therapy after diagnosis and increased contact with general practitioners, case manager consultations, caregiver support and education. Furthermore, nursing home staff should be attuned to the environmental, physical and psychological needs of persons with dementia. Conclusions This is the first article to review the definition of crisis in the context of dementia care. A review of the literature indicated that the definition of a crisis is idiosyncratic. Therefore, it is difficult to prevent or plan for all crises. We used an operational framework to compile types of crisis stressors and recommendations from the crisis literature based on three different perspectives; the person with the dementia, the caregiver and the healthcare providers. PMID:23374634

  5. Teen Depression and Suicide, A SILENT CRISIS.

    PubMed

    Kroning, Maureen; Kroning, Kayla

    2016-01-01

    Adolescent depression is a serious problem affecting 10.7% of all teens and 29.9% of high school students; 17% of high school students have contemplated suicide. Yet, depression in teens is often unrecognized. This article relays the tragic death of a 17-year-old, along with symptoms of depression and suicide in adolescents; DSM-5 criteria for depression; treatments including protective factors, psychotherapy, and medications; and imparts interventions for addressing this huge but silent crisis. PMID:27119802

  6. Crisis communication. Lessons from 9/11.

    PubMed

    Argenti, Paul

    2002-12-01

    The sheer enormity of last year's terrorist attacks on the World Trade Center and the Pentagon gave new meaning to the term "crisis management." Suddenly, companies near Ground Zero, as well as those more than a thousand miles away, needed a plan. Because the disasters disrupted established channels not only between businesses and customers but between businesses and employees, internal crisis-communications strategies that could be quickly implemented became a key responsibility of top management. Without these strategies, employees' trauma and confusion might have immobilized their firms and set their customers adrift. In this article, executives from a range of industries talk about how their companies, including Morgan Stanley, Oppenheimer Funds, American Airlines, Verizon, the New York Times, Dell, and Starbucks, went about restoring operations and morale. From his interviews with these individuals, author and management professor Paul Argenti was able to distill a number of lessons, each of which, he says, may "serve as guideposts for any company facing a crisis that undermines its employees' composure, confidence, or concentration." His advice to senior executives includes: Maintain high levels of visibility, so that employees are certain of top management's command of the situation and concern; establish contingency communication channels and work sites; strive to keep employees focused on the business itself, because a sense of usefulness enhances morale and good morale enhances usefulness; and ensure that employees have absorbed the firm's values, which will guide them as they cope with the unpredictable. The most forward-thinking leaders realize that managing a crisis-communications program requires the same dedication and resources they give to other dimensions of their business. More important, they realize that their employees always come first. PMID:12510542

  7. 'Never waste a good crisis', delegates told.

    PubMed

    Baillie, Jonathan

    2010-01-01

    An overview of how the new Care Quality Commission will monitor standards from one of the new regulatory body's regional directors, who echoed the words of a US stateswoman in exhorting delegates to "never waste a good crisis", together with contrasting perspectives on some of the most pressing issues facing estates and facilities personnel in England, Scotland, Wales and Northern Ireland, formed the keynote speeches at 2009's Healthcare Estates conference. Jonathan Baillie reports. PMID:21141712

  8. Crisis communications moves to front burner.

    PubMed

    1995-01-01

    Crisis communications, or crisis management, moved to the front burner on a national basis following the Tylenol poisonings in the early '80s. It's a fact of life (or death) that day after day, incident after incident, hospital after hospital has to deal with internal problems that become external issues. Balancing disclosure and the media's relentless quest for every available detail with the legal implications involved can test the public relations skills of even the most experienced practitioner. So how do you learn how to handle a crisis situation? There are books available on the topic, there are experts in the field and then there are those who have "been there, done that" and have agreed to share the experiences. Enter Greg McGarry, public relations director at Albany Medical Center in Albany, N.Y. If any hospital PR director has had to deal with a more challenging series of tragic and unusual circumstances in a brutally short timeframe, we have yet to hear about it. As a result of his forthrightness and candidness, backed by a supportive and understanding senior management team, news articles were fair, balanced and included the hospital's position. Even critical editorials included words of praise. PMID:10144059

  9. Germany and America: Crisis of confidence

    SciTech Connect

    Asmus, R.D.

    1991-02-01

    The paper examines the deterioration in German-American relations. The reasons for this downturn in German-American relations are quite simple. Washington views the Persian Gulf crisis as a defining moment in European-American relations and in the creation of a new world order. It is also the first diplomatic test of a unified Germany and a new German-American relationship. It is a test that Germany is thus far seen as having failed for three reasons. First, from the outset many Americans sensed that Germans did not comprehend what this crisis meant for the United States. A second and, in many ways, more worrying factor was the growing sense that the Germans were not being good Europeans. The third and most serious American concern, however, was the unsettling appearance of a very selective German definition of collective defense and common security. The result has been a crisis of confidence in the performance of the German political elite that goes beyond the problems in German-American relations during the early 1980s and the INF debate.

  10. Impact of the economic crisis on the health of older persons in Spain: research clues based on an analysis of mortality. SESPAS report 2014.

    PubMed

    Benmarhnia, Tarik; Zunzunegui, Maria-Victoria; Llácer, Alicia; Béland, Francois

    2014-06-01

    Older adults are seldom considered in studies on the health impact of economic recessions or crises. However, they constitute a population group that is highly vulnerable to decreases in investment in health and social services and social security. Our aim is to examine the relationship between the economic crisis starting in 2008 and the health status of older adults in Spain. More specifically, we analyze changes in trends of mortality in relation to the crisis, the specific impact of winter on mortality and gender differences in the crisis' impact on mortality. Using data from the National Institute of Statistics of Spain on people over 60 years of age, the number of monthly deaths by age and sex from January 2005 to December 2012 was analyzed. Interrupted time series analyses and the "difference in differences" method were used. During the crisis, for adults 60 years and older: 1) the observed mortality seems to be decreasing at a slower rate than what would have been expected in the absence of the crisis; 2) there has been an increase in winter mortality; 3) the impact of the crisis has been greater for female than for male mortality. These results suggest sizable effects of the economic crisis on the mortality of older adults and argue for research done using more detailed analyses integrating economic indicators. PMID:24864003

  11. Defining crisis in families of individuals with autism spectrum disorders.

    PubMed

    Weiss, Jonathan A; Wingsiong, Aranda; Lunsky, Yona

    2014-11-01

    Parents of children diagnosed with autism spectrum disorder often report higher levels of depression, anxiety, and mental health-related issues. The combination of stressors and family adjustment difficulties can cause distress which may develop into a crisis. Understanding crisis in the family is important to mental health practice since it can serve as a guide in delivering service to at-risk families. This study investigated the subjective experience of crisis in 155 mothers of children diagnosed with autism spectrum disorder. Thematic analysis revealed that crisis is characterized by factors influencing four major areas: demands, internal capabilities, external resources, and subjective appraisal. Understanding what crisis means to families of individuals with autism spectrum disorder can help inform effective preventative and crisis services. PMID:24254639

  12. Defining crisis in families of individuals with autism spectrum disorders

    PubMed Central

    Wingsiong, Aranda; Lunsky, Yona

    2014-01-01

    Parents of children diagnosed with autism spectrum disorder often report higher levels of depression, anxiety, and mental health–related issues. The combination of stressors and family adjustment difficulties can cause distress which may develop into a crisis. Understanding crisis in the family is important to mental health practice since it can serve as a guide in delivering service to at-risk families. This study investigated the subjective experience of crisis in 155 mothers of children diagnosed with autism spectrum disorder. Thematic analysis revealed that crisis is characterized by factors influencing four major areas: demands, internal capabilities, external resources, and subjective appraisal. Understanding what crisis means to families of individuals with autism spectrum disorder can help inform effective preventative and crisis services. PMID:24254639

  13. Physician burnout: A neurologic crisis.

    PubMed

    Sigsbee, Bruce; Bernat, James L

    2014-12-01

    The prevalence of burnout is higher in physicians than in other professions and is especially high in neurologists. Physician burnout encompasses 3 domains: (1) emotional exhaustion: the loss of interest and enthusiasm for practice; (2) depersonalization: a poor attitude with cynicism and treating patients as objects; and (3) career dissatisfaction: a diminished sense of personal accomplishment and low self-value. Burnout results in reduced work hours, relocation, depression, and suicide. Burned-out physicians harm patients because they lack empathy and make errors. Studies of motivational factors in the workplace suggest several preventive interventions: (1) Provide counseling for physicians either individually or in groups with a goal of improving adaptive skills to the stress and rapid changes in the health care environment. (2) Identify and eliminate meaningless required hassle factors such as electronic health record "clicks" or insurance mandates. (3) Redesign practice to remove pressure to see patients in limited time slots and shift to team-based care. (4) Create a culture that promotes career advancement, mentoring, and recognition of accomplishments. PMID:25378679

  14. [Provincial public center for crisis intervention and psycho-social rehabilitation. A path towards communitary suicidology].

    PubMed

    Martínez, Carlos

    2014-01-01

    This work on the systematic comprehensive approach towards the Prevention and Postvencion of Suicide started to develop back in mid 2011 in Río Gallegos, capital of Santa Cruz Province. The first step on this development was a Pilot Plan for the Training of Professionals and also field intervention. The Center for Crisis Intervention and Psycho-social Rehabilitation was founded eight months later. The case-client in crisis plus family group- undergoes quantitative and qualitative evaluation by means of a triage system, all of which allows starting intensive face-to-face and also phone follow up according to the Crisis Intervention Model. Such intervention is developed by means of the participation in the "Grupo Sostén", the Adolescents Group if the client fits into that age, and also family relationship interviews as well as Multi-family meetings open to the Community. There is also a Community Team in the Center which performs collective assessment in schools, in conjunction with the "Equidad en Redes" Educational Specialty Team, belonging to the Provincial Education Council. The approach takes place on the field, and works as a screening step for the early detection of risk. Such risk is dealt with by means of short term intervention group programs involving the whole of the educational community. When facing situations of committed suicide there are interventions in communities to the interior of the province, fundamentally through the Hospital Team which works as the cluster convener for the social intersectoral frame-work. PMID:25546541

  15. Why physician groups are self-insuring.

    PubMed

    Goldman, C Mitchell

    2006-01-01

    Given the medical malpractice crisis in a number of states, many physicians are looking at alternatives to conventional insurance coverage. These options typically involve some form of risk sharing where the medical group assumes additional risks based on experience. This article identifies several options-retrospective payment plans, risk retention groups, captives, and rent-a-captives--and their associated risks and opportunities. PMID:16986632

  16. 'You're Not Able to Breathe': Conceptualizing the Intersectionality of Early Career, Gender and Crisis

    ERIC Educational Resources Information Center

    Misiaszek, Lauren Ila

    2015-01-01

    Drawing on data from nine focus groups in four countries, I argue for the need to develop a research agenda around the intersectionality of early career, gender and crisis. I first give a brief explanation of the background, methodology and limitations of the study. Second, I lay out some key conceptualizations and their own limitations and then

  17. Symptomatology in Adolescents Following Initial Disclosure of Sexual Abuse: The Roles of Crisis Support, Appraisals and Coping

    ERIC Educational Resources Information Center

    Bal, Sarah; Crombez, Geert; De Bourdeaudhuij, Ilse; Van Oost, Paulette

    2009-01-01

    Objective: The present study examined possible explanations for symptom development and variability in sexually abused adolescents. A theoretical model of sexual abuse, in which appraisal, coping and crisis support play prominent roles, was tested in a clinical group of 100 sexually abused adolescents. Method: Participants, aged 12-18 years,…

  18. Symptomatology in Adolescents Following Initial Disclosure of Sexual Abuse: The Roles of Crisis Support, Appraisals and Coping

    ERIC Educational Resources Information Center

    Bal, Sarah; Crombez, Geert; De Bourdeaudhuij, Ilse; Van Oost, Paulette

    2009-01-01

    Objective: The present study examined possible explanations for symptom development and variability in sexually abused adolescents. A theoretical model of sexual abuse, in which appraisal, coping and crisis support play prominent roles, was tested in a clinical group of 100 sexually abused adolescents. Method: Participants, aged 12-18 years,

  19. Hyperfibrinogenaemia and hyperviscosity in sickle-cell crisis.

    PubMed Central

    Richardson, S G; Breeze, G R; Stuart, J

    1976-01-01

    Plasma fibrinogen concentration and whole-blood viscosity, the latter measured at two shear rates (23 and 230 sec-1), were estimated during eight episodes of sickle-cell crisis and compared with values in 26 sickle-cell anaemia patients who were not in crisis. Painful crisis was associated with a significant increase in both plasma fibrinogen and whole-blood viscosity. Increased fibrinogen-erythrocyte interaction in vivo may be a significant contributory factor to raising blood viscosity and precipitating vaso-occlusive crisis in sickle-cell disease. PMID:977763

  20. Uncommon t12 burst fracture after an epileptic crisis.

    PubMed

    Alian, Akiki

    2011-01-01

    People having an epileptic crisis present to the hospital with an altered mental status and generalised fatigue. The most common orthopaedic pathology associated to epilepsy is the undiagnosed posterior shoulder dislocation. These same patients often complain from back pain that is often neglected and misdiagnosed as muscular contracture following the epilepsy crisis. We describe here the case of a patient who presented after here epilepsy crisis with back pain. Investigations revealed an uncommon burst fracture that needed a surgical treatment. Conclusion. Back pain after an epileptic crisis should be investigated more seriously with an adequate clinical examination and a minimum of a radiography of the back. PMID:23198223

  1. Uncommon T12 Burst Fracture after an Epileptic Crisis

    PubMed Central

    Alian, Akiki

    2011-01-01

    People having an epileptic crisis present to the hospital with an altered mental status and generalised fatigue. The most common orthopaedic pathology associated to epilepsy is the undiagnosed posterior shoulder dislocation. These same patients often complain from back pain that is often neglected and misdiagnosed as muscular contracture following the epilepsy crisis. We describe here the case of a patient who presented after here epilepsy crisis with back pain. Investigations revealed an uncommon burst fracture that needed a surgical treatment. Conclusion. Back pain after an epileptic crisis should be investigated more seriously with an adequate clinical examination and a minimum of a radiography of the back. PMID:23198223

  2. Crisis Communication in the Area of Risk Management: The CriCoRM Project

    PubMed Central

    Scarcella, Carmelo; Antonelli, Laura; Orizio, Grazia; Rossmann, Costanze; Ziegler, Lena; Meyer, Lisa; Garcia-Jimenez, Leonarda; Losada, Jose Carlos; Correia, Joao; Soares, Joana; Covolo, Loredana; Lirangi, Enrico; Gelatti, Umberto

    2013-01-01

    Background During the last H1N1 pandemic has emerged the importance of crisis communication as an essential part of health crisis management. The Project aims specifically to improve the understanding of crisis communication dynamics and effective tools and to allow public health institutions to communicate better with the public during health emergencies. Design and methods The Project will perform different activities: i) state of the art review; ii) identification of key stakeholders; iii) communicational analysis performed using data collected on stakeholder communication activities and their outcomes considering the lessons learnt from the analysis of the reasons for differing public reactions during pandemics; iv) improvement of the existing guidelines; v) development of Web 2.0 tools as web-platform and feed service and implementation of impact assessment algorithms; vi) organization of exercises and training on this issues. Expected impact of the study for public health In the context of health security policies at an EU level, the project aims to find a common and innovative approach to health crisis communication that was displayed by differing reactions to the H1N1 pandemic policies. The focus on new social media tools aims to enhance the role of e-health, and the project aims to use these tools in the specific field of health institutions and citizens. The development of Web 2.0 tools for health crisis communication will allow an effective two-way exchange of information between public health institutions and citizens. An effective communication strategy will increase population compliance with public health recommendations. Significance for public health The specific aim of the project is to develop a European strategy approach on how to communicate with the population and with different stakeholders groups involved in the crisis management process, based on an analysis of the communication process during the H1N1 pandemic (content analysis of press releases, press coverage and forum discussions) and on interviews with key stakeholders in health crisis communication. The development of web 2.0 tools, providing rapid responses will allow real-time verification of awareness of social trends and citizens’ response. Furthermore, the project would like to offer these resources to the EU Public Health Institutions and EU citizens to improve their interaction, and hence reinforce citizens’ right to patient-centred health care. The project proposal has been designed in accordance with the general principles of ethics and the EU Charter of Fundamental Rights with regard to human rights, values, freedom, solidarity, and better protection of European citizens. PMID:25170491

  3. Efficacy of treatment for hyperglycemic crisis in elderly diabetic patients in a day hospital

    PubMed Central

    Benaiges, D; Chillarn, JJ; Carrera, MJ; Cots, F; Puig de Dou, J; Corominas, E; Pedro-Botet, J; Flores-Le Roux, JA; Claret, C; Goday, A; Cano, JF

