Science.gov

Sample records for abuse emergency response

  1. Emerging drugs of abuse.

    PubMed

    Nelson, Michael E; Bryant, Sean M; Aks, Steven E

    2014-02-01

    Many new emerging drugs of abuse are marketed as legal highs despite being labeled "not for human consumption" to avoid regulation. The availability of these substances over the Internet and in "head shops" has lead to a multitude of emergency department visits with severe complications including deaths worldwide. Despite recent media attention, many of the newer drugs of abuse are still largely unknown by health care providers. Slight alterations of the basic chemical structure of substances create an entirely new drug no longer regulated by current laws and an ever-changing landscape of clinical effects. The purity of each substance with exact pharmacokinetic and toxicity profiles is largely unknown. Many of these substances can be grouped by the class of drug and includes synthetic cannabinoids, synthetic cathinones, phenethylamines, as well as piperazine derivatives. Resultant effects generally include psychoactive and sympathomimetic-like symptoms. Additionally, prescription medications, performance enhancing medications, and herbal supplements are also becoming more commonly abused. Most new drugs of abuse have no specific antidote and management largely involves symptom based goal directed supportive care with benzodiazepines as a useful adjunct. This paper will focus on the history, epidemiology, clinical effects, laboratory analysis, and management strategy for many of these emerging drugs of abuse.

  2. Emergency department evaluation of child abuse.

    PubMed

    Leetch, Aaron N; Woolridge, Dale

    2013-08-01

    Child abuse presents commonly to emergency departments. Emergency providers are confronted with medical, social, and legal dilemmas with each case. A solid understanding of the definitions and risk factors of victims and perpetrators aids in identifying abuse cases. Forensic examination should be performed only after the child is medically stable. Emergency providers are mandatory reporters of a reasonable suspicion of abuse. The role of the emergency provider is to identify abuse, facilitate a thorough investigation, treat medical needs, protect the patient, provide an unbiased medical consultation to law enforcement, and to provide an ethical testimony if called to court.

  3. Emergency Response

    EPA Pesticide Factsheets

    Information for first responders, industry, federal, state and local governments on EPA's role and available resources for response to oil spills, chemical, biological, radiological releases, and large-scale national emergencies.

  4. Child Abuse: The Educator's Responsibilities.

    ERIC Educational Resources Information Center

    California State Office of the Attorney General, Sacramento. School Safety Center.

    Addressing educators and citing the California Penal Code, this booklet discusses the legal responsibilities of persons in child care situations regarding incidents of suspected child abuse. Included are: (1) a definition of child abuse and neglect; (2) reporting procedures including liability of failure to report and immunity of the reporting…

  5. Child Abuse: Educator's Responsibilities. Revised.

    ERIC Educational Resources Information Center

    California State Office of the Attorney General, Sacramento. Crime Prevention Center.

    This document presents the educator with a guide to child abuse. A section defining child abuse examines the issues of physical abuse, physical neglect, sexual abuse, and emotional maltreatment. Areas discussed for these types of abuse include abuse indicators, location of injury, history, behavioral indicators, and types of injury. Incestuous and…

  6. Drug Abuse on College Campuses: Emerging Issues. Issues in Prevention

    ERIC Educational Resources Information Center

    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2012

    2012-01-01

    This "Issues in Prevention" focuses on emerging issues concerning drug abuse on college campuses. This issue contains the following articles: (1) Drug Abuse Trends; (2) Q&A With Jim Lange; (3) Bath Salts; (4) Refuse to Abuse; (5) Related Federal Resource; and (6) Higher Education Center Resources.

  7. Methamphetamine abuse and emergency department utilization.

    PubMed Central

    Richards, J R; Bretz, S W; Johnson, E B; Turnipseed, S D; Brofeldt, B T; Derlet, R W

    1999-01-01

    Methamphetamine (MAP) abuse continues to increase worldwide, based on morbidity, mortality, drug treatment, and epidemiologic studies and surveys. MAP abuse has become a significant health care, environmental, and law enforcement problem. Acute intoxication often results in agitation, violence, and death. Chronic use may lead to infection, heart failure, malnutrition, and permanent psychiatric illness. MAP users frequently use the emergency department (ED) for their medical care. Over a 6-month period we studied the demographics, type, and frequency of medical and traumatic problems in 461 MAP patients presenting to our ED, which serves an area noted for high levels of MAP production and consumption. Comparison was made to the general ED population to assess use patterns. MAP patients were most commonly Caucasian males who lacked health insurance. Compared to other ED patients during this time, MAP patients used ambulance transport more and were more likely to be admitted to the hospital. There was a significant association between trauma and MAP use in this patient population. Our data suggest MAP users utilize prehospital and hospital resources at levels higher than the average ED population. Based on current trends, we can expect more ED visits by MAP users in the future. PMID:10344172

  8. Affective responsiveness, betrayal, and childhood abuse.

    PubMed

    Reichmann-Decker, Aimee; DePrince, Anne P; McIntosh, Daniel N

    2009-01-01

    Several trauma-specific and emotion theories suggest that alterations in children's typical affective responses may serve an attachment function in the context of abuse by a caregiver or close other. For example, inhibiting negative emotional responses or expressions might help the child preserve a relationship with an abusive caregiver. Past research in this area has relied on self-report methods to discover links between affective responsiveness and caregiver abuse. Extending this literature, the current study used facial electromyography to assess affective responsiveness with 2 measures: mimicry of emotional facial expressions and affective modulation of startle. We predicted that women who reported childhood abuse by close others would show alterations in affective responsiveness relative to their peers. We tested 100 undergraduate women who reported histories of (a) childhood sexual or physical abuse by someone close, such as a parent (high-betrayal); (b) childhood abuse by someone not close (low-betrayal); or (c) no abuse in childhood (no-abuse). Especially when viewing women's emotional expressions, the high-betrayal group showed more mimicry of happy and less mimicry of angry faces relative to women who reported no- or low-betrayal abuse, who showed the opposite pattern. Furthermore, women who reported high-betrayal abuse showed less affective modulation of startle during pictures depicting men threatening women than did the other two groups. Findings suggest that, as predicted by betrayal trauma theory, women who have experienced high-betrayal abuse show alterations in automatic emotional processes consistent with caregiving-maintenance goals in an abusive environment.

  9. State Emergency Response Commissions

    EPA Pesticide Factsheets

    The Governor of each state has designated a State Emergency Response Commission (SERC) that is responsible for implementing the Emergency Planning and Community Right-to-Know Act (EPCRA) provisions within its state.

  10. Analytical toxicology of emerging drugs of abuse--an update.

    PubMed

    Meyer, Markus R; Peters, Frank T

    2012-12-01

    The steady increase of new drugs of abuse on the illicit drug market is a great challenge for analytical toxicologists. Because most of these new drugs or drug classes are not included in established analytical methods targeting classic drugs of abuse, analytical procedures must be adapted or new procedures must be developed to cover such new compounds. This review summarizes procedures for analysis of these drugs of abuse published from January 2009 to January 2012 covering the following classes of emerging drugs of abuse as follows: β-keto-amphetamines, pyrrolidinophenones, tryptamines, and synthetic cannabinoids.

  11. Emergency Response Communications Program.

    DTIC Science & Technology

    1979-06-01

    comunications Policy to present a revised charter which addressed Federal, state, and local problems to the Executive Office of the President for approval. The...developed a program management plan for the implementation of an Emergency Response Comunications System. The Emergency Response Comunications System, as...no more complicated than those of today’s telephone or hand-held radios. iv In the second mode -- that of providing emergency comunications - the

  12. USGS Emergency Response Resources

    USGS Publications Warehouse

    Bewley, Robert D.

    2011-01-01

    Every day, emergency responders are confronted with worldwide natural and manmade disasters, including earthquakes, floods, hurricanes, landslides, tsunami, volcanoes, wildfires, terrorist attacks, and accidental oil spills.The U.S. Geological Survey (USGS) is ready to coordinate the provisioning and deployment of USGS staff, equipment, geospatial data, products, and services in support of national emergency response requirements.

  13. Nephrotoxic effects of common and emerging drugs of abuse.

    PubMed

    Pendergraft, William F; Herlitz, Leal C; Thornley-Brown, Denyse; Rosner, Mitchell; Niles, John L

    2014-11-07

    The kidneys can be injured in diverse ways by many drugs, both legal and illegal. Novel associations and descriptions of nephrotoxic effects of common and emerging drugs of abuse have appeared over the past several years. Anabolic androgenic steroids, illicitly used by athletes and others for decades to increase muscle mass and decrease body fat, are emerging as podocyte toxins given recent descriptions of severe forms of FSGS in long-term abusers. Synthetic cannabinoids, a new group of compounds with marijuana-like effects, recently became popular as recreational drugs and have been associated with an atypical form of AKI. 3,4-Methylenedioxymethamphetamine, commonly known as ecstasy, is a widely used synthetic recreational drug with mood-enhancing properties and a constellation of toxicities that can result in death. These toxic effects include hyperthermia, hypotonic hyponatremia due to its arginine vasopressin secretagogue-like effects, rhabdomyolysis, and cardiovascular collapse. Cocaine, a serotonin-norepinephrine-dopamine reuptake inhibitor that serves as an illegal stimulant, appetite suppressant, and anesthetic, also causes vasoconstriction and rhabdomyolysis. Recent adulteration of much of the world's supply of cocaine with levamisole, an antihelminthic agent with attributes similar to but distinct from those of cocaine, appears to have spawned a new type of ANCA-associated systemic vasculitis. This review discusses the nephrotoxic effects of these common and emerging drugs of abuse, of which both community and health care providers should become aware given their widespread abuse. Future investigation into pathogenetic mechanisms associated with these drugs is critical and may provide a window into ways to lessen and even prevent the nephrotoxic effects of these drugs of abuse and perhaps allow a deeper understanding of the nephrotoxicities themselves.

  14. [Substance abuse and the emergency department: a current problem].

    PubMed

    Amigó Tadín, Montserrat

    2005-09-01

    Alcohol, tobacco, heroin, cocaine and benzodiazepines, in that order, are the most common substance addictions in Spain. The medical problems caused both by chronic medical pathologies associated with their consumption and by overdoses and withdrawal syndromes, are frequently seen in emergency departments. Knowledge of substance abuse and addiction--how it is caused, the behaviour and pathology it produces--are essential to enable nurses to determine the attitudes to adopt the skills necessary to manage patients with problems of substance.

  15. Hanford Emergency Response Plan

    SciTech Connect

    Wagoner, J.D.

    1994-04-01

    The Hanford Emergency Response Plan for the US Department of Energy (DOE), Richland Operations Office (RL), incorporates into one document an overview of the emergency management program for the Hanford Site. The program has been developed in accordance with DOE orders, and state and federal regulations to protect worker and public health and safety and the environment in the event of an emergency at or affecting the Hanford Site. This plan provides a description of how the Hanford Site will implement the provisions of DOE 5500 series and other applicable Orders in terms of overall policies and concept of operations. It should be used as the basis, along with DOE Orders, for the development of specific contractor and RL implementing procedures.

  16. Emergency Response Guideline Development

    SciTech Connect

    Gary D. Storrick

    2007-09-30

    Task 5 of the collaborative effort between ORNL, Brazil, and Westinghouse for the International Nuclear Energy Research Initiative entitled “Development of Advanced Instrumentation and Control for an Integrated Primary System Reactor” focuses on operator control and protection system interaction, with particular emphasis on developing emergency response guidelines (ERGs). As in the earlier tasks, we will use the IRIS plant as a specific example of an integrated primary system reactor (IPSR) design. The present state of the IRIS plant design – specifically, the lack of a detailed secondary system design – precludes establishing detailed emergency procedures at this time. However, we can create a structure for their eventual development. This report summarizes our progress to date. Section 1.2 describes the scope of this effort. Section 2 compares IPSR ERG development to the recent AP1000 effort, and identifies three key plant differences that affect the ERGs and control room designs. The next three sections investigate these differences in more detail. Section 3 reviews the IRIS Safety-by-Design™ philosophy and its impact on the ERGs. Section 4 looks at differences between the IRIS and traditional loop PWR I&C Systems, and considers their implications for both control room design and ERG development. Section 5 examines the implications of having one operating staff control multiple reactor units. Section 6 provides sample IRIS emergency operating procedures (EOPs). Section 7 summarizes our conclusions.

  17. Emergency Response Manual

    NASA Technical Reports Server (NTRS)

    Barnett, Traci M.

    2004-01-01

    Safety and security is very important at NASA. The Security Management and Safeguards Office goal is ensure safety and security for all NASA Lewis and Plum Brook Station visitors and workers. The office protects against theft, sabotage, malicious damage, espionage, and other threats or acts of violence. There are three types of security at NASA: physical, IT, and personnel. IT is concerned with sensitive and classified information and computers. Physical security includes the officers who check visitors and workers in and patrol the facility. Personnel security is concerned with background checks during hiring. During my internship, I met people from and gained knowledge about all three types of security. I primarily worked with Dr. Richard Soppet in physical security. During my experience with physical security, I observed and worked with many aspects of it. I attended various security meetings at both NASA Lewis and Plum Brook. The meetings were about homeland security and other improvements that will be made to both facilities. I also spent time with a locksmith. The locksmith makes copies of keys and unlocks doors for people who need them. I rode around in a security vehicle with an officer as he patrolled. I also observed the officer make a search of a visitor s vehicle. All visitors vehicles are searched upon entering NASA. I spent time and observed in the dispatch office. The officer answers calls and sends out officers when needed. The officer also monitors the security cameras. My primary task was completing an emergency response manual. This manual would assist local law enforcement and fire agencies in case of an emergency. The manual has pictures and descriptions of the buildings. It also contains the information about hazards inside of the buildings. This information will be very helpul to law enforcement so that when called upon during an emergency, they will not create an even bigger problem with collateral damage.

  18. Emergency Response Health Physics

    SciTech Connect

    Mena, RaJah; Pemberton, Wendy; Beal, William

    2012-05-01

    Health physics is an important discipline with regard to understanding the effects of radiation on human health; however, there are major differences between health physics for research or occupational safety and health physics during a large-scale radiological emergency. The deployment of a U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA) monitoring and assessment team to Japan in the wake of the March 2011 accident at Fukushima Daiichi Nuclear Power Plant yielded a wealth of lessons on these difference. Critical teams (CMOC (Consequence Management Outside the Continental U.S.) and CMHT (Consequence Management Home Team) ) worked together to collect, compile, review, and analyze radiological data from Japan to support the response needs of and answer questions from the Government of Japan, the U.S. military in Japan, the U.S. Embassy and U.S. citizens in Japan, and U.S. citizens in America. This paper addresses the unique challenges presented to the health physicist or analyst of radiological data in a large-scale emergency. A key lesson learned was that public perception and the availability of technology with social media requires a diligent effort to keep the public informed of the science behind the decisions in a manner that is meaningful to them.

  19. Diagnostic Coding of Abuse Related Fractures at Two Children's Emergency Departments

    ERIC Educational Resources Information Center

    Somji, Zeeshanefatema; Plint, Amy; McGahern, Candice; Al-Saleh, Ahmed; Boutis, Kathy

    2011-01-01

    Objectives: Pediatric fractures suspicious for abuse are often evaluated in emergency departments (ED), although corresponding diagnostic coding for possible abuse may be lacking. Thus, the primary objective of this study was to determine the proportion of fracture cases investigated in the ED for abuse that had corresponding International…

  20. Health professionals' responses to disclosure of child sexual abuse history: female child sexual abuse survivors' experiences.

    PubMed

    McGregor, Kim; Jülich, Shirley; Glover, Marewa; Gautam, Jeny

    2010-05-01

    This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had not disclosed reported that they would have liked to but were not asked about child sexual abuse. Thirty-five percent of participants suggested routine questioning about child sexual abuse. Most participants related a fear of common medical examination procedures to their experience of child sexual abuse, and 64% said this stopped them from attending regular health checks. The current study suggests the development of guidelines for dealing with possible child sexual abuse survivors would be useful for health professionals.

  1. Health Professionals' Responses to Disclosure of Child Sexual Abuse History: Female Child Sexual Abuse Survivors' Experiences

    ERIC Educational Resources Information Center

    McGregor, Kim; Julich, Shirley; Glover, Marewa; Gautam, Jeny

    2010-01-01

    This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had…

  2. Preventing Growth Hormone Abuse: An Emerging Health Concern.

    ERIC Educational Resources Information Center

    White, George L.; And Others

    1989-01-01

    Facts about growth hormone abuse should be incorporated into substance abuse components of health education curriculums. Sources, uses, and dangers associated with human growth hormones are discussed. A sample lesson plan is included. (IAH)

  3. Emergency Response Improvement Act

    THOMAS, 113th Congress

    Rep. Andrews, Robert E. [D-NJ-1

    2013-11-20

    11/21/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  4. Drug Abuse: A Community College Response.

    ERIC Educational Resources Information Center

    Mellander, Gustavo A.; Hubbard, Gary

    In 1985, the Chancellor of West Valley College met with California Attorney General John Van De Kamp to explore methods by which the community college district could respond to the growing problem of drug abuse. The first step was the establishment of a 15-hour, fee-supported class on drug and alcohol abuse education for adult offenders at the…

  5. Children's Responses to the Medical Evaluation for Child Sexual Abuse.

    ERIC Educational Resources Information Center

    Dubowitz, Howard

    1998-01-01

    Addresses three issues: (1) how children respond to the medical evaluation for sexual abuse; (2) how the trauma of the evaluation experienced by some children can be minimized and the benefits maximized; and (3) how children's responses to the medical evaluation for sexual abuse can be interpreted. (DB)

  6. Fire Department Emergency Response

    SciTech Connect

    Blanchard, A.; Bell, K.; Kelly, J.; Hudson, J.

    1997-09-01

    In 1995 the SRS Fire Department published the initial Operations Basis Document (OBD). This document was one of the first of its kind in the DOE complex and was widely distributed and reviewed. This plan described a multi-mission Fire Department which provided fire, emergency medical, hazardous material spill, and technical rescue services.

  7. Grassroots Responsiveness to Human Rights Abuse: History of the Washtenaw Interfaith Coalition for Immigrant Rights

    ERIC Educational Resources Information Center

    Sanders, Laura; Martinez, Ramiro; Harner, Margaret; Harner, Melanie; Horner, Pilar; Delva, Jorge

    2013-01-01

    The purpose of this article is to discuss how a community agency based in Washtenaw County, the Washtenaw Interfaith Coalition for Immigration Rights (WICIR), emerged in response to increasing punitive immigration practices and human rights abuses toward the Latino community. The article discusses how WICIR is engaged in advocacy, community…

  8. Emerging drugs of abuse: current perspectives on synthetic cannabinoids

    PubMed Central

    Debruyne, Danièle; Le Boisselier, Reynald

    2015-01-01

    New psychoactive drugs that have appeared over the last decade are typically dominated by cathinones and synthetic cannabinoids (SCs). SCs have been emerging as recreational drugs because they mimic the euphoria effect of cannabis while still being legal. Sprayed on natural herb mixtures, SCs have been primarily sold as “herbal smoking blends” or “herbal incense” under brand names like “Spice” or “K2”. Currently, SCs pure compounds are available from websites for the combination with herbal materials or for the use in e-cigarettes. For the past 5 years, an ever increasing number of compounds, representative of different chemical classes, have been promoted and now represent a large assortment of new popular drugs of abuse, which are difficult to properly identify. Their legal status varies by country with many government institutions currently pushing for their control. The in vitro binding to CB1/CB2 receptors is usually well-known and considerable differences have been found in the CB1 versus CB2 selectivity and potency within the different SCs, with several structure-activity relations being evident. Desired effects by CB1 agonist users are relaxation/recreative, however, cardiovascular, gastrointestinal, or psychiatric/neurological side effects are commonly reported. At present there is no specific antidote existing if an overdose of designer drugs was to occur, and no curative treatment has been approved by health authorities. Management of acute toxic effects is mainly symptomatic and extrapolated from experience with cannabis. PMID:26543389

  9. EMERGENCY RESPONSE HEALTH PHYSICS

    SciTech Connect

    Mena, RaJah; Pemberton, Wendy; Beal, William

    2012-01-01

    Health physics is an important discipline with regard to understanding the effects of radiation on human health. Topics of discussion included in this manuscript are related to responding to a radiation emergency, and the necessary balance between desired high accuracy laboratory results and rapid turnaround requirements. Considerations are addressed for methodology with which to provide the most competent solutions despite challenges presented from incomplete datasets and, at times, limited methodology. An emphasis is placed on error and uncertainty of sample analysis results, how error affects products, and what is communicated in the final product.

  10. Rural-Urban Disparities in Child Abuse Management Resources in the Emergency Department

    ERIC Educational Resources Information Center

    Choo, Esther K.; Spiro, David M.; Lowe, Robert A.; Newgard, Craig D.; Hall, Michael Kennedy; McConnell, Kenneth John

    2010-01-01

    Purpose: To characterize differences in child abuse management resources between urban and rural emergency departments (EDs). Methods: We surveyed ED directors and nurse managers at hospitals in Oregon to gain information about available abuse-related resources. Chi-square analysis was used to test differences between urban and rural EDs.…

  11. Evaluation of the Cooperative Emergency Substance Abuse Prevention Training Program, 1991-1992. OER Report.

    ERIC Educational Resources Information Center

    Weich, Leah; Philip, Radhika

    The 1991-1992 Cooperative Emergency Substance Abuse Prevention Program was the first year of a two-year program in Community School District 3 in New York City. The overall objectives of the program were to provide staff training in the knowledge and skills necessary to carry out substance abuse prevention education, to make available to students…

  12. Emergency Department Trends from the Drug Abuse Warning Network, Preliminary Estimates January-June 2002. Drug Abuse Warning Network Series.

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Office of Applied Studies.

    This publication presents estimates of drug-related emergency department (ED) episodes from the Drug Abuse Warning Network (DAWN) from 1994 through the first half of 2001. DAWN is an ongoing, national data system that collects information on drug-related visits to EDs from a national probability sample of hospitals. This publication marks a major…

  13. Emergency Response Breathing Apparatus

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Aerospace Design & Development, Inc.'s (ADD's) SCAMP was developed under an SBIR contract through Kennedy Space Center. SCAMP stands for Supercritical Air Mobility Pack. The technology came from the life support fuel cell support systems used for the Apollo and Space Shuttle programs. It uses supercritical cryogenic air and is able to function in microgravity environments. SCAMP's self-contained breathing apparatus(SCBA) systems are also ground-based and can provide twice as much air than traditional SCBA's due to its high-density capacity. The SCAMP system was designed for use in launch pad emergency rescues. ADD also developed a protective suit for use with SCAMP that is smaller and lighter system than the old ones. ADD's SCAMP allows for body cooling and breathing from the supercritical cryogenic air, requiring no extra systems. The improvement over the traditional SCBA allows for a reduction of injuries, such as heat stress, and makes it easier for rescuers to save lives.

  14. Emergency Response and Management Activities

    EPA Pesticide Factsheets

    This quarterly report, highlighting accomplishments over the past several months, showcases EPA’s unique emergency response capabilities through the use of cutting-edge technologies and innovative cleanup strategies.

  15. Elder Abuse and Neglect: The Illinois Response.

    ERIC Educational Resources Information Center

    Illinois State Dept. on Aging, Springfield.

    This document outlines the ideas of the Illinois Department of Aging on the implementation and management of the Elder Abuse and Neglect Intervention Program. These topics are addressed in order to provide a basis for discussion of key elements of the proposed program and serve as a guide in the development of rules, policies, and procedures for…

  16. Emergency Department Visits Involving Misuse and Abuse of the Antipsychotic Quetiapine: Results from the Drug Abuse Warning Network (DAWN)

    PubMed Central

    Mattson, Margaret E; Albright, Victoria A; Yoon, Joanna; Council, Carol L

    2015-01-01

    Case reports in medical literature suggest that the atypical antipsychotic quetiapine, a medication not previously considered to have abuse potential, is now being subject to misuse and abuse (MUA; ie, taken when not prescribed for them or used in a way other than instructed by their health professional). Here we present systematic, nationally representative data from the 2005 to 2011 Drug Abuse Warning Network (DAWN) for prevalence of emergency department (ED) visits among the U.S. general population involving quetiapine and related to MUA, suicide attempts, and adverse reactions. Nationally, quetiapine-related ED visits increased 90% between 2005 and 2011, from 35,581 ED visits to 67,497. DAWN data indicate that when used without medical supervision for recreational/self-medication purposes, quetiapine poses health risks for its users, especially among polydrug users and women. These findings suggest that the medical and public health communities should increase vigilance concerning this drug and its potential for MUA. PMID:26056465

  17. Aggression and recent substance abuse: absence of association in psychiatric emergency room patients.

    PubMed

    Dhossche, D M

    1999-01-01

    Substance abuse has been linked to aggression in community and psychiatric samples. A retrospective chart review in 311 consecutive psychiatric emergency room patients was conducted to assess the association of substance abuse and aggression in an acute psychiatric setting. Various indices of substance abuse, including positive urine toxicology for alcohol, cocaine, and/or cannabis, were not associated with aggressive behavior. Patients with positive toxicology for cocaine were less frequently aggressive than cocaine-negative patients. Among aggressive patients, the presence of psychotic symptoms was the most important factor associated with admission. These findings suggest that aggression is not a common acute manifestation of recent substance abuse in psychiatric emergency room patients. Selection factors in this population and the specifics of an acute psychiatric setting may obscure the association, if any. Acute psychosis seems to have a more important role in this setting. Future studies should focus on the prevention and early treatment of aggression in psychotic emergency room patients.

  18. Emergency department-based interventions for women suffering domestic abuse: a critical literature review.

    PubMed

    Ansari, Sereena; Boyle, Adrian

    2017-02-01

    Domestic abuse represents a serious public health and human rights concern. Interventions to reduce the risk of abuse include staff training and standardized documentation improving detection and adherence to referral pathways. Interventional studies have been conducted in primary care, maternity and outpatient settings. Women disclosing abuse in emergency departments differ from women attending other healthcare settings, and it is unclear whether these interventions can be transferred to the emergency care setting. This review examines interventional studies to evaluate the effectiveness of emergency department-based interventions in reducing domestic abuse-related morbidity. Medline, EMBASE, CINAHL, PsycINFO and Cochrane Library were searched, according to prespecified selection criteria. Study quality was assessed using the Jadad scale. Of 273 search results, nine were eligible for review. Interventions involving staff training demonstrated benefits in subjective measures, such as staff knowledge regarding abuse, but no changes in clinical practice, based on detection and referral rates. When staff training was implemented in conjunction with supporting system changes - for example, standardized documentation for assessment and referral - clinically relevant improvements were noted. Interventions centred around staff training are insufficient to bring about improvements in the management and, thus, outcome of patients suffering abuse. Instead, system changes, such as standardized documentation and referral pathways, supported by training, may bring about beneficial changes. It remains uncertain whether surrogate outcomes employed by most studies translate to changes in abuse-related morbidity: the ultimate goal.

  19. Enhanced regional brain metabolic responses to benzodiazepines in cocaine abusers

    SciTech Connect

    Volkow, N.D.; Wang, G.J.; Fowler, J.S.

    1997-05-01

    While dopamine (DA) appears to be crucial for cocaine reinforcement, its involvement in cocaine addiction is much less clear. Using PET we have shown persistent reductions in striatal DA D2 receptors (which arc predominantly located on GABA cells) in cocaine abusers. This finding coupled to GABA`s role as an effector for DA led us to investigate if there were GABAergic abnormalities in cocaine abusers. In this study we measured regional brain metabolic responses to lorazepam, to indirectly assess GABA function (benzodiazepines facilitate GABAergic neurotransmission). Methods: The experimental subjects consisted of 12 active cocaine abusers and 32 age matched controls. Each subject underwent two PET FDG scans obtained within 1 week of each other. The first FDG scan was obtained after administration of placebo (3 cc of saline solution) given 40-50 minutes prior to FDG; and the second after administration of lorazepam (30 {mu}g/kg) given 40-50 minutes prior to FDG. The subjects were blind to the drugs received. Results: Lorazepam-induced sleepiness was significantly greater in abusers than in controls (p<0.001). Lorazepam-induced decreases in brain glucose metabolism were significantly larger in cocaine abusers than in controls. Whereas in controls whole brain metabolism decreased 13{+-}7 %, in cocaine abusers it decreased 21{+-}13 % (p < 0.05). Lorazepam-induced decrements in regional metabolism were significantly larger in striatum (p < 0.0 1), thalamus (p < 0.01) and cerebellum (p < 0.005) of cocaine abusers than of controls (ANOVA diagnosis by condition (placebo versus lorazepam) interaction effect). The only brain region for which the absolute metabolic changes-induced by lorazepam in cocaine abusers were equivalent to those in controls was the orbitofrontal cortex. These results document an accentuated sensitivity to benzodiazepines in cocaine abusers which is compatible with disrupted GABAergic function in these patients.

  20. Maternal Perceptions Of And Responses To Child Sexual Abuse

    PubMed Central

    Vidovič, Lea

    2016-01-01

    Abstract Background Several researches indicate that most child victims delay disclosing of sexual abuse for significant periods of time. There are numerous reasons as to why children are avoiding the disclosure of the abuse. The aim of this study was to determine how a mother’s response to a child’s allegations impacts the child’s willingness to disclose sexual abuse. Methods We conducted a retrospective quantitative and qualitative analysis of 73 court-referred cases of child sexual abuse which have been disclosed in Slovenia in the last ten years. All the child victims included in the study were female and the perpetrators adult male persons. The expert opinions were made by the same expert. Results We realized that, at the occurrence of abuse, the child victims were from 4 to 15 years old and their mean age was at 11. 5 years. About two-thirds of children were victims of the intra-familial type (61.6%) and a little more than one third of extra-familial type of sexual abuse (38.4%). The group of victims with the support of their mothers needed about 9 months to disclose the secret, while the delay of the disclosure in the cases without the support of mothers was much longer (M=6.9 years). Conclusion For female child victims of sexual abuse the perceived protective attitude of their mothers is very important. Especially when the sexual abuse happened in the family, the mother’s support can attribute to stop the ongoing abuse, eliminate its immediate effects and decrease its likely negative long-term outcome. PMID:27284381

  1. Portable instruments for emergency response

    NASA Astrophysics Data System (ADS)

    Swinth, K. L.

    1985-05-01

    The selection and use of instruments for emergency response is complicated by lack of specific guidance, the diversity of potential conditions, and the variable performance of available instruments. The user must examine the projected radiological conditions during an accident and the environmental extremes that could exist. This should assist in determining requirements that the instruments must meet during an emergency. Due to the variable performance of available instrumentation, critical parameters (temperature dependence) should be tested prior to use to assure adequate measurements. Although it is tempting to stock emergency kits with inexpensive monitoring equipment, one should carefully consider the possible conditions (environmental, radiological) and equipment performance since inaccurate measurements could be very costly in terms of decisions regarding lifesaving and evacuation during an emergency.

  2. Emergency Department Presentations for Injuries in Older Adults Independently Known to be Victims of Elder Abuse

    PubMed Central

    Rosen, Tony; Bloemen, Elizabeth M.; LoFaso, Veronica M.; Clark, Sunday; Flomenbaum, Neal; Lachs, Mark S.

    2015-01-01

    Background Elder abuse is under-recognized by Emergency Department (ED) providers, largely due to challenges distinguishing between abuse and accidental trauma. Objective To describe patterns and circumstances surrounding elder abuse-related and potentially abuse-related injuries in ED patients independently known to be physical elder abuse victims. Methods ED utilization of community-dwelling victims of physical elder abuse in New Haven, CT from 1981-1994 was analyzed previously. Cases were identified using Elderly Protective Services data matched to ED records. 66 ED visits were judged to have high probability of being related to elder abuse and 244 of indeterminate probability. We re-examined these visits to assess whether they occurred due to injury. We identified and analyzed in detail 31 injury-associated ED visits from 26 patients with high probability of being related to elder abuse and 108 visits from 57 patients with intermediate probability and accidental injury. Results Abuse-related injuries were most common on upper extremities (45% of visits) and lower extremities (32%), with injuries on head or neck noted in 13 visits (42%). Bruising was observed in 39% of visits, most commonly on upper extremities. 42% of purportedly accidental injuries had suspicious characteristics, with the most common suspicious circumstance being injury occurring >1 day prior to presentation and the most common suspicious injury pattern being maxillofacial injuries. Conclusion Victims of physical elder abuse commonly have injuries on upper extremities, head, and neck. Suspicious circumstances and injury patterns may be identified and are commonly present when victims of physical elder abuse present with purportedly accidental injuries. PMID:26810019

  3. The Student Volunteer Army: a 'repeat emergent' emergency response organisation.

    PubMed

    Carlton, Sally; Mills, Colleen E

    2017-01-17

    This paper seeks to contribute to understanding of the factors associated with an effective emergent emergency response organisation and to provide new insights into this understudied area. It examines, through an analysis of a range of textual resources, the emergence and re-emergence of the Student Volunteer Army (SVA) during the devastating earthquakes in Canterbury, New Zealand, in 2010-11. This evaluation is conducted in relation to the four key features of an effective emergency response organisation: adaptability; direction; leadership; and communication. In addition, the paper aims to further understanding of 'emergency entrepreneurship' and thus of the values and strategies that underpin social entrepreneur organisations in times of normalcy. The paper concludes that the unique position of the SVA as a 'repeat emergent' emergency response organisation enabled it to innovate continually and to improve repeatedly its systems, relationships, and image, such that it exhibited features common to emergent and established emergency response organisations.

  4. Automated emergency meteorological response system

    SciTech Connect

    Pepper, D W

    1980-01-01

    A sophisticated emergency response system was developed to aid in the evaluation of accidental releases of hazardous materials from the Savannah River Plant to the environment. A minicomputer system collects and archives data from both onsite meteorological towers and the National Weather Service. In the event of an accidental release, the computer rapidly calculates the trajectory and dispersion of pollutants in the atmosphere. Computer codes have been developed which provide a graphic display of predicted concentration profiles downwind from the source, as functions of time and distance.

  5. Abuse

    MedlinePlus

    ... member, a trusted teacher, a doctor, or a school or religious youth counselor. Many teachers and counselors have training in how to recognize and report abuse. Telephone and online directories list local child abuse and family violence hotline numbers that you can call for help. ...

  6. Emerging drugs of abuse: current perspectives on substituted cathinones

    PubMed Central

    Paillet-Loilier, Magalie; Cesbron, Alexandre; Le Boisselier, Reynald; Bourgine, Joanna; Debruyne, Danièle

    2014-01-01

    Substituted cathinones are synthetic analogs of cathinone that can be considered as derivatives of phenethylamines with a beta-keto group on the side chain. They appeared in the recreational drug market in the mid-2000s and now represent a large class of new popular drugs of abuse. Initially considered as legal highs, their legal status is variable by country and is rapidly changing, with government institutions encouraging their control. Some cathinones (such as diethylpropion or pyrovalerone) have been used in a medical setting and bupropion is actually indicated for smoking cessation. Substituted cathinones are widely available from internet websites, retail shops, and street dealers. They can be sold under chemical, evocative or generic names, making their identification difficult. Fortunately, analytical methods have been developed in recent years to solve this problem. Available as powders, substituted cathinones are self-administered by snorting, oral injestion, or intravenous injection. They act as central nervous system stimulants by causing the release of catecholamines (dopamine, noradrenaline, and serotonin) and blocking their reuptake in the central and peripheral nervous system. They may also decrease dopamine and serotonin transporter function as nonselective substrates or potent blockers and may inhibit monoamine oxidase effects. Nevertheless, considerable differences have been found in the potencies of the different substituted cathinones in vitro. Desired effects reported by users include increased energy, empathy, and improved libido. Cardiovascular (tachycardia, hypertension) and psychiatric/neurological signs/symptoms (agitation, seizures, paranoia, and hallucinations) are the most common adverse effects reported. Severe toxicity signs compatible with excessive serotonin activity, such as hyperthermia, metabolic acidosis, and prolonged rhabdomyolysis, have also been observed. Reinforcing potential observed in animals predicts a high potential

  7. Human Response to Emergency Warning

    NASA Astrophysics Data System (ADS)

    Sorensen, J.

    2009-12-01

    Almost every day people evacuate from their homes, businesses or other sites, even ships, in response to actual or predicted threats or hazards. Evacuation is the primary protective action utilized in large-scale emergencies such as hurricanes, floods, tornados, tsunamis, volcanic eruptions, or wildfires. Although often precautionary, protecting human lives by temporally relocating populations before or during times of threat remains a major emergency management strategy. One of the most formidable challenges facing emergency officials is evacuating residents for a fast-moving and largely unpredictable event such as a wildfire or a local tsunami. How to issue effective warnings to those at risk in time for residents to take appropriate action is an on-going problem. To do so, some communities have instituted advanced communications systems that include reverse telephone call-down systems or other alerting systems to notify at-risk residents of imminent threats. This presentation examines the effectiveness of using reverse telephone call-down systems for warning San Diego residents of wildfires in the October of 2007. This is the first systematic study conducted on this topic and is based on interviews with 1200 households in the evacuation areas.

  8. Caffeinated Alcoholic Beverages – An Emerging Trend in Alcohol Abuse

    PubMed Central

    Franklin, Kelle M; Hauser, Sheketha R; Bell, Richard L.; Engleman, Eric A

    2014-01-01

    Alcohol use disorders are pervasive in society and their impact affects quality of life, morbidity and mortality, as well as individual productivity. Alcohol has detrimental effects on an individual’s physiology and nervous system, and is associated with disorders of many organ and endocrine systems impacting an individual’s health, behavior, and ability to interact with others. Youth are particularly affected. Unfortunately, adolescent usage also increases the probability for a progression to dependence. Several areas of research indicate that the deleterious effects of alcohol abuse may be exacerbated by mixing caffeine with alcohol. Some behavioral evidence suggests that caffeine increases alcohol drinking and binge drinking episodes, which in turn can foster the development of alcohol dependence. As a relatively new public health concern, the epidemiological focus has been to establish a need for investigating the effects of caffeinated alcohol. While the trend of co-consuming these substances is growing, knowledge of the central mechanisms associated with caffeinated ethanol has been lacking. Research suggests that caffeine and ethanol can have additive or synergistic pharmacological actions and neuroadaptations, with the adenosine and dopamine systems in particular implicated. However, the limited literature on the central effects of caffeinated ethanol provides an impetus to increase our knowledge of the neuroadaptive effects of this combination and their impact on cognition and behavior. Research from our laboratories indicates that an established rodent animal model of alcoholism can be extended to investigate the acute and chronic effects of caffeinated ethanol. PMID:25419478

  9. Abuse

    MedlinePlus

    ... people to control their actions. Certain types of personality disorders or mental illness might also interfere with ... self-control. Of course, not everyone with a personality disorder or mental illness becomes abusive. Fortunately, people ...

  10. Abuse

    MedlinePlus

    ... Stages Early-Stage Caregiving Middle-Stage Caregiving Late-Stage Caregiving Behaviors Aggression & Anger Anxiety & Agitation Depression Hallucinations Memory Loss & Confusion Repetition Sleep Issues & Sundowning Suspicion & Delusions Wandering Abuse Start Here ...

  11. Potential Child Abuse Screening in Emergency Department; a Diagnostic Accuracy Study

    PubMed Central

    Dinpanah, Hossein; Akbarzadeh Pasha, Abazar

    2017-01-01

    Introduction: Designing a tool that can differentiate those at risk of child abuse with great diagnostic accuracy is of great interest. The present study was designed to evaluate the diagnostic accuracy of Escape instrument in triage of at risk cases of child abuse presenting to emergency department (ED). Method: The present diagnostic accuracy study performed on 6120 of the children under 16 years old presented to ED during 3 years, using convenience sampling. Confirmation by the child abuse team (pediatrician, a social worker, and a forensic physician) was considered as the gold standard. Screening performance characteristics of Escape were calculated using STATA 21. Results: 6120 children with the mean age of 2.19 ± 1.12 years were screened (52.7% girls). 137 children were suspected victims of child abuse. Based on child abuse team opinion, 35 (0.5%) children were confirmed victims of child abuse. Sensitivity, specificity, positive and negative likelihood ratio and positive and negative predictive values of this test with 95% CI were 100 (87.6 – 100), 98.3 (97.9 – 98.6), 25.5 (18.6 – 33.8), 100 (99.9 – 100), 0.34 (0.25 – 0.46), and 0 (0 – NAN), respectively. Area under the ROC curve was 99.2 (98.9 – 99.4). Conclusion: It seems that Escape is a suitable screening instrument for detection of at risk cases of child abuse presenting to ED. Based on the results of the present study, the accuracy of this screening tool is 99.2%, which is in the excellent range. PMID:28286815

  12. Attitudes Toward Computer Interventions for Partner Abuse and Drug Use Among Women in the Emergency Department

    PubMed Central

    Choo, Esther; Ranney, Megan; Wetle, Terrie; Morrow, Kathleen; Mello, Michael; Squires, Daniel; Tapé, Chantal; Garro, Aris; Zlotnick, Caron

    2014-01-01

    Background Drug use and partner abuse often coexist among women presenting to the emergency department (ED). Technology offers one solution to the limited time and expertise available to address these problems. Aims The aims of this study were to explore womens’ attitudes about use of computers for screening and intervening in drug use and partner abuse. Methods Seventeen adult women with recent histories of partner abuse and drug use were recruited from an urban ED to participate in one-on-one semi-structured interviews. A coding classification scheme was developed and applied to the transcripts by two independent coders. The research team collaboratively decided upon a thematic framework and selected illustrative quotes. Results Most participants used computers and/or mobile phones frequently and reported high self-efficacy with them. Women described emotional difficulty and shame around partner abuse experiences and drug use; however, they felt that reporting drug use and partner abuse was easier and safer through a computer than face-to-face with a person, and that advice from a computer about drug use or partner abuse was acceptable and accessible. Some had very positive experiences completing screening assessments. However, participants were skeptical of a computer’s ability to give empathy, emotional support or meaningful feedback. The ED was felt to be an appropriate venue for such programs, as long as they were private and did not supersede clinical care. Conclusions Women with partner abuse and drug use histories were receptive to computerized screening and advice, while still expressing a need for the empathy and compassion of a human interaction within an intervention. PMID:26167133

  13. Mobile Emergency Response Water Treatment Technology Results

    EPA Science Inventory

    When natural disasters like hurricanes, floods and earthquakes occur, safe drinking water can be compromised, limited or unavailable. Under such situations, communities have emergency response plans. One of many options for providing safe drinking water during emergency situati...

  14. Smart Growth Streets and Emergency Response

    EPA Pesticide Factsheets

    This page describes how street networks and street design affect emergency response and links to resources for designing streets that work for emergency responders and communities' smart growth goals.

  15. An Emerging Problem: Methamphetamine Abuse among Treatment Seeking Youth

    ERIC Educational Resources Information Center

    Gonzales, Rachel; Ang, Alfonso; McCann, Michael J.; Rawson, Richard A.

    2008-01-01

    This study examined correlates of methamphetamine (MA) and marijuana (MJ) use and treatment response among treatment-involved youth (N = 4,430) in Los Angeles County, California treated between 2000 and 2005. Of the sample, 912 (21%) were primary MA and 3,518 (79%) were primary MJ users. Correlates of increased MA use included being female, White,…

  16. SSRL Emergency Response Shore Tool

    NASA Technical Reports Server (NTRS)

    Mah, Robert W.; Papasin, Richard; McIntosh, Dawn M.; Denham, Douglas; Jorgensen, Charles; Betts, Bradley J.; Del Mundo, Rommel

    2006-01-01

    The SSRL Emergency Response Shore Tool (wherein SSRL signifies Smart Systems Research Laboratory ) is a computer program within a system of communication and mobile-computing software and hardware being developed to increase the situational awareness of first responders at building collapses. This program is intended for use mainly in planning and constructing shores to stabilize partially collapsed structures. The program consists of client and server components, runs in the Windows operating system on commercial off-the-shelf portable computers, and can utilize such additional hardware as digital cameras and Global Positioning System devices. A first responder can enter directly, into a portable computer running this program, the dimensions of a required shore. The shore dimensions, plus an optional digital photograph of the shore site, can then be uploaded via a wireless network to a server. Once on the server, the shore report is time-stamped and made available on similarly equipped portable computers carried by other first responders, including shore wood cutters and an incident commander. The staff in a command center can use the shore reports and photographs to monitor progress and to consult with structural engineers to assess whether a building is in imminent danger of further collapse.

  17. Aircraft Emergencies: Challenge and Response

    NASA Technical Reports Server (NTRS)

    Burian, Barbara K.

    2010-01-01

    Emergency and abnormal situations in aviation present flight crews with a number of challenges. Checklists are essential tools that have been developed to assist them to meet these challenges. However, in order for checklists to be most effective in these situations they must be designed with the operational and situational demands of emergencies and abnormal conditions in mind as well as human performance capabilities and limitations under high stress and workload.

  18. Radiological emergency: Malaysian preparedness and response.

    PubMed

    Yusof, Mohd Abd Wahab; Ali, Hamrah Mohd

    2011-07-01

    Planning and preparation in advance for radiological emergencies can help to minimise potential public health and environmental threats if and when an actual emergency occurs. During the planning process, emergency response organisations think through how they would respond to each type of incident and the resources that will be needed. In Malaysia, planning, preparation for and response to radiological emergencies involve many parties. In the event of a radiological emergency and if it is considered a disaster, the National Security Council, the Atomic Energy Licensing Board and the Malaysian Nuclear Agency (Nuclear Malaysia) will work together with other federal agencies, state and local governments, first responders and international organisations to monitor the situation, contain the release, and clean up the contaminated site. Throughout the response, these agencies use their protective action guidelines. This paper discusses Malaysian preparedness for, and response to, any potential radiological emergency.

  19. Uses of the internet in emergency response.

    SciTech Connect

    Herzenberg, C. L.; Newsom, D. E.; Swietlik, C. E.; Bertram, K. M.; Decision and Information Sciences

    1999-01-01

    Past and potential future uses of the Internet in emergency preparedness and emergency response are examined. Discussion of past experience in use of the Internet in crises includes some examples from the Kobe earthquake in 1995, the Loma Prieta earthquake in 1989, and the ice storm in the northeastern United States in 1998. Various advantages and drawbacks of use of the Internet in emergency response are examined. Both some promising applications and issues that may arise in use of the Internet for emergency response are discussed.

  20. Emergence of Sex Differences in the Development of Substance Use and Abuse during Adolescence

    PubMed Central

    Kuhn, Dr. Cynthia

    2015-01-01

    Substance use and abuse begins during adolescence. Male and female adolescent humans initiate use at comparable rates, but males increase use faster. In adulthood, more men than women use and abuse addictive drugs. However, some women progress more rapidly from initiation of use to entry into treatment. In animal models, adolescent males and females consume addictive drugs similarly. However, reproductively mature females acquire self-administration faster, and in some models, escalate use more. Sex/gender differences exist in neurobiologic factors mediating both reinforcement (dopamine, opioids) and aversiveness (CRF, dynorphin), as well as intrinsic factors (personality, psychiatric co-morbidities) and extrinsic factors (history of abuse, environment especially peers and family) which influence the progression from initial use to abuse., Many of these important differences emerge during adolescence, and are moderated by sexual differentiation of the brain. Estradiol effects which enhance both dopaminergic and CRF-mediated processes contribute to the female vulnerability to substance use and abuse. Testosterone enhances impulsivity and sensation seeking in both males and females. Several protective factors in females also influence initiation and progression of substance use including hormonal changes of pregnancy as well as greater capacity for self-regulation and lower peak levels of impulsivity/sensation seeking. Same sex peers represent a risk factor more for males than females during adolescence, while romantic partners increase risk for women during this developmental epoch. In summary, biologic factors, psychiatric co-morbidities as well as personality and environment present sex/gender-specific risks as adolescents begin to initiate substance use. PMID:26049025

  1. Emergence of sex differences in the development of substance use and abuse during adolescence.

    PubMed

    Kuhn, Cynthia

    2015-09-01

    Substance use and abuse begin during adolescence. Male and female adolescent humans initiate use at comparable rates, but males increase use faster. In adulthood, more men than women use and abuse addictive drugs. However, some women progress more rapidly from initiation of use to entry into treatment. In animal models, adolescent males and females consume addictive drugs similarly. However, reproductively mature females acquire self-administration faster, and in some models, escalate use more. Sex/gender differences exist in neurobiologic factors mediating both reinforcement (dopamine, opioids) and aversiveness (CRF, dynorphin), as well as intrinsic factors (personality, psychiatric co-morbidities) and extrinsic factors (history of abuse, environment especially peers and family) which influence the progression from initial use to abuse. Many of these important differences emerge during adolescence, and are moderated by sexual differentiation of the brain. Estradiol effects which enhance both dopaminergic and CRF-mediated processes contribute to the female vulnerability to substance use and abuse. Testosterone enhances impulsivity and sensation seeking in both males and females. Several protective factors in females also influence initiation and progression of substance use including hormonal changes of pregnancy as well as greater capacity for self-regulation and lower peak levels of impulsivity/sensation seeking. Same sex peers represent a risk factor more for males than females during adolescence, while romantic partners increase risk for women during this developmental epoch. In summary, biologic factors, psychiatric co-morbidities as well as personality and environment present sex/gender-specific risks as adolescents begin to initiate substance use.

  2. Singaporean Early Childhood Teachers' Responses to Myths about Child Abuse

    ERIC Educational Resources Information Center

    Briggs, Freda; Potter, Gillian K.

    2004-01-01

    Prior to attending seminars on child abuse and domestic violence, 86 kindergarten and 64 special education (early childhood) teachers completed a questionnaire seeking views relating to the accuracy of statements relating to all forms of child abuse. This was designed to identify the accuracy of teachers' knowledge of child abuse and neglect…

  3. Attributions of Responsibility in a Child Sexual Abuse (CSA) Vignette among Respondents with CSA Histories: The Role of Abuse Similarity to a Hypothetical Victim

    ERIC Educational Resources Information Center

    Harding, Hilary G.; Zinzow, Heidi M.; Burns, Erin E.; Jackson, Joan L.

    2010-01-01

    Previous research suggests that similarity to a victim may influence attributions of responsibility in hypothetical child sexual abuse scenarios. One aspect of similarity receiving mixed support in the literature is respondent child sexual abuse history. Using a sample of 1,345 college women, the present study examined child sexual abuse history,…

  4. [Emotional responsiveness of substance abusers under outpatient treatment].

    PubMed

    Chicharro, Juan; Pérez-García, Ana M; Sanjuán, Pilar

    2012-01-01

    The emotions predispose to action providing information from both internal and external environment. There is evidence indicating that the emotional response in drugdependent patients is different from that of the not consuming population. The present work analyzed the emotions of drugdependent under ambulatory treatment (N=57), following the Lang's theory of emotion, considering the dimensions of valence, arousal and dominance or control, across the International Affective Picture System (IAPS), individually applied. The results were contrasted with a control group of not consuming persons (N=44) of similar age, since this variable concerns emotional experience. The influence of sex was also analyzed, considering the possible differences between men and women in emotional experience. The results can be summarized in the following points: (1) There were significant differences between substance abusers and not consumers in the dimension of valence, valuing the consumers the emotional stimuli of the most extreme form (the agreeable ones as better, and the disagreeable ones as worse); (2) there were no differences between both groups in the arousal and dominance dimensions; and (3) women reported more arousal before aversive images, and less before the sexual ones, than males, independently of they were or not substance abusers. Finally, it is suggested the need to deep into the analysis of sex differences and into the images selected, as well as into the usefulness of the emotion centred therapies for the treatment of drugdependency.

  5. Reforming Disaster and Emergency Response

    DTIC Science & Technology

    2011-03-24

    storm, high water, wind-driven water, tidal wave, tsunami, earthquake, volcanic eruption, landslide , mudslide, snowstorm, or drought) or...range of subtypes to include severe winter storms, severe storms and flooding, landslides and mudslides, tornadoes, inland and coastal flooding...national responsibility. Majority of States Subsidize the Minority of States Two problems with the trend towards nationalization of disaster response

  6. The Impact of High-Profile Sexual Abuse Cases in the Media on a Pediatric Emergency Department.

    PubMed

    Flannery, Dustin D; Stephens, Clare L; Thompson, Amy D

    2016-01-01

    High-profile media cases of sexual abuse may encourage disclosures of abuse from victims of unrelated assaults and also influence parental concerns, leading to increased emergency department visits. In the region of the study authors' institution, there are two recent high-profile sexual abuse cases with media coverage: Earl Bradley, a Delaware pediatrician, and Jerry Sandusky, a Pennsylvania college football coach. This is a retrospective cohort study of children evaluated for sexual abuse at a pediatric emergency department. Patients were classified as either presenting during a media period or non-media period. The media periods were one-month periods immediately following breaking news reports, when the cases were highly publicized in the media. The non-media periods were the 12-month periods directly preceding the first reports. The median number of emergency department visits per month during a non-media period was 9 visits (interquartile range 6-10). There were 11 visits in the month following the Sandusky case and 13 visits following the Bradley case. There was no statistical difference in number of emergency department visits for sexual abuse between the periods (p = .09). These finding have implications regarding use of resources in pediatric EDs after high-profile sexual abuse cases.

  7. Emergency Response Teams in Action.

    ERIC Educational Resources Information Center

    Watson, James A.

    2001-01-01

    Illustrates the value of proper crisis response training to help schools protect lives by avoiding adverse situations. Details the execution of a crisis management plan, which was developed following a cafeteria/kitchen explosion. (GR)

  8. Community Relations During Emergency Responses

    EPA Pesticide Factsheets

    Good communication is essential to keep local officials and citizens informed, so an official EPA spokesperson is appointed during each response action. Public involvement can help to save lives should an evacuation or other action be required.

  9. An emergency response team for membrane repair

    NASA Technical Reports Server (NTRS)

    McNeil, Paul L.; Kirchhausen, Tom

    2005-01-01

    On demand, rapid Ca(2+)-triggered homotypic and exocytic membrane-fusion events are required to repair a torn plasma membrane, and we propose that this emergency-based fusion differs fundamentally from other rapid, triggered fusion reactions. Emergency fusion might use a specialized protein and organelle emergency response team that can simultaneously promote impromptu homotypic fusion events between organelles and exocytic fusion events along the vertices between these fusion products and the plasma membrane.

  10. 77 FR 23161 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... Fukushima Dai-ichi Nuclear Power Plant accident in Japan. DATES: Submit comments by June 18, 2012. Comments.... Background: Fukushima Dai-ichi and the NRC Regulatory Response III. Background: Onsite Emergency Response.... Background: Fukushima Dai-ichi and the NRC Regulatory Response On March 11, 2011, a magnitude 9.0...

  11. 78 FR 63901 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... actions stemming from the NRC's lessons-learned efforts associated with the March 2011 Fukushima Dai-ichi... Regulations (10 CFR) to strengthen and integrate onsite emergency response capabilities, the NRC is making... public availability the regulatory basis to strengthen and integrate onsite emergency...

  12. Emergency Response to Gold King Mine Release

    EPA Pesticide Factsheets

    Description of August 5, 2015 release of contaminated waters from the Gold King Mine into Cement Creek and the Animas River, and the resulting emergency response remediation efforts, including monitoring of affected waterways.

  13. Groundwater contamination and emergency response guide

    SciTech Connect

    Guswa, J.H.; Donigian, A.S.

    1984-01-01

    This book provides a review of equipment, methods, and field techniques; an overview of groundwater hydrology; and a methodology for estimating groundwater contamination under emergency response conditions. It describes techniques used to identify, quantify, and respond to groundwater pollution incidents.

  14. Hazardous materials transportation and emergency response programs

    SciTech Connect

    Joy, D.S.; Fore, C.S.

    1983-01-01

    This presentation consists of the following visual aids; (1) detailed routing capabilities of truck, rail, barge; (2) legislative data base for hazardous materials; and (3) emergency response of accident site Eddyville, Kentucky (airports in vicinity of Eddyville, KY).

  15. CDC's Evolving Approach to Emergency Response.

    PubMed

    Redd, Stephen C; Frieden, Thomas R

    The Centers for Disease Control and Prevention (CDC) transformed its approach to preparing for and responding to public health emergencies following the anthrax attacks of 2001. The Office of Public Health Preparedness and Response, an organizational home for emergency response at CDC, was established, and 4 programs were created or greatly expanded after the anthrax attacks: (1) an emergency management program, including an Emergency Operations Center; (2) increased support of state and local health department efforts to prepare for emergencies; (3) a greatly enlarged Strategic National Stockpile of medicines, vaccines, and medical equipment; and (4) a regulatory program to assure that work done on the most dangerous pathogens and toxins is done as safely and securely as possible. Following these changes, CDC led responses to 3 major public health emergencies: the 2009-10 H1N1 influenza pandemic, the 2014-16 Ebola epidemic in West Africa, and the ongoing Zika epidemic. This article reviews the programs of CDC's Office of Public Health Preparedness, the major responses, and how these responses have resulted in changes in CDC's approach to responding to public health emergencies.

  16. Responses of Abused and Disadvantaged Toddlers to Distress in Agemates: A Study in the Day Care Setting.

    ERIC Educational Resources Information Center

    Main, Mary; George, Carol

    1985-01-01

    Observed in group day care settings, responses to distress in peers were examined in 10 abused toddlers and 10 matched controls from families experiencing stress. Early development of "abusive" behavior patterns in toddlers who have been subjected to physical abuse and later behavior of abused individuals as parents are discussed in relation to…

  17. Enhancing nuclear emergency response through international cooperation.

    PubMed

    Ugletveit, Finn; Aaltonen, Hannele

    2004-01-01

    Nuclear and radiological emergencies may easily become severe international emergencies requiring substantial resources in several or many states for an adequate response, which in some cases may require resources exceeding national capabilities. Through the development of a consistent, coherent and sustainable joint programme for improved and more efficient international responses to nuclear and radiological emergencies, it is believed that we could achieve a better and more cost-effective response capability for nuclear and radiological emergencies. This requires, however, that we be willing and able to establish mechanisms of assistance where information and resources are globally shared and that standardised/harmonised procedures be developed and implemented. If we are willing to make this investment, we believe that, in the long term, there will be a significant benefit for all of us.

  18. Attributions of responsibility in a child sexual abuse (CSA) vignette among respondents with CSA histories: the role of abuse similarity to a hypothetical victim.

    PubMed

    Harding, Hilary G; Zinzow, Heidi M; Burns, Erin E; Jackson, Joan L

    2010-03-01

    Previous research suggests that similarity to a victim may influence attributions of responsibility in hypothetical child sexual abuse scenarios. One aspect of similarity receiving mixed support in the literature is respondent child sexual abuse history. Using a sample of 1,345 college women, the present study examined child sexual abuse history, similarity to victim, and attributions of responsibility to a hypothetical victim, family member, and perpetrator in a child sexual abuse vignette. Results revealed no group differences in responsibility ratings among respondents with and without child sexual abuse histories. However, among the 133 respondents with child sexual abuse histories, results indicated that similarity to victim moderated the relationship between vignette characteristics, respondent history, and responsibility attributions. Results suggest that similarity to a victim may influence ratings in a self-preserving manner.