    2014-01-01

    Background The purpose of this prospective cohort study was to compare the costs of day hospital (DH) care for hyperglycemic crisis in elderly diabetic patients with those of conventional hospitalization (CH). Secondary objectives were to compare these two clinical scenarios in terms of glycemic control, number of emergency and outpatient visits, readmissions, hypoglycemic episodes, and nosocomial morbidity. Methods The study population comprised diabetic patients aged >74 years consecutively admitted to a tertiary teaching hospital in Spain for hyperglycemic crisis (sustained hyperglycemia [>300 mg/dL] for at least 3 days with or without ketosis). The patients were assigned to DH or CH care according to time of admission and were followed for 6 months after discharge. Exclusion criteria were ketoacidosis, hyperosmolar crisis, hemodynamic instability, severe intercurrent illness, social deprivation, or Katz index >D. Results Sixty-four diabetic patients on DH care and 36 on CH care were included, with no differences in baseline characteristics. The average cost per patient was 1,345.1793.6 in the DH group and 2,212.4982.5 in the CH group (P<0.001). There were no differences in number of subjects with mild hypoglycemia during follow-up (45.3% DH versus 33.3% CH, P=0.24), nor in the percentage of patients achieving a glycated hemoglobin (HbA1c) <8% (67.2% DH versus 58.3% CH, P=0.375). Readmissions for hyperglycemic crisis and pressure ulcer rates were significantly higher in the CH group. Conclusion DH care for hyperglycemic crises is more cost-effective than CH care, with a net saving of 1,418.4 per case, lower number of readmissions and pressure ulcer rates, and similar short-term glycemic control and hypoglycemia rates. PMID:24868152

  4. The Impact of the 2008 Economic Crisis on Substance Use Patterns in the Countries of the European Union

    PubMed Central

    Dom, Geert; Samochowiec, Jerzy; Evans-Lacko, Sara; Wahlbeck, Kristian; Van Hal, Guido; McDaid, David

    2016-01-01

    Background: From 2008 on, a severe economic crisis (EC) has characterized the European Union (E.U.). However, changes in substance use behavioral patterns as a result of the economic crisis in Europe, have been poorly reflected upon, and underlying mechanisms remain to be identified; Methods: In this review we explore and systematize the available data on the effect of the 2008 economic crisis on patterns of substance use and related disorders, within the E.U. countries; Results: The results show that effects of the recession need to be differentiated. A number of studies point to reductions in population’s overall substance use. In contrast, an increase in harmful use and negative effects is found within specific subgroups within the society. Risk factors include job-loss and long-term unemployment, and pre-existing vulnerabilities. Finally, our findings point to differences between types of substances in their response on economic crisis periods; Conclusions: the effects of the 2008 economic crisis on substance use patterns within countries of the European Union are two-sided. Next to a reduction in a population’s overall substance use, a number of vulnerable subgroups experience serious negative effects. These groups are in need of specific attention and support, given that there is a real risk that they will continue to suffer negative health effects long after the economic downfall has formally been ended. PMID:26771628

  5. Applying Roberts' Triple ABCD Model in the aftermath of crisis-inducing and trauma-inducing community disasters.

    PubMed

    Roberts, Albert R

    2006-01-01

    Natural and man-made community disasters, such as hurricanes, earthquakes, school shootings, and mass terrorist attacks, heavily impact the safety, mental health, and well-being of large numbers of individuals, families and groups. Millions of individuals who experience acute crisis episodes or psychological trauma are not consistently provided with the early psychological interventions they urgently need. There is a critical need for tools and a framework to quickly and effectively promote interventions. This article presents one such effort, the Roberts' Triple ABCD Model. This model is an up-to-date and integrated conceptual framework that helps to provide the foundation for developing a unified standard of care for crisis and disaster mental health interventions. This model can be useful in determining which early intervention methods and techniques are most likely to reduce traumatic stress, treat acute crisis and psychosocial symptoms, and promote recovery. PMID:16944790

  6. EDITORIAL: Crisis management - and creation

    NASA Astrophysics Data System (ADS)

    Dobson Honorary Editor, Ken

    1996-11-01

    At the time of writing an ad hoc group set up by a governmental quango - the Schools Curriculum and Assessment Authority - is rewriting the subject cores for AS and A-level physics. The current version was introduced to general disapprobation from informed users, and especially from the Institute of Physics, and was examined for the first time in 1996. The main points of criticism of the current subject core were that it is too prescriptive, too large (especially at AS) and preserves an old-fashioned view of physics. It was seen as essentially all rather boring and quite unlikely to make it easier for teachers to attract more students into A-level physics courses. The core will, presumably, form the bulk of the new-style AS levels, an intriguingly innovative feature of the Dearing 16 - 19 proposals that, in principle, provides an opportunity to revitalize post-16 physics for a wide variety of potential users. But the other predicted consequence of a nationally (legally) prescribed core was a kind of instant fossilization of curriculum development and innovation. Creativity is effectively banned. Taking risks becomes unthinkable. Taken in conjunction with the less well known (except to examiners) increasingly close bureaucratic supervision of the examining process itself, the aim seems to be consistent mediocrity rather than the adventurous exploration of physics at what must be one of the most exciting (and rapidly changing) times in its history. The September issue of this journal dealt with some aspects of the new thinking about an education in (and through) physics, in the context of the IoP initiative to produce a modern physics curriculum for the year 2000. It is foreseeably improbable that the new subject core will be such as to encourage creative initiatives, other than by a third-law reaction effect. I am told that the ad hoc committee (membership unknown) will work for at least three whole days to produce the core; it will then be submitted for approval by yet more unknown persons. But we live in a democracy, and the new core will be put out for consultation. This will take place between November 1st and 20th, and so will be over, more or less, by the time you read this Editorial. Ordinary teachers of physics are unlikely to be asked for opinions. However, the Institute's informal rapid response team will do their best to represent the interests not only of its members but of the wider physics community. The question remains, however, as to why such rapid reactions are necessary. Surely now is the time to reflect upon the consequences of the rushed initiatives of the past eight years or so in education, and indeed undertake a professional, independent evaluation of them. But our rulers seem incapable of doing other than create crises, and then managing the crises they create by creating even more. There are of course alternatives to this, as could easily be discovered by looking north of Hadrian's Wall, where change is taking placed in a managed, courteous fashion, and where the numbers of students studying physics post-16 is gently increasing. The Scottish Office Education Department has recently taken part in an OECD study of curriculum innovation in 13 countries. The department reports some key findings in the Scottish initiative which are in fact common to all the successful initiatives reported [1, 2]. The message is clear: curriculum change will fail - either completely or at least in reaching the anticipated outcome fully - if certain requirements are not met. The most significant of these, reported in the OECD study, are: Teachers will respond to challenges to become involved in curriculum innovation and to acquire new skills and competences if they are given encouragement and reassurance that they will be well supported in their efforts. Innovation must be systemic, i.e. showing an awareness that many aspects of education are interrelated (so that a change in one affects others). Teacher involvement is vital (how teachers make sense of it is what really matters; they need not only support but time for reflection). Innovation needs to be well informed about how children learn - and must listen more to what they say. There are more - see the references. Almost all contradict the current UK approach, seemingly beloved by both government and potential government, that the way to improve education is to lay down rules from above. Guidelines yes; tramlines no. References [1] Black P and Atkin M (ed) 1996 Changing the Subject: Innovations in Science, Mathematics and Technology Education (London: Routledge) [2] Key Outcomes for Policy Makers, School Managers and Class Teachers part of a Report on Technology in Case Study Primary Schools in Scotland (Edinburgh: The Scottish Office)

  7. Strategic and Collaborative Crisis Management: A Partnership Approach to Large-Scale Crisis

    ERIC Educational Resources Information Center

    Mann, Timothy

    2007-01-01

    Large-scale crisis such as natural disasters and acts of terrorism can have a paralyzing effect on the campus community and business continuity. Campus officials in these situations face significant challenges that go beyond the immediate response including re-building the physical plant, restoring campus infrastructure, retaining displaced

  8. Service-Learning in Crisis Communication Education: Revisiting Coombs' Objectives for the Crisis Communication Course

    ERIC Educational Resources Information Center

    Maresh-Fuehrer, Michelle M.

    2015-01-01

    The purpose of this study was to revisit Coombs' suggestions for teaching the crisis communication course using service-learning as a framework. The author sought to assess the effectiveness of using this method in terms of the benefits to both students and the partnering organization and students' perceptions of whether they met the learning…

  9. Strategic and Collaborative Crisis Management: A Partnership Approach to Large-Scale Crisis

    ERIC Educational Resources Information Center

    Mann, Timothy

    2007-01-01

    Large-scale crisis such as natural disasters and acts of terrorism can have a paralyzing effect on the campus community and business continuity. Campus officials in these situations face significant challenges that go beyond the immediate response including re-building the physical plant, restoring campus infrastructure, retaining displaced…

  10. Global Crisis: Local Reality?--An International Analysis of "Crisis" in the Early Years

    ERIC Educational Resources Information Center

    White, E. Jayne; Pramling-Samuelsson, Ingrid

    2014-01-01

    In a recent keynote speech Paul Standish noted "there is agreement in judgments. But how the response to those judgments is realised is always cultural" (paper presented to PESA Conference, Taiwan, 2012, p. 2). Making judgments about what constitutes "crisis" for children is not necessarily agreed universally, though clearly…

  11. Schooling the Crisis? Education in the Aftermath of the Global Financial Crisis

    ERIC Educational Resources Information Center

    Morgan, John

    2014-01-01

    Five years on from the onset of the global financial crisis, there has been little sustained discussion of its implications for schooling. This is surprising when we consider that for the past three decades education has been shaped by assumptions about the need to prepare students for life in global capitalist economies. The consensus seems to be…

  12. Organ shortage crisis: problems and possible solutions.

    PubMed

    Abouna, G M

    2008-01-01

    The demand for organ transplantation has rapidly increased all over the world during the past decade due to the increased incidence of vital organ failure, the rising success and greater improvement in posttransplant outcome. However, the unavailability of adequate organs for transplantation to meet the existing demand has resulted in major organ shortage crises. As a result there has been a major increase in the number of patients on transplant waiting lists as well as in the number of patients dying while on the waiting list. In the United States, for example, the number of patients on the waiting list in the year 2006 had risen to over 95,000, while the number of patient deaths was over 6,300. This organ shortage crisis has deprived thousands of patients of a new and better quality of life and has caused a substantial increase in the cost of alternative medical care such as dialysis. There are several procedures and pathways which have been shown to provide practical and effective solutions to this crisis. These include implementation of appropriate educational programs for the public and hospital staff regarding the need and benefits of organ donation, the appropriate utilization of marginal (extended criteria donors), acceptance of paired organ donation, the acceptance of the concept of "presumed consent," implementation of a system of "rewarded gifting" for the family of the diseased donor and also for the living donor, developing an altruistic system of donation from a living donor to an unknown recipient, and accepting the concept of a controlled system of financial payment for the donor. As is outlined in this presentation, we strongly believe that the implementation of these pathways for obtaining organs from the living and the dead donors, with appropriate consideration of the ethical, religious and social criteria of the society, the organ shortage crisis will be eliminated and many lives will be saved through the process of organ donation and transplantation. PMID:18261540

  13. Crisis in medico-legal death investigation.

    PubMed Central

    Carter, Joye M.

    2002-01-01

    There is a crisis in the field of medico-legal death investigation! This medical practice is one that most physicians do not think about until they are called in the middle of the night and informed that their patient has died and medical history is requested. Worse still, the trauma surgeon may need to explain why the patient did not survive the life-saving techniques used at his or her medical institution. The worst-case scenario is when the clinician is hit with a malpractice lawsuit. PMID:11837352

  14. Dark Energy: A Crisis for Fundamental Physics

    ScienceCinema

    Stubbs, Christopher [Harvard University, Cambridge, Massachusetts, USA

    2010-09-01

    Astrophysical observations provide robust evidence that our current picture of fundamental physics is incomplete. The discovery in 1998 that the expansion of the Universe is accelerating (apparently due to gravitational repulsion between regions of empty space!) presents us with a profound challenge, at the interface between gravity and quantum mechanics. This "Dark Energy" problem is arguably the most pressing open question in modern fundamental physics. The first talk will describe why the Dark Energy problem constitutes a crisis, with wide-reaching ramifications. One consequence is that we should probe our understanding of gravity at all accessible scales, and the second talk will present experiments and observations that are exploring this issue.

  15. The Carbon Crisis: An Evolutionary Perspective

    NASA Astrophysics Data System (ADS)

    Peacock, K.

    2013-12-01

    By the 'carbon crisis' I mean the coupled crises of the depletion of the highest-EROI sources of fossil fuels and the global warming caused by our use of those fossil fuels. (EROI means 'energy return on energy investment'; Hall 2011.) While global warming is arguably more urgent, either of these factors would sooner or later be sufficient by itself to call a halt to our global-scale, energy-intensive, high technology economy. In lethal combination, they threaten to drastically reduce the capacity of the planet to support 7+ billion talking hominids. I will pull the camera back for a very long view and characterize the carbon crisis and our possible responses to it from an evolutionary and ecological perspective. It remains unclear why sapiens emerged rather suddenly as the most successful member of the family Homo about 50 to 60 kya; some argue that this neurological explosion could be due to our ancestors having survived the rigors of the Toba population bottleneck, which presumably would have favoured high adaptability (Ambrose 1998). Whatever the cause, Paleolithic humans deployed an unprecedented combination of technological and social ingenuity (the capacity for adaptive social organization; Homer-Dixon 2001). Aided by the relatively benign climate of the Holocene and ultimately by our increasing ability to tap into the resources of the 'found' ecology, especially the vast stores of hydrocarbons bequeathed by the Paleozoic and Mesozoic eras, our population has grown exponentially to its present unsteady pinnacle of (possibly) temporary reproductive success. The question now is what happens next. It was human ingenuity that got us through the ice age, put footprints on the Moon, and brought us to this crisis point; now, only human ingenuity (both social and technical) can get us past it. Our species will finally achieve a sustainable mode of existence on this planet when (in E. Odum's words; 1973) 'the present-day concept of ';unlimited exploitation of resources'' gives way to 'unlimited ingenuity in perpetuating a cyclic abundance of resources.' Unfortunately, the human animal is susceptible to powerful social pathologies and cognitive biases which often tend to inhibit the exercise of ingenuity precisely when it is needed the most. (The sorry history of collapsed cultures of the past bears witness to this fact; Tainter 1988, Diamond 2005.) I will examine the nature of such inhibiting pathologies (which include climate science denialism!) and suggest ways around them (the most effective of which, ultimately, will probably turn out to be education). In the deepest analysis, what we need the most in order to get past the carbon crisis is not merely zero-emissions energy sources, but ingenuity in the fostering of human ingenuity.

  16. Location of geographical objects in crisis situations

    NASA Astrophysics Data System (ADS)

    Rybansky, M.; Kratochvil, V.

    2014-02-01

    This article summarizes the various expressions of object positioning using different coordinate data and different methods, such as use of maps, exploiting the properties of digital Global System for Mobile Communications (GSM) networks, Global Navigational Satellite Systems (GNSS), Inertial Navigation Systems (INS), Inertial Measurement Systems (IMS), hybrid methods and non-contact (remote sensing) methods; all with varying level of accuracy. Furthermore, the article describes some geographical identifiers and verbal means to describe location of geographical objects such as settlements, rivers, forest, roads, etc. All of the location methods have some advantages and disadvantages, especially in emergency situations, when usually the crisis management has a lack of time in a decision process.

  17. Brazilian exchange rate complexity: Financial crisis effects

    NASA Astrophysics Data System (ADS)

    Piqueira, José Roberto C.; Mortoza, Letícia Pelluci D.

    2012-04-01

    With the financial market globalization, foreign investments became vital for the economies, mainly in emerging countries. In the last decades, Brazilian exchange rates appeared as a good indicator to measure either investors' confidence or risk aversion. Here, some events of global or national financial crisis are analyzed, trying to understand how they influenced the "dollar-real" rate evolution. The theoretical tool to be used is the López-Mancini-Calbet (LMC) complexity measure that, applied to real exchange rate data, has shown good fitness between critical events and measured patterns.

  18. Anoxia/high temperature double whammy during the Permian-Triassic marine crisis and its aftermath

    NASA Astrophysics Data System (ADS)

    Song, Haijun; Wignall, Paul B.; Chu, Daoliang; Tong, Jinnan; Sun, Yadong; Song, Huyue; He, Weihong; Tian, Li

    2014-02-01

    The Permian-Triassic mass extinction was the most severe biotic crisis in the past 500 million years. Many hypotheses have been proposed to explain the crisis, but few account for the spectrum of extinction selectivity and subsequent recovery. Here we show that selective losses are best accounted for by a combination of lethally warm, shallow waters and anoxic deep waters that acted to severely restrict the habitable area to a narrow mid-water refuge zone. The relative tolerance of groups to this double whammy provides the first clear explanation for the selective extinction losses during this double-pulsed crisis and also the fitful recovery. Thus, high temperature intolerant shallow-water dwellers, such as corals, large foraminifers and radiolarians were eliminated first whilst high temperature tolerant ostracods thrived except in anoxic deeper-waters. In contrast, hypoxia tolerant but temperature intolerant small foraminifers were driven from shallow-waters but thrived on dysoxic slopes margins. Only those mollusc groups, which are tolerant of both hypoxia and high temperatures, were able to thrive in the immediate aftermath of the extinction. Limited Early Triassic benthic recovery was restricted to mid-water depths and coincided with intervals of cooling and deepening of water column anoxia that expanded the habitable mid-water refuge zone.