  19. STOP Abusive Behavior Syndrome: Developing a Community Response.

    ERIC Educational Resources Information Center

    Holzman, Lois; Rivera, Mary

    This paper discusses the social-therapeutic approach to preventing abusive behavior, and describes the implementation of specific STOP Abusive Behavior Syndrome (ABS) projects in New York City, New York. The projects' goal is to empower people to continually develop throughout their lifespans. Basic tenants include the following: (1) emotions are…

  20. Radiological Emergency Response Health and Safety Manual

    SciTech Connect

    D. R. Bowman

    2001-05-01

    This manual was created to provide health and safety (H&S) guidance for emergency response operations. The manual is organized in sections that define each aspect of H and S Management for emergency responses. The sections are as follows: Responsibilities; Health Physics; Industrial Hygiene; Safety; Environmental Compliance; Medical; and Record Maintenance. Each section gives guidance on the types of training expected for managers and responders, safety processes and procedures to be followed when performing work, and what is expected of managers and participants. Also included are generic forms that will be used to facilitate or document activities during an emergency response. These ensure consistency in creating useful real-time and archival records and help to prevent the loss or omission of information.

  1. Emergency Response Virtual Environment for Safe Schools

    NASA Technical Reports Server (NTRS)

    Wasfy, Ayman; Walker, Teresa

    2008-01-01

    An intelligent emergency response virtual environment (ERVE) that provides emergency first responders, response planners, and managers with situational awareness as well as training and support for safe schools is presented. ERVE incorporates an intelligent agent facility for guiding and assisting the user in the context of the emergency response operations. Response information folders capture key information about the school. The system enables interactive 3D visualization of schools and academic campuses, including the terrain and the buildings' exteriors and interiors in an easy to use Web..based interface. ERVE incorporates live camera and sensors feeds and can be integrated with other simulations such as chemical plume simulation. The system is integrated with a Geographical Information System (GIS) to enable situational awareness of emergency events and assessment of their effect on schools in a geographic area. ERVE can also be integrated with emergency text messaging notification systems. Using ERVE, it is now possible to address safe schools' emergency management needs with a scaleable, seamlessly integrated and fully interactive intelligent and visually compelling solution.

  2. Correlates of Violent Response among Peruvian Women Abused by an Intimate Partner

    ERIC Educational Resources Information Center

    Gelaye, Bizu; Lam, Nelly; Cripe, Swee May; Sanchez, Sixto E.; Williams, Michelle A.

    2010-01-01

    The authors sought to identify correlates of violent response among women exposed to intimate partner violence (IPV) in Lima, Peru. A structured questionnaire was used to collect information on exposure to IPV and women's physical violent reaction towards their abuser. Women who were sexually abused by their partners, as compared with women who…

  3. 14 CFR 120.113 - Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Medical Review Officer, Substance Abuse... Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities. (a) The employer...-hour request period or pending receipt of the split specimen test result. (c) Substance...

  4. 14 CFR 120.113 - Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Medical Review Officer, Substance Abuse... Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities. (a) The employer...-hour request period or pending receipt of the split specimen test result. (c) Substance...

  5. 14 CFR 120.113 - Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Medical Review Officer, Substance Abuse... Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities. (a) The employer...-hour request period or pending receipt of the split specimen test result. (c) Substance...

  6. 14 CFR 120.113 - Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Medical Review Officer, Substance Abuse... Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities. (a) The employer...-hour request period or pending receipt of the split specimen test result. (c) Substance...

  7. 14 CFR 120.113 - Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Medical Review Officer, Substance Abuse... Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities. (a) The employer...-hour request period or pending receipt of the split specimen test result. (c) Substance...

  8. The Pennsylvania State University Child Sexual Abuse Scandal: An Analysis of Institutional Factors Affecting Response

    ERIC Educational Resources Information Center

    Holland, Alice R.

    2015-01-01

    The outcomes of The Pennsylvania State University (Penn State) child sexual abuse scandal have left many scholars and individuals questioning the university's collective identity. The goal of this research was to uncover the dominant themes that describe a problematic institutional response to the child sexual abuse incidents in order to provide…

  9. The Neglected and Abused Child: New Roles and Responsibilities for the School.

    ERIC Educational Resources Information Center

    Anderson, Luleen S.; Griffin, Carol L.

    1981-01-01

    Outlines the experience of a school system in Quincy, Massachusetts to meet the state's mandated responsibility relating to child abuse. The program includes: provision of clear-cut, systemwide guidelines; availability of a resource person; opportunities for staff communication relating to child abuse experiences; and establishing ties to involved…

  10. RMP Guidance for Chemical Distributors - Chapter 8: Emergency Response Program

    EPA Pesticide Factsheets

    Depending on the level of processes at your facility, part 68 may require an emergency response program: an emergency response plan, emergency response equipment procedures, employee training, and procedures to ensure the program is up-to-date.

  11. Epidemiology of illicit and abused drugs in the general population, emergency department drug-related episodes, and arrestees.

    PubMed

    Rouse, B A

    1996-08-01

    National trends in substance abuse are presented: the civilian noninstitutionalized general population; drug-related emergency department episodes; and booked arrestees. Major metropolitan differences are also noted. This study was based on the primary national data systems for these groups: The Substance Abuse and Mental Health Services Administration (SAMHSA) National Household Survey on Drug Abuse, SAMHSA's Drug Abuse Warning Network (DAWN), and the National Institute of Justice Drug Use Forecasting (DUF) system. While the most prevalent drug differed in the three data sources, all three showed recent increases in marijuana. Despite the general decline in drug use seen in the general population, both the number of drug-related cases in the DAWN system and the drug use detected in the DUF arrestees showed recent increases.

  12. Standardized emergency management system and response to a smallpox emergency.

    PubMed

    Kim-Farley, Robert J; Celentano, John T; Gunter, Carol; Jones, Jessica W; Stone, Rogelio A; Aller, Raymond D; Mascola, Laurene; Grigsby, Sharon F; Fielding, Jonathan E

    2003-01-01

    The smallpox virus is a high-priority, Category-A agent that poses a global, terrorism security risk because it: (1) easily can be disseminated and transmitted from person to person; (2) results in high mortality rates and has the potential for a major public health impact; (3) might cause public panic and social disruption; and (4) requires special action for public health preparedness. In recognition of this risk, the Los Angeles County Department of Health Services (LAC-DHS) developed the Smallpox Preparedness, Response, and Recovery Plan for LAC to prepare for the possibility of an outbreak of smallpox. A unique feature of the LAC-DHS plan is its explicit use of the Standardized Emergency Management System (SEMS) framework for detailing the functions needed to respond to a smallpox emergency. The SEMS includes the Incident Command System (ICS) structure (management, operations, planning/intelligence, logistics, and finance/administration), the mutual-aid system, and the multi/interagency coordination required during a smallpox emergency. Management for incident command includes setting objectives and priorities, information (risk communications), safety, and liaison. Operations includes control and containment of a smallpox outbreak including ring vaccination, mass vaccination, adverse events monitoring and assessment, management of confirmed and suspected smallpox cases, contact tracing, active surveillance teams and enhanced hospital-based surveillance, and decontamination. Planning/intelligence functions include developing the incident action plan, epidemiological investigation and analysis of smallpox cases, and epidemiological assessment of the vaccination coverage status of populations at risk. Logistics functions include receiving, handling, inventorying, and distributing smallpox vaccine and vaccination clinic supplies; personnel; transportation; communications; and health care of personnel. Finally, finance/administration functions include monitoring

  13. Recognizing abuse.

    PubMed

    Davidhizar, R; Newman-Giger, J

    1996-01-01

    After years as a taboo topic, abuse has come "out of the closet" and is being talked about openly in society. Yet, while abuse in the workplace is being confronted, abuse within families still often goes unrecognized by outsiders, including by nurses. Failure of nurses to recognize abuse is unfortunate since frequently they are the first point of contact with the victim of abuse in the emergency room, clinic and home. Understanding and insight into the problem of family violence by nurses is critical in addressing this problem. Knowledge is crucial in planning strategies that will have the long-lasting effect of decreasing the cycle of abuse in families.

  14. Emergency Response Systems for Outdoor Programming.

    ERIC Educational Resources Information Center

    Merrill, Kurt; Satz, Jay A.

    The Student Conservation Association (SCA) runs backcountry programs in wilderness settings, providing both an educational experience for participants and badly needed conservation work on public lands. As part of its risk management efforts, SCA has developed an emergency response system that ties resources in the field to all the resources of…

  15. Opperational Systems for Emergency Preparedness and Response

    SciTech Connect

    Sugiyama, G; Nasstrom, J S; Baskett, R

    2003-11-10

    Operational systems predict the consequences of atmospheric releases of hazardous materials for real-time emergency response, pre-event planning, and post-incident assessment. Such systems provide federal, state, and local agencies, emergency planners and responders, public health officials, military personnel, and other users with critical information on which to base life-and-death decisions on safe zones for siting of incident command posts, sheltering-in-place or evacuation advisories, the need for protective equipment, and the utilization of hospital and health care resources. A range of operational modeling capabilities is required to support different types of release events, distance scales, and response times. Fast-response deployable models are used to perform hazard assessments and initial response functions, and can serve as a backup when connections to a reach-back center are not available. Higher-fidelity three-dimensional dispersion models, coupled to real-time observational data and numerical weather prediction model output, are used for real-time response and support expert quality-assured predictions and refined assessments. Computational fluid dynamics models, which explicitly resolve urban structures, are used for high fidelity applications including vulnerability analyses and planning studies. This paper will briefly discuss the types and capabilities of models used or under development for emergency response systems, customer products, supporting data, and a few representative examples of operational systems. Some selected research priorities are summarized in the final sections.

  16. Sexual revictimization: the impact of attachment anxiety, accumulated trauma, and response to childhood sexual abuse disclosure.

    PubMed

    Brenner, Inbal; Ben-Amitay, Galit

    2015-01-01

    It has been proposed that a complexity of personal, interpersonal, and environmental factors is related to sexual revictimization among childhood sexual abuse survivors. In this study, we investigated the relations between attachment dimensions, exposure to accumulated childhood traumas, reaction to childhood sexual abuse disclosure, and adult sexual revictimization. Participants were 60 Israeli women with histories of childhood sexual abuse. Seventy percent of the women reported adult sexual revictimization. Revictimization was related to higher attachment anxiety but not to higher attachment avoidance. Revictimization was also related to emotional and physical child abuse but not to emotional and physical child neglect. Revictimization rates were higher among women who had received negative environmental responses following childhood sexual abuse disclosure than among women who had received supportive reactions and those who had not disclosed childhood sexual abuse at all. Findings were significant even after controlling for severity of childhood sexual abuse. The findings emphasize the role of various contextual-interpersonal factors on revictimization vulnerability among the survivors of childhood sexual abuse.

  17. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2011-10-01 2011-10-01 false Emergency response information. 172.602...

  18. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2012-10-01 2012-10-01 false Emergency response information. 172.602...

  19. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2013-10-01 2013-10-01 false Emergency response information. 172.602...

  20. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2014-10-01 2014-10-01 false Emergency response information. 172.602...

  1. Feasibility of Tablet Computer Screening for Opioid Abuse in the Emergency Department

    PubMed Central

    Weiner, Scott G.; Horton, Laura C.; Green, Traci C.; Butler, Stephen F.

    2015-01-01

    Introduction Tablet computer-based screening may have the potential for detecting patients at risk for opioid abuse in the emergency department (ED). Study objectives were a) to determine if the revised Screener and Opioid Assessment for Patients with Pain (SOAPP®-R), a 24-question previously paper-based screening tool for opioid abuse potential, could be administered on a tablet computer to an ED patient population; b) to demonstrate that >90% of patients can complete the electronic screener without assistance in <5 minutes and; c) to determine patient ease of use with screening on a tablet computer. Methods This was a cross-sectional convenience sample study of patients seen in an urban academic ED. SOAPP®-R was programmed on a tablet computer by study investigators. Inclusion criteria were patients ages ≥18 years who were being considered for discharge with a prescription for an opioid analgesic. Exclusion criteria included inability to understand English or physical disability preventing use of the tablet. Results 93 patients were approached for inclusion and 82 (88%) provided consent. Fifty-two percent (n=43) of subjects were male; 46% (n=38) of subjects were between 18–35 years, and 54% (n=44) were >35 years. One hundred percent of subjects completed the screener. Median time to completion was 148 (interquartile range 117.5–184.3) seconds, and 95% (n=78) completed in <5 minutes. 93% (n=76) rated ease of completion as very easy. Conclusions It is feasible to administer a screening tool to a cohort of ED patients on a tablet computer. The screener administration time is minimal and patient ease of use with this modality is high. PMID:25671003

  2. A poison center's emergency response plan.

    PubMed

    Mrvos, R; Dean, B S; Krenzelok, E P

    1988-04-01

    Over 30 major chemical accidents have occurred in the tri-state area during the last decade. A recent incident involved a train which was carrying at least 5 toxic chemicals and was derailed in a heavily populated area causing 20,000 residents to be evacuated from their homes twice in 24 hr. In a 30-hr period over 900 calls were received at the poison center and approximately 80 people were examined at local health care facilities and treated for symptoms of toxic fume inhalation. This incident prompted the poison center to evaluate our emergency response capabilities. A strategy was developed to enable the poison center to deal with an increased call volume rapidly and effectively. Our Emergency Response Plan includes a chain of command for notification in the event of an anticipated increase in call volume; delineated responsibilities for medical, administrative, and professional staff members; designation of phone lines for incoming and outgoing calls; and a means of documenting both poison exposures and inquiries regarding the chemicals. So that staff members may report to the center without delay, child care provisions are also included. The development of the Emergency Response Plan, potential applications, and a synopsis of the aforementioned chemical spill will be discussed in detail.

  3. Ruptured Mycotic Common Femoral Artery Pseudoaneurysm: Fatal Pulmonary Embolism after Emergency Stent-Grafting in a Drug Abuser

    PubMed Central

    Kalogirou, Thomas E.; Giagtzidis, Ioakeim T.; Papazoglou, Konstantinos O.

    2014-01-01

    The rupture of a mycotic femoral artery pseudoaneurysm in an intravenous drug abuser is a limb- and life-threatening condition that necessitates emergency intervention. Emergency stent-grafting appears to be a viable, minimally invasive alternative, or a bridge, to subsequent open surgery. Caution is required in cases of suspected concomitant deep vein thrombosis in order to minimize the possibility of massive pulmonary embolism during stent-grafting, perhaps by omitting stent-graft postdilation or by inserting an inferior vena cava filter first. We describe the emergency endovascular management, in a 60-year-old male intravenous drug abuser, of a ruptured mycotic femoral artery pseudoaneurysm, which was complicated by a fatal pulmonary embolism. PMID:25593530

  4. Methamphetamine Abuse and Manufacture: The Child Welfare Response

    ERIC Educational Resources Information Center

    Hohman, Melinda; Oliver, Rhonda; Wright, Wendy

    2004-01-01

    Methamphetamine abuse is on the rise, particularly by women of child-bearing age. This article describes the history and effects of methamphetamine use. The authors examine the ways exposure to the manufacture of this drug affects clients and social workers in the course of their work. Because children are frequently found at the scene of a…

  5. Value of the internet in emergency response.

    SciTech Connect

    Herzenberg, C. L.; Newsom, D. E.; Swietlik, C. E.

    1999-05-26

    Can the Internet be of value in emergency response? The answer is yes, judging by its use in the Kobe earthquake in Japan in 1995, ice storms in the US and Canada in 1998, and other disasters. Current and future areas of application are numerous, including exchanging messages, documents, and data files via e-mail; accessing operational data on-line; visualizing events via photos and maps; providing backup communications in lieu of broadcast media, exchanging information between crisis managers and responders; and providing information to media and the public. However, the Internet has some drawbacks, such as hardware/software requirements, computer literacy requirements, traffic jams, dependence on power and communication networks, and risks to information integrity and security. This paper examines some of the advantages, drawbacks, concerns, and potential uses of the Internet for emergency response.

  6. PHMC post-NPH emergency response training

    SciTech Connect

    Conrads, T.J.

    1997-04-08

    This document describes post-Natural Phenomena Hazard (NPH) emergency response training that was provided to two teams of Project Hanford Management Contractors (PHMC) staff that will be used to assess potential structural damage that may occur as a result of a significant natural phenomena event. This training supports recent plans and procedures to use trained staff to inspect structures following an NPH event on the Hanford Site.

  7. Response to cocaine, alone and in combination with methylphenidate, in cocaine abusers with ADHD.

    PubMed

    Collins, Stephanie L; Levin, Frances R; Foltin, Richard W; Kleber, Herbert D; Evans, Suzette M

    2006-04-28

    Attention deficit hyperactivity disorder (ADHD) is prevalent in adult cocaine abusers. Yet, it remains to be determined how the response to cocaine differs in cocaine abusers with ADHD compared to cocaine abusers without ADHD. Further, since ADHD is commonly treated with stimulants, such as methylphenidate (MPH), it is important to examine whether MPH maintenance alters the response to cocaine in cocaine abusers with ADHD. Thus, the first phase of this study compared the response to cocaine in adult cocaine abusers with ADHD to those without ADHD. The second phase assessed the effects of oral sustained-release methylphenidate (MPH-SR) maintenance (40 and 60 mg) on the response to cocaine only in those with ADHD. Cocaine abusers with ADHD (N=7) and without ADHD (N=7) who were not seeking treatment remained inpatient initially for 1 week, when the effects of cocaine alone were tested (Phase 1). Cocaine abusers with ADHD remained inpatient for an additional 3 weeks, during which the effects of cocaine during oral MPH-SR maintenance were tested (Phase 2). During cocaine fixed dosing sessions, participants received four injections of i.v. cocaine (0, 16 or 48 mg/70 kg), spaced 14 min apart. During cocaine choice sessions, participants had a choice between receiving i.v. cocaine (16 or 48 mg/70 kg) or two tokens, each exchangeable for 2 US dollars. Subjective effects related to ADHD symptoms (e.g. ratings of "Able to Concentrate") were significantly lower in cocaine abusers with ADHD compared to those without ADHD when placebo cocaine was administered. Active cocaine produced similar increases in cardiovascular and positive subjective effects in both groups and there was no difference in cocaine choice between the two groups. These data suggest that the response to cocaine is not different between cocaine abusers with ADHD compared to those without ADHD. When the cocaine abusers with ADHD were maintained on MPH-SR, cardiovascular effects were increased, however, this did

  8. Hepatitis-B Infections among the Injection Drug Abusers: An Emerging Risk in Public Health, Bangladesh.

    PubMed

    Hossain, K J; Nandi, A K

    2015-10-01

    The objective of the study was to determine the incidence of Hepatitis-B (HBV) infection among the injection drugs abusers (IDUs). The research work was a cross-sectional study. A total of 400 IDUs were selected from July 2012 to June 2013 at the Outpatient Department of the Central Drug Addiction Treatment Center, Tejgaon, Dhaka, Bangladesh. They were selected consecutively following the purposive sampling method on the basis of defined selection criteria. Research instruments were a pre-tested interviewer questionnaire and blood specimen. Results showed that 79.70%(315) of the IDUs were found literate and 20.3%(85) illiterate. In present occupation, majority of them 60.5%(242) had no work and 39.5%(158) specific occupation. The mean age of them was 27.9±6.4 years. In marital status, 46.5%(186) were unmarried, 20.7%(83) married after addiction and 30.3%(121) married before addiction. Majority of the IDUs 75.2%(289) started their addiction with cannabis. In addition to injection drugs use, all of them were multiple drug abusers. In response to the sharing of needle, 35.7%(143) of the IDUs shared needle uncommonly and 64.3%(257) did not shared it at all. Ninety-three percent (372) of them were heterosexual and polygamous having extramarital sex with multiple partners. The quality of sex-partners was wife, friends, brothel & hotel based sex sellers and street sex sellers. Majority of IDUs {82.0%(328)} did not use condom at all and 15.5(62) sold blood several times in their lifetime. Seven percent {7.0%(28)} injection drug abusers had been suffering from hepatitis-B virus (HBV) infection. HBV infection was found to be significantly (p≥0.05) associated with the quality of sex partners and number of sex partners, and age and marital status. There is no significant association with sharing of needle particularly occasional sharing of needle. Altering the behaviors of IDUs, especially their sexual lifestyles, drug habit, using of disposable syringe without sharing of

  9. Dentist attitudes and responsibilities concerning child sexual abuse. A review and a case report

    PubMed Central

    Garrocho-Rangel, Arturo; Márquez-Preciado, Raúl; Olguín-Vivar, Ana-Isabel; Ruiz-Rodríguez, Socorro

    2015-01-01

    According to the World Health Organization, child abuse and neglect is “every kind of physical, sexual, emotional abuse, neglect or negligent treatment, commercial or other exploitation resulting in actual or potential harm to the child’s health, survival, development or dignity in the context of a relationship of responsibility, trust or power”. The aim of the present report is to inform about the most relevant aspects of child abuse and the characteristics of injuries to the head, neck, and orofacial regions, in addition to the suggested role of, and management by, the dentist for the evaluation of this condition, and also for reporting a case of a physically and sexually abused girl aged 5 years 8 months. Throughout the appointments, some type of abuse in this patient was suspected by the treating dentists at the clinic, mainly due to the initial behavior exhibited by the patient in the dental chair. Based on the clinical diagnostic an intensive preventive plan and restorative treatment was realized. The timely detection of the signs and symptoms of sexual abuse, often present in the orofacial region, place the pediatric dentist in a strategic situation, with the capacity to recognize, register, and later report those cases considered as suspect, including the dental treatment delivered and the intensive behavioral-psychological management, in order to achieve acceptation by the otherwise very anxious patient of the indicated restorative and preventive dental procedures. Key words:Child abuse, dentistry, behavior management. PMID:26330943

  10. Dentist attitudes and responsibilities concerning child sexual abuse. A review and a case report.

    PubMed

    Garrocho-Rangel, Arturo; Márquez-Preciado, Raúl; Olguín-Vivar, Ana-Isabel; Ruiz-Rodríguez, Socorro; Pozos-Guillén, Amaury

    2015-07-01

    According to the World Health Organization, child abuse and neglect is "every kind of physical, sexual, emotional abuse, neglect or negligent treatment, commercial or other exploitation resulting in actual or potential harm to the child's health, survival, development or dignity in the context of a relationship of responsibility, trust or power". The aim of the present report is to inform about the most relevant aspects of child abuse and the characteristics of injuries to the head, neck, and orofacial regions, in addition to the suggested role of, and management by, the dentist for the evaluation of this condition, and also for reporting a case of a physically and sexually abused girl aged 5 years 8 months. Throughout the appointments, some type of abuse in this patient was suspected by the treating dentists at the clinic, mainly due to the initial behavior exhibited by the patient in the dental chair. Based on the clinical diagnostic an intensive preventive plan and restorative treatment was realized. The timely detection of the signs and symptoms of sexual abuse, often present in the orofacial region, place the pediatric dentist in a strategic situation, with the capacity to recognize, register, and later report those cases considered as suspect, including the dental treatment delivered and the intensive behavioral-psychological management, in order to achieve acceptation by the otherwise very anxious patient of the indicated restorative and preventive dental procedures. Key words:Child abuse, dentistry, behavior management.

  11. Elder abuse and neglect: definitions, epidemiology, and approaches to emergency department screening.

    PubMed

    Bond, Michael C; Butler, Kenneth H

    2013-02-01

    Elder abuse and neglect is estimated to affect approximately 700,000 to 1.2 million elderly people a year with an estimated annual cost of tens of billions of dollars. Despite the large population at risk, its significant morbidity and mortality, and substantial cost to society, elder abuse continues to be underrecognized and underreported. This article aims to increase the awareness of elder abuse by reviewing the demographics, epidemiology, and risk factors of elder abuse, followed by a discussion of screening tools and ways to increase awareness and reporting.

  12. Training for emergency response with RimSim:Response!

    NASA Astrophysics Data System (ADS)

    Campbell, Bruce D.; Schroder, Konrad A.

    2009-05-01

    Since developing and promoting a Pacific Rim community emergency response simulation software platform called RimSim, the PARVAC team at the University of Washington has developed a variety of first responder agents who can participate within a response simulation. Agents implement response heuristics and communications strategies in conjunction with live players trying to develop their own heuristics and communications strategies to participate in a successful community response crisis. The effort is facilitated by shared visualization of the affected geographical extent. We present initial findings from interacting with a wide variety of mixed agent simulation sessions and make the software available for others to perform their own experiments.e

  13. Determining Possible Professionals and Respective Roles and Responsibilities for a Model Comprehensive Elder Abuse Intervention: A Delphi Consensus Survey

    PubMed Central

    Du Mont, Janice; Kosa, Daisy; Macdonald, Sheila; Elliot, Shannon; Yaffe, Mark

    2015-01-01

    Objective We have undertaken a multi-phase, multi-method program of research to develop, implement, and evaluate a comprehensive hospital-based nurse examiner elder abuse intervention that addresses the complex functional, social, forensic, and medical needs of older women and men. In this study, we determined the importance of possible participating professionals and respective roles and responsibilities within the intervention. Methods Using a modified Delphi methodology, recommended professionals and their associated roles and responsibilities were generated from a systematic scoping review of relevant scholarly and grey literatures. These items were reviewed, new items added for review, and rated/re-rated for their importance to the intervention on a 5-point Likert scale by an expert panel during a one day in-person meeting. Items that did not achieve consensus were subsequently re-rated in an online survey. Analysis Those items that achieved a mean Likert rating of 4+ (rated important to very important), and an interquartile range<1 in the first or second round, and/or for which 80% of ratings were 4+ in the second round were retained for the model elder abuse intervention. Results Twenty-two of 31 recommended professionals and 192 of 229 recommended roles and responsibilities rated were retained for our model elder abuse intervention. Retained professionals were: public guardian and trustee (mean rating = 4.88), geriatrician (4.87), police officer (4.87), GEM (geriatric emergency management) nurse (4.80), GEM social worker (4.78), community health worker (4.76), social worker/counsellor (4.74), family physician in community (4.71), paramedic (4.65), financial worker (4.59), lawyer (4.59), pharmacist (4.59), emergency physician (4.57), geriatric psychiatrist (4.33), occupational therapist (4.29), family physician in hospital (4.28), Crown prosecutor (4.24), neuropsychologist (4.24), bioethicist (4.18), caregiver advocate (4.18), victim support worker (4

  14. Cortical thinness and volume differences associated with marijuana abuse in emerging adults

    PubMed Central

    Mashhoon, Y.; Sava, S.; Sneider, J.T.; Nickerson, L.D.; Silveri, M.M.

    2015-01-01

    Background The prevalence of marijuana (MJ) use among youth and its legalization for medical or recreational use has intensified public health endeavors of understanding MJ effects on brain structure and function. Studies indicate that MJ use is related to impaired cognitive performance, and altered functional brain activation and chemistry in adolescents and adults, but MJ effects on brain morphology in emerging adults are less understood. Methods 15 MJ users (age 21.8±3.6, 2 females) and 15 non-using (NU) participants (age 22.3±3.5, 2 females) were included, demographically matched on age, education and alcohol use. High-resolution structural MR images were acquired at 3 Tesla. Cortical thickness (CT) and volumetric analyses were performed using Freesurfer. A priori regions of interest (ROI) included orbitofrontal and cingulate cortices, amygdala, hippocampus and thalamus. Results Whole brain CT analysis did not find significant group differences in a priori ROIs but revealed MJ users had significantly less CT (i.e., thinness) in right fusiform gyrus (rFG) compared to NU (p<0.05). Thalamic volume was significantly smaller in MJ users compared to NU (right, p=0.05; left, p=0.01) and associated with greater non-planning (p<0.01) and overall impulsivity (p=0.04). There were no other group volume differences. Conclusions RFG cortical thinness and smaller thalamic volume in emerging adults is associated with MJ abuse. Furthermore, smaller thalamic volume associated with greater impulsivity contributes to growing evidence that the thalamus is neurobiologically perturbed by MJ use. Collectively, altered thalamic and rFG structural integrity may interfere with their known roles in regulating visuoperceptual and object information processing. PMID:26249265

  15. Achieving Reliable Communication in Dynamic Emergency Responses

    PubMed Central

    Chipara, Octav; Plymoth, Anders N.; Liu, Fang; Huang, Ricky; Evans, Brian; Johansson, Per; Rao, Ramesh; Griswold, William G.

    2011-01-01

    Emergency responses require the coordination of first responders to assess the condition of victims, stabilize their condition, and transport them to hospitals based on the severity of their injuries. WIISARD is a system designed to facilitate the collection of medical information and its reliable dissemination during emergency responses. A key challenge in WIISARD is to deliver data with high reliability as first responders move and operate in a dynamic radio environment fraught with frequent network disconnections. The initial WIISARD system employed a client-server architecture and an ad-hoc routing protocol was used to exchange data. The system had low reliability when deployed during emergency drills. In this paper, we identify the underlying causes of unreliability and propose a novel peer-to-peer architecture that in combination with a gossip-based communication protocol achieves high reliability. Empirical studies show that compared to the initial WIISARD system, the redesigned system improves reliability by as much as 37% while reducing the number of transmitted packets by 23%. PMID:22195075

  16. USGS standard quadrangle maps for emergency response

    USGS Publications Warehouse

    Moore, Laurence R.

    2009-01-01

    The 1:24,000-scale topographic quadrangle was the primary product of the U.S. Geological Survey's (USGS) National Mapping Program from 1947-1992. This map series includes about 54,000 map sheets for the conterminous United States, and is the only uniform map series ever produced that covers this area at such a large scale. This map series partially was revised under several programs, starting as early as 1968, but these programs were not adequate to keep the series current. Through the 1990s the emphasis of the USGS mapping program shifted away from topographic maps and toward more specialized digital data products. Topographic map revision dropped off rapidly after 1999, and stopped completely by 2004. Since 2001, emergency-response and homeland security requirement have revived the question of whether a standard national topographic series is needed. Emergencies such as Hurricane Katrina in 2005 and California wildfires in 2007-08 demonstrated that familiar maps are important to first responders. Maps that have a standard scale, extent, and grids help reduce confusion and save time in emergencies. Traditional maps are designed to allow the human brain to quickly process large amounts of information, and depend on artistic layout and design that cannot be fully automated. In spite of technical advances, creating a traditional, general-purpose topographic map is still expensive. Although the content and layout of traditional topographic maps probably is still desirable, the preferred packaging and delivery of maps has changed. Digital image files are now desired by most users, but to be useful to the emergency-response community, these files must be easy to view and easy to print without specialized geographic information system expertise or software.

  17. Dental students' knowledge about elder abuse and neglect and the reporting responsibilities of dentists.

    PubMed

    Gironda, Melanie W; Lefever, Karen H; Anderson, Elizabeth A

    2010-08-01

    Dentists are in a unique position to detect elder abuse and neglect. Approximately 75 percent of all physical domestic violence results in injuries to the head, neck, and/or mouth area, clearly visible to the dental team during examinations and treatment. The goal of this project was to gather a comprehensive understanding of predoctoral dental students' perceptions of the culture of abuse and neglect and their level of fluency regarding their rights and responsibilities as mandated reporters. This article aims to inform dental educators of dental students' level of awareness of elder abuse and neglect in order to highlight content areas to be addressed in dental school curricula and clinical training. A twenty-four-item survey was administered to 291 predoctoral dental students at the University of California, Los Angeles School of Dentistry. The results are organized into three general areas: prior training and education; perceptions of the culture of abuse and neglect; and knowledge of mandated reporter legal responsibilities and protections. Overall, this study found that most students do not feel adequately trained to report a case of elder abuse. Data from this study suggest that dental students need education on the psychosocial aspects of older adulthood, as well as training in detecting and reporting elder abuse.

  18. Current clinical aspects of drug-facilitated sexual assaults in sexually abused victims examined in a forensic emergency unit.

    PubMed

    Marc, Bernard

    2008-04-01

    Sexual assault is defined as any undesired physical contact of a sexual nature perpetrated against another person and is a prevalent problem presenting at emergency departments, emergency forensic medicine units, and rape crisis centres worldwide. Drug-facilitated sexual assault (DFSA) is a complex problem that is encountered with increasing frequency. But this problem is often underrepresented because most DFSAs are not reported by the frightened victims or are diagnosed as an acute drug or alcohol intoxication, thereby bypassing sexual abuse diagnosis and appropriate care. Proper care must be taken to ensure the chain of custody. Emergency physicians need to be aware of the phenomenon and work together with reference emergency forensic medicine units and rape crisis centres, which are capable of taking care of the male and female victims of sexual abuse. If no attention is given to the risk of DFSA, then toxicological samples (urine, blood, hair) and other biologic evidence may remain unidentified and semen, vaginal secretions, and vaginal epithelial cells cannot be genetically typed by a crime laboratory. This article reports the main clinical aspects of DFSA encountered in emergency departments at the beginning of the 21st century and the experience of an emergency forensic medicine unit based at a hospital (Compiègne, France). Guidelines are proposed for clinical examination of DFSA victims, clinical forensic medical examination, and accurate samplings for further toxicological and biological evidence.

  19. ASPECT Emergency Response Chemical and Radiological Mapping

    SciTech Connect

    LANL

    2008-05-12

    A unique airborne emergency response tool, ASPECT is a Los Alamos/U.S. Environmental Protection Agency project that can put chemical and radiological mapping tools in the air over an accident scene. The name ASPECT is an acronym for Airborne Spectral Photometric Environmental Collection Technology. Update, Sept. 19, 2008: Flying over storm-damaged refineries and chemical factories, a twin-engine plane carrying the ASPECT (Airborne Spectral Photometric Environmental Collection Technology) system has been on duty throughout the recent hurricanes that have swept the Florida and Gulf Coast areas. ASPECT is a project of the U.S. U.S. Environmental Protection Agencys National Decontamination Team. Los Alamos National Laboratory leads a science and technology program supporting the EPA and the ASPECT aircraft. Casting about with a combination of airborne photography and infrared spectroscopy, the highly instrumented plane provides emergency responders on the ground with a clear concept of where danger lies, and the nature of the sometimes-invisible plumes that could otherwise kill them. ASPECT is the nations only 24/7 emergency response aircraft with chemical plume mapping capability. Bob Kroutil of Bioscience Division is the project leader, and while he said the team has put in long hours, both on the ground and in the air, its a worthwhile effort. The plane flew over 320 targeted sites in four days, he noted. Prior to the deployment to the Gulf Coast, the plane had been monitoring the Democratic National Convention in Denver, Colorado. Los Alamos National Laboratory Divisions that are supporting ASPECT include, in addition to B-Division, CTN-5: Networking Engineering and IRM-CAS: Communication, Arts, and Services. Leslie Mansell, CTN-5, and Marilyn Pruitt, IRM-CAS, were recognized the the U.S. EPA for their outstanding support to the hurricane response of Gustav in Louisiana and Ike in Texas. The information from the data collected in the most recent event, Hurricane

  20. ASPECT Emergency Response Chemical and Radiological Mapping

    ScienceCinema

    LANL

    2016-07-12

    A unique airborne emergency response tool, ASPECT is a Los Alamos/U.S. Environmental Protection Agency project that can put chemical and radiological mapping tools in the air over an accident scene. The name ASPECT is an acronym for Airborne Spectral Photometric Environmental Collection Technology. Update, Sept. 19, 2008: Flying over storm-damaged refineries and chemical factories, a twin-engine plane carrying the ASPECT (Airborne Spectral Photometric Environmental Collection Technology) system has been on duty throughout the recent hurricanes that have swept the Florida and Gulf Coast areas. ASPECT is a project of the U.S. U.S. Environmental Protection Agencys National Decontamination Team. Los Alamos National Laboratory leads a science and technology program supporting the EPA and the ASPECT aircraft. Casting about with a combination of airborne photography and infrared spectroscopy, the highly instrumented plane provides emergency responders on the ground with a clear concept of where danger lies, and the nature of the sometimes-invisible plumes that could otherwise kill them. ASPECT is the nations only 24/7 emergency response aircraft with chemical plume mapping capability. Bob Kroutil of Bioscience Division is the project leader, and while he said the team has put in long hours, both on the ground and in the air, its a worthwhile effort. The plane flew over 320 targeted sites in four days, he noted. Prior to the deployment to the Gulf Coast, the plane had been monitoring the Democratic National Convention in Denver, Colorado. Los Alamos National Laboratory Divisions that are supporting ASPECT include, in addition to B-Division, CTN-5: Networking Engineering and IRM-CAS: Communication, Arts, and Services. Leslie Mansell, CTN-5, and Marilyn Pruitt, IRM-CAS, were recognized the the U.S. EPA for their outstanding support to the hurricane response of Gustav in Louisiana and Ike in Texas. The information from the data collected in the most recent event, Hurricane

  1. National Labs and Nuclear Emergency Response

    NASA Astrophysics Data System (ADS)

    Budil, Kimberly

    2015-04-01

    The DOE national laboratories, and in particular the three NNSA national security laboratories, have long supported a broad suite of national nuclear security missions for the U.S. government. The capabilities, infrastructure and base of expertise developed to support the U.S. nuclear weapons stockpile have been applied to such challenges as stemming nuclear proliferation, understanding the nuclear capabilities of adversaries, and assessing and countering nuclear threats including essential support to nuclear emergency response. This talk will discuss the programs that are underway at the laboratories and the essential role that science and technology plays therein. Nuclear scientists provide expertise, fundamental understanding of nuclear materials, processes and signatures, and tools and technologies to aid in the identification and mitigation of nuclear threats as well as consequence management. This talk will also discuss the importance of direct engagement with the response community, which helps to shape research priorities and to enable development of useful tools and techniques for responders working in the field. National Labs and Nuclear Emergency Response.

  2. Emergency response to an anthrax attack

    PubMed Central

    Wein, Lawrence M.; Craft, David L.; Kaplan, Edward H.

    2003-01-01

    We developed a mathematical model to compare various emergency responses in the event of an airborne anthrax attack. The system consists of an atmospheric dispersion model, an age-dependent dose–response model, a disease progression model, and a set of spatially distributed two-stage queueing systems consisting of antibiotic distribution and hospital care. Our results underscore the need for the extremely aggressive and timely use of oral antibiotics by all asymptomatics in the exposure region, distributed either preattack or by nonprofessionals postattack, and the creation of surge capacity for supportive hospital care via expanded training of nonemergency care workers at the local level and the use of federal and military resources and nationwide medical volunteers. The use of prioritization (based on disease stage and/or age) at both queues, and the development and deployment of modestly rapid and sensitive biosensors, while helpful, produce only second-order improvements. PMID:12651951

  3. 40 CFR 68.95 - Emergency response program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Emergency Response § 68.95 Emergency response program. (a... changes at the stationary source and ensure that employees are informed of changes. (b) A written...

  4. Surveillance and uncertainty: community pharmacy responses to over the counter medicine abuse.

    PubMed

    Cooper, Richard

    2013-05-01

    The sale of over-the-counter (OTC) medicines from community pharmacies offers important opportunities for members of the public to access medicines and self-treat conditions. They are increasingly recognised, however, as having the potential for abuse and harm despite their perceived relative safety. This study reports on a qualitative study that explored the experiences and views of community pharmacy staff in relation to current practices and concerns, management and support relating to OTC medicine abuse. Semi-structured interviews were undertaken with a purposive sample of ten pharmacists and seven medicines counter assistants in the United Kingdom. Analysis of interviews indicated that a range of medicines was implicated, including opiates, sedative antihistamines, laxatives and decongestants. A surveillance role was apparent for assistants, who placed emphasis on regulations, procedure and monitoring frequency of purchases to manage abuse, with referral on to pharmacists. Frequency of purchase was central to assistants' definition of those suspected of OTC medicine abuse, which pharmacists also utilised as well as a distinction between intentional abuse and unintentional medicine misuse. A lack of information about customers, easy access to, and poor communication between community pharmacies were emergent barriers to pharmacists providing more support. Many appeared uncertain of referral options or how pharmacists could effectively stop the problem of abuse. The commercial environment was a particular concern, in relation to customer expectations, medicine advertising and easy access to different community pharmacies. A key tension emerged between providing medicine supplies that permitted consumer freedom, with the needs of healthcare professionals to understand more about those consumers qua patients. Policy implications include the need for improved knowledge for community pharmacy staff about signposting to relevant services, increased awareness of who

  5. Portable Neutron Sensors for Emergency Response Operations

    SciTech Connect

    ,

    2012-06-24

    This article presents the experimental work performed in the area of neutron detector development at the Remote Sensing Laboratory–Andrews Operations (RSL-AO) sponsored by the U.S. Department of Energy, National Nuclear Security Administration (NNSA) in the last four years. During the 1950s neutron detectors were developed mostly to characterize nuclear reactors where the neutron flux is high. Due to the indirect nature of neutron detection via interaction with other particles, neutron counting and neutron energy measurements have never been as precise as gamma-ray counting measurements and gamma-ray spectroscopy. This indirect nature is intrinsic to all neutron measurement endeavors (except perhaps for neutron spin-related experiments, viz. neutron spin-echo measurements where one obtains μeV energy resolution). In emergency response situations generally the count rates are low, and neutrons may be scattered around in inhomogeneous intervening materials. It is also true that neutron sensors are most efficient for the lowest energy neutrons, so it is not as easy to detect and count energetic neutrons. Most of the emergency response neutron detectors are offshoots of nuclear device diagnostics tools and special nuclear materials characterization equipment, because that is what is available commercially. These instruments mostly are laboratory equipment, and not field-deployable gear suited for mobile teams. Our goal is to design and prototype field-deployable, ruggedized, lightweight, efficient neutron detectors.

  6. Effects of separator breakdown on abuse response of 18650 Li-ion cells

    NASA Astrophysics Data System (ADS)

    Roth, E. P.; Doughty, D. H.; Pile, D. L.

    The thermal abuse tolerance of Li-ion cells depends not only on the stability of the active materials in the anode and cathode but also on the stability of the separator which prevents direct interaction between these electrodes. Separator response has been measured as a function of temperature and high voltage both for isolated materials and in full 18650 cells. Separators with different compositions and properties were measured to determine the effect of separator melt integrity on cell response under abusive conditions. These studies were performed as part of the U.S. Department of Energy (DOE) Advanced Technology Development (ATD) Program.

  7. Emergency Stent Grafting After Unsuccessful Surgical Repair of a Mycotic Common Femoral Artery Pseudoaneurysm in a Drug Abuser

    SciTech Connect

    Lupattelli, Tommaso; Garaci, Francesco Giuseppe; Basile, Antonio; Minnella, Daniela Paola; Casini, Andrea; Clerissi, Jacques

    2009-03-15

    Mycotic false aneurysm caused by local arterial injury from attempted intravenous injections in drug addicts remains a challenging clinical problem. The continued increase in drug abuse has resulted in an increased incidence of this problem, particularly in high-volume urban centres. In the drug-abusing population, mycotic arterial pseudoaneurysms most often occur because of missed venous injection and are typically seen in the groin, axilla, and antecubital fossa. Mycotic aneurysms may lead to life-threatening haemorrhage, limb loss, sepsis, and even death. Any soft-tissue swelling in the vicinity of a major artery in an intravenous drug abuser should be suspected of being a false aneurysm until proven otherwise and should prompt immediate referral to a vascular surgeon for investigation and management. We report a case of rupturing mycotic pseudoaneurysm of the left common femoral artery treated by surgical resection followed by vessel reconstruction with autologous material. Unfortunately, at the time of discharge a sudden leakage from the vein graft anastomosis occurred, with subsequent massive bleeding, and required emergent endovascular covered stenting. To the best of our knowledge, this is the first reported case of femoral artery bleeding in a drug abuser treated by stent graft placement.

  8. Lessons Learned for Follow-up Phone Booster Counseling Calls with Substance Abusing Emergency Department Patients

    PubMed Central

    Donovan, Dennis M.; Hatch-Maillette, Mary A.; Phares, Melissa M.; McGarry, Ernest; Peavy, K. Michelle; Taborsky, Julie

    2014-01-01

    Background Post-visit “booster” sessions have been recommended to augment the impact of brief interventions delivered in the Emergency Department (ED). This paper, which focuses on implementation issues, presents descriptive information and interventionists’ qualitative perspectives on providing brief interventions over the phone, challenges, “lessons learned”, and recommendations for others attempting to implement adjunctive booster calls. Method Attempts were made to complete two 20-minute telephone “booster” calls within a week following a patient’s ED discharge with 425 patients who screened positive for and had recent problematic substance use other than alcohol or nicotine. Results Over half (56.2%) of participants completed the initial call; 66.9% of those who received the initial call also completed the second call. Median number of attempts to successfully contact participants for the first and second calls was 4 and 3, respectively. Each completed call lasted an average of about 22 minutes. Common challenges/barriers identified by booster callers included unstable housing, limited phone access, unavailability due to additional treatment, lack of compensation for booster calls, and booster calls coming from an area code different than the participants’ locale and from someone other than ED staff. Conclusions Specific recommendations are presented with respect to implementing a successful centralized adjunctive booster call system. Future use of booster calls might be informed by research on contingency management (e.g., incentivizing call completions), smoking cessation quitlines, and phone-based continuing care for substance abuse patients. Future research needs to evaluate the incremental benefit of adjunctive booster calls on outcomes over and above that of brief motivational interventions delivered in the ED setting. PMID:25534151

  9. Southern states radiological emergency response laws and regulations

    SciTech Connect

    Not Available

    1989-07-01

    The purpose of this report is to provide a summary of the emergency response laws and regulations in place in the various states within the southern region for use by legislators, emergency response planners, the general public and all persons concerned about the existing legal framework for emergency response. SSEB expects to periodically update the report as necessary. Radiation protection regulations without emergency response provisions are not included in the summary.

  10. The Cortisol Paradox of Trauma-Related Disorders: Lower Phasic Responses but Higher Tonic Levels of Cortisol Are Associated with Sexual Abuse in Childhood

    PubMed Central

    Schalinski, Inga; Elbert, Thomas; Steudte-Schmiedgen, Susann; Kirschbaum, Clemens

    2015-01-01

    Objectives Inconsistent findings exist for the activity of the hypothalamic-pituitary-adrenal (HPA) axis in patients with stress related disorders. Recent studies point towards early life stress as a potential modulator. Methods We investigated the impact of childhood sexual abuse on phasic (saliva cortisol reactivity) and tonic (hair cortisol) regulation. Furthermore, we assessed predictors on cortisol accumulation in hair. Women (N = 43) with stress-related disorders underwent a standardized assessment of idiographic adverse and traumatic experiences and psychopathology, while measuring salivary cortisol and, heart rate and blood pressure. Results Comparing women with and without childhood sexual abuse revealed lower rates of responders and distinct levels of salivary cortisol to the interview in conjunction with a lower heart rate for the abused group. Childhood adversities, traumatic experiences, and depression contributed to higher hair cortisol levels. Conclusions Our finding of lower response rate and distinct salivary cortisol pattern in individuals with childhood sexual abuse compared to individuals without early sexual abuse supports the role of environmental programming for the HPA axis. Both, childhood adversities and traumatic stress emerge as crucial factors for long-term cortisol secretion. Lower or suppressed phasic cortisol responses to trauma-related stimuli may therefore be associated with higher tonic values. Thus, early exposure to adversities may result in a biological distinct phenotype in adult patients with stress-related disorders. PMID:26317554

  11. Mechanisms of child abuse public service announcement effectiveness: roles of emotional response and perceived effectiveness.

    PubMed

    Paek, Hye-Jin; Hove, Thomas; Kim, Mikyoung; Jeong, Hyun Ju

    2011-09-01

    This study tests the processes through which child abuse public service announcements (PSAs) are effective. The proposed model builds upon the persuasion mediation model of Dillard and Peck (2000 ), which integrates emotional response and perceived effectiveness as antecedents of issue attitudes and behavioral intention. The model tested the mediating role of perceived effectiveness in the persuasion process. Multigroup structural equation modeling was performed for three different types of child abuse prevention PSAs shown on YouTube to 486 college students. The model was well fitted across all three child abuse PSAs. Emotional response seems to exert the largest influence on behavioral intention directly and indirectly through perceived effectiveness and issue attitudes. In addition, perceived effectiveness has both a direct and an indirect impact on behavioral intention.

  12. Simulation Training in Early Emergency Response (STEER).

    PubMed

    Generoso, Jose Roberto; Latoures, Renee Elizabeth; Acar, Yahya; Miller, Dean Scott; Ciano, Mark; Sandrei, Renan; Vieira, Marlon; Luong, Sean; Hirsch, Jan; Fidler, Richard Lee

    2016-06-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.3 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must: 1. Read the article, "Simulation Training in Early Emergency Response (STEER)," found on pages 255-263, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until May 31, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. OBJECTIVES Define the purpose of the Simulation Training in Early Emergency Response (STEER) study. Review the outcome of the STEER study. DISCLOSURE

  13. Disaster Response and Preparedness Application: Emergency Environmental Response Tool (EERT)

    NASA Technical Reports Server (NTRS)

    Smoot, James; Carr, Hugh; Jester, Keith

    2003-01-01

    In 2000, the National Aeronautics and Space Administration (NASA) Environmental Office at the John C. Stennis Space Center (SSC) developed an Environmental Geographic Information Systems (EGIS) database. NASA had previously developed a GIS database at SSC to assist in the NASA Environmental Office's management of the Center. This GIS became the basis for the NASA-wide EGIS project, which was proposed after the applicability of the SSC database was demonstrated. Since its completion, the SSC EGIS has aided the Environmental Office with noise pollution modeling, land cover assessment, wetlands delineation, environmental hazards mapping, and critical habitat delineation for protected species. At SSC, facility management and safety officers are responsible for ensuring the physical security of the facilities, staff, and equipment as well as for responding to environmental emergencies, such as accidental releases of hazardous materials. All phases of emergency management (planning, mitigation, preparedness, and response) depend on data reliability and system interoperability from a variety of sources to determine the size and scope of the emergency operation. Because geospatial data are now available for all NASA facilities, it was suggested that this data could be incorporated into a computerized management information program to assist facility managers. The idea was that the information system could improve both the effectiveness and the efficiency of managing and controlling actions associated with disaster, homeland security, and other activities. It was decided to use SSC as a pilot site to demonstrate the efficacy of having a baseline, computerized management information system that ultimately was referred to as the Emergency Environmental Response Tool (EERT).

  14. Gap Assessment in the Emergency Response Community

    SciTech Connect

    Barr, Jonathan L.; Burtner, Edwin R.; Pike, William A.; Peddicord, Annie M Boe; Minsk, Brian S.

    2010-09-27

    This report describes a gap analysis of the emergency response and management (EM) community, performed during the fall of 2009. Pacific Northwest National Laboratory (PNNL) undertook this effort to identify potential improvements to the functional domains in EM that could be provided by the application of current or future technology. To perform this domain-based gap analysis, PNNL personnel interviewed subject matter experts (SMEs) across the EM domain; to make certain that the analyses reflected a representative view of the community, the SMEs were from a variety of geographic areas and from various sized communities (urban, suburban, and rural). PNNL personnel also examined recent and relevant after-action reports and U.S. Government Accountability Office reports.

  15. Next-generation emergency response robots

    NASA Astrophysics Data System (ADS)

    Buzan, Forrest; Paul, George; Dunten, Seth; Kennedy, William; Dietsch, Jeanne A.

    2004-09-01

    As reported by Blitch, current Search and Rescue robots have proven inadequate in the field. Shortfalls in mobility include: inadequate relationship between traction and drag, inadequate self-righting, inadequate sensor protection and too many protrusions to snag. Because autonomous navigation is often impossible but tele-operation may be difficult, sliding autonomy is critical. In addition, next generation SR robots need plug-n-play sensor options and modular cargo holds to deliver daughter-bots or other specialized rescue equipment. Finally, dust and smoke have caused both sensors and robots to fail in the field. Many of the needs of Search and Rescue teams are shared by all Emergency Response robots: EOD, SWAT, HazMat and other law enforcement officers. We discuss how next-generation designs solve many of the problems currently facing ER robots.

  16. Hospital Based Emergency Department Visits Attributed to Child Physical Abuse in United States: Predictors of In-Hospital Mortality

    PubMed Central

    Allareddy, Veerajalandhar; Asad, Rahimullah; Lee, Min Kyeong; Nalliah, Romesh P.; Rampa, Sankeerth; Speicher, David G.; Rotta, Alexandre T.; Allareddy, Veerasathpurush

    2014-01-01

    Objectives To describe nationally representative outcomes of physical abuse injuries in children necessitating Emergency Department (ED) visits in United States. The impact of various injuries on mortality is examined. We hypothesize that physical abuse resulting in intracranial injuries are associated with worse outcome. Materials and Methods We performed a retrospective analysis of the Nationwide Emergency Department Sample (NEDS), the largest all payer hospital based ED database, for the years 2008–2010. All ED visits and subsequent hospitalizations with a diagnosis of “Child physical abuse” (Battered baby or child syndrome) due to various injuries were identified using ICD-9-CM (International Classification of Diseases, 9th Revision, Clinical Modification) codes. In addition, we also examined the prevalence of sexual abuse in this cohort. A multivariable logistic regression model was used to examine the association between mortality and types of injuries after adjusting for a multitude of patient and hospital level factors. Results Of the 16897 ED visits that were attributed to child physical abuse, 5182 (30.7%) required hospitalization. Hospitalized children were younger than those released treated and released from the ED (1.9 years vs. 6.4 years). Male or female partner of the child’s parent/guardian accounted for >45% of perpetrators. Common injuries in hospitalized children include- any fractures (63.5%), intracranial injuries (32.3%) and crushing/internal injuries (9.1%). Death occurred in 246 patients (13 in ED and 233 following hospitalization). Amongst the 16897 ED visits, 1.3% also had sexual abuse. Multivariable analyses revealed each 1 year increase in age was associated with a lower odds of mortality (OR = 0.88, 95% CI = 0.81–0.96, p<0.0001). Females (OR = 2.39, 1.07–5.34, p = 0.03), those with intracranial injuries (OR = 65.24, 27.57–154.41, p<0.0001), or crushing/internal injury (OR = 4.98, 2.24–11.07, p<0

  17. Value of systematic detection of physical child abuse at emergency rooms: a cross-sectional diagnostic accuracy study

    PubMed Central

    Sittig, Judith S; Uiterwaal, Cuno S P M; Moons, Karel G M; Russel, Ingrid M B; Nievelstein, Rutger A J; Nieuwenhuis, Edward E S; van de Putte, Elise M

    2016-01-01

    Objectives The aim of our diagnostic accuracy study Child Abuse Inventory at Emergency Rooms (CHAIN-ER) was to establish whether a widely used checklist accurately detects or excludes physical abuse among children presenting to ERs with physical injury. Design A large multicentre study with a 6-month follow-up. Setting 4 ERs in The Netherlands. Participants 4290 children aged 0–7 years attending the ER because of physical injury. All children were systematically tested with an easy-to-use child abuse checklist (index test). A national expert panel (reference standard) retrospectively assessed all children with positive screens and a 15% random sample of the children with negative screens for physical abuse, using additional information, namely, an injury history taken by a paediatrician, information provided by the general practitioner, youth doctor and social services by structured questionnaires, and 6-month follow-up information. Main outcome measure Physical child abuse. Secondary outcome measure Injury due to neglect and need for help. Results 4253/4290 (99%) parents agreed to follow-up. At a prevalence of 0.07% (3/4253) for inflicted injury by expert panel decision, the positive predictive value of the checklist was 0.03 (95% CI 0.006 to 0.085), and the negative predictive value 1.0 (0.994 to 1.0). There was 100% (93 to 100) agreement about inflicted injury in children, with positive screens between the expert panel and child abuse experts. Conclusions Rare cases of inflicted injury among preschool children presenting at ERs for injury are very likely captured by easy-to-use checklists, but at very high false-positive rates. Subsequent assessment by child abuse experts can be safely restricted to children with positive screens at very low risk of missing cases of inflicted injury. Because of the high false positive rate, we do advise careful prior consideration of cost-effectiveness and clinical and societal implications before de novo implementation

  18. Southern states radiological emergency response laws and regulations

    SciTech Connect

    Not Available

    1990-06-01

    The purpose of this report is to provide a summary of the emergency response laws and regulations in place in the various states within the southern region for use by legislators, emergency response planners, the general public and all persons concerned about the existing legal framework for emergency response. SSEB expects to periodically update the report as necessary. Radiation protection regulations without emergency response provisions are not included in the summary. The radiological emergency response laws and regulations of the Southern States Energy Compact member states are in some cases disparate. Several states have very specific laws on radiological emergency response while in others, the statutory law mentions only emergency response to ``natural disasters.`` Some states have adopted extensive regulations on the topic, others have none. For this reason, any general overview must necessarily discuss laws and regulations in general terms. State-by-state breakdowns are given for specific states.

  19. Writing the Male Abuser in Cultural Responses to Domestic Violence in Spain

    ERIC Educational Resources Information Center

    Godsland, Shelley

    2012-01-01

    The article analyzes the portrayal of the male perpetrator of heterosexual domestic violence in a selection of contemporary Spanish texts (novel, drama, and autobiography) that form part of a clearly discernible cultural response to the issue of intimate partner violence in Spain today. It reads the figure of the abuser in conjunction with a range…

  20. Legal and Social Service Responses to Child Sexual Abuse: A Primer and Discussion of Relevant Research

    ERIC Educational Resources Information Center

    Wiley, Tisha R. A.

    2009-01-01

    This paper provides a broad overview of legal and social service responses to child sexual abuse, the overarching legal framework provided by federal legislation, and funding mandates and the unique and shared investigative concerns of law enforcement and child protective service entities. Relevant psychological research is highlighted throughout,…

  1. College Students' Hypothetical Responses to Suicidal Individuals Who Are HIV Positive, Substance Abusing, Depressed, or Anxious.

    ERIC Educational Resources Information Center

    O'Neal, Steven E.; Range, Lillian M.

    1993-01-01

    Undergraduates (n=141) read vignette about suicidal person with either Acquired Immune Deficiency Syndrome, depression, drug abuse, anxiety, or adjustment problems. Found that suicidal person who was human immunodeficiency virus-positive engendered significantly less helpful responses from students than did suicidal person who had panic attacks.…

  2. 48 CFR 452.236-77 - Emergency Response.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Response. As prescribed in 436.577, the following clause may be used in Forest Service construction contracts: Emergency Response (NOV 1996) (a) Contractor's Responsibility for Fire Fighting. (1) The... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Emergency Response....

  3. Chinese Employees' Psychological Responses to Abusive Supervisors: The Roles of Gender and Self-Esteem.

    PubMed

    Wang, Rong; Jiang, Jiang; Yang, Liuqin; Shing Chan, Darius Kwan

    2016-06-01

    Drawing on the conservation of resources theory, the relations between abusive supervision and emotional exhaustion and intent to leave were examined, as well as the gender differences in these relations. Moreover, the moderating effect of self-esteem was tested in an integrated model stipulating that the gender-moderating effect was mediated by the abusive supervision × self-esteem interaction. Data were collected from 264 employees (111 men; M age = 32.0 years; M tenure = 9.2 years). Results of regression analyses indicated that abusive supervision was positively correlated to emotional exhaustion and intent to leave. Women reported higher emotional exhaustion and intent to leave than men. The relations of interest were stronger among employees with higher self-esteem (emotional exhaustion: β = 0.44; intent to leave: β = 0.53). The interaction of abusive supervision × self-esteem mediated the gender-moderating effect. Women's stronger responses to abusive supervision may be related to their higher self-esteem, possibly because of the importance of employment to Chinese women.

  4. Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization.

    PubMed

    Filipas, Henrietta H; Ullman, Sarah E

    2006-05-01

    The present study examined the psychological sequelae of child sexual abuse (CSA) and the factors that contributed to revictimization in the form of adult sexual assault (ASA) using a survey of 577 female college students. CSA characteristics, maladaptive coping in response to CSA, degree of self-blame at the time of the abuse and currently, and posttraumatic stress disorder (PTSD) symptoms were examined as predictors of revictimization. Results indicated that individuals who reported both CSA and ASA had more PTSD symptoms, were more likely to use drugs or alcohol to cope, act out sexually, withdraw from people, and seek therapy services. In addition, the revictimized group reported more self-blame at the time of the abuse and currently. The only factor that predicted revictimization in this study was the number of maladaptive coping strategies used. Implications of these findings are discussed.