  19. Anoxia/high temperature double whammy during the Permian-Triassic marine crisis and its aftermath

    PubMed Central

    Song, Haijun; Wignall, Paul B.; Chu, Daoliang; Tong, Jinnan; Sun, Yadong; Song, Huyue; He, Weihong; Tian, Li

    2014-01-01

    The Permian-Triassic mass extinction was the most severe biotic crisis in the past 500 million years. Many hypotheses have been proposed to explain the crisis, but few account for the spectrum of extinction selectivity and subsequent recovery. Here we show that selective losses are best accounted for by a combination of lethally warm, shallow waters and anoxic deep waters that acted to severely restrict the habitable area to a narrow mid-water refuge zone. The relative tolerance of groups to this double whammy provides the first clear explanation for the selective extinction losses during this double-pulsed crisis and also the fitful recovery. Thus, high temperature intolerant shallow-water dwellers, such as corals, large foraminifers and radiolarians were eliminated first whilst high temperature tolerant ostracods thrived except in anoxic deeper-waters. In contrast, hypoxia tolerant but temperature intolerant small foraminifers were driven from shallow-waters but thrived on dysoxic slopes margins. Only those mollusc groups, which are tolerant of both hypoxia and high temperatures, were able to thrive in the immediate aftermath of the extinction. Limited Early Triassic benthic recovery was restricted to mid-water depths and coincided with intervals of cooling and deepening of water column anoxia that expanded the habitable mid-water refuge zone. PMID:24549265

  20. Midlife crisis perceptions, experiences, help-seeking, and needs among multi-ethnic malaysian women.

    PubMed

    Wong, Li Ping; Awang, Halimah; Jani, Rohana

    2012-01-01

    In the present study, researchers explored attitudes toward midlife crises, experience with midlife crises, help-seeking, and needs among multi-ethnic Malaysian women. A total of 14 focus group discussions were conducted with 89 Malaysian women of different ages and socioeconomic backgrounds. Women expressed concern over physical aging and decline in their physical functional health. Having a midlife crisis was frequently reported. Issues that were frequently reported to trigger a midlife crisis, such as empty nest syndrome, impact of aging on sexual and reproductive function, extended parenthood, caring for aging or ill parents, and career challenges were noted by the study participants (listed here in order of most to least frequently reporting of these themes across the group discussions). Overall, these issues were associated with attitudes about aging. A comparatively less open attitude toward sexual attitudes and help-seeking for sexual problems were found among the Malay and Indian women. This may imply that intervention to increase positive attitudes concerning both sexuality and help-seeking intentions should be culturally specific. The use of religious coping for comfort and consolation was frequently reported; therefore, those providing midlife crisis prevention and intervention programs should consider involving faith-based interventions in the Malaysian setting. PMID:23127220

  1. Anoxia/high temperature double whammy during the Permian-Triassic marine crisis and its aftermath.

    PubMed

    Song, Haijun; Wignall, Paul B; Chu, Daoliang; Tong, Jinnan; Sun, Yadong; Song, Huyue; He, Weihong; Tian, Li

    2014-01-01

    The Permian-Triassic mass extinction was the most severe biotic crisis in the past 500 million years. Many hypotheses have been proposed to explain the crisis, but few account for the spectrum of extinction selectivity and subsequent recovery. Here we show that selective losses are best accounted for by a combination of lethally warm, shallow waters and anoxic deep waters that acted to severely restrict the habitable area to a narrow mid-water refuge zone. The relative tolerance of groups to this double whammy provides the first clear explanation for the selective extinction losses during this double-pulsed crisis and also the fitful recovery. Thus, high temperature intolerant shallow-water dwellers, such as corals, large foraminifers and radiolarians were eliminated first whilst high temperature tolerant ostracods thrived except in anoxic deeper-waters. In contrast, hypoxia tolerant but temperature intolerant small foraminifers were driven from shallow-waters but thrived on dysoxic slopes margins. Only those mollusc groups, which are tolerant of both hypoxia and high temperatures, were able to thrive in the immediate aftermath of the extinction. Limited Early Triassic benthic recovery was restricted to mid-water depths and coincided with intervals of cooling and deepening of water column anoxia that expanded the habitable mid-water refuge zone. PMID:24549265

  2. Mental health crisis at home: service user perspectives on what helps and what hinders.

    PubMed

    Hopkins, C; Niemiec, S

    2007-05-01

    This paper presents data which emerged during the process of a participatory research study to identify the perspectives of previous users of a home treatment service. Feedback was sought in order to establish the criteria for the development of a service evaluation questionnaire. Seven themes emerged from the data which were then used as a framework for the evaluation questionnaire. These themes have also been used within this paper to present what our participants told us was important to them when they received a service at home at a time of mental health crisis. Although what is described here is the experience of one group of service users in the North of England, we hope that the views of these participants will create a resonance with providers of other home treatment services and expand the knowledge about which aspects of care at home during mental health crisis are viewed as helpful and those aspects which are not. PMID:17430455

  3. Efficacy and safety of mepyramine-theophylline-acetate in the treatment of asthmatic crisis in children.

    PubMed

    Sienra-Monge, J J; Rodríguez-Galvan, Y E; Del Rio-Navarro, B E; Berber, A

    1995-01-01

    Mepyramine-theophylline-acetate (MTA), a theophylline derivative combined with an antihistamine, is used to treat patients with asthma. A double-blind, randomized, prospective, parallel-group study was conducted to evaluate the efficacy and safety of MTA in the treatment of asthmatic crisis in children 2 to 6 years of age. Forty patients with mild-to-moderate asthma were admitted to the study. The MTA group received 8 mg/kg per day of MTA by mouth in three divided doses for 7 days. The other group received 50 microL/kg per day of placebo in three divided doses for 7 days. Salbutamol (albuterol) syrup was used as the rescue drug if manifestations of asthma persisted. Both the MTA group and the placebo group had similar demographic characteristics at baseline. Both groups showed improvement of the asthma symptoms (cough, dyspnea, hypoventilation, and wheezing), as evaluated by the investigators at days 3 and 7. Patient diary scores showed earlier improvements in the MTA group than in the placebo group. Both groups showed improvement in peak flow at days 3 and 7 (P = 0.005). The control group used more doses of salbutamol than the MTA group on days 2 through 6 and globally (mean +/- SD, 6.79 +/- 9.11 doses vs 1.29 +/- 2.23 doses). The improvements in the placebo group were thought to be due to salbutamol. Three MTA patients dropped out of the trial, one because the parents felt that the treatment was not effective and two because of gastrointestinal manifestations (epigastric discomfort and vomiting). In the placebo group, two patients dropped out. One patient had epigastric discomfort and the other had to be treated in the emergency department for an exacerbation of the asthma. We conclude that MTA may be a good therapeutic option for the treatment of asthmatic crisis in children 2 to 6 years of age. PMID:8565034

  4. Mapping a Crisis, One Text Message at a Time

    ERIC Educational Resources Information Center

    Bauduy, Jennifer

    2010-01-01

    An interactive mapping project is revolutionizing the way crises are reported and managed, and is spotlighting the value of citizen journalism. The project, called Ushahidi, which means testimony in Swahili, uses crowdsourcing (gathering information from a large number of people) to map crisis information. This crisis mapping tool has since been

  5. Utilization of medical care following the Three Mile Island crisis

    SciTech Connect

    Houts, P.S.; Hu, T.W.; Henderson, R.A.; Cleary, P.D.; Tokuhata, G.

    1984-02-01

    Four studies are reported on how utilization of primary health care was affected by the Three Mile Island (TMI) crisis and subsequent distress experienced by persons living in the vicinity of the plant. The studies concerned: 1) Blue Cross-Blue Shield records of claims by primary care physicians in the vicinity of TMI; 2) utilization rates in a family practice located near the facility; 3) interviews with persons living within five miles of TMI following the crisis; and 4) responses to a questionnaire by primary care physicians practicing within 25 miles of TMI. All four studies indicated only slight increases in utilization rates during the year following the crisis. One study found that persons who were upset during the crisis tended to be high practice utilizers both before and after the crisis. These results suggest that, while patterns of physician utilization prior to the TMI crisis predicted emotional response during the crisis, the impact of the TMI crisis on subsequent physician utilization was small.

  6. Scientific Argument in Organizational Crisis Communication: The Case of Exxon.

    ERIC Educational Resources Information Center

    Sellnow, Timothy L.

    1993-01-01

    Describes the context of the Valdez disaster in terms of an organizational crisis. Discusses the nature of scientific argument and the norms of scientific ethos as they represent an appropriate standard for measuring the ethics of profit-seeking organizations during times of crisis. (NH)

  7. Toward Successful School Crisis Intervention: 9 Key Issues

    ERIC Educational Resources Information Center

    Jaksec, Charles M., III

    2007-01-01

    Despite their best and frequently heroic efforts, school crisis intervention teams often find themselves unprepared for the many types of tragedies they face. This timely text prompts crisis intervention team members to reevaluate their beliefs and practices and consider a new approach to dealing with school crises. The author, a longtime school…

  8. Toward Successful School Crisis Intervention: 9 Key Issues

    ERIC Educational Resources Information Center

    Jaksec, Charles M., III

    2007-01-01

    Despite their best and frequently heroic efforts, school crisis intervention teams often find themselves unprepared for the many types of tragedies they face. This timely text prompts crisis intervention team members to reevaluate their beliefs and practices and consider a new approach to dealing with school crises. The author, a longtime school

  9. A Differential Use of Resources in Prevention and Crisis Intervention.

    ERIC Educational Resources Information Center

    Shoff, Susan Patigalia

    This article describes the staffing, operation and evolution of a crisis intervention network at a medium-sized university in the San Francisco Bay Area. The training and duties of resident assistants, hall directors, campus police, crisis intervention resource personnel, and hospital psychiatrist are described. Specific topics addressed include…

  10. Revisiting the Energy Crisis: How Far Have We Come?

    ERIC Educational Resources Information Center

    Feldman, David Lewis

    1995-01-01

    This article is a summary of discussions that took place at a symposium attended by scholars and policymakers on the legacy of the 1970s energy crisis. Examines enduring impacts and unresolved issues, the possibility of a future embargo-style crisis, and the future of energy policy. Discusses energy and environment in developing countries. (LZ)

  11. Defining Crisis in Families of Individuals with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Weiss, Jonathan A.; Wingsiong, Aranda; Lunsky, Yona

    2014-01-01

    Parents of children diagnosed with autism spectrum disorder often report higher levels of depression, anxiety, and mental health-related issues. The combination of stressors and family adjustment difficulties can cause distress which may develop into a crisis. Understanding crisis in the family is important to mental health practice since it can

  12. Squeezed from All Sides: The CSU Crisis and California's Future

    ERIC Educational Resources Information Center

    Civil Rights Project / Proyecto Derechos Civiles, 2011

    2011-01-01

    California long enjoyed rapid growth, abundant jobs, and expanding college opportunity--key elements of the California dream. Now the state is struggling to recover from its worst economic crisis in generations, a demographic slowdown, a devastating collapse of the wealth of the state' families from the housing crisis, and severe cutbacks in…

  13. Coping with Crisis: Teaching Students Managerial and Ethical Constraints.

    ERIC Educational Resources Information Center

    Barton, Laurence

    1990-01-01

    Describes a three-week section of a business communication course on the strategies of crisis communication. Provides background on the emergence of the field, a summary of several notable case studies for possible consideration, and suggestions on how crisis communication can be successfully integrated into the business communication curriculum.…

  14. A Proposed Solution to the Scholarly Communications Crisis

    ERIC Educational Resources Information Center

    Schatzle, Chad

    2005-01-01

    After reviewing the history and parameters of the scholarly communications crisis, particularly in regard to skyrocketing prices for journals in the natural sciences, the author reviews and rejects previously attempted solutions. He then employs the principles of game theory in proposing a new solution to the crisis.

  15. Effectiveness of Blog Response Strategies to Minimize Crisis Effects

    ERIC Educational Resources Information Center

    Tomsic, Louis P.

    2010-01-01

    This study examined the effects of four post-crisis responses on five different variables using a blog tool. The four post-crisis responses are information only, compensation, apology, and sympathy. The five dependent variables are reputation, anger (negative emotion), negative word-of-mouth, account acceptance and state of the publics based on

  16. Utilization of medical care following the Three Mile Island crisis.

    PubMed

    Houts, P S; Hu, T W; Henderson, R A; Cleary, P D; Tokuhata, G

    1984-02-01

    Four studies are reported on how utilization of primary health care was affected by the Three Mile Island (TMI) crisis and subsequent distress experienced by persons living in the vicinity of the plant. The studies concerned: 1) Blue Cross-Blue Shield records of claims by primary care physicians in the vicinity of TMI; 2) utilization rates in a family practice located near the facility; 3) interviews with persons living within five miles of TMI following the crisis; and 4) responses to a questionnaire by primary care physicians practicing within 25 miles of TMI. All four studies indicated only slight increases in utilization rates during the year following the crisis. One study found that persons who were upset during the crisis tended to be high practice utilizers both before and after the crisis. These results suggest that, while patterns of physician utilization prior to the TMI crisis predicted emotional response during the crisis, the impact of the TMI crisis on subsequent physician utilization was small. PMID:6691524

  17. Is There an Identity Crisis in Medical School Pharmacology?

    ERIC Educational Resources Information Center

    Csaky, T. Z.

    1976-01-01

    Rudolf Buchheim's thesis on why and how to teach pharmacology to medical students is reexamined in view of the so-called identity crisis. It is suggested that the crisis is not one of identity but one of acceptance of medical school pharmacology by clinical colleagues and professional educators. (LBH)

  18. Child and Family Policies in a Time of Economic Crisis

    ERIC Educational Resources Information Center

    Richardson, Dominic

    2010-01-01

    At the beginning of 2008, a number of the world's major economies began to experience the effects of the biggest economic financial crisis in history. By the end of that year, the financial crisis was a global recession, and governments responded with changes to a suite of social and economic policies. Two broad stages of government response are…

  19. The Philadelphia School District's Ongoing Financial Crisis

    ERIC Educational Resources Information Center

    Caskey, John; Kuperberg, Mark

    2014-01-01

    This article describes the budget crisis that the School District of Philadelphia has faced for the past few years. Three specific events triggered the 2012 crisis: an abrupt reduction in federal and state funding, the inability of the district to cut many of its costs, and political pressures on the district to spend available revenues in a given

  20. Mapping a Crisis, One Text Message at a Time

    ERIC Educational Resources Information Center

    Bauduy, Jennifer

    2010-01-01

    An interactive mapping project is revolutionizing the way crises are reported and managed, and is spotlighting the value of citizen journalism. The project, called Ushahidi, which means testimony in Swahili, uses crowdsourcing (gathering information from a large number of people) to map crisis information. This crisis mapping tool has since been…

  1. Avoiding School Management Conflicts and Crisis through Formal Communication

    ERIC Educational Resources Information Center

    Nwogbaga, David M. E.; Nwankwo, Oliver U.; Onwa, Doris O.

    2015-01-01

    This paper examined how conflicts and crisis can be avoided through formal communication. It was necessitated by the observation that most of the conflicts and crisis which tend to mar school management today are functions of the inconsistencies arising from "grapevines, rumours, and gossips" generated through informal communication…

  2. School Energy Crisis: Problems and Solutions. AASA Critical Issues Report.

    ERIC Educational Resources Information Center

    Neill, Shirley Boes

    This publication provides an overview of the energy crisis in schools. This overview has been written for school administrators who desire to understand their energy problems and to know what to do to conserve energy in their schools. Included are: (1) the impact of the energy crisis on the nation and the schools; (2) what state education agencies…

  3. Crisis Begets Change: Hurricane Recovery at Gulf Coast Institutions

    ERIC Educational Resources Information Center

    Shaw, Mahauganee Dawn

    2012-01-01

    Despite a growing body of literature on campus crisis management and the breadth of research on organizational change, little is known about organizational changes prompted by campus crisis. The purpose of this study is to examine the changes made to the operational profiles of Gulf Coast institutions during the process of recovering from major…

  4. Development and Reliability of the Comprehensive Crisis Plan Checklist

    ERIC Educational Resources Information Center

    Aspiranti, Kathleen B.; Pelchar, Taylor K.; McCLeary, Daniel F.; Bain, Sherry K.; Foster, Lisa N.

    2011-01-01

    It is of vital importance that children are educated in a safe environment. Every school needs to have a well-developed crisis management document containing plans for prevention, intervention, and postvention. We developed the Comprehensive Crisis Plan Checklist (CCPC) to serve as a valuable tool that can be used to assist practitioners with…

  5. Defining Crisis in Families of Individuals with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Weiss, Jonathan A.; Wingsiong, Aranda; Lunsky, Yona

    2014-01-01

    Parents of children diagnosed with autism spectrum disorder often report higher levels of depression, anxiety, and mental health-related issues. The combination of stressors and family adjustment difficulties can cause distress which may develop into a crisis. Understanding crisis in the family is important to mental health practice since it can…

  6. Effectiveness of Blog Response Strategies to Minimize Crisis Effects

    ERIC Educational Resources Information Center

    Tomsic, Louis P.