  5. Understanding cycles of abuse: A multimotive approach.

    PubMed

    Simon, Lauren S; Hurst, Charlice; Kelley, Ken; Judge, Timothy A

    2015-11-01

    Fundamental to the definition of abusive supervision is the notion that subordinates are often victims of a pattern of mistreatment (Tepper, 2000). However, little research has examined the processes through which such destructive relational patterns emerge. In this study, we draw from and extend the multimotive model of reactions to interpersonal threat (Smart Richman & Leary, 2009) to formulate and test hypotheses about how employees' emotional and behavioral responses may ameliorate or worsen supervisors' abuse. To test this model, we collected 6 waves of data from a sample of 244 employees. Results revealed reciprocal relationships between abusive supervision and both supervisor-directed counterproductive behavior and supervisor-directed avoidance. Whereas the abusive supervision--counterproductive behavior relationship was partially driven by anger, the abusive supervision--avoidance relationship was partially mediated by fear. These findings suggest that some may find themselves in abusive relationships, in part, because their own reactions to mistreatment can, perhaps unknowingly, reinforce abusive behavior.

  6. 42 CFR 51d.5 - How is an emergency determined to exist?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... HEALTH AND SUBSTANCE ABUSE EMERGENCY RESPONSE PROCEDURES § 51d.5 How is an emergency determined to exist? (a) In making a decision as to whether a mental health or substance abuse emergency exists for... mental health and/or substance abuse services are overwhelmed or unable to meet the existing...

  7. 42 CFR 51d.5 - How is an emergency determined to exist?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... HEALTH AND SUBSTANCE ABUSE EMERGENCY RESPONSE PROCEDURES § 51d.5 How is an emergency determined to exist? (a) In making a decision as to whether a mental health or substance abuse emergency exists for... mental health and/or substance abuse services are overwhelmed or unable to meet the existing...

  8. 42 CFR 51d.5 - How is an emergency determined to exist?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... HEALTH AND SUBSTANCE ABUSE EMERGENCY RESPONSE PROCEDURES § 51d.5 How is an emergency determined to exist? (a) In making a decision as to whether a mental health or substance abuse emergency exists for... mental health and/or substance abuse services are overwhelmed or unable to meet the existing...

  9. 42 CFR 51d.5 - How is an emergency determined to exist?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... HEALTH AND SUBSTANCE ABUSE EMERGENCY RESPONSE PROCEDURES § 51d.5 How is an emergency determined to exist? (a) In making a decision as to whether a mental health or substance abuse emergency exists for... mental health and/or substance abuse services are overwhelmed or unable to meet the existing...

  10. Emerging Antigens Involved in Allergic Responses

    PubMed Central

    Platts-Mills, Thomas A.E.; Commins, Scott P.

    2013-01-01

    New allergic diseases can “emerge” because of exposure to a novel antigen, because the immune responsiveness of the subject changes, or because of a change in the behavior of the population. Novel antigens have entered the environment as new pests in the home (e.g., Asian lady beetle or stink bugs), in the diet (e.g., prebiotics or wheat isolates), or because of the spread of a biting arthropod (e.g., ticks). Over the last few years, a significant new disease has been identified, which has changed the paradigm for food allergy. Bites of the tick, Amblyomma americanum, are capable of inducing IgE antibodies to galactose-alpha-1,3-galactose, which is associated with two novel forms of anaphylaxis. In a large area of the southeastern United States, the disease of delayed anaphylaxis to mammalian meat is now common. This disease challenges many previous rules about food allergy and provides a striking model of an emerging allergic disease. PMID:24095162

  11. National Analysis of Differences among Substance Abuse Treatment Outcomes: College Student and Nonstudent Emerging Adults

    ERIC Educational Resources Information Center

    Sahker, Ethan; Acion, Laura; Arndt, Stephan

    2015-01-01

    Objective: To discover differences between student and nonstudent substance abuse treatment demographics, treatment characteristics, and outcomes. Participants: Conducted February 2014, clients without prior treatment admissions, aged 18-24, not in methadone maintenance therapy, and in nonintensive and ambulatory intensive outpatient treatment…

  12. Impact of Physical and Sexual Abuse on Treatment Response in the Treatment of Resistant Depression in Adolescent Study (TORDIA)

    ERIC Educational Resources Information Center

    Shamseddeen, Wael; Asarnow, Joan Rosenbaum; Clarke, Gregory; Vitiello, Benedetto; Wagner, Karen Dineen; Birmaher, Boris; Keller, Martin B.; Emslie, Graham; Iyengar, Satish; Ryan, Neal D.; McCracken, James T.; Porta, Giovanna; Mayes, Taryn; Brent, David A.

    2011-01-01

    Objective: We previously reported that a history of abuse was associated with a poorer response to combination treatment in the Treatment of Resistant Depression in Adolescents study (TORDIA). We now report on the nature and correlates of abuse that might explain these findings. Method: Youth who did not benefit from an adequate selective…

  13. Neutron energy measurements in emergency response applications

    NASA Astrophysics Data System (ADS)

    Mukhopadhyay, Sanjoy; Guss, Paul; Hornish, Michael; Wilde, Scott; Stampahar, Tom; Reed, Michael

    2009-08-01

    We present significant results in recent advances in the measurement of neutron energy. Neutron energy measurements are a small but significant part of radiological emergency response applications. Mission critical information can be obtained by analyzing the neutron energy given off from radioactive materials. In the case of searching for special nuclear materials, neutron energy information from an unknown source can be of importance. At the Remote Sensing Laboratory (RSL) of National Security Technologies, LLC, a series of materials, viz., liquid organic scintillator (LOS), Lithium Gadolinium Borate (LGB) or Li6Gd(BO3)3 in a plastic matrix, a recently developed crystal of Cesium Lithium Yttrium Chloride, Cs2LiYCl6: Ce (called CLYC)[1], and normal plastic scintillator (BC-408) with 3He tubes have been used to study their effectiveness as a portable neutron energy spectrometer. Comparisons illustrating the strengths of the various materials will be provided. Of these materials, LGB offers the ability to tailor its response to the neutron spectrum by varying the isotopic composition of the key constituents (Lithium, Gadolinium [Yttrium], and Boron). All three of the constituent elements possess large neutron capture cross section isotopes for highly exothermic reactions. These compounds of composition Li6Gd(Y)(BO3)3 can be activated by Cerium ions Ce3+. CLYC, on the other hand, has a remarkable gamma response in addition to superb neutron discrimination, comparable to that of Europium-doped Lithium Iodide (6LiI: Eu). Comparing these two materials, CLYC has higher light output (4500 phe/MeV) than that from 6LiI: Eu and shows better energy resolution for both gamma and neutron pulse heights. Using CLYC, gamma energy pulses can be discriminated from the neutron signals by simple pulse height separation. For the cases of both LGB and LOS, careful pulse shape discrimination is needed to separate the gamma energy signals from neutron pulses. Both analog and digital

  14. Savannah River Plant emergency response: Environmental transport and assessment

    SciTech Connect

    Addis, R.P.

    1988-01-01

    The ability to evaluate rapidly the possible consequences of inadvertent releases of hazardous pollutants to the environment is vital for the safe operation of most industrial plants. The Savannah River Plant has developed an emergency response system which integrates environmental observations and computer predictions to provide relevant, reliable, and timely information to decision makers. Experience has shown that the interdependence of all components of an emergency response system requires that the system must be well integrated and coordinated. Research and development is an integral component of the Emergency Response Program. It is designed to increase knowledge of environmental transport and diffusion, and to develop technologies to improve the emergency response system. This paper describes the SRP emergency response system, discusses the importance of reliability through system integration, and indicates the role played by research and development in maintaining a vital emergency response system. 10 refs., 7 figs.

  15. Alcohol involvement in opioid pain reliever and benzodiazepine drug abuse-related emergency department visits and drug-related deaths - United States, 2010.

    PubMed

    Jones, Christopher M; Paulozzi, Leonard J; Mack, Karin A

    2014-10-10

    The abuse of prescription drugs has led to a significant increase in emergency department (ED) visits and drug-related deaths over the past decade. Opioid pain relievers (OPRs) and benzodiazepines are the prescription drugs most commonly involved in these events. Excessive alcohol consumption also accounts for a significant health burden and is common among groups that report high rates of prescription drug abuse. When taken with OPRs or benzodiazepines, alcohol increases central nervous system depression and the risk for overdose. Data describing alcohol involvement in OPR or benzodiazepine abuse are limited. To quantify alcohol involvement in OPR and benzodiazepine abuse and drug-related deaths and to inform prevention efforts, the Food and Drug Administration (FDA) and CDC analyzed 2010 data for drug abuse-related ED visits in the United States and drug-related deaths that involved OPRs and alcohol or benzodiazepines and alcohol in 13 states. The analyses showed alcohol was involved in 18.5% of OPR and 27.2% of benzodiazepine drug abuse-related ED visits and 22.1% of OPR and 21.4% of benzodiazepine drug-related deaths. These findings indicate that alcohol plays a significant role in OPR and benzodiazepine abuse. Interventions to reduce the abuse of alcohol and these drugs alone and in combination are needed.

  16. Human-Robot Emergency Response - Experimental Platform and Preliminary Dataset

    DTIC Science & Technology

    2014-07-28

    Human -Robot Emergency Response - Experimental Platform and Preliminary Dataset Technical Report #UM-CS-2014-006 Hee-Tae Jung, Takeshi Takahashi,and...2014 Abstract This paper presents progress towards a research infrastructure for studying human -robot performance in laboratory emergency response...scenarios and a preliminary dataset. It incorporates an emergency response team that is composed of a human participant, n ≤ 4 vision sensors in a

  17. Intravenous drug abusers attending an inner city accident and emergency department.

    PubMed Central

    Makower, R M; Pennycook, A G; Moulton, C

    1992-01-01

    In a 3-month prospective study, intravenous drug abusers represented 1.14% of all new attendances at Glasgow Royal Infirmary. They generated a significant workload and were often difficult to identify. A very high proportion required surgery or other invasive procedures. The clinical and epidemiological characteristics of the patients were often unexpected. The risks to staff and other implications for the A&E department are discussed. PMID:1567526

  18. A Social Identity Approach to Understanding Responses to Child Sexual Abuse Allegations

    PubMed Central

    Minto, Kiara; Hornsey, Matthew J.; Gillespie, Nicole; Healy, Karen; Jetten, Jolanda

    2016-01-01

    Two studies investigated the role of group allegiances in contributing to the failure of institutions to appropriately respond to allegations of child sexual abuse. In Study 1, 601 participants read a news article detailing an allegation of child sexual abuse against a Catholic Priest. Catholics were more protective of the accused–and more skeptical of the accuser—than other participants, an effect that was particularly pronounced among strongly identified Catholics. In Study 2 (N = 404), the tendency for Catholics to be more protective of the accused and more skeptical of the accuser than non-Catholics was replicated. Moreover, these effects held independently of the objective likelihood that the accused was guilty. Overall, the data show that group loyalties provide a psychological motivation to disbelieve child abuse allegations. Furthermore, the people for whom this motivation is strongest are also the people who are most likely to be responsible for receiving and investigating allegations: highly identified ingroup members. The findings highlight the psychological mechanisms that may limit the ability of senior Church figures to conduct impartial investigations into allegations of child abuse within the Church. PMID:27111546

  19. Environmental Protection Agency Radiological Emergency Response Plan

    EPA Pesticide Factsheets

    The purpose of this Plan is to describe EPA's concept of operations to implement the various actions, when responding to a threatened or actual radiological releases in emergencies and terrorist incidents.

  20. Allocation of Emergency Units: Response Areas,

    DTIC Science & Technology

    The average travel time for emergency units such as fire engines, ambulances, and police patrol cars, which respond to spatially distributed...areas so as to reduce average travel time and also reduce the imbalance of workload among units.

  1. 43 CFR 46.150 - Emergency responses.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... ENVIRONMENTAL POLICY ACT OF 1969 Protection and Enhancement of Environmental Quality § 46.150 Emergency... harm to life, property, or important natural, cultural, or historic resources. When taking such...

  2. Legal and social service responses to child sexual abuse: a primer and discussion of relevant research.

    PubMed

    Wiley, Tisha R A

    2009-01-01

    This paper provides a broad overview of legal and social service responses to child sexual abuse, the overarching legal framework provided by federal legislation, and funding mandates and the unique and shared investigative concerns of law enforcement and child protective service entities. Relevant psychological research is highlighted throughout, including research on investigator training, forensic interviewing techniques, children's suggestibility, jurors' perceptions of child witnesses, and courtroom accommodations for child witnesses.

  3. The Emergency Smoke Response System (a prototype)

    NASA Astrophysics Data System (ADS)

    Lahm, P.; Larkin, N.; Brown, T. J.; Raffuse, S. M.; Strand, T.; Sullivan, D.

    2009-12-01

    The U.S. Forest Service Emergency Smoke Response System (ESRS) prototype was first launched during the Santa Ana wildfire event of southern California (fall 2007) and after further refinement it was again launched during the lightening wildfire event of northing California (summer 2008). During both wildfire events smoke plumes from the fires caused significant impacts on the air quality in both urban and rural communities, transportation corridors, and aviation landing strips. The ESRS, called up by U.S.F.S. headquarters, is used to provide enhanced information and data on air quality impacts and smoke transport to fire management and the public. The prototype U.S.F.S. ESRS is a combination of efforts that supplement the ongoing smoke and fire modeling information with a high resolution meteorological and smoke modeling domain placed over the wildfire event location. This domain is used to look at fine-scale fire meteorology and smoke transport and air quality impacts. At the same time, additional smoke monitors (EBAMS) are deployed in the area with real-time reporting capabilities. The monitors supplement the existing network to provide air quality information in communities without monitors or in remote (i.e. locations along transportation corridors). The data from the modeling efforts and air quality monitoring are presented to fire managers and air quality regulators through websites, which show the latest available information. To ensure maximum utility of the modeling and monitoring information, an experienced air quality forecast produces daily forecast summaries by region, providing text forecast guidance and model output discussion. The forecaster is available for the daily fire calls that fire managers use to coordinate efforts across the region. Fire managers can request modifications or new graphics which they find useful for dissemination of the information. Fire is a natural ecological process. Policy, climate, and ecological shifts can change the

  4. 40 CFR 68.180 - Emergency response program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 15 2010-07-01 2010-07-01 false Emergency response program. 68.180 Section 68.180 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan § 68.180 Emergency response...

  5. Applications In Emergency Response and Public Safety (Briefing Charts)

    DTIC Science & Technology

    2013-03-01

    disaster 3. Response – The actions taken my emergency services personnel and agencies to saves lives, protect property and the environment 4...taken to increase readiness and the ability to respond to a disaster 3. Response – The actions taken my emergency services personnel and agencies to

  6. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... centers or shelters and related facilities and services for evacuees; (4) Providing emergency medical... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Arrangements for Federal response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management...

  7. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... centers or shelters and related facilities and services for evacuees; (4) Providing emergency medical... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Arrangements for Federal response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management...

  8. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... centers or shelters and related facilities and services for evacuees; (4) Providing emergency medical... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Arrangements for Federal response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management...

  9. Use or abuse of bioinformatic tools: a response to Samach.

    PubMed

    Muñoz-Fambuena, Natalia; Mesejo, Carlos; González-Mas, María C; Primo-Millo, Eduardo; Agustí, Manuel; Iglesias, Domingo J

    2013-03-01

    In a recent paper, we described for the first time the effects of fruit on the expression of putative homologues of genes involved in flowering pathways. It was our aim to provide insight into the molecular mechanisms underlying alternate bearing in citrus. However, a bioinformatics-based critique of our and other related papers has been given by Samach in the preceding Viewpoint article in this issue of Annals of Botany. The use of certain bioinformatic tools in a context of structural rather than functional genomics can cast doubts about the veracity of a large amount of data published in recent years. In this response, the contentions raised by Samach are analysed, and rebuttals of his criticisms are presented.

  10. Who Benefits from Gender Responsive Treatment? Accounting for Abuse History on Longitudinal Outcomes for Women in Prison

    PubMed Central

    Saxena, Preeta; Messina, Nena; Grella, Christine E.

    2014-01-01

    This study explores outcome variation among women offenders who participated in gender-responsive substance abuse treatment (GRT). In order to identify subgroups of participants that may differentially benefit from this treatment, secondary analyses examined the interaction between randomization into GRT and a history of abuse (physical/sexual) on depression and number of substances used post- treatment. The sample consisted of 115 incarcerated women assessed at baseline and 6- and 12-months post parole. Longitudinal regression showed that women reporting abuse randomized into GRT had significantly reduced odds of depression (OR = .29, p < .05, 95% CI = .10 – .86) and lowered rates of number of substances used (IRR = .52, p < .05, 95% CI = 0.28–0.98), in comparison to those who reported abuse and were randomized to the non-GRT group. GRT for women offenders who have experienced prior abuse would maximize the benefits of the trauma-informed, gender-sensitive intervention. PMID:24910481

  11. Something for pain: Responsible opioid use in emergency medicine.

    PubMed

    Strayer, Reuben J; Motov, Sergey M; Nelson, Lewis S

    2017-02-01

    The United States is currently experiencing a public health crisis of opioid addiction, which has its genesis in an industry marketing effort that successfully encouraged clinicians to prescribe opioids liberally, and asserted the safety of prescribing opioids for chronic non-cancer pain, despite a preponderance of evidence demonstrating the risks of dependence and misuse. The resulting rise in opioid use has pushed drug overdose deaths in front of motor vehicle collisions to become the leading cause of accidental death in the country. Emergency providers frequently treat patients for complications of opioid abuse, and also manage patients with acute and chronic pain, for which opioids are routinely prescribed. Emergency providers are therefore well positioned to both prevent new cases of opioid misuse and initiate appropriate treatment of existing opioid addicts. In opioid-naive patients, this is accomplished by a careful consideration of the likelihood of benefit and harm of an opioid prescription for acute pain. If opioids are prescribed, the chance of harm is reduced by matching the number of pills prescribed to the expected duration of pain and selecting an opioid preparation with low abuse liability. Patients who present to acute care with exacerbations of chronic pain or painful conditions associated with opioid misuse are best managed by treating symptoms with opioid alternatives and encouraging treatment for opioid addiction.

  12. Xylazine intoxication in humans and its importance as an emerging adulterant in abused drugs: A comprehensive review of the literature.

    PubMed

    Ruiz-Colón, Kazandra; Chavez-Arias, Carlos; Díaz-Alcalá, José Eric; Martínez, María A

    2014-07-01

    Xylazine is not a controlled substance; it is marketed as a veterinary drug and used as a sedative, analgesic and muscle relaxant. In humans, it could cause central nervous system depression, respiratory depression, bradycardia, hypotension, and even death. There have been publications of 43 cases of xylazine intoxication in humans, in which 21 (49%) were non-fatal scenarios and 22 (51%) resulted in fatalities. Most of the non-fatal cases required medical intervention. Over recent years xylazine has emerged as an adulterant in recreational drugs, such as heroin or speedball (a cocaine and heroin mixture). From the 43 reported cases, 17 (40%) were associated with the use of xylazine as an adulterant of drugs of abuse. Its chronic use is reported to be associated with physical deterioration and skin ulceration. Literature shows some similar pharmacologic effects between xylazine and heroin in humans. These similar pharmacologic effects may create synergistic toxic effects in humans. Therefore, fatalities among drug users may increase due to the use of xylazine as an adulterant. Xylazine alone has proven harmful to humans and even more when it is combined with drugs of abuse. A comprehensive review of the literature of non-fatal and fatal xylazine intoxication cases including those in which the substance was used as adulterant is presented, in order to increase the awareness in the forensic community, law enforcement, and public health agencies.

  13. Comparing policies for children of parents attending hospital emergency departments after intimate partner violence, substance abuse or suicide attempt.

    PubMed

    Hoytema van Konijnenburg, Eva M M; Diderich, Hester M; Teeuw, Arianne H; Klein Velderman, Mariska; Oudesluys-Murphy, Anne Marie; van der Lee, Johanna H

    2016-03-01

    To improve identification of child maltreatment, a new policy ('Hague protocol') was implemented in hospitals in The Netherlands, stating that adults attending the hospital emergency department after intimate partner violence, substance abuse or a suicide attempt should be asked whether they care for children. If so, these children are referred to the Reporting Center for Child Abuse and Neglect (RCCAN), for assessment and referrals to support services. An adapted, hospital-based version of this protocol ('Amsterdam protocol') was implemented in another region. Children are identified in the same manner, but, instead of a RCCAN referral, they are referred to the pediatric outpatient department for an assessment, including a physical examination, and referrals to services. We compared results of both protocols to assess how differences between the protocols affect the outcomes on implementation, detection of child maltreatment and referrals to services. Furthermore, we assessed social validity and results of a screening physical examination. We included 212 families from the Amsterdam protocol (cohort study with reports by pediatric staff and parents) and 565 families from the Hague protocol (study of RCCAN records and telephone interviews with parents). We found that the RCCAN identified more maltreatment than pediatric staff (98% versus at least 51%), but referrals to services were similar (82% versus 80% of the total sample) and parents were positive about both interventions. Physical examination revealed signs of maltreatment in 5%. We conclude that, despite the differences, both procedures can serve as suitable methods to identify and refer children at risk for maltreatment.

  14. The relationships among personality, social support, and resilience of abused nurses at emergency rooms and psychiatric wards in Taiwan.

    PubMed

    Hsieh, Hsiu-Fen; Chang, Shu-Chen; Wang, Hsiu-Hung

    2017-01-01

    The aim of the authors in this study was to identify factors associated with resilience that helped abused nurses face and cope with violent events. The data for this cross-sectional study were collected from June 2013 to December 2013; 272 participants were recruited from emergency rooms and psychiatric wards in four hospitals in central Taiwan. Among these participants, 230 (84.6%) met the inclusion criterion and completed all questionnaires; 69 (30%) of them reported having experienced only verbal violence; 46 (20%) reported having experienced only physical violence, and 115 (50%) reported having experienced a combination of verbal and physical violence. The following were positively associated with resilience score: having a college education or greater (exp((β)()) = 1.045, p = .018), extraversion (exp((β)()) = 1.012 per unit increase in the score, p < .001), family support (exp((β)()) = 1.004 per unit increase in the score, p = .031), peer support (exp((β)()) = 1.008 per unit increase in the score, p = .006), and lower level of neuroticism (exp((β)()) = 0.983 per unit increase in the score, p < .001); 43.6% of the variance in resilience was explained by the variables assessed. Adequate support and advanced education are important for abused nurses to enhance their resilience.

  15. Collective response of human populations to large-scale emergencies.

    PubMed

    Bagrow, James P; Wang, Dashun; Barabási, Albert-László

    2011-03-30

    Despite recent advances in uncovering the quantitative features of stationary human activity patterns, many applications, from pandemic prediction to emergency response, require an understanding of how these patterns change when the population encounters unfamiliar conditions. To explore societal response to external perturbations we identified real-time changes in communication and mobility patterns in the vicinity of eight emergencies, such as bomb attacks and earthquakes, comparing these with eight non-emergencies, like concerts and sporting events. We find that communication spikes accompanying emergencies are both spatially and temporally localized, but information about emergencies spreads globally, resulting in communication avalanches that engage in a significant manner the social network of eyewitnesses. These results offer a quantitative view of behavioral changes in human activity under extreme conditions, with potential long-term impact on emergency detection and response.

  16. Prescription drug abuse: problem, policies, and implications.

    PubMed

    Phillips, Janice

    2013-01-01

    This article provides an overview on prescription drug abuse and highlights a number of related legislative bills introduced during the 112th Congress in response to this growing epidemic. Prescription drug abuse has emerged as the nation's fastest growing drug problem. Although prescription drugs have been used effectively and appropriately for decades, deaths from prescription pain medicine in particular have reached epidemic proportions. Bills related to prescription drug abuse introduced during the 112th Congress focus on strengthening provider and consumer education, tracking and monitoring prescription drug abuse, improving data collection on drug overdose fatalities, combating fraud and abuse in Medicare and Medicaid programs, reclassifying drugs to make them more difficult to prescribe and obtain, and enforcing stricter penalties for individuals who operate scam pain clinics and sell pain pills illegitimately. This article underscores the importance of a multifaceted approach to combating prescription drug abuse and concludes with implications for nursing.

  17. Impact of Physical and Sexual Abuse on Treatment Response in the Treatment of Resistant Depression in Adolescent Study (TORDIA)

    PubMed Central

    Shamseddeen, Wael; Asarnow, Joan Rosenbaum; Clarke, Gregory; Vitiello, Benedetto; Wagner, Karen Dineen; Birmaher, Boris; Keller, Martin B.; Emslie, Graham; Iyengar, Satish; Ryan, Neal D.; McCracken, James T.; Porta, Giovanna; Mayes, Taryn; Brent, David A.

    2010-01-01

    Objective We previously reported that a history of abuse was associated with a poorer response to combination treatment in the Treatment of Resistant Depression in Adolescents study (TORDIA). We now report on the nature and correlates of abuse that might explain these findings. Method Youth who did not benefit from an adequate selective serotonin re-uptake inhibitor (SSRI) trial (N=334) were randomized to: an alternative SSRI; an alternative SSRI plus cognitive behavior therapy (CBT); venlafaxine; or venlafaxine plus CBT. Analyses examined the effect of history of abuse on response to the pharmacotherapy and combination therapy. Results Those without a history of physical abuse (PA) or sexual abuse (SA) had a higher 12-week response rate to combination therapy compared to medication mono-therapy (62.8% vs. 37.6%; OR=2.8, 95% CI: 1.6–4.7, p<0.001). Those with a history of SA had similar response rates to combination vs. medication monotherapy (48.3% vs. 42.3%; OR=1.3, 95% CI: 0.4–3.7; p=0.66), while those with history of PA had a much lower rate of response to combination therapy (18.4% vs. 52.4%, OR=0.1; 95% CI: 0.02–0.43). Even after adjusting for other clinical predictors, a history of PA moderated treatment outcome. Conclusion These results should be considered within the limitations of a post-hoc analysis, lack of detailed assessment of abuse and other forms of trauma, and neuropsychological status. Depressed patients with history of abuse, especially PA may require specialized clinical approaches. Further work is needed to understand by what mechanisms a history of abuse affects treatment response. PMID:21334569

  18. Updating Dosimetry for Emergency Response Dose Projections.

    PubMed

    DeCair, Sara

    2016-02-01

    In 2013, the U.S. Environmental Protection Agency (EPA) proposed an update to the 1992 Protective Action Guides (PAG) Manual. The PAG Manual provides guidance to state and local officials planning for radiological emergencies. EPA requested public comment on the proposed revisions, while making them available for interim use by officials faced with an emergency situation. Developed with interagency partners, EPA's proposal incorporates newer dosimetric methods, identifies tools and guidelines developed since the current document was issued, and extends the scope of the PAGs to all significant radiological incidents, including radiological dispersal devices or improvised nuclear devices. In order to best serve the emergency management community, scientific policy direction had to be set on how to use International Commission on Radiological Protection Publication 60 age groups in dose assessment when implementing emergency guidelines. Certain guidelines that lend themselves to different PAGs for different subpopulations are the PAGs for potassium iodide (KI), food, and water. These guidelines provide age-specific recommendations because of the radiosensitivity of the thyroid and young children with respect to ingestion and inhalation doses in particular. Taking protective actions like using KI, avoiding certain foods or using alternative sources of drinking water can be relatively simple to implement by the parents of young children. Clear public messages can convey which age groups should take which action, unlike how an evacuation or relocation order should apply to entire households or neighborhoods. New in the PAG Manual is planning guidance for the late phase of an incident, after the situation is stabilized and efforts turn toward recovery. Because the late phase can take years to complete, decision makers are faced with managing public exposures in areas not fully remediated. The proposal includes quick-reference operational guidelines to inform re-entry to

  19. The relationship between child maltreatment and substance abuse treatment outcomes among emerging adults and adolescents.

    PubMed

    Garner, Bryan R; Hunter, Brooke D; Smith, Douglas C; Smith, Jane Ellen; Godley, Mark D

    2014-01-01

    Emerging adulthood is the period of greatest risk for problematic substance use. The primary aim of the current study was to examine the relationship between a broad measure of child maltreatment and several key outcomes for a large clinical sample of emerging adults (n = 858) and adolescents (n = 2,697). The secondary aim was to examine the extent to which the relationship between child maltreatment and treatment outcomes differed between emerging adults and adolescents. Multilevel latent growth curve analyses revealed emerging adults and adolescents who experienced child maltreatment reported significantly greater reductions over time on several treatment outcomes (e.g., substance use, substance-related problems, and emotional problems). Overall, analyses did not support differential relationships between child maltreatment and changes over time in these substance use disorder treatment outcomes for emerging adults and adolescents. The one exception was that although emerging adults with child maltreatment did reduce their HIV risk over time, their improvements were not as great as were the improvements in HIV risk reported by adolescents who had experienced child maltreatment.

  20. Emergency Response Capability Baseline Needs Assessment - Requirements Document

    SciTech Connect

    Sharry, John A.

    2016-10-04

    This document was prepared by John A. Sharry, LLNL Fire Marshal and LLNL Division Leader for Fire Protection and reviewed by LLNL Emergency Management Department Head James Colson. The document follows and expands upon the format and contents of the DOE Model Fire Protection Baseline Capabilities Assessment document contained on the DOE Fire Protection Web Site, but only addresses emergency response.

  1. Current Trends in Gamma Ray Detection for Radiological Emergency Response

    SciTech Connect

    Mukhopadhyay, S., Guss, P., Maurer, R.

    2011-08-18

    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies.