    2010-01-01

    This study examined the effects of four post-crisis responses on five different variables using a blog tool. The four post-crisis responses are information only, compensation, apology, and sympathy. The five dependent variables are reputation, anger (negative emotion), negative word-of-mouth, account acceptance and state of the publics based on…

  7. Presidential Perspectives of Crisis Preparedness at Christian Higher Education Institutions

    ERIC Educational Resources Information Center

    Burrell, Stacy M.; Heiselt, April K.

    2012-01-01

    Crises, whether human or natural, occur on all college campuses. Extensive research has been conducted on crisis preparedness at four-year, nondenominational institutions. This study examined crisis preparedness at Christian institutions of higher education. The study examined the perspectives of presidents of Christian institutions of higher…

  8. Strengthening Rural Schools: Training Paraprofessionals in Crisis Prevention and Intervention.

    ERIC Educational Resources Information Center

    Allen, Melissa; Ashbaker, Betty Y.; Stott, Kathryn A.

    The long-term effects of crisis and tragedy can be improved significantly by immediate intervention and emergency mental health services. Providing crisis intervention in rural schools poses challenges related to lack of financial resources, community resources, and trained personnel; isolation of rural schools; and long distances between school…

  9. School Crisis Teams within an Incident Command System

    ERIC Educational Resources Information Center

    Nickerson, Amanda B.; Brock, Stephen E.; Reeves, Melissa A.

    2006-01-01

    Despite the increasing attention given to the need for schools to be prepared to respond in a variety of crisis situations, there is a lack of information about how to coordinate with multiple agencies following a crisis. This article describes the U. S. Department of Homeland Security's (2004) National Incident Management System and its Incident…

  10. Digging Deeper: Crisis Management in the Coal Industry

    ERIC Educational Resources Information Center

    Miller, Barbara M.; Horsley, J. Suzanne

    2009-01-01

    This study explores crisis management/communication practices within the coal industry through the lens of high reliability organization (HRO) concepts and sensemaking theory. In-depth interviews with industry executives and an analysis of an emergency procedures manual were used to provide an exploratory examination of the status of crisis

  11. A Basis for Action in the Environmental Crisis

    ERIC Educational Resources Information Center

    Sehgal, Prem P.

    1970-01-01

    Considers factors in the environmental crisis, and the social resources available for its solution. Suggest public pressure is a necessary beginning action. The space program and the civil rights movement can serve as working models for solving the environmental crisis. (AL)

  12. Crisis Begets Change: Hurricane Recovery at Gulf Coast Institutions

    ERIC Educational Resources Information Center

    Shaw, Mahauganee Dawn

    2012-01-01

    Despite a growing body of literature on campus crisis management and the breadth of research on organizational change, little is known about organizational changes prompted by campus crisis. The purpose of this study is to examine the changes made to the operational profiles of Gulf Coast institutions during the process of recovering from major

  13. The Philadelphia School District's Ongoing Financial Crisis

    ERIC Educational Resources Information Center

    Caskey, John; Kuperberg, Mark

    2014-01-01

    This article describes the budget crisis that the School District of Philadelphia has faced for the past few years. Three specific events triggered the 2012 crisis: an abrupt reduction in federal and state funding, the inability of the district to cut many of its costs, and political pressures on the district to spend available revenues in a given…

  14. The Status of Crisis Management at NASPA Member Institutions

    ERIC Educational Resources Information Center

    Catullo, Linda A.; Walker, David A.; Floyd, Deborah L.

    2009-01-01

    This study assessed the level of crisis preparedness in higher education from the perspective of chief student affairs administrators at residential universities post-September 11, 2001 to pre-Virginia Tech shootings in April 2007. Crisis preparedness was determined by compiling and comparing data results derived from an instrument implemented in…

  15. Classroom Crisis Counseling in the Aftermath of School Violence.

    ERIC Educational Resources Information Center

    Paris, Norma Jean

    Numerous counseling needs are generated in the aftermath of school crises, particularly crises involving school violence. Meeting these needs can be assisted when school psychologists involve classroom teachers in the planning and implementation of crisis counseling. This paper provides information about a crisis counseling intervention model…

  16. Crisis intervention for people with severe mental illnesses

    PubMed Central

    Murphy, Suzanne; Irving, Claire B; Adams, Clive E; Driver, Ron

    2014-01-01

    Background A particularly difficult challenge for community treatment of people with serious mental illnesses is the delivery of an acceptable level of care during the acute phases of severe mental illness. Crisis intervention models of care were developed as a possible solution. Objectives To review the effects of crisis intervention models for anyone with serious mental illness experiencing an acute episode, compared with ‘standard care’. Search methods We updated the 1998, 2003 and 2006 searches with a search of the Cochrane Schizophrenia Group’s Register of trials (2010) which is based on regular searches of CINAHL, EMBASE, MEDLINE, and PsycINFO. Selection criteria We included all randomised controlled trials of crisis intervention models versus standard care for people with severe mental illnesses. Data collection and analysis We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assumed that people who left early from a trial had no improvement. Main results Three new studies have been found since the last review in 2006 to add to the five studies already included in this review. None of the previously included studies investigated crisis intervention alone; all used a form of home care for acutely ill people, which included elements of crisis intervention. However, one of the new studies focuses purely on crisis intervention as provided by Crisis Resolution Home Teams within the UK; the two other new studies investigated crisis houses i.e. residential alternatives to hospitalisation providing home-like environments. Crisis intervention appears to reduce repeat admissions to hospital after the initial ‘index’ crises investigated in the included studies, this was particularly so for mobile crisis teams supporting patients in their own homes. Crisis intervention reduces the number of people leaving the study early, reduces family burden, is a more satisfactory form of care for both patients and families and at three months after crisis, mental state is superior to standard care. We found no differences in death outcomes. Some studies found crisis interventions to be more cost effective than hospital care but all numerical data were either skewed or unusable. No data on staff satisfaction, carer input, complications with medication or number of relapses were available. Authors’ conclusions Care based on crisis intervention principles, with or without an ongoing home care package, appears to be a viable and acceptable way of treating people with serious mental illnesses. If this approach is to be widely implemented it would seem that more evaluative studies are still needed. PMID:22592673

  17. Group Counseling

    ERIC Educational Resources Information Center

    Mahler, Clarence A.

    1971-01-01

    This article reviews the major concerns of group counseling and differentiates among group guidance, group counseling, and group therapy. It also evaluates the research status of group counseling and presents implications for the future of this approach. Comment by Carl E. Thoresen follows. (Author)

  18. Might Astrobiological Findings Evoke a Religious Crisis?

    NASA Astrophysics Data System (ADS)

    Peters, T.; Froehlig, J. L.

    2009-12-01

    What might be the likely impact of confirmed discovery of extraterrestrial life—microbial or intelligent life—on terrestrial religion? Many have speculated that the anthropo-centrism and earth-centrism which allegedly have characterized our religious traditions would be confronted with a crisis. Would new knowledge that we are not alone in the universe lead to a collapse of traditional religious belief? This presentation will summarize the results of the Peters Religious Crisis Survey of 1325 respondents. This survey shows that the majority of adherents to Christianity, Islam, Judaism, and Buddhism demonstrate little or no anxiety regarding the prospect of contact with extraterrestrial life, even if they express some doubts regarding their respective religious tradition and the traditions of others. This presentation will also show that theological speculation regarding other worlds has sparked lively debate beginning as far back as the middle ages and continuing into our present era. Ted Peters is a research and teaching scholar with the Center for Theology and the Natural Sciences at the Graduate Theological Union in Berkeley, California. He is co-editor of the journal, Theology and Science, and author of the books, The Evolution of Terrestrial and Extraterrestrial Life (Pandora 2008) and Playing God? Genetic Determinism and Human Freedom (Routledge, rev. ed., 2003).

  19. Community Disasters, Psychological Trauma, and Crisis Intervention

    PubMed Central

    Boscarino, Joseph A.

    2015-01-01

    The current issue of International Journal of Emergency Mental Health and Human Resilience is focused on community disasters, the impact of trauma exposure, and crisis intervention. The articles incorporated include studies ranging from the World Trade Center disaster to Hurricane Sandy. These studies are related to public attitudes and beliefs about disease outbreaks, the impact of volunteerism following the World Trade Center attacks, alcohol misuse among police officers after Hurricane Katrina, posttraumatic stress disorder after Hurricane Sandy among those exposed to the Trade Center disaster, compassion fatigue and burnout among trauma workers, crisis interventions in Eastern Europe, and police officers' use of stress intervention services. While this scope is broad, it reflects the knowledge that has emerged since the Buffalo Creek and Chernobyl catastrophes, to the more recent Hurricane Katrina and Sandy disasters. Given the current threat environment, psychologists, social workers, and other providers need to be aware of these developments and be prepared to mitigate the impact of psychological trauma following community disasters, whether natural or man-made. PMID:25983663

  20. Drug shortages: a complex health care crisis.

    PubMed

    Fox, Erin R; Sweet, Burgunda V; Jensen, Valerie

    2014-03-01

    National tracking of drug shortages began in 2001. However, a significant increase in the number of shortages began in late 2009, with numbers reaching what many have termed crisis level. The typical drug in short supply is a generic product administered by injection. Common classes of drugs affected by shortages include anesthesia medications, antibiotics, pain medications, nutrition and electrolyte products, and chemotherapy agents. The economic and clinical effects of drug shortages are significant. The financial effect of drug shortages is estimated to be hundreds of millions of dollars annually for health systems across the United States. Clinically, patients have been harmed by the lack of drugs or inferior alternatives, resulting in more than 15 documented deaths. Drug shortages occur for a variety of reasons. Generic injectable drugs are particularly susceptible to drug shortages because there are few manufacturers of these products and all manufacturers are running at full capacity. In addition, some manufacturers have had production problems, resulting in poor quality product. Although many suppliers are working to upgrade facilities and add additional manufacturing lines, these activities take time. A number of stakeholder organizations have been involved in meetings to further determine the causes and effects of drug shortages. A new law was enacted in July 2012 that granted the Food and Drug Administration additional tools to address the drug shortage crisis. The future of drug shortages is unknown, but there are hopeful indications that quality improvements and additional capacity may decrease the number of drug shortages in the years to come. PMID:24582195

  1. Predictors of outcome of myasthenic crisis.

    PubMed

    Kalita, J; Kohat, A K; Misra, U K

    2014-07-01

    There is paucity of study on predictors of myasthenic crisis (MC), prolonged ventilation and their outcome, a reason why this study was undertaken. Sixty-four patients with myasthenia gravis (MG) were included whose median age was 45 (6-84) years. Their clinical treatment, presence of thymoma, anti-acetylcholine receptor antibody (AchRAb), thymectomy, comorbidities, offending drugs and occurrence of MC were noted. Patients needing prolonged ventilation (>15 days) were noted. Hospital mortality, MG quality of life (QOL) at discharge and thereafter annual hospital visit, admission, expenditure and work day loss were enquired. Fourteen (21.9 %) patients had MC within 1-120 (median 8.5) months of disease onset within a median follow-up of 48 (3-264) months. The precipitating factors were infection in six, surgery in five, tapering of drugs in two and reaction to iodinated contrast in one patient. Male gender, bulbar weakness, AchRAb, thymoma, surgery and comorbid illnesses were related to MC. Eight of them (57.1 %) needed prolonged ventilation. Half the patients with MC had recurrent crisis (2-4 attacks). Death was not related to MC although MC patients had worse QOL, higher annual treatment expenditure with frequent hospital visit and hospitalization. In conclusion, association of comorbid illness with MC and prolonged ventilation highlights the need of close follow-up and appropriate management. PMID:24497206

  2. Philippine migration policy: dilemmas of a crisis.

    PubMed

    Battistella, G

    1999-04-01

    Philippine migration policy is traced from the early 1970s to the present. The main migration trends in the 1990s are described. An assessment is made of the efficacy and appropriateness of present migration policy in light of the economic crisis. A regional approach to migration policy is necessary in order to encourage placing migration as a greater priority on national agendas and in bilateral agreements. In the Philippines, migrants are considered better paid workers, which diminishes their importance as a legislative or program priority. Santo Tomas (1998) conducted an empirical assessment of migration policies in the Philippines, but refinement is needed. Although migration is a transnational experience, there is little dialogue and cooperation among countries. Philippine migration policy defines its role as an information resource for migrants. Policy shifted from labor export to migrant management in the public and private sectors. Predeparture information program studies are recommending a multi-stage process that would involve all appropriate parties. There is talk of including migration information in the education curriculum. There are a variety of agendas, competing interests, and information resources between migration networks and officiating agencies. The Asian financial crisis may have a mild impact, but there are still issues of reintegration, protection, and employment conditions PMID:12295147

  3. Crisis relocation and nuclear deterrence. Student essay

    SciTech Connect

    Kiser, J.L.

    1986-04-07

    The difficulty of providing adequate protection to the civilian population with some kind of civil defense program is magnified by the technology available in the nuclear age. The United States expanded its civil defense program in the 1950's to include a measure of protection in the event of the explosion of nuclear devices. However, the history of the United States civil defense program has been generally characterized by inadequate funding and little interest at all levels of government. Most recently, the civil defense program has been associated and considered a component of nuclear deterrence. Under the direction of the Federal Emergency Management Agency, the government will rely on crisis relocation as the primary means of protecting the population in the event of a nuclear attack or detonation. This plan envisions that evacuation of the population from high-risk areas to safer host areas. Does crisis relocation provide the country with a credible component to our nuclear deterrence. Do the leaders and citizens have confidence in the nation's ability to protect the civilian population. Have the leaders been completely forthright in preparing the population for the possibility of a nuclear war. These and related issues are discussed in this essay.

  4. Bhler and Popper: Kantian therapies for the crisis in psychology.

    PubMed

    Sturm, Thomas

    2012-06-01

    I analyze the historical background and philosophical considerations of Karl Bhler and his student Karl Popper regarding the crisis of psychology. They share certain Kantian questions and methods for reflection on the state of the art in psychology. Part 1 outlines Bhler's diagnosis and therapy for the crisis in psychology as he perceived it, leading to his famous theory of language. I also show how the Kantian features of Bhler's approach help to deal with objections to his crisis diagnosis and to aspects of his linguistic theory. Part 2 turns to Popper's dissertation, completed in 1928 under Bhler. I analyze Popper's disapproval of Schlick's physicalism in psychology, as well as Popper's attempt to extend Bhler's Kantian strategy to the domain of the psychology of thinking. In conclusion, I indicate how these approaches to the crisis in psychology differ from Thomas Kuhn's notions of crisis and revolution, which are still all too popular in current philosophical discussions of psychology. PMID:22520195

  5. Energy Crisis. Teaching Resources. A Special Publication Suggesting School Activities Which Stress Individual Responsibility Towards Energy Crisis Problems.

    ERIC Educational Resources Information Center

    Curry, Wendell; And Others

    This handbook provides public school teachers and administrators of Oregon with teaching ideas and information about the energy crisis. Suggested activities are intended to inform students (kindergarten through community college) about their responsibility toward the energy crisis and to motivate energy conservation. The handbook is divided into…

  6. Violence, Kids, Crisis. What You Can Do. Speaking Out When Crisis Strikes. Dealing with the Public and the Media.

    ERIC Educational Resources Information Center

    Our Children, 1999

    1999-01-01

    Explains how local PTAs can help with school crisis intervention, focusing on dealing with the public and the media; spreading the word about the National PTA's programs and positions via public relations programs; what to do during a crisis; and how to prepare for press conferences and prepare necessary materials. Finally, the paper discusses the…

  7. ["Crisis"--oscillating between keyword and buzzword. On the discourse about a "crisis of medicine" in the Weimar Republic].

    PubMed

    Geiger, Karin

    2010-01-01

    The buzzword "crisis" has not only become omnipresent since the recent financial crisis. The term that originated in Ancient Greece underwent several different usages--quantitatively as well as qualitatively; especially in the Weimar Republic, the time period that has long been considered as the crisis era par excellence. Using the discourse about the "crisis of medicine" in the 1920s and the early 1930s as an example, the article attempts to provide a critical reflection on the concept of "crisis". The focus of this article is on the idea's construction, the different semantic usages of "crisis" and the motives of the different authors for their respective rhetorical applications of this term. The analysis of the examined publications on the "crisis of medicine", how they influenced other periods and the reconstruction of their origin show that the semantics of the word "crisis" went far beyond a simply negative connotation, and with regard to its rhetorical usage have oscillated between keyword and a meaningless but catchy buzzword. PMID:21328922

  8. Effects of the Global Financial Crisis on Health in High-Income Oecd Countries: A Narrative Review.

    PubMed

    Karanikolos, Marina; Heino, Pia; McKee, Martin; Stuckler, David; Legido-Quigley, Helena

    2016-01-01

    A growing body of evidence documents how economic crises impact aspects of health across countries and over time. We performed a systematic narrative review of the health effects of the latest economic crisis based on studies of high-income countries. Papers published between January 2009 and July 2015 were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. Ultimately, 122 studies were selected and their findings summarized. The review finds that the 2008 financial crisis had negative effects on mental health, including suicide, and to a varying extent on some non-communicable and communicable diseases and access to care. Although unhealthy behaviors such as hazardous drinking and tobacco use appeared to decline during the crisis, there have been increases in some groups, typically those already at greatest risk. The health impact was greatest in countries that suffered the largest economic impact of the crisis or prolonged austerity. The Great Recessions in high-income countries have had mixed impacts on health. They tend to be worse when economic impacts are more severe, prolonged austerity measures are implemented, and there are pre-existing problems of substance use among vulnerable groups. PMID:27076651

  9. The differential impact of the financial crisis on Health in Ireland and Greece: A quasi-experimental approach

    PubMed Central

    Hessel, P; Vandoros, S; Avendano, M

    2015-01-01

    Objectives Greece and Ireland suffered an economic recession of similar magnitude, but whether their health has deteriorated as a result has not yet been well established. Study design Based on five waves (2006-2010) of the European Union Statistics of Income and Living Conditions (EU-SILC) survey we implemented a difference-in-differences (DID) approach that compared trends in self-rated health in Greece and Ireland before and after the crisis with trends in a control population (Poland) that did not experience a recession and had health trends comparable to both countries before the crisis. Methods Logistic regression using a difference-in-differences (DID) approach. Results A simple examination of trends suggests that there was no significant change in health in Greece or Ireland following the onset of the financial crisis. However, DID estimates that incorporated a control population suggest an increase in the prevalence of poor-self rated health in Greece (OR=1.216; CI=1.11 - 1.32). Effects were most pronounced for older individuals and those living in high-density areas, but effects in Greece were overwhelmingly consistent in different population sub-groups. In contrast, DID estimates revealed no effect of the financial crisis in Ireland (OR=0.97; CI=0.81-1.16). Conclusions Contradicting results from a simple comparison of single-country trends, DID estimates suggest that the financial crisis has led to deterioration of population health trends in Greece but not in Ireland, where policies may have prevented a worsening of health as a result of the recent economic crisis. PMID:25369355

  10. Piloting a new model of crisis counseling: specialized crisis counseling services in Mississippi after Hurricane Katrina.

    PubMed

    Jones, Kris; Allen, Mardi; Norris, Fran H; Miller, Christy

    2009-05-01

    During January-April 2007, Project Recovery, a federally funded crisis counseling program implemented by Mississippi's Department of Mental Health, piloted a new model of Specialized Crisis Counseling Services (SCCS) on the Mississippi Gulf Coast. In this team-based approach, a masters-level counselor trained in a variety of intervention techniques and a resource coordinator worked together with persons whose needs were relatively intense. Compared to regular program (RCCS) participants over the same interval (n = 29,522), SCCS participants (n = 281) were more likely to be female, middle-aged, and at greater risk for severe distress. In a participant survey conducted in both programs over the same week, SCCS participants reported significantly greater benefit than did RCCS participants. A subset of 129 SCCS participants provided pre- and post-participation assessments and showed large improvements in disaster-related distress. PMID:19365724

  11. The family, crisis and chronic illness: an evolutionary model.

    PubMed

    Shaw, M C; Halliday, P H

    1992-05-01

    While chronic illness has a profound impact upon the individual, an immense burden is imposed upon the family. When the competing demands of an illness and the family escalate exponentially, there may be a crisis. Traditionally, crisis theory has been applied to acute care contexts such as emergency, intensive care and mental health nursing. Yet, clinical experience with families and chronic illness supports the notion of periodic crises from the prediagnostic phase to the long-haul of the illness. Moreover, the authors hypothesize that the family's perception of the event determines whether the crisis is perceived as a threat or a challenge. This paper thus addresses the perception of crisis within the framework of chronic illness from a biological and family systems nursing perspective. First, the theory of Humberto Maturana, a Chilean biologist, is explored and applied to clinical observations regarding family, crisis and chronic illness. Second, an evolutionary model for conceptualizing crisis and chronic illness is presented. Third, the role of beliefs in the family perceptions of crisis and chronic illness is discussed. PMID:1602067

  12. LENR/"Cold Fusion" and Modern Physics: A Crisis Within a Crisis

    NASA Astrophysics Data System (ADS)

    Mallove, Eugene F. E.

    2004-03-01

    The primary theorists in the field of Cold Fusion/LENR have generally assumed that the excess heat phenomena is commensurate with nuclear ash (such as helium), whether already identified or presumed to be present but not yet found, and moreover that it can be explained by hydrided metal lattice structures acting coherently. Though this was an excellent initial hypothesis, the commensurate nuclear ash hypothesis has not been proved, and appears to be approximately correct in only a few experiments. At the same time, compelling evidence has also emerged for other microphysical sources of energy that were unexpected by accepted physics. The exemplars have been the work Dr. Randell Mills and his colleagues at BlackLight Power Corporation and Dr. Paulo and Alexandra Correa in Canada.This has led to a crisis within a crisis: Neither "cold fusion" nor "Modern Physics" will be able to explain the full range of experimental data now available---not even the data within "mainstream" cold fusion/LENR per se--- by insisting that the fundamental paradigms of Modern Physics are without significant flaw. The present crisis is of magnitude comparable to the Copernican Revolution. Neither Modern Physics nor Cold Fusion/LENR will survive in their present forms when this long delayed revolution has run its course.

  13. Rate shock crisis faces completed nukes

    SciTech Connect

    Utroska, D.

    1982-05-01

    Political reluctance on the part of regulators to grant utilities a full rate base for large generating plants is a new crisis facing utilities with newly completed nuclear plants. Zero- or partial-rate treatment for large new plants will increase the financial strains of electric companies if they cannot recover their investment. Such rate decisions will affect the commitment to uncompleted and planned nuclear plants as the economic advantage is removed. Economists warn that consumer resistance to large rate increases to cover construction periods could lead to an overhaul of regulatory practices. Alternatives to sudden rate shocks could be moderated with phased-in increases or rate trending. Analysts disagree on whether consumer opposition is the beginning of a national movement or a regional response, but if other states follow Alabama's example of turning rate decisions over to the courts, it may confirm their assessment that the trending approach is unworkable. (DCK)

  14. Occupy the Financial Niche: Saturation and Crisis

    NASA Astrophysics Data System (ADS)

    Purica, Ionut

    The model presented is one theoretical approach within a broader research program that could verify the nonlinear conjectures made, such that to quantify and predict potential discontinuous behaviour. In this case, the crisis behaviour associated with financial funds reallocation among various credit instruments, described as memes with the sense of Dawkins, is shown to be of discontinuous nature stemming from a logistic penetration in the behaviour niche. Actually the logistic penetration is typical in creating cyclic behaviour of economic structures as shown by Marchetti and others from IIASA. A Fokker-Planck equation description results in a stationary solution having a bifurcation like solution with evolution trajectories on a `cusp' type catastrophe that may describe discontinuous decision behaviour.

  15. Understanding communication in counterterrorism crisis management.

    SciTech Connect

    Djordjevich, Donna D.; Barr, Pamela K.; Arnold, Jason Darrel; Johnson, Michael M.; Sa, Timothy J.; Hawley, Marilyn F.; Davis, Midge L.; Wright, Aliseya; Bernard, Michael Lewis; Wilcox, William B.; Tam, Ricky; Ammerlahn, Heidi R.

    2004-10-01

    This report describes the purpose and results of the two-year, Sandia-sponsored Laboratory Directed Research and Development (LDRD) project entitled Understanding Communication in Counterterrorism Crisis Management The purpose of this project was to facilitate the capture of key communications among team members in simulated training exercises, and to learn how to improve communication in that domain. The first section of this document details the scenario development aspects of the simulation. The second section covers the new communication technologies that were developed and incorporated into the Weapons of Mass Destruction Decision Analysis Center (WMD-DAC) suite of decision support tools. The third section provides an overview of the features of the simulation and highlights its communication aspects. The fourth section describes the Team Communication Study processes and methodologies. The fifth section discusses future directions and areas in which to apply the new technologies and study results obtained as a result of this LDRD.

  16. Scenario Crisis Cases in Distance Learning Sessions

    NASA Astrophysics Data System (ADS)

    Antunes, A.

    2013-04-01

    We discuss early results using student-lead role-play of crises and disaster scenarios to encourage engagement in distance learning sessions. The disadvantage of distance learning via web interface—the lack of face-to-face and the ease with which a student can remain quiet—is balanced by the wealth of Internet-accessible media reports of past mission disasters. Capitol College minimizes the lecture component to simply frame each session's open-ended crisis in our Mission Operations engineering course. The students are presented with a historical ‘disaster’ but not its resolution; they present their course of action, then the lecturer steps in to debrief. With a wealth of past cases available on the web, use of scenarios rather than lectures shows early signs of being viable model for encouraging discussion and interaction within distance learning for a variety of course topics.

  17. Addressing the Primary Care Workforce Crisis

    PubMed Central

    Song, Zirui; Chopra, Vineet; McMahon, Laurence F.

    2015-01-01

    Our nation’s primary care system is in crisis. As medical homes and accountable care organizations increasingly rely on a strong primary care workforce, the shortage of primary care physicians now calls for more policy attention and urgency. In the spirit of the 2014 Institute of Medicine recommendations on graduate medical education (GME) funding, we propose that CMS explicitly reward teaching hospitals if a certain share of their graduates (we propose 30%) remain in primary care 3 years after residency, either through additional payments or release of a withhold. Such a policy could allow hospitals to retain GME funding at a time when continued federal subsidization of GME is being called into question. Moreover, hospitals stand to benefit from producing primary care physicians, both under traditional fee-for-service contracts that reward volume through referrals and, especially, under risk contracts that reward for greater numbers of covered lives. PMID:26618225

  18. The education crisis: A utility challenge

    SciTech Connect

    Croom, J.H.

    1990-04-12

    Fuzzy altruism is not enough to solve the problems of a nation facing a crisis in education. This top executive of a major natural gas company issues a personal challenge to his utility industry colleagues to get involved in the three Cs - and quick. The current critical state of the country's education system should not be news to any utility executive. The shocking statistics on the declining ability of students to read, write, or do simple math and on the level of dropouts bombard us almost daily. The president has challenged Congress and the nation's governors with a six-point program to restore the country's education vigor by the year 2000. At its recent meeting, the National Governors' Association accepted the challenge and adopted a program calling for sweeping, fundamental changes in our education system. In each state all citizens - notably businessmen - can expect a call for support as strategies for basic education reform are developed and implemented.

  19. Stock network stability in times of crisis

    NASA Astrophysics Data System (ADS)

    Heiberger, Raphael H.

    2014-01-01

    Despite many efforts crises on financial markets are in large part still scientific black-boxes. In this paper, we use a winner-take-all approach to construct a longitudinal network of S&P 500 companies and their correlations between 2000 and 2012. A comparison to complex ecosystems is drawn, especially whether the May-Wigner theorem can describe real-world economic phenomena. The results confirm the utility of the May-Wigner theorem as a stability indicator for the US stock market, since its development matches with the two major crises of this period, the dot-com bubble and, particularly, the financial crisis. In those times of financial turmoil, the stock network changes its composition, but unlike ecological systems it tightens and the disassortative structure of prosperous markets transforms into a more centralized topology.

  20. Armageddon, oil, and the Middle East crisis

    SciTech Connect

    Walvoord, J.F.; Walvoord, J.E.

    1980-01-01

    This book relates the intricate subject of biblical prophecy to the current crisis in the Middle East. With the development of oil politics, Dr. Walvoord believes a new world government will emerge, centered in the Middle East, which will eclipse the United States and Russia as world powers. The world government will be subjected to catastrophic, divine judgments which precipitate a gigantic world war culminating in Armageddon. Each chapter is devoted to the scriptural explanations of events leading to the second coming of Christ. The result is a prophetic calendar summing up to the countdown to Armageddon. Some of the chapter titles include: the Arab oil blackmail; watch Jerusalen; the rising tide of world religion; the coming Middle East peace; the coming world dictator; and Armageddon: the world's death struggle.

  1. Fertility Regulation in an Economic Crisis

    PubMed Central

    McKelvey, Christopher; Thomas, Duncan; Frankenberg, Elizabeth

    2015-01-01

    Substantial international aid is spent reducing the cost of contraception in developing countries, as part of a larger effort to reduce global fertility and increase investment per child worldwide. The importance for fertility behaviors of keeping contraceptive prices low, however, remains unclear. Targeting of subsidies and insufficient price variation have hindered prior attempts to estimate the effect of monetary and non-monetary contraceptive costs on fertility behavior. Using longitudinal survey data from the Indonesia Family Life Survey, we exploit dramatic variation in prices and incomes that was induced by the economic crisis in the late 1990s to pin down the effect of contraceptive availability and costs as well as household resources on contraceptive use and method choice. The results are unambiguous: monetary costs of contraceptives and levels of family economic resources have a very small (and well-determined) impact on contraceptive use and choice of method. PMID:25843969

  2. India's multidrug-resistant tuberculosis crisis.

    PubMed

    Udwadia, Z F

    2001-12-01

    India has the highest number of tuberculosis cases of any country in the world, and many of these cases are MDR TB. A combination of contributing factors has led to the current public health crisis: a failing National Tuberculosis Programme, denial and lack of compliance on the part of patients, lack of regulation of doctors in private practice, governmental policy failure and corruption, social and economic problems, and a growing HIV epidemic. This situation must be combatted on several fronts, including promoting social change; increasing government funding; seeking global aid; implementing DOTS, non-DOTS, and NGO programs; integrating TB and HIV programs; funding research; enacting regulatory legislation; and establishing continuing medical education programs among private practitioners. PMID:11795427

  3. Human resources for health: overcoming the crisis.

    PubMed

    Chen, Lincoln; Evans, Timothy; Anand, Sudhir; Boufford, Jo Ivey; Brown, Hilary; Chowdhury, Mushtaque; Cueto, Marcos; Dare, Lola; Dussault, Gilles; Elzinga, Gijs; Fee, Elizabeth; Habte, Demissie; Hanvoravongchai, Piya; Jacobs, Marian; Kurowski, Christoph; Michael, Sarah; Pablos-Mendez, Ariel; Sewankambo, Nelson; Solimano, Giorgio; Stilwell, Barbara; de Waal, Alex; Wibulpolprasert, Suwit

    In this analysis of the global workforce, the Joint Learning Initiative-a consortium of more than 100 health leaders-proposes that mobilisation and strengthening of human resources for health, neglected yet critical, is central to combating health crises in some of the world's poorest countries and for building sustainable health systems in all countries. Nearly all countries are challenged by worker shortage, skill mix imbalance, maldistribution, negative work environment, and weak knowledge base. Especially in the poorest countries, the workforce is under assault by HIV/AIDS, out-migration, and inadequate investment. Effective country strategies should be backed by international reinforcement. Ultimately, the crisis in human resources is a shared problem requiring shared responsibility for cooperative action. Alliances for action are recommended to strengthen the performance of all existing actors while expanding space and energy for fresh actors. PMID:15567015

  4. Kesterson crisis: Sorting out the facts

    SciTech Connect

    Benson, S.M. ); Delamore, M.; Hoffman, S. . Mid-Pacific Region)

    1990-07-01

    The Kesterson Reservoir was planned as a regulating facility to control drainage water discharges into the San Joaquin-Scaramento River Delta from the San Luis Drain'' which was to dispose of salt-ladin agricultural water. Anticipated environmental impacts of the Kesterson operations focused almost exclusively on problems related to seepage and water-logging of nearby lands. Reuse of drainage water for wetlands focused on excessive salinity. Drainage water entered the reservoir in 1978. By 1983 elevated levels of selenium were found with selenium poisoning causing deformed embryos of water birds, adult bird mortality and their poor reproductive success. An estimated 9000 kg of selenium was delivered to Kesterson between 1981 to 1986. This paper details the chronology of the Kesterson crisis and environmental remediation. 20 refs., 1 fig. (BJN)

  5. Update on the antibiotic resistance crisis.

    PubMed

    Rossolini, Gian Maria; Arena, Fabio; Pecile, Patrizia; Pollini, Simona

    2014-10-01

    Antibiotics tend to lose their efficacy over time due to the emergence and dissemination of resistance among bacterial pathogens. Strains with resistance to multiple antibiotic classes have emerged among major Gram-positive and Gram-negative species including Staphylococcus aureus, Enterococcus spp., Pseudomonas aeruginosa, Acinetobacter spp. Enterobacteriaceae, and Neisseria gonorrhoeae. With some Gram-negatives, resistance may involve most or even all the available antimicrobial options, resulting in extremely drug-resistant or totally drug-resistant phenotypes. This so-called 'antibiotic resistance crisis' has been compounded by the lagging in antibiotic discovery and development programs occurred in recent years, and is jeopardizing the essential role played by antibiotics in current medical practices. PMID:25254623

  6. Trauma triggering thyrotoxic crisis with lactic acidosis

    PubMed Central

    Prosser, Jennifer S.; Quan, Dan K.

    2015-01-01

    Thyrotoxic crisis (TC) is defined as a life-threatening exacerbation of the hyperthyroid state that causes multiple autonomic and metabolic disturbances. It is considered to be an endocrine emergency that must be urgently diagnosed and treated. We describe a case of TC precipitated by trauma with a resultant lactic acidosis. The patient is a 24-year-old male with a history of hyperthyroidism who presented to the emergency department following a motor vehicle accident. The patient was initially tachycardic and hypertensive, however, was afebrile. Initial laboratory analysis showed an anion gap of 26, lactic acid 7.6, free T4 5.61 and thyroid stimulating hormone < 0.015. A diagnosis of TC was made, and he was treated with intravenous fluids, propranolol, and methimazole with improvement of tachycardia and lactic acidosis. We discuss the features of this case, which reviews the presentations of TC as well as its metabolic sequelae. PMID:26604530

  7. Ukraine: Europe`s next crisis?

    SciTech Connect

    Larrabee, F.S.