  2. Chemical and Biological Terrorism: Improvements to Emergency Medical Response.

    ERIC Educational Resources Information Center

    DeGraffenreid, Jeff Gordon

    The challenge facing many emergency medical services (EMS) is the implementation of a comprehensive educational strategy to address emergency responses to terrorism. One such service, Johnson County (Kansas) Medical Action, needed a strategy that would keep paramedics safe and offer the community an effective approach to mitigation. A…

  3. General RMP Guidance - Chapter 8: Emergency Response Program

    EPA Pesticide Factsheets

    If you have a Program 2 or 3 process at your facility, 40 CFR Part 68 (risk management program) requires an emergency response program in place if employees respond to some releases involving regulated toxic or flammable substances.

  4. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  5. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  6. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  7. EMERGENCY RESPONSE FOR PUBLIC WATER SUPPLIES AFTER HURRICANE KATRINA

    EPA Science Inventory

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

  8. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  9. 78 FR 68774 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-15

    .... Background As a result of the events at the Fukushima Dai-ichi Nuclear Power Plant in 2011, the NRC's Near... Enhancing Reactor Safety in the 21st Century: The Near-Term Task Force Review of Insights from the Fukushima...-0137, ``Prioritization of Recommended Actions to be Taken in Response to Fukushima Lessons...

  10. Minicomputer Capabilities Related to Meteorological Aspects of Emergency Response

    SciTech Connect

    Rarnsdell, J. V.; Athey, G. F.; Ballinger, M. Y.

    1982-02-01

    The purpose of this report is to provide the NRC staff involved in reviewing licensee emergency response plans with background information on the capabilities of minicomputer systems that are related to the collection and dissemination of meteorological infonmation. The treatment of meteorological information by organizations with existing emergency response capabilities is described, and the capabilities, reliability and availability of minicomputers and minicomputer systems are discussed.

  11. Substance Abuse and Mental Health Services Administration (SAMHSA) Behavioral Health Disaster Response App.

    PubMed

    Seligman, Jamie; Felder, Stephanie S; Robinson, Maryann E

    2015-10-01

    The Substance Abuse and Mental Health Services Administration (SAMHSA) in the Department of Health and Human Services offers extensive disaster behavior health resources to assist disaster survivors in preparing for, responding to, and recovering from natural and manmade disasters. One of SAMHSA's most innovative resources is the SAMHSA Behavioral Health Disaster Response App (SAMHSA Disaster App). The SAMHSA Disaster App prepares behavioral health responders for any type of traumatic event by allowing them to access disaster-related materials and other key resources right on their phone, at the touch of a button. The SAMHSA Disaster App is available on iPhone, Android, and BlackBerry devices.

  12. Taking on Substance Abuse in the Emergency Room: One Hospital's SBIRT Story

    ERIC Educational Resources Information Center

    Parker, Gary; Libart, Dane; Fanning, Linda; Higgs, Tracy; Dirickson, Cathy

    2012-01-01

    Screening for alcohol and drugs seems to be gaining traction and is becoming more commonplace in the healthcare setting. With emergency departments often being a point of contact for many individuals needing healthcare services, it makes sense to provide screening for substance misuse within this setting. The purpose of this paper is to share how…

  13. An emergency response UAV Surveillance System.

    PubMed

    Rodriguez, Pedro A; Geckle, William J; Barton, Jeffrey D; Samsundar, John; Gao, Tia; Brown, Myron Z; Martin, Sean R

    2006-01-01

    A system using Unmanned Air Vehicles (UAVs), equipped for real time telemetry of video imagery, sensor support data, and GPS/INS navigation, is being developed to provide situational awareness (SA) to the central command of mass casualty incident response. UAVs provide an inexpensive and safe means of acquiring video surveillance in chaotic disaster scenes, while being durable and non-intrusive. The system provides autonomous surveillance of defined perimeters, video tracking and active following of targets of interest, and real time cueing to other imaging UAVs.

  14. Space Shuttle Hot Cabin Emergency Responses

    NASA Technical Reports Server (NTRS)

    Stepaniak, P.; Effenhauser, R. K.; McCluskey, R.; Gillis, D. B.; Hamilton, D.; Kuznetz, L. H.

    2005-01-01

    Methods: Human thermal tolerance, countermeasures, and thermal model data were reviewed and compared to existing shuttle ECS failure temperature and humidity profiles for each failure mode. Increases in core temperature associated with cognitive impairment was identified, as was metabolic heat generation of crewmembers, temperature monitoring, and communication capabilities after partial power-down and other limiting factors. Orbiter landing strategies and a hydration and salt replacement protocol were developed to put wheels on deck in each failure mode prior to development of significant cognitive impairment or collapse of crewmembers. Thermal tradeoffs for use of the Advanced Crew Escape Suit (ACES), Liquid Cooling Garment, integrated G-suit and Quick Don Mask were examined. candidate solutions involved trade-offs or conflicts with cabin oxygen partial pressure limits, system power-downs to limit heat generation, risks of alternate and emergency landing sites or compromise of Mode V-VIII scenarios. Results: Rehydration and minimized cabin workloads are required in all failure modes. Temperature/humidity profiles increase rapidly in two failure modes, and deorbit is recommended without the ACES, ICU and g-suit. This latter configuration limits several shuttle approach and landing escape modes and requires communication modifications. Additional data requirements were identified and engineering simulations were recommended to develop more current shuttle temperature and humidity profiles. Discussion: After failure of the shuttle ECS, there is insufficient cooling capacity of the ACES to protect crewmembers from rising cabin temperature and humidity. The LCG is inadequate for cabin temperatures above 76 F. Current shuttle future life policy makes it unlikely that major engineering upgrades necessary to address this problem will occur.

  15. Substance Abuse and America: Historical Perspective on the Federal Response to a Social Phenomenon

    PubMed Central

    Brown, Lawrence S.

    1981-01-01

    Much more often than is commonly given credit, factors other than a substance's therapeutic efficacy contribute to its affect on the individual experience, its own proliferation, and society's response. To explore these dynamics, American history is examined from the perspective of analyzing the development of substance abuse. Of the conclusions borne out by this historical perspective, foremost was that psychoactive substance use has been an element in the American social ecology from its earliest beginnings. The health professions have not always exhibited behavior in the interest of public health, and, most importantly, the federal response has often been plagued with outcomes that have been less desirable than many of the problems. This historical review supports the thesis that drug-seeking behavior and the response it elicits are in a constant state of flux and cannot be adequately appreciated in isolation from the sociocultural and historical contexts in which they occur. PMID:7017155

  16. Elder Abuse and Substance Abuse

    MedlinePlus

    ... to: What is Elder Abuse? Elder Abuse and Substance Abuse Substance abuse has been identified as the most frequently cited ... victim and/or the perpetrator who has the substance abuse problem. Substance abuse is believed to be a ...

  17. Enabling Communication in Emergency Response Environments

    PubMed Central

    Aldunate, Roberto G.; Schmidt, Klaus Nicholas; Herrera, Oriel

    2012-01-01

    Effective communication among first responders during response to natural and human-made large-scale catastrophes has increased tremendously during the last decade. However, most efforts to achieve a higher degree of effectiveness in communication lack synergy between the environment and the technology involved to support first responders operations. This article presents a natural and intuitive interface to support Stigmergy; or communication through the environment, based on intuitively marking and retrieving information from the environment with a pointer. A prototype of the system was built and tested in the field, however the pointing activity revealed challenges regarding accuracy due to limitations of the sensors used. The results obtained from these field tests were the basis for this research effort and will have the potential to enable communication through the environment for first responders operating in highly dynamical and inhospitable disaster relief environments. PMID:22778647

  18. Do emergency medical system response times matter for health outcomes?

    PubMed

    Wilde, Elizabeth Ty

    2013-07-01

    The introduction of technology aimed at reducing the response times of emergency medical services has been one of the principal innovations in crisis care over the last several decades. These substantial investments have typically been justified by an assumed link between shorter response times and improved health outcomes. However, current medical research does not generally show a relationship between response time and mortality. In this study, we explain the discrepancy between conventional wisdom and mortality; existing medical research fails to account for the endogeneity of incident severity and response times. Analyzing detailed call-level information from the state of Utah's Bureau of Emergency Medical Services, we measure the impact of response time on mortality and hospital utilization using the distance of the incident from the nearest EMS agency headquarters as an instrument for response time. We find that response times significantly affect mortality and the likelihood of being admitted to the hospital, but not procedures or utilization within the hospital.

  19. Exploring the relationship between child physical abuse and adult dating violence using a causal inference approach in an emerging adult population in South Korea.

    PubMed

    Jennings, Wesley G; Park, MiRang; Richards, Tara N; Tomsich, Elizabeth; Gover, Angela; Powers, Ráchael A

    2014-12-01

    Child maltreatment is one of the most commonly examined risk factors for violence in dating relationships. Often referred to as the intergenerational transmission of violence or cycle of violence, a fair amount of research suggests that experiencing abuse during childhood significantly increases the likelihood of involvement in violent relationships later, but these conclusions are primarily based on correlational research designs. Furthermore, the majority of research linking childhood maltreatment and dating violence has focused on samples of young people from the United States. Considering these limitations, the current study uses a rigorous, propensity score matching approach to estimate the causal effect of experiencing child physical abuse on adult dating violence among a large sample of South Korean emerging adults. Results indicate that the link between child physical abuse and adult dating violence is spurious rather than causal. Study limitations and implications are discussed.

  20. Poor response inhibition: at the nexus between substance abuse and attention deficit/hyperactivity disorder.

    PubMed

    Groman, Stephanie M; James, Alex S; Jentsch, J David

    2009-05-01

    The co-morbidity between attention deficit hyperactivity disorder (ADHD) and substance abuse and dependence disorders may have multiple causes and consequences. In this review, we will describe neurobehavioral, genetic and animal model studies that support the notion that a common, genetically determined failure of response inhibition function is an endophenotype for both disorders. Through an impairment in the ability to cognitively control pre-potent behaviors, subjects can exhibit a collection of ADHD-like traits (impulsivity and hyperactivity), as well as susceptibility for the initiation of drug taking and its ultimate progression to an inflexible, uncontrollable form. At the neural level, dysfunction within circuitry that includes the ventrolateral frontal and cingulate cortices, as well as in associated basal ganglia zones, contributes to a common pattern of behavioral impairment, explaining aspects of co-morbidity. Animal models of substance abuse/dependence and ADHD that exhibit deficits in response inhibition have substantiated the role of this endophenotype in both disorders and their co-morbidity and should provide a testing ground for interventions targeting it. New directions for research that will further explore this hypothesis and begin to reveal the underlying biological mechanisms will be proposed.

  1. Racial-Ethnic Disparities in Opioid Prescriptions at Emergency Department Visits for Conditions Commonly Associated with Prescription Drug Abuse.

    PubMed

    Singhal, Astha; Tien, Yu-Yu; Hsia, Renee Y

    2016-01-01

    Prescription drug abuse is a growing problem nationally. In an effort to curb this problem, emergency physicians might rely on subjective cues such as race-ethnicity, often unknowingly, when prescribing opioids for pain-related complaints, especially for conditions that are often associated with drug-seeking behavior. Previous studies that examined racial-ethnic disparities in opioid dispensing at emergency departments (EDs) did not differentiate between prescriptions at discharge and drug administration in the ED. We examined racial-ethnic disparities in opioid prescription at ED visits for pain-related complaints often associated with drug-seeking behavior and contrasted them with conditions objectively associated with pain. We hypothesized a priori that racial-ethnic disparities will be present among opioid prescriptions for conditions associated with non-medical use, but not for objective pain-related conditions. Using data from the National Hospital Ambulatory Medical Care Survey for 5 years (2007-2011), the odds of opioid prescription during ED visits made by non-elderly adults aged 18-65 for 'non-definitive' conditions (toothache, back pain and abdominal pain) or 'definitive' conditions (long-bone fracture and kidney stones) were modeled. Opioid prescription at discharge and opioid administration at the ED were the primary outcomes. We found significant racial-ethnic disparities, with non-Hispanic Blacks being less likely (adjusted odds ratio ranging from 0.56-0.67, p-value < 0.05) to receive opioid prescription at discharge during ED visits for back pain and abdominal pain, but not for toothache, fractures and kidney stones, compared to non-Hispanic whites after adjusting for other covariates. Differential prescription of opioids by race-ethnicity could lead to widening of existing disparities in health, and may have implications for disproportionate burden of opioid abuse among whites. The findings have important implications for medical provider education

  2. Racial-Ethnic Disparities in Opioid Prescriptions at Emergency Department Visits for Conditions Commonly Associated with Prescription Drug Abuse

    PubMed Central

    Tien, Yu-Yu; Hsia, Renee Y.

    2016-01-01

    Prescription drug abuse is a growing problem nationally. In an effort to curb this problem, emergency physicians might rely on subjective cues such as race-ethnicity, often unknowingly, when prescribing opioids for pain-related complaints, especially for conditions that are often associated with drug-seeking behavior. Previous studies that examined racial-ethnic disparities in opioid dispensing at emergency departments (EDs) did not differentiate between prescriptions at discharge and drug administration in the ED. We examined racial-ethnic disparities in opioid prescription at ED visits for pain-related complaints often associated with drug-seeking behavior and contrasted them with conditions objectively associated with pain. We hypothesized a priori that racial-ethnic disparities will be present among opioid prescriptions for conditions associated with non-medical use, but not for objective pain-related conditions. Using data from the National Hospital Ambulatory Medical Care Survey for 5 years (2007–2011), the odds of opioid prescription during ED visits made by non-elderly adults aged 18–65 for ‘non-definitive’ conditions (toothache, back pain and abdominal pain) or ‘definitive’ conditions (long-bone fracture and kidney stones) were modeled. Opioid prescription at discharge and opioid administration at the ED were the primary outcomes. We found significant racial-ethnic disparities, with non-Hispanic Blacks being less likely (adjusted odds ratio ranging from 0.56–0.67, p-value < 0.05) to receive opioid prescription at discharge during ED visits for back pain and abdominal pain, but not for toothache, fractures and kidney stones, compared to non-Hispanic whites after adjusting for other covariates. Differential prescription of opioids by race-ethnicity could lead to widening of existing disparities in health, and may have implications for disproportionate burden of opioid abuse among whites. The findings have important implications for medical

  3. Use of geographic data in emergency response decision making system

    SciTech Connect

    Walker, H.

    1997-07-01

    Geographic data have a number of key roles in emergency response systems focused on releases of hazardous material to the environment. Maps are a key element in allowing emergency response personnel to become oriented during a response and in presenting status information effectively to these personnel. Geographic data are essential for modeling to predict dispersal patterns during a release. It is also necessary to integrate model and measurement data with demographic information in order to assess the consequences of a release. Appropriate support for such capabilities is based on a number of evolving technologies including fast computers, large databases, network technology, remote sensing and geographic information systems.

  4. Northern Territory Emergency Response: criticism, support and redesign.

    PubMed

    Evans, Brendon W

    2012-06-01

    The recent Federal Government Report and Media release, Stronger Futures in the Northern Territory: Report on Consultations and its claim of 'widespread Indigenous Support' has brought the topic of the Northern Territory Emergency Response (the Intervention) back into the public mind. This article provides a synthesis of four years of debate around the Northern Territory Emergency Response, at a time when the program is nearing the end of its time frame. It outlines the main arguments supporting the Intervention, the central criticisms and the government's response to these evaluations, with the aim of providing a primer or summary for health professionals to the discussion around this important public issue.

  5. Item Response Theory Analysis of DSM-IV Cannabis Abuse and Dependence Criteria in Adolescents

    ERIC Educational Resources Information Center

    Hartman, Christie A.; Gelhorn, Heather; Crowley, Thomas J.; Sakai, Joseph T.; Stallings, Michael; Young, Susan E.; Rhee, Soo Hyun; Corley, Robin; Hewitt, John K.; Hopfer, Christian J.

    2008-01-01

    A study to examine the DSM-IV criteria for cannabis abuse and dependence among adolescents is conducted. Results conclude that abuse and dependence criteria were not found to affect the different levels of severity in cannabis use.

  6. Modeling operators' emergency response time for chemical processing operations.

    PubMed

    Murray, Susan L; Harputlu, Emrah; Mentzer, Ray A; Mannan, M Sam

    2014-01-01

    Operators have a crucial role during emergencies at a variety of facilities such as chemical processing plants. When an abnormality occurs in the production process, the operator often has limited time to either take corrective actions or evacuate before the situation becomes deadly. It is crucial that system designers and safety professionals can estimate the time required for a response before procedures and facilities are designed and operations are initiated. There are existing industrial engineering techniques to establish time standards for tasks performed at a normal working pace. However, it is reasonable to expect the time required to take action in emergency situations will be different than working at a normal production pace. It is possible that in an emergency, operators will act faster compared to a normal pace. It would be useful for system designers to be able to establish a time range for operators' response times for emergency situations. This article develops a modeling approach to estimate the time standard range for operators taking corrective actions or following evacuation procedures in emergency situations. This will aid engineers and managers in establishing time requirements for operators in emergency situations. The methodology used for this study combines a well-established industrial engineering technique for determining time requirements (predetermined time standard system) and adjustment coefficients for emergency situations developed by the authors. Numerous videos of workers performing well-established tasks at a maximum pace were studied. As an example, one of the tasks analyzed was pit crew workers changing tires as quickly as they could during a race. The operations in these videos were decomposed into basic, fundamental motions (such as walking, reaching for a tool, and bending over) by studying the videos frame by frame. A comparison analysis was then performed between the emergency pace and the normal working pace operations

  7. Review on emergency medical response against terrorist attack.

    PubMed

    Wang, De-Wen; Liu, Yao; Jiang, Ming-Min

    2014-01-01

    Terrorism is a global issue and a constant international threat. As a result, anti-terrorism and emergency response strategies are tasks of critical importance that have a direct impact on the national security of every country in the world. This paper reviews new characteristics of international anti-terrorism measures and offers an in-depth reflection on emergency medical response countermeasures; additionally, this paper presents the goals of related research, which include: 1) to present a model of a highly efficient medical response command; 2) to introduce the pre-planning phases of the emergency medical response; 3) to establish a response system capable of handling various types of terror attacks; 4) to promote anti-terrorism awareness to the general public and emphasize its prevention; and 5) to continue basic investigations into emergency medical responses for various types of terrorist attacks (for example, the classifications and characteristics of new injuries, pathophysiology, prevention and treatment of the resultant stress disorders, improved high-efficiency medical response measures and equipment, etc.).

  8. Counselor Trainees' Self-Statement Responses to Sexually and Physically Abused Clients, and Client Role Conflict.

    ERIC Educational Resources Information Center

    Parisien, Lynne S.; Long, Bonita C.

    1994-01-01

    Assessed 63 female counselor trainees after viewing videotape of client reporting sexual abuse, physical abuse, or role conflict. Results indicated that trainees who expected to counsel sexually abused client increased their positive self-statements. Applied Schwartz's States-of-Mind model to self-statement ratios, and, according to model,…

  9. SRNL EMERGENCY RESPONSE CAPABILITY FOR ATMOSPHERIC CONTAMINANT RELEASES

    SciTech Connect

    Koffman, L; Chuck Hunter, C; Robert Buckley, R; Robert Addis, R

    2006-07-12

    Emergency response to an atmospheric release of chemical or radiological contamination is enhanced when plume predictions, field measurements, and real-time weather information are integrated into a geospatial framework. The Weather Information and Display (WIND) System at Savannah River National Laboratory (SRNL) utilizes such an integrated framework. The rapid availability of predictions from a suite of atmospheric transport models within this geospatial framework has proven to be of great value to decision makers during an emergency involving an atmospheric contaminant release.

  10. Emergency Response Capability Baseline Needs Assessment Compliance Assessment

    SciTech Connect

    Sharry, John A.

    2013-09-16

    This document is the second of a two-part analysis of Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2013 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2009 BNA, the 2012 BNA document, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures.

  11. NEURODEVELOPMENTAL BIOLOGY ASSOCIATED WITH CHILDHOOD SEXUAL ABUSE

    PubMed Central

    De Bellis, Michael D.; Spratt, Eve G.; Hooper, Stephen R.

    2013-01-01

    Child maltreatment appears to be the single most preventable cause of mental illness and behavioral dysfunction in the US. There are few published studies examining the developmental and the psychobiological consequences of sexual abuse. There are multiple mechanisms through which sexual abuse can cause PTSD, activate biological stress response systems, and contribute to adverse brain development. This article will critically review the psychiatric problems associated with maltreatment and the emerging biologic stress system research with a special emphasis on what is known about victimization by sexual abuse. PMID:21970646

  12. Predicting the Abuse Liability of Entactogen-Class, New and Emerging Psychoactive Substances via Preclinical Models of Drug Self-administration.

    PubMed

    Aarde, Shawn M; Taffe, Michael A

    2016-12-02

    Animal models of drug self-administration are currently the gold standard for making predictions regarding the relative likelihood that a recreational drug substance will lead to continued use and addiction. Such models have been found to have high predictive accuracy and discriminative validity for a number of drug classes including ethanol, nicotine, opioids, and psychostimulants such as cocaine and methamphetamine. Members of the entactogen class of psychostimulants (drugs that produce an "open mind state" including feelings of interpersonal closeness, intimacy and empathy) have been less frequently studied in self-administration models. The prototypical entactogen 3,4-methylenedioxymethamphetamine (MDMA; "Ecstasy") supports self-administration but not with the same consistency nor with the same efficacy as structurally related drugs amphetamine or methamphetamine. Consistent with these observations, MDMA use is more episodic in the majority of those who use it frequently. Nevertheless, substantial numbers of MDMA users will meet the criteria for substance dependence at some point in their use history. This review examines the currently available evidence from rodent self-administration studies of MDMA and two of the new and emerging psychoactive substances (NPS) that produce entactogen type neuropharmacological responses - mephedrone (4-methylmethcathinone; 4MMC; "meow meow") and methylone (3,4-methylenedioxymethcathinone). Overall, the current evidence predicts that these NPS entactogens have enhanced abuse liability compared with MDMA.

  13. USGS Emergency Response and the Hazards Data Distribution System (HDDS)

    NASA Astrophysics Data System (ADS)

    Jones, B. K.; Lamb, R.

    2013-12-01

    Remotely sensed datasets such as satellite imagery and aerial photography can be an invaluable resource to support the response and recovery from many types of emergency events such as floods, earthquakes, landslides, wildfires, and other natural or human-induced disasters. When disaster strikes there is often an urgent need and high demand for rapid acquisition and coordinated distribution of pre- and post-event geospatial products and remotely sensed imagery. These products and images are necessary to record change, analyze impacts, and facilitate response to the rapidly changing conditions on the ground. The coordinated and timely provision of relevant imagery and other datasets is one important component of the USGS support for domestic and international emergency response activities. The USGS Hazards Data Distribution System (HDDS) serves as a single, consolidated point-of-access for relevant satellite and aerial image datasets during an emergency event response. The HDDS provides data visibility and immediate download services through a complementary pair of graphical map-based and traditional directory-based interfaces. This system allows emergency response personnel to rapidly select and obtain pre-event ('baseline') and post-event emergency response imagery from many different sources. These datasets will typically include images that are acquired directly by USGS, but may also include many other types of images that are collected and contributed by partner agencies and organizations during the course of an emergency event response. Over the past decade, USGS Emergency Response and HDDS have supported hundreds of domestic and international disaster events by providing critically needed pre- and post-event remotely sensed imagery and other related geospatial products as required by the emergency response community. Some of the larger national events supported by HDDS have included Hurricane Sandy (2012), the Deepwater Horizon Oil Spill (2010), and Hurricane

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

    PubMed

    Hadi, Tamer A; Fleshler, Keren

    2016-10-01

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

  15. Methodology for Estimating Ingestion Dose for Emergency Response at SRS

    SciTech Connect

    Simpkins, A.A.

    2003-07-21

    At the Savannah River Site (SRS), emergency response computer models are used to estimate dose following releases of radioactive materials to the environment. Downwind air and ground concentrations and their associated doses from inhalation and ground shine pathways are estimated. The emergency response model (PUFF-PLUME) uses real-time data to track either instantaneous (puff) or continuous (plume) releases. A site-specific ingestion dose model was developed for use with PUFF-PLUME that includes the following ingestion dose pathways pertinent to the surrounding SRS area: milk, beef, water, and fish. The model is simplistic and can be used with existing code output.

  16. [Child abuse].

    PubMed

    V Essen, H; Schlickewei, W; Dietz, H-G

    2005-02-01

    Child abuse is most often diagnosed by an emergency doctor on call who sometimes "feels" more than knows what he is confronted with. He should nevertheless always take a medical history and make a physical and radiological examination. X-ray imaging and an ophthalmologic retinal examination are the most important diagnostic steps. Typical findings are multiple and/or dorsal rib fractures, complex skull fractures, physeal fractures, all fractures within the first 12 months, multiple fractures in different localisations and stages of healing, all injuries with uncommon distributions, all patterned bruises, immersion burns, intramural hematoma and every unexplained loss of consciousness. The first step towards victim protection is always the removal of the abused child from its caregivers by admitting it to hospital, as 95% of all cases of reported child abuse take place within the child's family.

  17. Emergency Response Capability Baseline Needs Assessment - Compliance Assessment

    SciTech Connect

    Sharry, John A.

    2016-09-01

    This document was prepared by John A. Sharry, LLNL Fire Marshal and Division Leader for Fire Protection and was reviewed by LLNL Emergency Management Department Head, James Colson. This document is the second of a two-part analysis on Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2016 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2016 BNA, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures. The 2013 BNA was approved by NNSA’s Livermore Field Office on January 22, 2014.

  18. Exploring Interoperability as a Multidimensional Challenge for Effective Emergency Response

    ERIC Educational Resources Information Center

    Santisteban, Hiram

    2010-01-01

    Purpose. The purpose of this research was to further an understanding of how the federal government is addressing the challenges of interoperability for emergency response or crisis management (FEMA, 2009) by informing the development of standards through the review of current congressional law, commissions, studies, executive orders, and…

  19. RMP Guidance for Warehouses - Chapter 8: Emergency Response Program

    EPA Pesticide Factsheets

    Implementing an emergency response program along with your risk management plan may be required if you have at least one Program 2 or 3 process in place, and if your employees will respond to some releases involving regulated toxic or flammable substances.

  20. 4-H Teen Community Emergency Response Team (CERT)

    ERIC Educational Resources Information Center

    Black, Lynette; Powell, Pamela

    2012-01-01

    The Community Emergency Response Team (CERT) program is designed to train Americans to safely help themselves and their community in the event of a widespread disaster. This program is designed for adults. Despite youth increasingly becoming recognized as valuable resources, able to equally partner with adults in leadership and decision-making…

  1. 75 FR 43232 - Revisions of the Emergency Response Guidebook

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... Action Distances'' and Table 2--``Water Reactive Materials Which Produce Toxic Gases,'' or the... law directs the Secretary to provide law enforcement and fire-fighting personnel with technical... of PHMSA that all public emergency response vehicles (fire-fighting, police, and rescue squads)...

  2. Creating a Campus Based Community Emergency Response Team (CERT)

    ERIC Educational Resources Information Center

    Connolly, Maureen

    2012-01-01

    This article provides the reader with information regarding forming a community emergency response team (CERT) at a community college. College public safety departments are efficient entities in ordinary times. However, recent events at community colleges across the country have shown that there have been situations where their capabilities have…

  3. Radiation Response of Emerging High Gain, Low Noise Detectors

    NASA Technical Reports Server (NTRS)

    Becker, Heidi N.; Farr, William H; Zhu, David Q.

    2007-01-01

    Data illustrating the radiation response of emerging high gain, low noise detectors are presented. Ionizing dose testing of silicon internal discrete avalanche photodiodes, and 51-MeV proton testing of InGaAs/InAlAs avalanche photodiodes operated in Geiger mode are discussed.

  4. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Emergency response plan. 673.5 Section 673.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ANTARCTIC... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel...

  5. 29 CFR 2700.24 - Emergency response plan dispute proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... made pursuant to this paragraph shall be made within two business days of the issuance of any such... grounds upon which the party seeks relief. Supporting affidavits shall be made on personal knowledge and... jurisdiction over a request for a stay in an emergency response plan dispute proceeding. Within two...

  6. Hazardous Materials Emergency Response Training: The Colorado Training Institute. Innovations.

    ERIC Educational Resources Information Center

    Cole, Leslie

    The Colorado Training Institute (CTI), established in 1980, is a non-profit, instructional program devoted to promoting hazardous materials safety through education. It has trained over 3,000 emergency response personnel and industry officials and is a unique example of the private and public sectors working together to protect the public from…

  7. Emergent Listener Responses following Intraverbal Training in Children with Autism

    ERIC Educational Resources Information Center

    Ingvarsson, Einar T.; Cammilleri, Anthony P.; Macias, Heather

    2012-01-01

    We examined the emergence of listener responses following intraverbal training in four children with autism. Intraverbal training consisted of a transfer-of-control procedure in which the participants were taught to answer questions in the form of "What is the state bird of [name of state]" using either picture prompts (tact-to-intraverbal…

  8. Notification: Administration of Emergency and Rapid Response Services Contracts

    EPA Pesticide Factsheets

    Project #OA-FY13-0046, October 23, 2012. The EPA OIG’s Office of Audit plans to begin the preliminary research phase of an audit evaluating Region 6’s administration and management of the Emergency and Rapid Response Services (ERRS) contracts.

  9. 78 FR 34031 - Burned Area Emergency Response, Forest Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ...-wildfire threats to human life and safety, property and critical natural or cultural resources on National... been provided to allow for performing assessments on smaller fires when potential threats to human life... emergency response action planning processes. These values include human life, safety, high value...

  10. "Grey" Areas and "Organized Chaos" in Emergency Response

    ERIC Educational Resources Information Center

    Taber, Nancy; Plumb, Donovan; Jolemore, Shawn

    2008-01-01

    Purpose: The purpose of this research is to explore the interaction between organizational policies and daily work practices of paramedics and firefighters within two emergency response organizations. Design/methodology/approach: Data were collected in a case study consisting of interviews, focus groups, and observations. The theoretical grounding…

  11. 78 FR 44523 - Burned Area Emergency Response, Forest Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-24

    ... Forest Service RIN 0596-AC73 Burned Area Emergency Response, Forest Service AGENCY: Forest Service, USDA. ACTION: Notice of interim directive; Correction and extension of comment period. SUMMARY: The Forest... directive which is necessary to allow the public more detailed information and time to review the...

  12. 40 CFR 68.95 - Emergency response program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... for its inspection, testing, and maintenance; (3) Training for all employees in relevant procedures...) The owner or operator shall develop and implement an emergency response program for the purpose of... changes at the stationary source and ensure that employees are informed of changes. (b) A written...

  13. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING...; (3) Risks of fire or explosion; (4) Immediate precautions to be taken in the event of an accident or... members, and bridge personnel on vessels for use in the event of incidents involving hazardous...

  14. VIEW OF EMERGENCY RESPONSE VEHICLES PARKED OUTSIDE BUILDING 331, THE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF EMERGENCY RESPONSE VEHICLES PARKED OUTSIDE BUILDING 331, THE VEHICLE MAINTENANCE GARAGE AND FIRE STATION. THE BUILDING, ORIGINALLY CONSTRUCTED IN 1953, WAS DESIGNED AND UTILIZED AS A WAREHOUSE. ADDITIONS TO THE STRUCTURE, INCLUDING THE FIRE DEPARTMENT STRUCTURE, WERE COMPLETED IN 1967. (4/7/87) - Rocky Flats Plant, Vehicle Maintenance Garage & Fire Station, Golden, Jefferson County, CO

  15. 49 CFR 172.604 - Emergency response telephone number.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... response telephone number, including the area code, for use in the event of an emergency involving the... highlighting, use of a larger font or a font that is a different color from other text and information, or...) Materials properly described under the following shipping names: Battery powered equipment. Battery...

  16. Medical emergency rescue in disaster: the international emergency response to the Haiyan typhoon in Philippines.

    PubMed

    Ling, Feng; Ye, Zhen; Cai, Wenwei; Lu, Ye; Xia, Shichang; Chen, Zhiping; Chen, Enfu; Wang, Xiaofeng; Wang, Zhen; Lv, Huakun; Gong, Zhenyu

    2014-12-01

    Following Typhoon Haiyan, the World Health Organization (WHO) has been supporting the Government of the Philippines in coordinating the incoming relief supplies from more than 30 international humanitarian health organizations. During the 10 days in Abuyong, Philippines, the Chinese medical rescue team consisting of 50 experts specialized in clinical medicine and disease prevention and control action was taken including, medical treatment, environmental disinfection and health education. A total of 1,831 cases and 2,144 outpatients were treated, blood tests, B-ultrasound, electrocardiogram (ECG) and other laboratory examinations were carried out for more than 615 patients; a cumulative 90,000 square meters in external environment were disinfected, and more than 500 health education materials were handed out. Besides, measures of purifying drinking water, and rebuilding the local hospital have also been carried out. The international emergency response to the Haiyan typhoon in Philippines contributed to reconstruct the local disaster health system by the activities from international medical emergency rescue. To improve the capacity of international medical emergency rescue in disaster, the special project of foreign medical emergency rescue should be set in countries' medical emergency rescue, and disaster emergency medical rescue should be reserved as a conventional capacity.

  17. Launch site radiological emergency response for the cassini mission

    NASA Astrophysics Data System (ADS)

    Marmaro, George M.

    1999-01-01

    Radiological emergency response planning and support for the 15 October 1997 Cassini Launch from the Eastern Launch Site (Kennedy Space Center/Cape Canaveral Air Station) is reviewed. Space Nuclear launches are multi-agency efforts and include support and participation from the National Aeronautics and Space Administration, the Dept. of Energy, the United States Air Force, the Environmental Protection Agency, the Federal Emergency Management Agency, and the State and surrounding counties of Florida. Supporting systems and elements, including mobile field radiological monitoring teams, computerized dispersion modeling, airborne monitoring, automated data management, and both active and passive sampling techniques are described. Communication, command and control, and interagency interfaces are also covered.

  18. Hazardous Materials Management and Emergency Response training Center needs assessment

    SciTech Connect

    McGinnis, K.A.; Bolton, P.A.; Robinson, R.K.

    1993-09-01

    For the Hanford Site to provide high-quality training using simulated job-site situations to prepare the 4,000 Site workers and 500 emergency responders for known and unknown hazards a Hazardous Materials Management and Emergency Response Training Center is needed. The center will focus on providing classroom lecture as well as hands-on, realistic training. The establishment of the center will create a partnership among the US Department of Energy; its contractors; labor; local, state, and tribal governments; and Xavier and Tulane Universities of Louisiana. This report presents the background, history, need, benefits, and associated costs of the proposed center.

  19. Improving Emergency Response and Human-Robotic Performance

    SciTech Connect

    David I. Gertman; David J. Bruemmer; R. Scott Hartley

    2007-08-01

    Preparedness for chemical, biological, and radiological/nuclear incidents at nuclear power plants (NPPs) includes the deployment of well trained emergency response teams. While teams are expected to do well, data from other domains suggests that the timeliness and accuracy associated with incident response can be improved through collaborative human-robotic interaction. Many incident response scenarios call for multiple, complex procedure-based activities performed by personnel wearing cumbersome personal protective equipment (PPE) and operating under high levels of stress and workload. While robotic assistance is postulated to reduce workload and exposure, limitations associated with communications and the robot’s ability to act independently have served to limit reliability and reduce our potential to exploit human –robotic interaction and efficacy of response. Recent work at the Idaho National Laboratory (INL) on expanding robot capability has the potential to improve human-system response during disaster management and recovery. Specifically, increasing the range of higher level robot behaviors such as autonomous navigation and mapping, evolving new abstractions for sensor and control data, and developing metaphors for operator control have the potential to improve state-of-the-art in incident response. This paper discusses these issues and reports on experiments underway intelligence residing on the robot to enhance emergency response.

  20. NNSA/NV Consequence Management Capabilities for Radiological Emergency Response

    SciTech Connect

    D. R. Bowman

    2002-10-01

    The U.S. Department of Energy's National Nuclear Security Administration Nevada Operations Office (NNSA/NV) provides an integrated Consequence Management (CM) response capability for the (NNSA) in the event of a radiological emergency. This encompasses planning, technical operations, and home team support. As the lead organization for CM planning and operations, NNSA/NV coordinates the response of the following assets during the planning and operational phases of a radiological accident or incident: (1) Predictive dispersion modeling through the Atmospheric Release Advisory Capability (ARAC) at Lawrence Livermore National Laboratory (LLNL) and the High Consequence Assessment Group at Sandia National Laboratories (SNL); (2) Regional radiological emergency assistance through the eight Radiological Assistance Program (RAP) regional response centers; (3) Medical advice and assistance through the Radiation Emergency Assistance Center/Training Site (REAC/TS) in Oak Ridge, Tennessee; (4) Aerial radiological mapping using the fixed-wing and rotor-wing aircraft of the Aerial Measuring System (AMS); (5) Consequence Management Planning Teams (CMPT) and Consequence Management Response Teams (CMRT) to provide CM field operations and command and control. Descriptions of the technical capabilities employed during planning and operations are given below for each of the elements comprising the integrated CM capability.

  1. Abused Women's Perspectives on the Criminal Justice System's Response to Domestic Violence

    ERIC Educational Resources Information Center

    Barata, Paula C.

    2007-01-01

    This study used Q methodology to better understand battered women's views about the criminal justice system (CJS). Fifty-eight abused and formerly abused women, representing a broad range of experiences, were involved in the study. Participants sorted 72 statements about domestic violence and the CJS according to how strongly they agreed with each…

  2. Australian Undergraduate Primary School Student-Teachers' Responses to Child Sexual Abuse and Its Mandatory Reporting

    ERIC Educational Resources Information Center

    Goldman, Juliette D. G.

    2010-01-01

    This study aims to understand how primary school teachers, as mandatory reporters of child sexual abuse, are responding to child sexual abuse and its mandatory reporting, even though many teachers do not receive a compulsory course in Child Protection and its legal requirements in their pre-service university training. A cohort of 81 Australian…

  3. Satanism as a response to abuse: the dynamics and treatment of satanic involvement in male youths.

    PubMed

    Belitz, J; Schacht, A

    1992-01-01

    Male youths from abusive family environments may be particularly vulnerable to recruitment into satanic cults. Families that are abusive, devalue or invalidate the abused child's feelings, blame the child for the family's problems, and view the world in rigidly moralistic terms create environments in which the youths are likely to identify with the aggressor and label themselves as evil. These youths, who may have poor social skills and feelings of anger, low self-esteem, self-blame, depression, powerlessness, and isolation as a result of the abuse, may use satanic involvement as a means of legitimizing their experience and differentiating from a negatively enmeshed and/or abusive family system. In this paper, the etiological factors and treatment approaches of ten hospitalized boys who had voluntarily involved themselves in repeated group satanic activities during their adolescence are described, and two case illustrations are given. Recommendations for understanding and treating such cases are provided.

  4. Bridging Scientific Model Outputs with Emergency Response Needs in Catastrophic Earthquake Responses

    ERIC Educational Resources Information Center

    Johannes, Tay W.

    2010-01-01

    In emergency management, scientific models are widely used for running hazard simulations and estimating losses often in support of planning and mitigation efforts. This work expands utility of the scientific model into the response phase of emergency management. The focus is on the common operating picture as it gives context to emergency…

  5. Evaluation of the Emergency Response Dose Assessment System(ERDAS)

    NASA Technical Reports Server (NTRS)

    Evans, Randolph J.; Lambert, Winifred C.; Manobianco, John T.; Taylor, Gregory E.; Wheeler, Mark M.; Yersavich, Ann M.

    1996-01-01

    The emergency response dose assessment system (ERDAS) is a protype software and hardware system configured to produce routine mesoscale meteorological forecasts and enhanced dispersion estimates on an operational basis for the Kennedy Space Center (KSC)/Cape Canaveral Air Station (CCAS) region. ERDAS provides emergency response guidance to operations at KSC/CCAS in the case of an accidental hazardous material release or an aborted vehicle launch. This report describes the evaluation of ERDAS including: evaluation of sea breeze predictions, comparison of launch plume location and concentration predictions, case study of a toxic release, evaluation of model sensitivity to varying input parameters, evaluation of the user interface, assessment of ERDA's operational capabilities, and a comparison of ERDAS models to the ocean breeze dry gultch diffusion model.

  6. Satellite image collection modeling for large area hazard emergency response

    NASA Astrophysics Data System (ADS)

    Liu, Shufan; Hodgson, Michael E.

    2016-08-01

    Timely collection of critical hazard information is the key to intelligent and effective hazard emergency response decisions. Satellite remote sensing imagery provides an effective way to collect critical information. Natural hazards, however, often have large impact areas - larger than a single satellite scene. Additionally, the hazard impact area may be discontinuous, particularly in flooding or tornado hazard events. In this paper, a spatial optimization model is proposed to solve the large area satellite image acquisition planning problem in the context of hazard emergency response. In the model, a large hazard impact area is represented as multiple polygons and image collection priorities for different portion of impact area are addressed. The optimization problem is solved with an exact algorithm. Application results demonstrate that the proposed method can address the satellite image acquisition planning problem. A spatial decision support system supporting the optimization model was developed. Several examples of image acquisition problems are used to demonstrate the complexity of the problem and derive optimized solutions.

  7. Development of Metrics to Evaluate Effectiveness of Emergency Response Operations

    DTIC Science & Technology

    2005-06-01

    00-00-2005 4. TITLE AND SUBTITLE Development of Metrics to Evaluate Efectiveness of Emergency Response Operations 5a. CONTRACT NUMBER 5b. GRANT...population and/or property. Furthermore, the disaster will be characterized as being large enough that the resources the community has to mitigate the...disaster are stretched beyond the limits of their capacity. Such events that a community can readily cope with, such as small fires, individual

  8. Developing an emergency code response team for behavioral issues.

    PubMed

    Clark, Sam

    2008-01-01

    An emergency code response team is seen as the answer by the author when intervention issues arise in connection with violence or potential violence by patients or others in the hospital. In the article he explains what is involved in recruiting and training such a team, the roles of its members in a crisis situation, and the preparation and follow-up necessary to perform its duties successfully.

  9. Institutionalizing Emerging Technology Assessment Process into National Incident Response

    DTIC Science & Technology

    2013-10-01

    in the midst of the crisis , was field testing promising technologies. The use of new and emerging technologies will continue to be important...formally evaluated and/or field tested and approximately 25 of those saw significant use during response operations, including the Ocean Therapy oil/ water ...separator, a heavy oil skimming system, and a fast- water oil boom deployment system.4 ART’s close association with the Operations Section personnel

  10. Dependable Emergency-Response Networking Based on Retaskable Network Infrastructures

    DTIC Science & Technology

    2008-04-01

    Emergency-Response Network ESP Energy Service Provider HAN Home-Area Network HVAC Heating, Ventilation, and Air Conditioning MDMA Meter Data Management...replaced with advanced 1 meters that have computational capabilities and are often connected to the Meter Data Management Agency ( MDMA ) using mesh networking...some background on them here. Advanced meters are electric meters that have been modified so that they trans- mit usage information back to an MDMA

  11. Emerging applications of stimuli-responsive polymer materials

    NASA Astrophysics Data System (ADS)

    Stuart, Martien A. Cohen; Huck, Wilhelm T. S.; Genzer, Jan; Müller, Marcus; Ober, Christopher; Stamm, Manfred; Sukhorukov, Gleb B.; Szleifer, Igal; Tsukruk, Vladimir V.; Urban, Marek; Winnik, Françoise; Zauscher, Stefan; Luzinov, Igor; Minko, Sergiy

    2010-02-01

    Responsive polymer materials can adapt to surrounding environments, regulate transport of ions and molecules, change wettability and adhesion of different species on external stimuli, or convert chemical and biochemical signals into optical, electrical, thermal and mechanical signals, and vice versa. These materials are playing an increasingly important part in a diverse range of applications, such as drug delivery, diagnostics, tissue engineering and 'smart' optical systems, as well as biosensors, microelectromechanical systems, coatings and textiles. We review recent advances and challenges in the developments towards applications of stimuli-responsive polymeric materials that are self-assembled from nanostructured building blocks. We also provide a critical outline of emerging developments.

  12. Offshore oil spill response practices and emerging challenges.

    PubMed

    Li, Pu; Cai, Qinhong; Lin, Weiyun; Chen, Bing; Zhang, Baiyu

    2016-09-15

    Offshore oil spills are of tremendous concern due to their potential impact on economic and ecological systems. A number of major oil spills triggered worldwide consciousness of oil spill preparedness and response. Challenges remain in diverse aspects such as oil spill monitoring, analysis, assessment, contingency planning, response, cleanup, and decision support. This article provides a comprehensive review of the current situations and impacts of offshore oil spills, as well as the policies and technologies in offshore oil spill response and countermeasures. Correspondingly, new strategies and a decision support framework are recommended for improving the capacities and effectiveness of oil spill response and countermeasures. In addition, the emerging challenges in cold and harsh environments are reviewed with recommendations due to increasing risk of oil spills in the northern regions from the expansion of the Arctic Passage.

  13. Emerging functions of the unfolded protein response in immunity

    PubMed Central

    Janssens, Sophie; Pulendran, Bali; Lambrecht, Bart N.

    2015-01-01

    The unfolded protein response (UPR) has traditionally been viewed as an adaptive response triggered upon accumulation of unfolded proteins in the endoplasmic reticulum (ER), aimed at restoring ER function. The UPR can also be an anticipatory response that is activated well before the disruption of protein homeostasis. UPR signaling intersects at many levels with the innate and adaptive immune response. In some immune cell types like dendritic cells and B cells, particular UPR sensors appear constitutively active in the absence of traditional UPR gene program induction, necessary for antigen presentation and immunoglobulin synthesis. The UPR also influences Toll-like receptor signaling and NF-κB activation, and some pathogens subvert the UPR. This review summarizes these emerging non-canonical functions of the UPR in immunity. PMID:25232821

  14. WMD first response: requirements, emerging technologies, and policy implications

    SciTech Connect

    Vergino, E S; Hoehn, W E

    2000-06-19

    In the US today, efforts are underway to defend against the possible terrorist use of weapons of mass destruction (WMD) against US cities. These efforts include the development and adaptation of technologies to support prevention and detection, to defend against a possible attack, and, if these fail, to provide both mitigation responses and attribution for a WMD incident. Technologies under development span a range of systems, from early detection and identification of an agent or explosive, to diagnostic and systems analysis tools; and to forensic analysis for law enforcement. Also, many techniques and tools that have been developed for other applications are being examined to determine whether, with some modification, they could be of use by the emergency preparedness, public health, and law enforcement communities. However, anecdotal evidence suggests the existence of a serious disconnect between the technology development communities and these user communities. This disconnect arises because funding for technology development is derived primarily from sources (principally federal agencies) distant from the emergency response communities, which are predominantly state, county, or local entities. Moreover, the first responders with whom we have worked candidly admit that their jurisdictions have been given, or have purchased for them, a variety of technological devices, typically without consulting the emergency responders about their utility. In private discussions, emergency responders derisively refer to these as a closet full of useless toys. Technology developers have many new and relevant technologies currently in the development pipeline, but most have not been adequately vetted against the field needs or validated for field use. The Center for Global Security Research at the Lawrence Livermore National Laboratory and the Sam Nunn School of International Affairs at the Georgia Institute of Technology recently sponsored a two-day workshop to bring together

  15. Optimal network solution for proactive risk assessment and emergency response

    NASA Astrophysics Data System (ADS)

    Cai, Tianxing

    Coupled with the continuous development in the field industrial operation management, the requirement for operation optimization in large scale manufacturing network has provoked more interest in the research field of engineering. Compared with the traditional way to take the remedial measure after the occurrence of the emergency event or abnormal situation, the current operation control calls for more proactive risk assessment to set up early warning system and comprehensive emergency response planning. Among all the industries, chemical industry and energy industry have higher opportunity to face with the abnormal and emergency situations due to their own industry characterization. Therefore the purpose of the study is to develop methodologies to give aid in emergency response planning and proactive risk assessment in the above two industries. The efficacy of the developed methodologies is demonstrated via two industrial real problems. The first case is to handle energy network dispatch optimization under emergency of local energy shortage under extreme conditions such as earthquake, tsunami, and hurricane, which may cause local areas to suffer from delayed rescues, widespread power outages, tremendous economic losses, and even public safety threats. In such urgent events of local energy shortage, agile energy dispatching through an effective energy transportation network, targeting the minimum energy recovery time, should be a top priority. The second case is a scheduling methodology to coordinate multiple chemical plants' start-ups in order to minimize regional air quality impacts under extreme meteorological conditions. The objective is to reschedule multi-plant start-up sequence to achieve the minimum sum of delay time compared to the expected start-up time of each plant. All these approaches can provide quantitative decision support for multiple stake holders, including government and environment agencies, chemical industry, energy industry and local

  16. Emergency response team: Hurricane Georges in Key West.

    PubMed

    Wylie, T; Cheanvechai, D; Seaberg, D

    2000-01-01

    Hurricane Georges (category 2) struck Key West, Florida, on September 25, 1998. Lower Florida Keys Hospital, which serves Key West and the Lower Keys, had previously been evacuated of inpatients and staff. An emergency response team composed of three emergency medicine (EM) physicians and four EM nurses was sent at the request of the state to maintain emergency department (ED) operations at the hospital. Eighty-six patients presented to the ED during the 72-hour period. Medical problems accounted for the majority of visits (52.3%), with minor trauma next (41.9%). Initially, patients requiring hospitalization were evacuated, but as the storm neared, this was stopped. Six patients required hospitalization at Lower Florida Keys Hospital during the period that evacuations were unavailable. Four deaths occurred during the 24-hour period. Complicating factors included environmental conditions, limited laboratory and radiologic studies, limited medication stocks, and closure of local pharmacies before and after the hurricane. More than 300 nursing home patients were housed at the nearby jail shelter. Knowledge of such high-risk groups that remain in the vicinity is crucial to planning a response plan.

  17. The application of mobile satellite services to emergency response communications

    NASA Technical Reports Server (NTRS)

    Freibaum, J.

    1980-01-01

    The application of an integrated satellite/terrestrial emergency response communications system in disaster relief operations is discussed. Large area coverage communications capability, full-time availability, a high degree of mobility, plus reliability, are pointed out as criteria for an effective emergency communications system. Response time is seen as a major factor determining the possible survival and/or protection of property. These criteria, can not be met by existing communications systems and complete blackouts were experienced during the past decades caused by either interruption or destruction of existing power lines, and overload or inadequacy of remaining lines. Several emergency cases, caused by either hurricanes, tornados, or floods, during which communication via satellite was instrumental to inform rescue and relief teams, are described in detail. Seismic Risk Maps and charts of Major Tectonic Plates Earthquake Epicenters are given, and it is noted that, 35 percent of the U.S. population is living in critical areas. National and international agreements for the implementation of a satellite-aided global Search and Rescue Program is mentioned. Technological and economic breakthroughs are still needed in large multibeam antennas, switching circuits, and low cost mobile ground terminals. A pending plan of NASA to initiate a multiservice program in 1982/83, with a Land Mobile Satellite capability operating in the 806 - 890 MHz band as a major element, may help to accelerate the needed breakthroughs.

  18. Response of human populations to large-scale emergencies

    NASA Astrophysics Data System (ADS)

    Bagrow, James; Wang, Dashun; Barabási, Albert-László

    2010-03-01

    Until recently, little quantitative data regarding collective human behavior during dangerous events such as bombings and riots have been available, despite its importance for emergency management, safety and urban planning. Understanding how populations react to danger is critical for prediction, detection and intervention strategies. Using a large telecommunications dataset, we study for the first time the spatiotemporal, social and demographic response properties of people during several disasters, including a bombing, a city-wide power outage, and an earthquake. Call activity rapidly increases after an event and we find that, when faced with a truly life-threatening emergency, information rapidly propagates through a population's social network. Other events, such as sports games, do not exhibit this propagation.

  19. Two-Graph Building Interior Representation for Emergency Response Applications

    NASA Astrophysics Data System (ADS)

    Boguslawski, P.; Mahdjoubi, L.; Zverovich, V.; Fadli, F.

    2016-06-01

    Nowadays, in a rapidly developing urban environment with bigger and higher public buildings, disasters causing emergency situations and casualties are unavoidable. Preparedness and quick response are crucial issues saving human lives. Available information about an emergency scene, such as a building structure, helps for decision making and organizing rescue operations. Models supporting decision-making should be available in real, or near-real, time. Thus, good quality models that allow implementation of automated methods are highly desirable. This paper presents details of the recently developed method for automated generation of variable density navigable networks in a 3D indoor environment, including a full 3D topological model, which may be used not only for standard navigation but also for finding safe routes and simulating hazard and phenomena associated with disasters such as fire spread and heat transfer.

  20. Prenatal Exposure to Substances of Abuse: An Evaluation of the Drug Free Schools and Communities Act Emergency Grants Program.

    ERIC Educational Resources Information Center

    New York City Board of Education, Brooklyn, NY. Office of Research, Evaluation, and Assessment.

    A program was developed and implemented to train early childhood educators in two New York City school districts in how to identify and refer students who have been prenatally exposed to drugs or alcohol. Two substance abuse prevention and intervention specialists implemented the program, training 88 teachers in 4 schools. At the end of the…

  1. Emergent Phototactic Responses of Cyanobacteria under Complex Light Regimes

    PubMed Central

    Chau, Rosanna Man Wah

    2017-01-01

    ABSTRACT Environmental cues can stimulate a variety of single-cell responses, as well as collective behaviors that emerge within a bacterial community. These responses require signal integration and transduction, which can occur on a variety of time scales and often involve feedback between processes, for example, between growth and motility. Here, we investigate the dynamics of responses of the phototactic, unicellular cyanobacterium Synechocystis sp. PCC6803 to complex light inputs that simulate the natural environments that cells typically encounter. We quantified single-cell motility characteristics in response to light of different wavelengths and intensities. We found that red and green light primarily affected motility bias rather than speed, while blue light inhibited motility altogether. When light signals were simultaneously presented from different directions, cells exhibited phototaxis along the vector sum of the light directions, indicating that cells can sense and combine multiple signals into an integrated motility response. Under a combination of antagonistic light signal regimes (phototaxis-promoting green light and phototaxis-inhibiting blue light), the ensuing bias was continuously tuned by competition between the wavelengths, and the community response was dependent on both bias and cell growth. The phototactic dynamics upon a rapid light shift revealed a wavelength dependence on the time scales of photoreceptor activation/deactivation. Thus, Synechocystis cells achieve exquisite integration of light inputs at the cellular scale through continuous tuning of motility, and the pattern of collective behavior depends on single-cell motility and population growth. PMID:28270586

  2. Discrepancy among acute guideline levels for emergency response.

    PubMed

    Oberg, Mattias; Palmen, Nicole; Johanson, Gunnar

    2010-12-15

    Acute guidance values are tools for public health risk assessment and management during planning, preparedness and response related to sudden airborne release of hazardous chemicals. The two most frequently used values, i.e. Acute Exposure Guidance Levels (AEGL) and Emergency Response Planning Guideline (ERPG), were compared in qualitative and quantitative terms. There was no significant difference between the general level of AEGL and ERPG values, suggesting the two systems are equally precautious. However, the guidance values diverged by a factor of 3 or more for almost 40% of the substances, including many of high production volume. These deviations could be explained by differences in selection of critical effect or critical study and in a few cases differences in interpretation of the same critical study. Diverging guidance values may hamper proper risk communication and risk management. Key factors for broad international acceptance of harmonized values include transparency of the decision process, agreement on definition of toxicological tiers, and a target population including sensitive groups of the general population. In addition, development of purely health based values is encouraged. Risk management issues, such as land use and emergency response planning should be treated separately, as these rely on national legislation and considerations.

  3. Emergency Response Transport Forecasting Using Historical Wind Field Pattern Matching.

    NASA Astrophysics Data System (ADS)

    Carter, Roger G.; Keislar, Robert E.

    2000-03-01

    Historical pattern matching, or analog forecasting, is used to generate short-term mesoscale transport forecasts for emergency response at the Idaho National Engineering and Environmental Laboratory. A simple historical pattern-matching algorithm operating on a database from the spatially and temporally dense Eastern Idaho Mesonet is used to generate a wind field forecast, which then is input to an existing puff diffusion model. The forecasts are rated both by a team of meteorologists and by a computer scoring method. Over 60% of the forecasts are rated as acceptable. The forecasts also are compared with a persistence method, using both a subjective human evaluation and root-mean-square error calculations.

  4. Current Domain Challenges in the Emergency Response Community

    SciTech Connect

    Barr, Jonathan L.; Peddicord, Annie M Boe; Burtner, Edwin R.; Mahy, Heidi A.

    2011-05-08

    This paper describes the development of a framework targeted to technology providers in order to better understand the grand domain challenges of the emergency response and management community (EM). In developing this framework, Pacific Northwest National Laboratory researchers interviewed subject matter experts (SMEs) across the EM domain and corroborated these findings with current literature. We are currently examining relationships and dependencies within the framework. A thorough understanding of these gaps and dependencies will allow for a more informed approach prioritizing research, developing tools, and applying technology to enhance performance in the EM community.

  5. Federal and State Responses to the Emergency Response Communications Program. Draft Report, March 1979.

    DTIC Science & Technology

    1979-06-01

    comentarios relacionados con el informe titulado "Emergency Response Communications Program". Le agradecer6 estudie este informe y favor de enviarle...sus comentarios respecto al mismo directamente al Contraalmirante Venzke. Anexo I State of Rhode Island and Providence Plantations EXECUTiVE 04AMBER...unconvinced that user requirements have really been developed. No real distinction is made between the way an emergency creates undue demands on the

  6. 44 CFR 352.27 - Federal role in the emergency response.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Federal role in the emergency response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS COMMERCIAL NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS...

  7. 44 CFR 352.27 - Federal role in the emergency response.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Federal role in the emergency response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS COMMERCIAL NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS...

  8. Southern state radiological emergency preparedness and response agencies

    SciTech Connect

    Not Available

    1988-11-01

    This Report provides information on the state agencies assigned to radioactive materials transportation incidents in 16 Southern States Energy Board member states. For each, the report lists the agencies with primary authority for preparedness and response, their responsibilities and personnel within the agencies who can offer additional information on their radioactive materials transportation programs. The report also lists each state`s emergency team members and its laboratory and analytical capabilities. Finally, the governor`s designee for receiving advance notification of high-level radioactive materials and spent fuel shipments under 10 CFR Parts 71 and 73 of the US Nuclear Regulatory Commission`s regulations is listed for each state. Part 71 requires prenotification for large quantity radioactive waste shipments. Part 73 addresses prenotification for spent nuclear reactor fuel shipments.

  9. Southern state radiological emergency preparedness and response agencies

    SciTech Connect

    Not Available

    1988-11-01

    This Report provides information on the state agencies assigned to radioactive materials transportation incidents in 16 Southern States Energy Board member states. For each, the report lists the agencies with primary authority for preparedness and response, their responsibilities and personnel within the agencies who can offer additional information on their radioactive materials transportation programs. The report also lists each state's emergency team members and its laboratory and analytical capabilities. Finally, the governor's designee for receiving advance notification of high-level radioactive materials and spent fuel shipments under 10 CFR Parts 71 and 73 of the US Nuclear Regulatory Commission's regulations is listed for each state. Part 71 requires prenotification for large quantity radioactive waste shipments. Part 73 addresses prenotification for spent nuclear reactor fuel shipments.

  10. High-speed LWR transients simulation for optimizing emergency response

    SciTech Connect

    Wulff, W.; Cheng, H.S.; Lekach, S.V.; Mallen, A.N.; Stritar, A.