    1994-07-01

    The emergence of an independent Ukraine was one of the most important geopolitical results of the collapse of the former Soviet Union. It dramatically changed the geostrategic map of Europe, creating a critical strategic buffer between Russia and Europe, especially Eastern Europe. But two years after independence, Ukraine is in the midst of a severe political and economic crisis, and engaged in a series of elections that could have major and immediate consequences not only for Ukraine`s political future and security orientation, but for Western policy. Parliamentary elections were held in March, but runoff elections are needed for about one-quarter of the seats, and presidential elections will be held June 26.

  8. Therapeutic engagement between consumers in suicidal crisis and mental health nurses.

    PubMed

    Lees, David; Procter, Nicholas; Fassett, Denise

    2014-08-01

    Registered nurses within public mental health services play crucial roles in helping people recover from suicidal crisis. However, there is a lack of understanding of how care is experienced in this context, and available evidence suggests that nurses and consumers are often dissatisfied with the quality of care. There is thus an imperative to generate understanding of needs and experiences of both groups with a view to informing practice development. This article summarizes qualitative findings from a multimethod study undertaken in Australia, which surveyed and interviewed mental health nurses who had recent experience of caring for consumers in suicidal crisis in a hospital setting, and interviewed consumers who had recovered from a recent suicidal crisis. A framework was developed to guide the study and support ethical imperatives; in particular, the promotion of consumer well-being. The findings highlight that therapeutic interpersonal engagement between nurses and consumers was central to quality care. This was particularly noted, as engagement could help reduce consumer isolation, loss of control, distress, and objectification of the delivery of potentially-objectifying common interventions. Of concern, the results indicate a lack of therapeutic engagement from the perspective of both consumers and nurses. Recommendations to promote fuller therapeutic engagement are presented. PMID:24575883

  9. Impact of the 2008 Economic and Financial Crisis on Child Health: A Systematic Review

    PubMed Central

    Rajmil, Luis; Fernandez de Sanmamed, María-José; Choonara, Imti; Faresjö, Tomas; Hjern, Anders; Kozyrskyj, Anita L.; Lucas, Patricia J.; Raat, Hein; Séguin, Louise; Spencer, Nick; Taylor-Robinson, David

    2014-01-01

    The aim of this study was to provide an overview of studies in which the impact of the 2008 economic crisis on child health was reported. Structured searches of PubMed, and ISI Web of Knowledge, were conducted. Quantitative and qualitative studies reporting health outcomes on children, published since 2007 and related to the 2008 economic crisis were included. Two reviewers independently assessed studies for inclusion. Data were synthesised as a narrative review. Five hundred and six titles and abstracts were reviewed, from which 22 studies were included. The risk of bias for quantitative studies was mixed while qualitative studies showed low risk of bias. An excess of 28,000–50,000 infant deaths in 2009 was estimated in sub-Saharan African countries, and increased infant mortality in Greece was reported. Increased price of foods was related to worsening nutrition habits in disadvantaged families worldwide. An increase in violence against children was reported in the U.S., and inequalities in health-related quality of life appeared in some countries. Most studies suggest that the economic crisis has harmed children’s health, and disproportionately affected the most vulnerable groups. There is an urgent need for further studies to monitor the child health effects of the global recession and to inform appropriate public policy responses. PMID:25019121

  10. [Trends in environmental risks in the context of the economic crisis. SESPAS report 2014].

    PubMed

    Ballester, Ferran; Llop, Sabrina; Querol, Xavier; Esplugues, Ana

    2014-06-01

    This article aims to analyze the impact of the economic and financial crisis on environmental determinants of health. The World Health Organization estimates that between 13% and 27% of the disease burden in countries could be prevented by improving the environment. These effects are larger in vulnerable populations, especially among the poorest. In the last decade, outdoor air pollution (the most significant environmental health risk in most European countries) has declined, mostly due to the European policy of reducing emissions and to the decrease in activity following the economic crisis. During the last few years, this improvement in air quality has occurred simultaneously with a reduction in investment in environmental protection and could therefore be offset in the medium-term. The economic crisis has not reduced the trend for higher temperatures in Spain and Europe because climate change is a global phenomenon that is not directly related to local emissions. To reduce the risk of an increase in the health impact of environmental factors, certain key aspects should be considered, such as the need to maintain or develop adequate monitoring and control systems and the opportunity to implement policies that help improve the quality of the environment and reduce the vulnerability of different population groups in a cross-disciplinary framework of transparency and citizen participation. PMID:24863994

  11. Impact of the 2008 economic and financial crisis on child health: a systematic review.

    PubMed

    Rajmil, Luis; Fernandez de Sanmamed, María-José; Choonara, Imti; Faresjö, Tomas; Hjern, Anders; Kozyrskyj, Anita L; Lucas, Patricia J; Raat, Hein; Séguin, Louise; Spencer, Nick; Taylor-Robinson, David

    2014-06-01

    The aim of this study was to provide an overview of studies in which the impact of the 2008 economic crisis on child health was reported. Structured searches of PubMed, and ISI Web of Knowledge, were conducted. Quantitative and qualitative studies reporting health outcomes on children, published since 2007 and related to the 2008 economic crisis were included. Two reviewers independently assessed studies for inclusion. Data were synthesised as a narrative review. Five hundred and six titles and abstracts were reviewed, from which 22 studies were included. The risk of bias for quantitative studies was mixed while qualitative studies showed low risk of bias. An excess of 28,000-50,000 infant deaths in 2009 was estimated in sub-Saharan African countries, and increased infant mortality in Greece was reported. Increased price of foods was related to worsening nutrition habits in disadvantaged families worldwide. An increase in violence against children was reported in the U.S., and inequalities in health-related quality of life appeared in some countries. Most studies suggest that the economic crisis has harmed children's health, and disproportionately affected the most vulnerable groups. There is an urgent need for further studies to monitor the child health effects of the global recession and to inform appropriate public policy responses. PMID:25019121

  12. Soviet oil industry woes may extend crisis

    SciTech Connect

    Not Available

    1991-06-03

    Overall, the Soviet Union apparently has more BTU of principal fuels - oil, gas, and coal - than any other nation in the world. The West has expressed willingness, even eagerness, to help the U.S.S.R. develop its abundant energy resources. However, Moscow has demonstrated that it can be a difficult partner. What could change the entire scenario of Soviet/western cooperation in achieving a Russian petroleum industry rebound is the possibility that the U.S.S.R. will slip from deep crisis into complete political, economic, and ethnic chaos. This could lead to a breakup of the union, would likely stifle perestroika's reforms, might cause rejection of Western assistance (or increased reluctance by the West to provide it). The Soviet Union's petroleum industry has been battered during the past 3 years by the most severe and broad based setbacks ever suffered by a nation not involved in a major war or crippled by deliberate government decisions to limit oil flow. If early 1991 results are a reliable indicator, the U.S.S.R.'s recovery from its present oil crisis will take considerable time. But there is general agreement among western geologists and economists that the Soviet Union can, by adopting a rational energy policy and attracting substantial Western financial and technological assistance, halt the drop in crude/condensate production by the mid-1990s. Some observers believe that the most frequently cited estimates of current U.S.S.R. explored (proved plus probable) oil reserves are low and that the nation's ultimate crude/condensate reserves are enormous.

  13. 40 CFR 166.53 - EPA review of crisis exemption and revocation of authority.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false EPA review of crisis exemption and... CONDITIONS Crisis Exemptions § 166.53 EPA review of crisis exemption and revocation of authority. (a) Review. When a crisis exemption is about to be or has already been declared by a State or Federal agency,...

  14. 40 CFR 166.53 - EPA review of crisis exemption and revocation of authority.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false EPA review of crisis exemption and... CONDITIONS Crisis Exemptions § 166.53 EPA review of crisis exemption and revocation of authority. (a) Review. When a crisis exemption is about to be or has already been declared by a State or Federal agency,...

  15. 40 CFR 166.50 - Reporting and recordkeeping requirements for crisis exemption.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... requirements for crisis exemption. 166.50 Section 166.50 Protection of Environment ENVIRONMENTAL PROTECTION... EMERGENCY CONDITIONS Crisis Exemptions § 166.50 Reporting and recordkeeping requirements for crisis... a crisis exemption must be immediately reported to the Agency. (b) Final reports. (1) A...

  16. 40 CFR 166.50 - Reporting and recordkeeping requirements for crisis exemption.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... requirements for crisis exemption. 166.50 Section 166.50 Protection of Environment ENVIRONMENTAL PROTECTION... EMERGENCY CONDITIONS Crisis Exemptions § 166.50 Reporting and recordkeeping requirements for crisis... a crisis exemption must be immediately reported to the Agency. (b) Final reports. (1) A...

  17. Group X

    SciTech Connect

    Fields, Susannah

    2007-08-16

    This project is currently under contract for research through the Department of Homeland Security until 2011. The group I was responsible for studying has to remain confidential so as not to affect the current project. All dates, reference links and authors, and other distinguishing characteristics of the original group have been removed from this report. All references to the name of this group or the individual splinter groups has been changed to 'Group X'. I have been collecting texts from a variety of sources intended for the use of recruiting and radicalizing members for Group X splinter groups for the purpose of researching the motivation and intent of leaders of those groups and their influence over the likelihood of group radicalization. This work included visiting many Group X websites to find information on splinter group leaders and finding their statements to new and old members. This proved difficult because the splinter groups of Group X are united in beliefs, but differ in public opinion. They are eager to tear each other down, prove their superiority, and yet remain anonymous. After a few weeks of intense searching, a list of eight recruiting texts and eight radicalizing texts from a variety of Group X leaders were compiled.

  18. Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis

    PubMed Central

    Lawlor, Caroline; Cole, Laura; Howard, Louise M.

    2012-01-01

    Background: Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these. Aim: To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences. Method: All women admitted to an acute psychiatric inpatient ward or a women’s crisis house in four London boroughs during a 12-week period were included. Data were collected regarding their pathways to care, clinician-rated reasons for admission, hospital stays, and social and clinical characteristics. Results: Two hundred and eighty seven (287) women from white British, white other, black Caribbean, black African and black other groups were included. Adjusting for social and clinical characteristics, all groups of black patients and white other patients were significantly more likely to have been compulsorily admitted than white British patients; white British patients were more likely than other groups to be admitted to a crisis house and more likely than all the black groups to be admitted because of perceived suicide risk. Immediate pathways to care differed: white other, black African and black other groups were less likely to have referred themselves in a crisis and more likely to have been in contact with the police. When adjustment was made for differences in pathways to care, the ethnic differences in compulsory admission were considerably reduced. Discussion: There are marked ethnic inequities not only between white British and black women, but also between white British and white other women in experiences of acute admission. Differences between groups in help-seeking behaviours in a crisis may contribute to explaining differences in rates of compulsory admission. PMID:21059630

  19. Crisis management: an extended reference framework for decision makers.

    PubMed

    Carone, Alessandro; Iorio, Luigi Di

    2013-01-01

    The paper discusses a reference framework for capabilities supporting effective crisis management. This framework has been developed by joining experiences in the field and knowledge of organisational models for crisis management, and executives' empowerment, coaching and behavioural analysis. The paper is aimed at offering further insight to executives on critical success factors and means for managing crisis situations by extending the scope of analysis to human behaviour, to emotions and fears and their correlation with decision making. It is further intended to help familiarise them and to facilitate approaching a path towards emotional awareness. PMID:23835427

  20. Challenges of the management of mass casualty: lessons learned from the Jos crisis of 2001

    PubMed Central

    2013-01-01

    Background Jos has witnessed a series of civil crises which have generated mass casualties that the Jos University Teaching Hospital has had to respond to from time to time. We review the challenges that we encountered in the management of the victims of the 2001 crisis. Methodology We reviewed the findings of our debriefing sessions following the sectarian crisis of September 2001 and identified the challenges and obstacles experienced during these periods. Results Communication was a major challenge, both within and outside the hospital. In the field, there was poor field triage and no prehospital care. Transportation and evacuation was hazardous, for both injured patients and medical personnel. This was worsened by the imposition of a curfew on the city and its environs. In the hospital, supplies such as fluids, emergency drugs, sterile dressings and instruments, splints, and other consumables, blood and food were soon exhausted. Record keeping was erratic. Staff began to show signs of physical and mental exhaustion as well as features of anxiety and stress. Tensions rose between different religious groups in the hospital and an attempt was made by rioters to attack the hospital. Patients suffered poor subsequent care following resuscitation and/or surgery and there was neglect of patients on admission prior to the crisis as well as non trauma medical emergencies. Conclusion Mass casualties from disasters that disrupt organized societal mechanisms for days can pose significant challenges to the best of institutional disaster response plans. In the situation that we experienced, our disaster plan was impractical initially because it failed to factor in such a prolongation of both crisis and response. We recommend that institutional disaster response plans should incorporate provisions for the challenges we have enumerated and factor in peculiarities that would emanate from the need for a prolonged response. PMID:24164778

  1. Civil unrest and birthweight: an exploratory analysis of the 2007/2008 Kenyan Crisis.

    PubMed

    Bell, Suzanne; Prata, Ndola; Lahiff, Maureen; Eskenazi, Brenda

    2012-05-01

    For decades, Africa has been plagued by political and ethnic conflict, the health ramifications of which are often not investigated. A crisis occurred recently in Kenya following the 2007 presidential election. Ethnic violence ensued, targeting the incumbent President Kibaki's Kikuyu people. The violence occurred primarily in Nairobi and the Rift Valley of Kenya. We sought to examine the association between exposure to the 2007/2008 Kenyan Crisis and birthweight. Using the 2008/2009 Kenyan Demographic and Health Survey (KDHS), we compared birthweights of infants in utero or not yet conceived during the 15 months after the political turmoil following the 2007 presidential election (exposed) to those who were born before the crisis (unexposed). There were 663 "exposed" and 687 "unexposed" infants. Multivariate regression was used. We examined the possibility of two-way and three-way interactions between exposure status, ethnicity (Kikuyu versus non-Kikuyu), and region (violent region versus not). Overall, exposure to the Kenyan Crisis was associated with lower birthweight. Kikuyu women living in a violent region who were exposed during their 2nd trimester had the greatest difference in birthweight in comparison to all unexposed infants: 564.4g lower (95% CI 285.1, 843.6). Infants of Kikuyu exposed during the 2nd trimester and living in a violent region weighed 603.6g less (95% CI 333.6, 873.6) than Kikuyu infants born during the unexposed period. Political unrest may have implications for the birthweight of infants, particularly among targeted populations. Given the adverse sequelae associated with lowered birthweight, these results suggest that particular attention should be paid to pregnant women and targeted ethnic groups following such events. PMID:22410269

  2. Impact of 2008 global economic crisis on suicide: time trend study in 54 countries

    PubMed Central

    2013-01-01

    Objective To investigate the impact of the 2008 global economic crisis on international trends in suicide and to identify sex/age groups and countries most affected. Design Time trend analysis comparing the actual number of suicides in 2009 with the number that would be expected based on trends before the crisis (2000-07). Setting Suicide data from 54 countries; for 53 data were available in the World Health Organization mortality database and for one (the United States) data came the CDC online database. Population People aged 15 or above. Main outcome measures Suicide rate and number of excess suicides in 2009. Results There were an estimated 4884 (95% confidence interval 3907 to 5860) excess suicides in 2009 compared with the number expected based on previous trends (2000-07). The increases in suicide mainly occurred in men in the 27 European and 18 American countries; the suicide rates were 4.2% (3.4% to 5.1%) and 6.4% (5.4% to 7.5%) higher, respectively, in 2009 than expected if earlier trends had continued. For women, there was no change in European countries and the increase in the Americas was smaller than in men (2.3%). Rises in European men were highest in those aged 15-24 (11.7%), while in American countries men aged 45-64 showed the largest increase (5.2%). Rises in national suicide rates in men seemed to be associated with the magnitude of increases in unemployment, particularly in countries with low levels of unemployment before the crisis (Spearman’s rs=0.48). Conclusions After the 2008 economic crisis, rates of suicide increased in the European and American countries studied, particularly in men and in countries with higher levels of job loss. PMID:24046155

  3. Genetic Relationships among Tall Coconut Palm (Cocos nucifera L.) Accessions of the International Coconut Genebank for Latin America and the Caribbean (ICG-LAC), Evaluated Using Microsatellite Markers (SSRs)

    PubMed Central

    Loiola, Carina Mendes; Azevedo, Alinne Oliveira Nunes; Diniz, Leandro E. C.; Aragão, Wilson Menezes; Azevedo, Carlos Diego de O.; Santos, Pedro Henrique A. D.; Ramos, Helaine Christine C.; Pereira, Messias Gonzaga; Ramos, Semíramis R. Ramalho

    2016-01-01

    The diversity and genetic relationships among two accessions of tall coconut palms collected in Brazil and seven accessions introduced from different geographic regions of the world were analyzed using 25 microsatellite primers, 19 of which were polymorphic and detected between 4 and 10 alleles per locus, with an average of 6.57. The observed and expected heterozygosity ranged from 0.25 and 0.40 in the Rennell Islands Tall (RIT) accession to 0.54 and 0.62 in the Polynesian Tall (PYT) accession. The analysis of genetic structure resulted in the formation of five distinct groups. The first group was formed by the accessions Brazilian Tall—Praia do Forte (BRTPF), Brazilian Tall—Merepe (BRTMe) and West African Tall (WAT); the second group consisted of Malaysian Tall (MLT); the third group of RIT; the fourth group of Vanuatu Tall (VTT); and the fifth group of Rotuman Tall (RTMT), Tonga Tall (TONT) and PYT. The dendrogram based on the nearest-neighbor method detected the formation of two main groups and five subgroups, indicating that the genetic relationships of the accessions are based on their geographic regions of origin. The analyses revealed genetic relationships between the accessions collected in Brazil and the accession from Africa, and among palms from South East Asia and the South Pacific, confirming the common origin of these accessions. The information obtained in this study can guide decisions on germplasm conservation activities and the efficient selection of genetically divergent parents for use in coconut breeding programs in Brazil, which are attempting to select for disease resistance, mainly to lethal yellowing, among other characteristics. PMID:26974540

  4. Genetic Relationships among Tall Coconut Palm (Cocos nucifera L.) Accessions of the International Coconut Genebank for Latin America and the Caribbean (ICG-LAC), Evaluated Using Microsatellite Markers (SSRs).

    PubMed

    Loiola, Carina Mendes; Azevedo, Alinne Oliveira Nunes; Diniz, Leandro E C; Aragão, Wilson Menezes; Azevedo, Carlos Diego de O; Santos, Pedro Henrique A D; Ramos, Helaine Christine C; Pereira, Messias Gonzaga; Ramos, Semíramis R Ramalho

    2016-01-01

    The diversity and genetic relationships among two accessions of tall coconut palms collected in Brazil and seven accessions introduced from different geographic regions of the world were analyzed using 25 microsatellite primers, 19 of which were polymorphic and detected between 4 and 10 alleles per locus, with an average of 6.57. The observed and expected heterozygosity ranged from 0.25 and 0.40 in the Rennell Islands Tall (RIT) accession to 0.54 and 0.62 in the Polynesian Tall (PYT) accession. The analysis of genetic structure resulted in the formation of five distinct groups. The first group was formed by the accessions Brazilian Tall-Praia do Forte (BRTPF), Brazilian Tall-Merepe (BRTMe) and West African Tall (WAT); the second group consisted of Malaysian Tall (MLT); the third group of RIT; the fourth group of Vanuatu Tall (VTT); and the fifth group of Rotuman Tall (RTMT), Tonga Tall (TONT) and PYT. The dendrogram based on the nearest-neighbor method detected the formation of two main groups and five subgroups, indicating that the genetic relationships of the accessions are based on their geographic regions of origin. The analyses revealed genetic relationships between the accessions collected in Brazil and the accession from Africa, and among palms from South East Asia and the South Pacific, confirming the common origin of these accessions. The information obtained in this study can guide decisions on germplasm conservation activities and the efficient selection of genetically divergent parents for use in coconut breeding programs in Brazil, which are attempting to select for disease resistance, mainly to lethal yellowing, among other characteristics. PMID:26974540

  5. Group Flow and Group Genius

    ERIC Educational Resources Information Center

    Sawyer, Keith

    2015-01-01

    Keith Sawyer views the spontaneous collaboration of group creativity and improvisation actions as "group flow," which organizations can use to function at optimum levels. Sawyer establishes ideal conditions for group flow: group goals, close listening, complete concentration, being in control, blending egos, equal participation, knowing…

  6. [Identy crisis and drug abuse in young people].

    PubMed

    Bron, B

    1975-01-01

    Nowadays young people during the phase of their puberty and adolescence often show symptoms of a grave crisis of identity which particularly idspose them to drug-abuse. On the one hand this search for one's identity is characteristic of the formative years of a juvenile; on the other hand it is a general problem of the generations which must be seen in the full context of the social, technological, industrial and political development of our time. Lacking possibilities of identification in the context of a general relativism of traditional norms and values, radical changes in the structures of the family and of our society, accompained by over-exaggerated demands on one's personal performance and prosperity, and significant failures of communication as well as the unreflected liberalization of a "permissive society" make young people look for new possibilities of identification which they try to find in sub-cultural groups and fascinating experiences which drugs. Many juvenile drugconsumers show increasing crises in their personalites and farreaching psychological distrubances often followed by a serious development. All these phenomena illustrate the frustrated search for genuine personal identity in an illusionary world of drugs. Only the solidaric and constructive cooperation of the generations can overcome the manifold problems and conflicts of young people which are concentrated in their identitycrises, and only this cooperation can open up new perspectives for a future which is humane and worth living, a future which is the real aim of the subcultural movements and psychodelic experiences. PMID:1231409

  7. Exploiting social media for Army operations: Syrian crisis use case

    NASA Astrophysics Data System (ADS)

    Kase, Sue E.; Bowman, Elizabeth K.; Al Amin, Tanvir; Abdelzaher, Tarek

    2014-05-01

    Millions of people exchange user-generated information through online social media (SM) services. The prevalence of SM use globally and its growing significance to the evolution of events has attracted the attention of the Army and other agencies charged with protecting national security interests. The information exchanged in SM sites and the networks of people who interact with these online communities can provide value to Army intelligence efforts. SM could facilitate the Military Decision Making Process by providing ongoing assessment of military actions from a local citizen perspective. Despite potential value, there are significant technological barriers to leveraging SM. SM collection and analysis are difficult in the dynamic SM environment and deception is a real concern. This paper introduces a credibility analysis approach and prototype fact-finding technology called the "Apollo Fact-finder" that mitigates the problem of inaccurate or falsified SM data. Apollo groups data into sets (or claims), corroborating specific observations, then iteratively assesses both claim and source credibility resulting in a ranking of claims by likelihood of occurrence. These credibility analysis approaches are discussed in the context of a conflict event, the Syrian civil war, and applied to tweets collected in the aftermath of the Syrian chemical weapons crisis.

  8. Isopermutation group

    SciTech Connect

    Muktibodh, A. S.

    2015-03-10

    The concept of ‘Isotopy’ as formulated by Ruggero Maria Santilli [1, 2, 3] plays a vital role in the development of Iso mathematics. Santilli defined iso-fields of characteristic zero. In this paper we extend this definition to define Iso-Galois fields [4] which are essentially of non-zero characteristic. Isotopically isomorphic realizations of a group define isopermutation group which gives a clear cut distinction between automorphic groups and isotopic groups.

  9. Farm Crisis and Suicide: Dying on the Vine?

    ERIC Educational Resources Information Center

    Ragland, John D.; Berman, Alan L.

    1991-01-01

    Examined relationship between farm economic crisis and farmer suicide rates using data from 15 states from 1980 to 1985. Found suicide rates for farmers were greater than truck drivers but no different from forestry workers. (Author/ABL)

  10. Analyzing the financial crisis using the entropy density function

    NASA Astrophysics Data System (ADS)

    Oh, Gabjin; Kim, Ho-yong; Ahn, Seok-Won; Kwak, Wooseop

    2015-02-01

    The risk that is created by nonlinear interactions among subjects in economic systems is assumed to increase during an abnormal state of a financial market. Nevertheless, investigating the systemic risk in financial markets following the global financial crisis is not sufficient. In this paper, we analyze the entropy density function in the return time series for several financial markets, such as the S&P500, KOSPI, and DAX indices, from October 2002 to December 2011 and analyze the variability in the entropy value over time. We find that the entropy density function of the S&P500 index during the subprime crisis exhibits a significant decrease compared to that in other periods, whereas the other markets, such as those in Germany and Korea, exhibit no significant decrease during the market crisis. These findings demonstrate that the S&P500 index generated a regular pattern in the return time series during the financial crisis.

  11. Energy Crisis--Schools to the Rescue Again.

    ERIC Educational Resources Information Center

    Hofman, Helenmarie

    1980-01-01

    Details of the current energy crisis and the need for educational energy programs are presented. The author presents an outline of energy education concepts and promotes the need for an energy-literate society. (MP)

  12. Would the Discovery of ETI Provoke a Religious Crisis?

    NASA Astrophysics Data System (ADS)

    Peters, Ted

    Noting how some prophets of crisis forecast that traditional religious traditions are vulnerable to challenge if not collapse upon confirmation of the existence of extraterrestrial intelligent beings, this chapter subjects this claim to examination. Citing findings from the Peters ETI Religious Crisis Survey, we find evidence that those who affirm religious belief have no difficulty affirming the existence of ETI and incorporating ETI into their respective worldviews. This applies to Orthodox Christians, Roman Catholics, mainline Protestants, Evangelical Protestants, Jews, Mormons, Buddhists, and to those who self-identify as non-religious. Surprisingly, the self-identified non-religious respondents are the only ones who fear a religious crisis precipitated by contact with extraterrestrials, a crisis expected to happen to others but not to themselves. Turning to the new field of Astrotheology, the question of de-centering both geocentrism and anthropocentrism is raised in light of the prospect of discovering intelligent celestial neighbors.

  13. The Crisis of Divorce: Growth Promoting or Pathogenic?

    ERIC Educational Resources Information Center

    Kraus, Sharon

    1979-01-01

    Examines the pathogenic perspective on divorce, pointing out its methodological and conceptual shortcomings. A conceptual model of the divorce experience based upon crisis theory is presented. Provides a framework for understanding short- and long-term reactions to divorce. (Author)

  14. Responding to the global economic crisis: inclusive social work practice.

    PubMed

    Strier, Ron

    2013-10-01

    The present global economic crisis raises new concerns for social workers. One of its most visible results is the further socioeconomic decline and marginalization of excluded populations. This article suggests that the current circumstances require a much more engaged, egalitarian, and reflexive practice-a practice, based on social rights, that matches the magnitude of the crisis and its negative impact on traditional social work constituencies. Consequently, the article suggests the concept of inclusive social work practice (ISWP), a conceptual framework whose main principles respond to four processes of social exclusion closely related to the present global crisis: extreme social isolation, growing dependency, multiple deprivation, and internalized oppression. The author describes the impact of the global crisis on patterns of social exclusion and presents the methodological foundations of the ISWP framework. PMID:24450021

  15. Galaxy groups

    SciTech Connect

    Brent Tully, R.

    2015-02-01

    Galaxy groups can be characterized by the radius of decoupling from cosmic expansion, the radius of the caustic of second turnaround, and the velocity dispersion of galaxies within this latter radius. These parameters can be a challenge to measure, especially for small groups with few members. In this study, results are gathered pertaining to particularly well-studied groups over four decades in group mass. Scaling relations anticipated from theory are demonstrated and coefficients of the relationships are specified. There is an update of the relationship between light and mass for groups, confirming that groups with mass of a few times 10{sup 12}M{sub ⊙} are the most lit up while groups with more and less mass are darker. It is demonstrated that there is an interesting one-to-one correlation between the number of dwarf satellites in a group and the group mass. There is the suggestion that small variations in the slope of the luminosity function in groups are caused by the degree of depletion of intermediate luminosity systems rather than variations in the number per unit mass of dwarfs. Finally, returning to the characteristic radii of groups, the ratio of first to second turnaround depends on the dark matter and dark energy content of the universe and a crude estimate can be made from the current observations of Ω{sub matter}∼0.15 in a flat topology, with a 68% probability of being less than 0.44.

  16. [Psychological containment put to the test by a crisis].

    PubMed

    Grison-Curinier, Juliete; Limongi, Marc; Bocoum, Amadou

    2014-01-01

    In the first-time admission unit, psychological containment is based essentially on receivingthe patient in crisis. While the management of the crisis is inseparable from containment, the drawing up of the patient's history, centred on observation, transfer and the clinical aspect, is a key stage in the patient's care. In an institution, the nursing team will, through its creativity, invent the care, seeking a possible alliance. PMID:25562911

  17. [Indicators to monitor the evolution of the economic crisis and its effects on health and health inequalities. SESPAS report 2014].

    PubMed

    Pérez, Glòria; Rodríguez-Sanz, Maica; Domínguez-Berjón, Felicitas; Cabeza, Elena; Borrell, Carme

    2014-06-01

    The economic crisis has adverse effects on determinants of health and health inequalities. The aim of this article was to present a set of indicators of health and its determinants to monitor the effects of the crisis in Spain. On the basis of the conceptual framework proposed by the Commission for the Reduction of Social Health Inequalities in Spain, we searched for indicators of social, economic, and political (structural and intermediate) determinants of health, as well as for health indicators, bearing in mind the axes of social inequality (gender, age, socioeconomic status, and country of origin). The indicators were mainly obtained from official data sources published on the internet. The selected indicators are periodically updated and are comparable over time and among territories (among autonomous communities and in some cases among European Union countries), and are available for age groups, gender, socio-economic status, and country of origin. However, many of these indicators are not sufficiently reactive to rapid change, which occurs in the economic crisis, and consequently require monitoring over time. Another limitation is the lack of availability of indicators for the various axes of social inequality. In conclusion, the proposed indicators allow for progress in monitoring the effects of the economic crisis on health and health inequalities in Spain. PMID:24864001

  18. TRIDEC Natural Crisis Management Demonstrator for Tsunamis

    NASA Astrophysics Data System (ADS)

    Hammitzsch, M.; Necmioglu, O.; Reißland, S.; Lendholt, M.; Comoglu, M.; Ozel, N. M.; Wächter, J.

    2012-04-01

    The management of natural crises is an important application field of the technology developed in the project Collaborative, Complex, and Critical Decision-Support in Evolving Crises (TRIDEC), co-funded by the European Commission in its Seventh Framework Programme. TRIDEC is based on the development of the German Indonesian Tsunami Early Warning System (GITEWS) and the Distant Early Warning System (DEWS) providing a service platform for both sensor integration and warning dissemination. In TRIDEC new developments in Information and Communication Technology (ICT) are used to extend the existing platform realising a component-based technology framework for building distributed tsunami warning systems for deployment, e.g. in the North-eastern Atlantic, the Mediterranean and Connected Seas (NEAM) region. The Kandilli Observatory and Earthquake Research Institute (KOERI), representing the Tsunami National Contact (TNC) and Tsunami Warning Focal Point (TWFP) for Turkey, is one of the key partners in TRIDEC. KOERI is responsible for the operation of a National Tsunami Warning Centre (NTWC) for Turkey and establishes Candidate Tsunami Watch Provider (CTWP) responsibilities for the NEAM region. Based on this profound experience, KOERI is contributing valuable requirements to the overall TRIDEC system and is responsible for the definition and development of feasible tsunami-related scenarios. However, KOERI's most important input focuses on testing and evaluating the TRIDEC system according to specified evaluation and validation criteria. The TRIDEC system will be implemented in three phases, each with a demonstrator. Successively, the demonstrators are addressing challenges, such as the design and implementation of a robust and scalable service infrastructure supporting the integration and utilisation of existing resources with accelerated generation of large volumes of data. These include sensor systems, geo-information repositories, simulation tools and data fusion tools. In addition to conventional sensors also unconventional sensors and sensor networks play an important role in TRIDEC. The first system demonstrator, deployed at KOERI's crisis management room, has been designed and implemented to support plausible scenarios for the Turkish NTWC and to demonstrate the treatment of simulated tsunami threats with an essential subset of a NTWC. The feasibility and the potentials of the implemented approach are demonstrated covering standard operations as well as tsunami detection and alerting functions. The demonstrator presented addresses information management and decision-support processes in a hypothetical natural crisis situation caused by a tsunami in the Eastern Mediterranean.

  19. The correlation between stress and economic crisis: a systematic review

    PubMed Central

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees’ well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers’ mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages). PMID:27143898

  20. Effects of deliberate practice on crisis decision performance.

    PubMed

    McKinney, Earl H; Davis, Kevin J

    2003-01-01

    This study examined the impact of deliberate practice on pilot decision making in once-in-a-career crisis decision scenarios. First we explored the impact of deliberate practice on pilot decision-making performance for crisis flying scenarios that had been practiced in their entirety. Then we looked at the impact of deliberate practice in which one aspect of the crisis scenario--the particular malfunction--was unpracticed. We analyzed pilot decision-making performance in response to 160 airborne mechanical malfunctions. We initially found that deliberate practice significantly improves decision-making performance for wholly practiced crises but does not improve decision-making performance when the specific malfunction has not been practiced. We then split decision making for each crisis into two phases: assessment and action selection. For wholly practiced crisis scenarios, additional deliberate practice positively impacts each decision-making phase. However, for part-practiced scenarios, deliberate practice appears to differentially affect phase of error. Specifically, pilots with more deliberate practice erred in action selection, whereas less-practiced pilots erred in assessment. Actual or potential applications of this research include training proscriptions for crisis decision making. PMID:14702994

  1. GROUP INEQUALITY

    PubMed Central

    Bowles, Samuel; Loury, Glenn C.; Sethi, Rajiv

    2014-01-01

    We explore the combined effect of segregation in social networks, peer effects, and the relative size of a historically disadvantaged group on the incentives to invest in market-rewarded skills and the dynamics of inequality between social groups. We identify conditions under which group inequality will persist in the absence of differences in ability, credit constraints, or labor market discrimination. Under these conditions, group inequality may be amplified even if initial group differences are negligible. Increases in social integration may destabilize an unequal state and make group equality possible, but the distributional and human capital effects of this depend on the demographic composition of the population. When the size of the initially disadvantaged group is sufficiently small, integration can lower the long-run costs of human capital investment in both groups and result in an increase the aggregate skill share. In contrast, when the initially disadvantaged group is large, integration can induce a fall in the aggregate skill share as the costs of human capital investment rise in both groups. We consider applications to concrete cases and policy implications. PMID:25554727

  2. Whitehead Groups of Spinor Groups

    NASA Astrophysics Data System (ADS)

    Monastyrnyĭ, A. P.; Yanchevskiĭ, V. I.

    1991-02-01

    The Whitehead groups of spinor groups are studied. The known Kneser-Tits conjecture for spinor groups is reduced to a spinor analogue of the Tannaka-Artin problem, namely, to the question of whether the group K1Spin(D), where D is a division ring of exponent 2 , is trivial. A counterexample to the Kneser-Tits problem is constructed in the class of spinor groups. The group K1Spin(D) is computed. The stability of the Whitehead groups of spinor groups under purely transcendental extensions of the ground field is established. The R-equivalence on the k-points of spinor groups and the weak approximation problem are considered. The study of spinor group completes the study of the Whitehead groups of algebraic groups of classical type, that was started in studying reduced K-theory (V.P. Platonov) and was continued for reduced unitary K-theory (V.I. Yanchevskiĭ) and Hermitian K-theory (Platonov and Yanchevskiĭ). Bibliography: 50 titles.

  3. Effect of pregnancy during TMI crisis on mothers' mental health and their child's development

    SciTech Connect

    Houts, P.S.; Tokuhata, G.K.; Bratz, J.; Bartholomew, M.J.; Sheffer, K.W. )

    1991-03-01

    Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of children when they were 5 years old were also similar. However, women who were pregnant during the crisis and had been extremely disturbed about their pregnancies rated their children's health as poorer than did the women who were pregnant later.

  4. Effect of pregnancy during TMI crisis on mothers' mental health and their child's development.

    PubMed

    Houts, P S; Tokuhata, G K; Bratz, J; Bartholomew, M J; Sheffer, K W

    1991-03-01

    Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of children when they were 5 years old were also similar. However, women who were pregnant during the crisis and had been "extremely disturbed" about their pregnancies rated their children's health as poorer than did the women who were pregnant later. PMID:1994750

  5. Health centers and the states. Partnership potential to address the fiscal crisis.

    PubMed

    Hawkins, Daniel; Schwartz, Roger

    2003-01-01

    The 38-year-old federal Health Centers program funds community-owned preventive and primary health care for 14 million people, mostly from low-income and minority groups. Studies show that health centers provide quality health care efficiently and effectively. President Bush has begun a major program expansion to serve 6 million more people, but the states' fiscal crisis has forced funding cutbacks that could undermine the administration's initiative. The authors argue that states could actually save money by increasing their investment in health centers, given the health centers' record of reducing the need for high-cost specialty and hospital care and eliminating health disparities. PMID:14567272

  6. Residential Group Care Quarterly. Volume 5, Number 3, Winter 2005

    ERIC Educational Resources Information Center

    Michael, Jennifer, Ed.

    2005-01-01

    This issue of "Residential Group Care Quarterly" contains the following articles: (1) "Promising Practices for Adequately Funding and Reimbursing Residential Services" (Lloyd Bullard); (2) "Closing the Gender Gap" (Erin Andersen); (3) "Residential Child Care: Guidelines for Physical Techniques, Crisis Prevention, and Management" (Kurk Lalemand);…

  7. What's in a Name? That Which We Call a Crisis? A Commentary on Michael Young's Article "Overcoming the Crisis in Curriculum Theory"

    ERIC Educational Resources Information Center

    Lundgren, Ulf P.

    2015-01-01

    Michael Young's article "Overcoming the crisis in curriculum theory: a knowledge-based approach" ("JCS, 45", 2) is discussed from the starting point that the claimed crisis is constructed from a decisive solution, that is the solution determines what is a crisis. But curriculum research and curriculum theory are in need of

  8. What's in a Name? That Which We Call a Crisis? A Commentary on Michael Young's Article "Overcoming the Crisis in Curriculum Theory"

    ERIC Educational Resources Information Center

    Lundgren, Ulf P.

    2015-01-01

    Michael Young's article "Overcoming the crisis in curriculum theory: a knowledge-based approach" ("JCS, 45", 2) is discussed from the starting point that the claimed crisis is constructed from a decisive solution, that is the solution determines what is a crisis. But curriculum research and curriculum theory are in need of…

  9. Summary of the June 2009 Educationtoday Crisis Survey: Initial Reflections on the Impact of the Economic Crisis on Education. OECD Education Working Papers, No. 43

    ERIC Educational Resources Information Center

    Karkkainen, Kiira

    2010-01-01

    This paper provides initial reflections on the impact of the economic crisis on education across the Organisation for Economic Cooperation and Development (OECD) area by analysing the OECD educationtoday crisis survey responses of June 2009. It first looks at the impact of the crisis on education demand and participation, after which the focus…

  10. The health care crisis: impact on surgery from a chief executive officer's perspective.

    PubMed

    Pearl, R M

    2001-02-01

    Kaiser Permanente, in conjunction with the surrounding academic institutions, trains 64 surgical residents annually in Northern California. Although the current health care crisis has made resident education increasingly difficult, we are committed to maintaining and expanding our programs. The current health care crisis reflects the effect that for-profit health plans, hospitals, and pharmaceutical groups have had on medicine. Their negative impact has not been simply the extraction of resources from the delivery system to their equity shareholders, but the implementation of an authorization process designed to frustrate and deny. As executive director and chief executive officer of the Permanente Medical Group, I believe that resident training allows us to attract outstanding clinicians, train the physicians of the future, and improve the clinical care of our patients. The multispecialty nature of our medical group and our size allows us to work collaboratively, offer evidence-based approaches, preserve professional independence, and implement innovative programs to increase quality and service. Although it is uncertain how health care will evolve in the future, we at Kaiser Permanente are committed to maintaining and expanding our involvement in the education of the next generation of surgeons. PMID:11177129

  11. Racial Segregation and the American Foreclosure Crisis

    PubMed Central

    Rugh, Jacob S.; Massey, Douglas S.

    2013-01-01

    Although the rise in subprime lending and the ensuing wave of foreclosures was partly a result of market forces that have been well-identified in the literature, in the United States it was also a highly racialized process. We argue that residential segregation created a unique niche of poor minority clients who were differentially marketed risky subprime loans that were in great demand for use in mortgage-backed securities that could be sold on secondary markets. We test this argument by regressing foreclosure actions in the top 100 U.S. metropolitan areas on measures of black, Hispanic, and Asian segregation while controlling for a variety of housing market conditions, including average creditworthiness, the extent of coverage under the Community Reinvestment Act, the degree of zoning regulation, and the overall rate of subprime lending. We find that black residential dissimilarity and spatial isolation are powerful predictors of foreclosures across U.S. metropolitan areas. In order to isolate subprime lending as the causal mechanism whereby segregation influences foreclosures, we estimate a two-stage least squares model that confirms the causal effect of black segregation on the number and rate of foreclosures across metropolitan areas. In the United States segregation was an important contributing cause of the foreclosure crisis, along with overbuilding, risky lending practices, lax regulation, and the bursting of the housing price bubble. PMID:25308973

  12. Doctors and the global population crisis.

    PubMed

    Carr, C J

    1977-10-01

    I read Dr. John A. Loraine's Edward Holme lecture on the global population crisis (September 10, p. 691) with a growing sense of amazement that any man of his standing could be so certain that his views were completely right and those opposed to him so completely wrong. He regrets that when a "liberal" abortion law was introduced in India the number of terminations was "disappointingly small" - he does not seem to consider the possibility that perhaps the Indian people are wiser than he. He condemns the Society for the Unborn Child as "emotive," yet his own views seem dehumanized and amoral. The only surprise is that when he mentions the increasing proportion of elderly people in the population he does not continue to the "logical" conclusion of recommending compulsory euthanasia at a fixed age - perhaps, however, this would be coming too close to home. It was because of the very attitudes that such an article expresses that I, who had been born and educated in Britain, left the country, and I would seriously question whether history will not look back in horror on the "liberal" attitude adopted by the British medical profession, among others, in the 2nd half of the twentieth century. PMID:922352

  13. Single dose regorafenib-induced hypertensive crisis.

    PubMed

    Yilmaz, B; Kemal, Y; Teker, F; Kut, E; Demirag, G; Yucel, I

    2014-06-01

    Gastrointestinal stromal tumors (GISTs) are uncommon tumors of the gastrointestinal (GI) tract. Regorafenib is a new multikinase inhibitor and is approved for the treatment of GISTs in patients who develop resistance to imatinib and sunitinib. The most common drug-related adverse events with regorafenib are hypertension, hand-foot skin reactions, and diarrhea. Grade IV hypertensive side effect has never been reported after a single dose. In this report, we present a case of Grade IV hypertensive side effect (hypertensive crisis and seizure) after a single dose of regorafenib. A 54-year-old male normotensive GIST patient was admitted to the emergency department with seizure and encephalopathy after the first dosage of regorafenib. His blood pressure was 240/140 mmHg upon admission. After intensive treatment with nitrate and nitroprusside, his blood pressure returned to normal levels in five days. Regorafenib was discontinued, and he did not experience hypertension again. This paper reports the first case of Grade IV hypertension after the first dosage of regorafenib. We can suggest that hypertension is an idiosyncratic side effect unrelated to the dosage. PMID:24980770

  14. Racial Segregation and the American Foreclosure Crisis.

    PubMed

    Rugh, Jacob S; Massey, Douglas S

    2010-10-01

    Although the rise in subprime lending and the ensuing wave of foreclosures was partly a result of market forces that have been well-identified in the literature, in the United States it was also a highly racialized process. We argue that residential segregation created a unique niche of poor minority clients who were differentially marketed risky subprime loans that were in great demand for use in mortgage-backed securities that could be sold on secondary markets. We test this argument by regressing foreclosure actions in the top 100 U.S. metropolitan areas on measures of black, Hispanic, and Asian segregation while controlling for a variety of housing market conditions, including average creditworthiness, the extent of coverage under the Community Reinvestment Act, the degree of zoning regulation, and the overall rate of subprime lending. We find that black residential dissimilarity and spatial isolation are powerful predictors of foreclosures across U.S. metropolitan areas. In order to isolate subprime lending as the causal mechanism whereby segregation influences foreclosures, we estimate a two-stage least squares model that confirms the causal effect of black segregation on the number and rate of foreclosures across metropolitan areas. In the United States segregation was an important contributing cause of the foreclosure crisis, along with overbuilding, risky lending practices, lax regulation, and the bursting of the housing price bubble. PMID:25308973

  15. Thai clinical laboratory responsible to economic crisis.

    PubMed

    Sirisali, K; Vattanaviboon, P; Manochiopinij, S; Ananskulwat, W

    1999-01-01

    Nowadays, Thailand encounters a serious economic crisis. A clear consensus has been made that a cost-saving system must be the important tool. Both private and government organizations are engaged in this situation. We studied the cost-saving in the clinical laboratory. A questionnaire was distributed to 45 hospital laboratories located in Bangkok. Results showed that efforts to control the cost are the essential policy. There was a variety of factors contributing to the cost-saving process. The usage of public utility, non-recycle material and unnecessary utility were reconsidered. Besides, capital cost (wages and salary) personnel incentive are assessed. Forty three of the 45 respondents had attempted to reduce the cost via curtailing the unnecessary electricity. Eliminating the needless usage of telephone-call. water and unnecessary material was also an effective strategy. A reduction of 86.9%, 80 % and 80.0% of the mentioned factors respectively, was reported. An inventory system of the reagent, chemical and supplies was focused. Most of the laboratories have a policy on cost-saving by decreased the storage. Twenty eight of the 45 laboratories considered to purchase the cheaper with similar quality reagents instead. And some one would purchase a bulky pack when it is the best bargain. A specific system "contact reagent with a free rent instrument" has been used widely (33.3%). Finally, a new personnel management system has been chosen. Workload has rearranged and unnecessary extra-hour work was abandoned. PMID:10926260

  16. Vermont responds to its opioid crisis.

    PubMed

    Simpatico, Thomas A

    2015-11-01

    Vermont is one of the more forward-thinking states in the nation with a history of taking groundbreaking approaches to complex social issues. In his Jan 8, 2014 State of the State Address, Vermont Governor Peter Shumlin announced that Vermont was in the midst of an opioid addiction epidemic. Though Vermont had called attention to its opioid crisis, it soon became clear that many other states shared this problem. Economic modeling of expanded access to maintenance therapy with either methadone or buprenorphine is felt to have "high value" because the added health care costs of treatment are offset by reductions in other health care costs that occur when individuals with opioid dependence begin treatment. Moreover, when broader societal costs such as criminal activity and work productivity are included, maintenance treatment is estimated to produce substantial overall savings. Coordinated efforts between the Vermont Department of Health's Division of Alcohol and Drug Abuse Programs (ADAP) and the Department of Vermont Health Access (DVHA-Vermont Medicaid Authority) have resulted in the creation of the Care Alliance for Opioid Addiction (or Hub & Spoke model). Vermont intends to develop a reproducible and exportable model based on cost effective, outcomes driven public policy. PMID:25869219

  17. Aquaculture and food crisis: opportunities and constraints.

    PubMed

    Liao, I Chiu; Chao, Nai-Hsien

    2009-01-01

    Fish farming, now well known as aquaculture, has been well recognized since the ancient era. The first written document on fish culture was published in China in 475 BC, and the first koi pond was constructed at the Japanese Imperial Palace grounds during 71-130 AD. In recent years, aquaculture has progressively played an important role in the provision of: animal protein and gourmet cuisines, job opportunities, and foreign currency for developing countries. Asian countries produce around 91 percent of the world's total aquaculture production. Among the top ten aquaculture-producing countries, nine are from Asia. The current global population consist of more than 6.5 billion individuals; over one billion of which face hunger problem. In the highly populated Asia-Pacific region with moderately high-productivity, 642 million people are still facing hunger. Being a proficient and potential source of animal protein, aquaculture will play an increasing and important role in solving the world food problem in the future. This paper discusses both the opportunities and constraints in the aquaculture industry, specifically in the Asia-Pacific region, and its possible role in solving the current global food crisis. Strategies including promotion and adoption of traceability and HACCP systems for food safety, and marketing management for aquaculture products are also suggested. It is hoped that traditional administration of aquaculture management for survival, profit, as well as food safety will successfully match sustainability management to meet the urgent global need for food. PMID:19965349

  18. Growing crisis in paying for care.

    PubMed

    James, J S

    1996-02-16

    The cost of AIDS treatment and monitoring is a central issue for patients. As more drugs are used simultaneously and protease inhibitors, which are more expensive than existing drugs, become available, treatment costs are increasing to an estimated $12,000 to $18,000 a year. Other costs, like hospitalization, should decrease as improved treatment prevents HIV-related illnesses. Fewer than 29 percent of people with HIV were covered by private insurance in 1994, and that percentage is decreasing. Fifty percent of AIDS patients are covered by Medicaid, but benefits, including prescriptions, are limited. For people whose income makes them ineligible for state Medicaid benefits, the only options are state AIDS Drug Assistance Programs funded under the Ryan White CARE Act, which are experiencing a funding crisis, or programs offered by the pharmaceutical companies. Coalitions between AIDS service providers and pharmaceutical companies would be useful to alleviate the rising costs of AIDS care, as would grassroots support for government funding. More research is also needed for doctors to know how to prescribe drugs effectively. PMID:11363188

  19. Emergency room coverage: an evolving crisis.

    PubMed

    Davison, Steven P

    2004-08-01

    Historically, a newly graduated plastic surgeon in the United States could build a practice from his or her emergency room coverage. The historical cliche was for the surgeon to be affable, able, and available, and from that basis one's practice would grow. Emergency room exposure was an avenue for starting a practice, developing recognition, and, after that, building a referral pattern. Recently, the cross-shifting influence of management care, rising malpractice insurance costs, and risk ratio are changing this cliche to a crisis. An evaluation of a 2 1/2-year exposure to emergency room coverage has revealed a completely different profile. A total of 300 patient visits resulting in 69 surgical operations were evaluated for insurance and remuneration history. The findings indicated a significant remuneration dilemma for emergency room coverage. Interestingly, a remuneration problem exists in a market different from what one would expect. In this study, a sample from a suburban hospital, rather than an inner-city university hospital, is the greater problem. PMID:15277813

  20. Education Facing the Crisis of Values: Strategies for Strengthening Humanistic, Cultural, and International Values in Formal and Non-Formal Education.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This document was prepared on the basis of discussions at a workshop organized by UNESCO and other groups on the subject of education facing the crisis of values from the point of view of: (1) cultural identity and cultural diversity in education; (2) humanistic, ethical, and aesthetic values in education; and (3) education facing the ethical…