    1984-11-19

    The purpose of computer-assisted emergency response in nuclear power plants, and the requirements for achieving such a response, are presented. An important requirement is the attainment of realistic high-speed plant simulations at the reactor site. Currently pursued development programs for plant simulations are reviewed. Five modeling principles are established and a criterion is presented for selecting numerical procedures and efficient computer hardware to achieve high-speed simulations. A newly developed technology for high-speed power plant simulation is described and results are presented. It is shown that simulation speeds ten times greater than real-time process-speeds are possible, and that plant instrumentation can be made part of the computational loop in a small, on-site minicomputer. Additional technical issues are presented which must still be resolved before the newly developed technology can be implemented in a nuclear power plant.

  11. Telehealth responses to bio-terrorism and emerging infections.

    PubMed

    Yellowlees, Peter; MacKenzie, John

    2003-01-01

    Emerging infectious diseases, such as severe acute respiratory syndrome (SARS), are of huge economic importance. They are difficult to predict. The World Health Organization has a Global Outbreak Alert and Response Network, which was involved at an early stage in the SARS outbreak in 2003. Three major lessons were learned as a result of the SARS epidemic in 2003, involving communication, evidence-based action and global partnerships. It is proposed that a series of broadband global response networks should be developed. At a technical level the networks are essentially in place, such as the Internet2 global network. Suitable peripheral devices also exist. What has not yet been created is the appropriate software to allow the use of these networks, although a number of commercial products are in the process of development.

  12. Technical Basis for Radiological Emergency Plan Annex for WTD Emergency Response Plan: West Point Treatment Plant

    SciTech Connect

    Hickey, Eva E.; Strom, Daniel J.

    2005-08-01

    Staff of the King County Wastewater Treatment Division (WTD) have concern about the aftermath of a radiological dispersion event (RDE) leading to the introduction of significant quantities of radioactive material into the combined sanitary and storm sewer system in King County, Washington. Radioactive material could come from the use of a radiological dispersion device (RDD). RDDs include "dirty bombs" that are not nuclear detonations but are explosives designed to spread radioactive material (National Council on Radiation Protection and Measurements (NCRP) 2001). Radioactive material also could come from deliberate introduction or dispersion of radioactive material into the environment, including waterways and water supply systems. This document, Volume 3 of PNNL-15163 is the technical basis for the Annex to the West Point Treatment Plant (WPTP) Emergency Response Plan related to responding to a radiological emergency at the WPTP. The plan primarily considers response to radioactive material that has been introduced in the other combined sanitary and storm sewer system from a radiological dispersion device, but is applicable to any accidental or deliberate introduction of materials into the system.

  13. Fight or flight: the ethics of emergency physician disaster response.

    PubMed

    Iserson, Kenneth V; Heine, Carlton E; Larkin, Gregory Luke; Moskop, John C; Baruch, Jay; Aswegan, Andrew L

    2008-04-01

    Most disaster plans depend on using emergency physicians, nurses, emergency department support staff, and out-of-hospital personnel to maintain the health care system's front line during crises that involve personal risk to themselves or their families. Planners automatically assume that emergency health care workers will respond. However, we need to ask: Should they, and will they, work rather than flee? The answer involves basic moral and personal issues. This article identifies and examines the factors that influence health care workers' decisions in these situations. After reviewing physicians' response to past disasters and epidemics, we evaluate how much danger they actually faced. Next, we examine guidelines from medical professional organizations about physicians' duty to provide care despite personal risks, although we acknowledge that individuals will interpret and apply professional expectations and norms according to their own situation and values. The article goes on to articulate moral arguments for a duty to treat during disasters and social crises, as well as moral reasons that may limit or override such a duty. How fear influences behavior is examined, as are the institutional and social measures that can be taken to control fear and to encourage health professionals to provide treatment in crisis situations. Finally, the article emphasizes the importance of effective risk communication in enabling health care professionals and the public to make informed and defensible decisions during disasters. We conclude that the decision to stay or leave will ultimately depend on individuals' risk assessment and their value systems. Preparations for the next pandemic or disaster should include policies that encourage emergency physicians, who are inevitably among those at highest risk, to "stay and fight."

  14. Application of a geographic information system for radiologic emergency response

    SciTech Connect

    Best, R.G.; Doyle, J.F.

    1995-03-01

    A geographic information system (GIS) is a multifunctional analytical tool that can be used to compile available data and derive information. A GIS is a computerized database management system for the capture, storage, retrieval, analysis, and display of spatial data. Maps are the most common type of spatial data, but any type of data that can be referenced by an x-y location or geographic coordinate can be used in a GIS. In a radiological emergency, it is critical that data of all types be rapidly compiled into a common format in order to make accurate observations and informed decisions. Developing a baseline GIS for nuclear facilities would offer a significant incentive for all organizations to contribute to and utilize this powerful data management tool. The system being developed could integrate all elements of emergency planning, from the initial protective actions based on models through the emergency monitoring phase, and finally ending with the complex reentry and recovery phase. Within the Federal Radiological Monitoring and Assessment Center (FRMAC), there is a continuing effort to improve the data management and communication process. To demonstrate the potential of GIS for emergency response, the system has been utilized in interagency FRMAC exercises. An interactive GIS system has been deployed and used to analyze the available spatial data to help determine the impact of a hypothetical radiological release and to develop mitigation plans. For this application, both hardcopy and real-time spatial displays were generated with the GIS. Composite maps with different sizes, scales, and themes were produced to support the exercises.

  15. Differential responsiveness to a parenting intervention for mothers in substance abuse treatment.

    PubMed

    Paris, Ruth; Herriott, Anna; Holt, Melissa; Gould, Karen

    2015-12-01

    This study examines the relationship between levels of psychological distress in substance-dependent mothers and their differential response to a dyadic parent-child intervention. A sample of 66 mothers who were receiving treatment for substance abuse, as well as a simultaneous parenting intervention, were interviewed pre and post-treatment on measures of psychological distress, adult and child trauma history, parental reflective functioning, and child social-emotional development. Additionally, clinicians provided assessments of the parent-child relationships. As anticipated, trauma histories for mothers and children, children's social emotional development, and parental reflective functioning were associated with aspects of maternal psychological distress. Kruskal-Wallis and subsequent Wilcoxson signed rank tests revealed that women with highest levels of baseline psychological distress showed significant improvements in psychological functioning post-treatment while women with moderately elevated levels of psychological distress did not. Women who were most distressed at baseline showed increased levels of parental reflective functioning post-treatment while women with moderate and lower levels of baseline psychological distress showed improvements on clinician-rated assessments of parent-child relationships. Chi Square analyses showed that parents who endorsed the highest levels of distress at baseline reported that their children's risk status regarding social-emotional development decreased post-treatment. Despite similarities in substance dependence, mothers in this sample had different needs and outcomes in the context of this parenting intervention due to variation in mental health. Given this variation, parenting interventions for substance-dependent mothers need to account for the individual differences in levels of psychological distress.

  16. Southern State Radiological Transportation Emergency Response Training Course Summary

    SciTech Connect

    Not Available

    1990-09-01

    The Southern States Energy Board (SSEB) is an interstate compact organization that serves 16 states and the commonwealth of Puerto Rico with information and analysis in energy and environmental matters. Nuclear waste management is a topic that has garnered considerable attention in the SSEB region in the last several years. Since 1985, SSEB has received support from the US Department of Energy for the regional analysis of high-level radioactive waste transportation issues. In the performance of its work in this area, SSEB formed the Advisory Committee on High-Level Radioactive Materials Transportation, which comprises representatives from impacted states and tribes. SSEB meets with the committee semi-annually to provide issue updates to members and to solicit their views on activities impacting their respective states. Among the waste transportation issues considered by SSEB and the committee are shipment routing, the impacts of monitored retrievable storage, state liability in the event of an accident and emergency preparedness and response. This document addresses the latter by describing the radiological emergency response training courses and programs of the southern states, as well as federal courses available outside the southern region.

  17. Current Trends in Gamma Radiation Detection for Radiological Emergency Response

    SciTech Connect

    Mukhopadhyay, S., Guss, P., Maurer, R.

    2011-09-01

    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies. In recent years, since the establishment of the Domestic Nuclear Detection Office by the Department of Homeland Security, a tremendous amount of progress has been made in detection materials (scintillators, semiconductors), imaging techniques (Compton imaging, use of active masking and hybrid imaging), data acquisition systems with digital signal processing, field programmable gate arrays and embedded isotopic analysis software (viz. gamma detector response and analysis software [GADRAS]1), fast template matching, and data fusion (merging radiological data with geo-referenced maps, digital imagery to provide better situational awareness). In this stride to progress, a significant amount of interdisciplinary research and development has taken place–techniques and spin-offs from medical science (such as x-ray radiography and tomography), materials engineering (systematic planned studies on scintillators to optimize several qualities of a good scintillator, nanoparticle applications, quantum dots, and photonic crystals, just to name a few). No trend analysis of radiation detection systems would be complete without mentioning the unprecedented strategic position taken by the National Nuclear Security Administration (NNSA) to deter, detect, and interdict illicit trafficking in nuclear and other radioactive materials across international borders and through the global maritime transportation–the so-called second line of defense.

  18. Current trends in gamma radiation detection for radiological emergency response

    NASA Astrophysics Data System (ADS)

    Mukhopadhyay, Sanjoy; Guss, Paul; Maurer, Richard

    2011-09-01

    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies. In recent years, since the establishment of the Domestic Nuclear Detection Office by the Department of Homeland Security, a tremendous amount of progress has been made in detection materials (scintillators, semiconductors), imaging techniques (Compton imaging, use of active masking and hybrid imaging), data acquisition systems with digital signal processing, field programmable gate arrays and embedded isotopic analysis software (viz. gamma detector response and analysis software [GADRAS]1), fast template matching, and data fusion (merging radiological data with geo-referenced maps, digital imagery to provide better situational awareness). In this stride to progress, a significant amount of inter-disciplinary research and development has taken place-techniques and spin-offs from medical science (such as x-ray radiography and tomography), materials engineering (systematic planned studies on scintillators to optimize several qualities of a good scintillator, nanoparticle applications, quantum dots, and photonic crystals, just to name a few). No trend analysis of radiation detection systems would be complete without mentioning the unprecedented strategic position taken by the National Nuclear Security Administration (NNSA) to deter, detect, and interdict illicit trafficking in nuclear and other radioactive materials across international borders and through the global maritime transportation-the so-called second line of defense.

  19. Visual Evoked Potential Response Among Drug Abusers- A Cross Sectional Study

    PubMed Central

    Sharma, Rajeev; Thapar, Satish; Mittal, Shilekh

    2016-01-01

    Introduction There is important preclinical evidence that substance abuse may produce neurophysiological disturbances particularly in relation to altered neural synchronization in Visual Evoked Potentials (VEP). Aim The purpose of current study was to compare the latencies and amplitudes of different waveforms of VEP among different drug abusers and controls and also to identify early neurological damage so that proper counseling and timely intervention can be undertaken. Materials and Methods VEP was assessed by Data Acquisition and Analysis system in a sample of 58 drug abusers, all males, within age group of 15-45 years as well as in age matched 30 healthy controls. The peak latencies and peak to peak amplitudes of different waveforms were measured by applying one-way Anova test and unpaired t-test using SPSS version 16. Results In between drug abusers and controls, the difference in the duration of N75 and P100 waveform of VEP was found to be statistically highly significant (p<0.001) in both the eyes. Also the amplitude of wave P100 was found to be decreased among drug abusers in both eyes. Conclusion Chronic intoxication by different drugs has been extensively associated with amplitude reduction of P100 and prolonged latency of N75 and P100 reflecting an adverse effects of drug dependence on neural transmission within primary visual areas of brain. PMID:27042456

  20. The San Bernardino, California, Terror Attack: Two Emergency Departments’ Response

    PubMed Central

    Lee, Carol; Walters, Elizabeth; Borger, Rodney; Clem, Kathleen; Fenati, Gregory; Kiemeney, Michael; Seng, Sakona; Yuen, Ho-Wang; Neeki, Michael; Smith, Dustin

    2016-01-01

    On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims. In general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care. MCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs. PMID:26823922

  1. The San Bernardino, California, Terror Attack: Two Emergency Departments' Response.

    PubMed

    Lee, Carol; Walters, Elizabeth; Borger, Rodney; Clem, Kathleen; Fenati, Gregory; Kiemeney, Michael; Seng, Sakona; Yuen, Ho-Wang; Neeki, Michael; Smith, Dustin

    2016-01-01

    On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims. In general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care. MCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs.

  2. Emergency Response and the International Charter Space and Major Disasters

    NASA Astrophysics Data System (ADS)

    Jones, B.; Lamb, R.

    2011-12-01

    Responding to catastrophic natural disasters requires information. When the flow of information on the ground is interrupted by crises such as earthquakes, landslides, volcanoes, hurricanes, and floods, satellite imagery and aerial photographs become invaluable tools in revealing post-disaster conditions and in aiding disaster response and recovery efforts. USGS is a global clearinghouse for remotely sensed disaster imagery. It is also a source of innovative products derived from satellite imagery that can provide unique overviews as well as important details about the impacts of disasters. Repeatedly, USGS and its resources have proven their worth in assisting with disaster recovery activities in the United States and abroad. USGS has a well-established role in emergency response in the United States. It works closely with the Federal Emergency Management Agency (FEMA) by providing first responders with satellite and aerial images of disaster-impacted sites and products developed from those images. The combination of the USGS image archive, coupled with its global data transfer capability and on-site science staff, was instrumental in the USGS becoming a participating agency in the International Charter Space and Major Disasters. This participation provides the USGS with access to international members and their space agencies, to information on European and other global member methodology in disaster response, and to data from satellites operated by Charter member countries. Such access enhances the USGS' ability to respond to global emergencies and to disasters that occur in the United States (US). As one example, the Charter agencies provided imagery to the US for over 4 months in response to the Gulf oil spill. The International Charter mission is to provide a unified system of space data acquisition and delivery to those affected by natural or man-made disasters. Each member space agency has committed resources to support the provisions of the Charter and

  3. Elder Abuse

    MedlinePlus

    ... mistreatment may be Physical, sexual, or emotional abuse Neglect or abandonment Financial abuse - stealing of money or belongings Possible signs of elder abuse include unexplained bruises, burns, and injuries. There ...

  4. Child Abuse

    MedlinePlus

    ... or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical ...

  5. Drug Abuse

    MedlinePlus

    ... abuse also plays a role in many major social problems, such as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a ...

  6. Reservoir Host Immune Responses to Emerging Zoonotic Viruses

    PubMed Central

    Mandl, Judith N.; Ahmed, Rafi; Barreiro, Luis B.; Daszak, Peter; Epstein, Jonathan H.; Virgin, Herbert W.; Feinberg, Mark B.

    2015-01-01

    Zoonotic viruses, such as HIV, Ebola virus, coronaviruses, influenza A viruses, hantaviruses, or henipaviruses, can result in profound pathology in humans. In contrast, populations of the reservoir hosts of zoonotic pathogens often appear to tolerate these infections with little evidence of disease. Why are viruses more dangerous in one species than another? Immunological studies investigating quantitative and qualitative differences in the host-virus equilibrium in animal reservoirs will be key to answering this question, informing new approaches for treating and preventing zoonotic diseases. Integrating an understanding of host immune responses with epidemiological, ecological, and evolutionary insights into viral emergence will shed light on mechanisms that minimize fitness costs associated with viral infection, facilitate transmission to other hosts, and underlie the association of specific reservoir hosts with multiple emerging viruses. Reservoir host studies provide a rich opportunity for elucidating fundamental immunological processes and their underlying genetic basis, in the context of distinct physiological and metabolic constraints that contribute to host resistance and disease tolerance. PMID:25533784

  7. The Spacecraft Emergency Response System (SERS) for Autonomous Mission Operations

    NASA Technical Reports Server (NTRS)

    Breed, Julia; Chu, Kai-Dee; Baker, Paul; Starr, Cynthia; Fox, Jeffrey; Baitinger, Mick

    1998-01-01

    Today, most mission operations are geared toward lowering cost through unmanned operations. 7-day/24-hour operations are reduced to either 5-day/8-hour operations or become totally autonomous, especially for deep-space missions. Proper and effective notification during a spacecraft emergency could mean success or failure for an entire mission. The Spacecraft Emergency Response System (SERS) is a tool designed for autonomous mission operations. The SERS automatically contacts on-call personnel as needed when crises occur, either on-board the spacecraft or within the automated ground systems. Plus, the SERS provides a group-ware solution to facilitate the work of the person(s) contacted. The SERS is independent of the spacecraft's automated ground system. It receives and catalogues reports for various ground system components in near real-time. Then, based on easily configurable parameters, the SERS determines whom, if anyone, should be alerted. Alerts may be issued via Sky-Tel 2-way pager, Telehony, or e-mail. The alerted personnel can then review and respond to the spacecraft anomalies through the Netscape Internet Web Browser, or directly review and respond from the Sky-Tel 2-way pager.

  8. Parental Responses to Infant Crying: The Influence of Child Physical Abuse Risk and Hostile Priming

    ERIC Educational Resources Information Center

    Crouch, Julie L.; Skowronski, John J.; Milner, Joel S.; Harris, Benjamin

    2008-01-01

    Objective: Managing a crying infant is a challenge universally faced by new parents. This study examined whether parental interpretations, feelings, and behaviors following exposure to a 2-minute videotaped segment of a crying infant varied as a function of child physical abuse (CPA) risk and exposure to cues of hostility (i.e., hostile priming).…

  9. Exploratory Assessments of Child Abuse: Children's Responses to Interviewer's Questions across Multiple Interview Sessions

    ERIC Educational Resources Information Center

    Patterson, Tess; Pipe, Margaret-Ellen

    2009-01-01

    Objective: The present study extends field research on interviews with young children suspected of having been abused by examining multiple assessment interviews designed to be inquisitory and exploratory, rather than formal evidential or forensic interviews. Methods: Sixty-six interviews with 24 children between the ages of 3 and 6 years who were…

  10. Emergent Phototactic Responses of Cyanobacteria under Complex Light Regimes.

    PubMed

    Chau, Rosanna Man Wah; Bhaya, Devaki; Huang, Kerwyn Casey

    2017-03-07

    Environmental cues can stimulate a variety of single-cell responses, as well as collective behaviors that emerge within a bacterial community. These responses require signal integration and transduction, which can occur on a variety of time scales and often involve feedback between processes, for example, between growth and motility. Here, we investigate the dynamics of responses of the phototactic, unicellular cyanobacterium Synechocystis sp. PCC6803 to complex light inputs that simulate the natural environments that cells typically encounter. We quantified single-cell motility characteristics in response to light of different wavelengths and intensities. We found that red and green light primarily affected motility bias rather than speed, while blue light inhibited motility altogether. When light signals were simultaneously presented from different directions, cells exhibited phototaxis along the vector sum of the light directions, indicating that cells can sense and combine multiple signals into an integrated motility response. Under a combination of antagonistic light signal regimes (phototaxis-promoting green light and phototaxis-inhibiting blue light), the ensuing bias was continuously tuned by competition between the wavelengths, and the community response was dependent on both bias and cell growth. The phototactic dynamics upon a rapid light shift revealed a wavelength dependence on the time scales of photoreceptor activation/deactivation. Thus, Synechocystis cells achieve exquisite integration of light inputs at the cellular scale through continuous tuning of motility, and the pattern of collective behavior depends on single-cell motility and population growth.IMPORTANCE The photosynthetic cyanobacterium Synechocystis sp. exhibits phototaxis that is dependent on the incident light wavelength through the action of various photoreceptors. In natural environments, cells experience a set of highly dynamic and complex light inputs, yet how cells transduce

  11. Emergency response puff model at the Oak Ridge National Laboratory

    SciTech Connect

    Sharp, R.D.; Kornegay, F.C.

    1987-01-01

    An emergency response computer code has been implemented at the Oak Ridge National Laboratory to assist decision makers during the accidental airborne release of an agent. This paper describes the necessary steps to run the FORTRAN 77 computer program that simulates the movement of a substance over time. This series of steps involves obtaining the appropriate meteorological and other input data for the program execution of the program, and analysis of the results. The computer program runs on the IBM PC and the HP 9000 supermicro computer. Both of these computers communicate with a PDP 11/23, which stores real-time meteorological data, to obtain data necessary to run the computer code.

  12. Multi-Criteria Sensor Placement for Emergency Response

    SciTech Connect

    Southworth, Frank

    2008-01-01

    This paper describes an approach to locating a set of sensors to provide early warning of a dangerous chemical or biological agent release. The objective of the warning system is to minimize potential fatalities and any other health-related problems resulting from either an accidental release (such as a chemical spill) or from of a deliberate act of terrorism. The sensor placement solution is described as part of a broader simulation approach that considers the number of sensors available for deployment, the effect of weather conditions on the spread and concentration of the agent released, the speed at which appropriate emergency response actions can be taken to evacuate or shelter-in-place, and factors that make some release points more likely than others, such as the relative ease of site access or the presence of high priority or high impact targets within the at-risk area. Aerial photography and GIS also play important roles in the decision support environment described.

  13. HAZBOT - A hazardous materials emergency response mobile robot

    NASA Astrophysics Data System (ADS)

    Stone, H. W.; Edmonds, G.

    The authors describe the progress that has been made towards the development of a mobile robot that can be used by hazardous materials emergency response teams to perform a variety of tasks including incident localization and characterization, hazardous material identification/classification, site surveillance and monitoring, and ultimately incident mitigation. In September of 1991, the HAZBOT II vehicle performed its first end-to-end demonstration involving a scenario in which the vehicle: navigated to the incident location from a distant (150-200 ft.) deployment site; entered a building through a door with thumb latch style handle and door closer; located and navigated to the suspected incident location (a chemical storeroom); unlocked and opened the storeroom's door; climbed over the storeroom's 12 in. high threshold to enter the storeroom; and located and identified a broken container of benzene.

  14. Influence of warning information changes on emergency response

    NASA Astrophysics Data System (ADS)

    Heisterkamp, Tobias; Ulbrich, Uwe; Glade, Thomas; Tetzlaff, Gerd

    2014-05-01

    Mitigation and risk reduction of natural hazards is significantly related to the possibility of predicting the actual event. Some hazards can already be forecasted several days in advance. For these hazards, early warning systems have been developed, installed and improved over the years. The formation of winter storms for example can be recognized up to one week before they pass through Central Europe. This relative long early warning time has the advantage that forecasters can concretise the warnings over time. Therefore, warnings can even be adapted to alternating conditions within the process, the observation or changes in its modelling. Emergency managers are one group of warning recipients in the civil protection sector. They have to prepare or initiate prevention or response measures at a specific point of time, depending on the required lead time of the referring actions. At this point of time already, the forecast and its equivalent warning, has to be assumed as a stage of reality, hence the decision-makers have to come to a conclusion. These decisions are based on spatial and temporal knowledge of the forecasted event and the consequential situation of risk. With incoming warning updates, the detailed status of information is permanently being alternated. Consequently, decisions can be influenced by the development of the warning situation and the inherent tendency before a certain point of time. They can also be adapted to updates later on, according to the changing 'decision reality'. The influence of these dynamic hazard situations on operational planning and response by emergency managers is investigated in case studies on winter storms for Berlin, Germany. Therefore, the issued warnings by the weather service and data of operation of Berlin Fire Brigades are analysed and compared. This presentation shows and discusses first results.

  15. Emergent Archetype Hydrological-Biogeochemical Response Patterns in Heterogeneous Catchments

    NASA Astrophysics Data System (ADS)

    Jawitz, J. W.; Gall, H. E.; Rao, P.

    2013-12-01

    What can spatiotemporally integrated patterns observed in stream hydrologic and biogeochemical signals generated in response to transient hydro-climatic and anthropogenic forcing tell us about the interactions between spatially heterogeneous soil-mediated hydrological and biogeochemical processes? We seek to understand how the spatial structure of solute sources coupled with hydrologic responses affect observed concentration-discharge (C-Q) patterns. These patterns are expressions of the spatiotemporal structure of solute loads exported from managed catchments, and their likely ecological consequences manifested in receiving water bodies (e.g., wetlands, rivers, lakes, and coastal waters). We investigated the following broad questions: (1) How does the correlation between flow-generating areas and biogeochemical source areas across a catchment evolve under stochastic hydro-climatic forcing? (2) What are the feasible hydrologic and biogeochemical responses that lead to the emergence of the observed archetype C-Q patterns? and; (3) What implications do these coupled dynamics have for catchment monitoring and implementation of management practices? We categorize the observed temporal signals into three archetypical C-Q patterns: dilution; accretion, and constant concentration. We introduce a parsimonious stochastic model of heterogeneous catchments, which act as hydrologic and biogeochemical filters, to examine the relationship between spatial heterogeneity and temporal history of solute export signals. The core concept of the modeling framework is considering the types and degree of spatial correlation between solute source zones and flow generating zones, and activation of different portions of the catchments during rainfall events. Our overarching hypothesis is that each of the archetype C-Q patterns can be generated by explicitly linking landscape-scale hydrologic responses and spatial distributions of solute source properties within a catchment. The model

  16. Emergency Response Damage Assessment using Satellite Remote Sensing Data

    NASA Astrophysics Data System (ADS)

    Clandillon, Stephen; Yésou, Hervé; Schneiderhan, Tobias; de Boissezon, Hélène; de Fraipont, Paul

    2013-04-01

    During disasters rescue and relief organisations need quick access to reliable and accurate information to be better equipped to do their job. It is increasingly felt that satellites offer a unique near real time (NRT) tool to aid disaster management. A short introduction to the International Charter 'Space and Major Disasters', in operation since 2000 promoting worldwide cooperation among member space agencies, will be given as it is the foundation on which satellite-based, emergency response, damage assessment has been built. Other complementary mechanisms will also be discussed. The user access, triggering mechanism, an essential component for this user-driven service, will be highlighted with its 24/7 single access point. Then, a clear distinction will be made between data provision and geo-information delivery mechanisms to underline the user need for geo-information that is easily integrated into their working environments. Briefly, the path to assured emergency response product quality will be presented beginning with user requirements, expressed early-on, for emergency response value-adding services. Initiatives were then established, supported by national and European institutions, to develop the sector, with SERTIT and DLR being key players, providing support to decision makers in headquarters and relief teams in the field. To consistently meet the high quality levels demanded by users, rapid mapping has been transformed via workflow and quality control standardisation to improve both speed and quality. As such, SERTIT located in Alsace, France, and DLR/ZKI from Bavaria, Germany, join their knowledge in this presentation to report about recent standards as both have ISO certified their rapid mapping services based on experienced, well-trained, 24/7 on-call teams and established systems providing the first crisis analysis product in 6 hours after satellite data reception. The three main product types provided are then outlined: up-to-date pre

  17. Department of Defense Global Emerging Infections Surveillance and Response System Indian Ocean tsunami response.

    PubMed

    Chretien, Jean-Paul; Glass, Jonathan S; Coldren, Rodney C; Noah, Donald L; Hyer, Randall N; Gaydos, Joel C; Malone, Joseph L

    2006-10-01

    The Department of Defense (DoD) Global Emerging Infections Surveillance and Response System (DoD-GEIS) identifies and addresses DoD vulnerabilities to emerging infections through a global network of partners. Following the Indian Ocean tsunami of December 26, 2004, DoD-GEIS facilitated the DoD medical response and coordination with the Centers for Disease Control and Prevention and the World Health Organization. DoD-GEIS partners in Southeast Asia (U.S. Naval Medical Research Unit 2, Jakarta, Indonesia; and Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand) rapidly conducted health assessments and established surveillance for communicable diseases that threatened survivors. Preexisting collaboration with the Centers for Disease Control and Prevention, the World Health Organization, and host countries was critical for the DoD-GEIS tsunami response.

  18. Typhoon emergency response planning for the South China Sea

    SciTech Connect

    Corona, E.N.; Lynch, R.D.; Riffe, D.; Cardone, V.J.; Cox, A.; Chen, H.

    1996-12-31

    This paper describes the development, implementation and performance of a comprehensive typhoon emergency response plan (ERP) utilized during 1995 by Arco China Inc. (ACI) for their offshore Hainan Is. South China Sea development. An important component of the enhanced plan is a new system to forecast winds and sea states generated by tropical cyclones (TC) built around known uncertainties in forecasts of cyclones and well proven numerical models of the TC surface wind field and the spectral wave field. The forecast system provides specification of time histories of the winds and waves at the site for the nominally predicted track as well as the probabilities of exceedance of critical evacuation thresholds of wind speed and sea state. The ERP and forecast system were operated throughout the 1995 typhoon season and evaluated at the Yacheng development, which was seriously threatened by 15 tropical cyclones between June and November. The response to these threats in terms of interruption of operations, partial or total evacuation of offshore personnel and average downtime is described and compared to previous experience which used more conventional forecast services. The evaluation has shown the new system to provide significant benefits in terms of safety, efficiency and cost savings. The wind and sea state forecast histories provided year-round by the forecast system are also of significant benefit to the management of floating production systems.

  19. The contribution of health anxiety to retrospectively-recalled emergency department visits within a sample of patients in residential substance abuse treatment.

    PubMed

    Fergus, Thomas A; Bardeen, Joseph R; Gratz, Kim L; Fulton, Jessica J; Tull, Matthew T

    2015-01-01

    With the burden of emergency department (ED) use increasing, research examining the factors associated with ED visits among individuals who use the ED most frequently is needed. Given that substance use is strongly linked to ED visits, this study sought to examine the factors associated with greater ED visits among patients with substance use disorders (SUD). More precisely, we examined whether health anxiety incrementally contributes to the prediction of ED visits for medical care among adult patients (N = 118) in a residential substance abuse disorder treatment facility. As predicted, health anxiety was significantly positively correlated with ED visits during the past year. Furthermore, health anxiety remained a significant predictor of ED visits after accounting for sociodemographic variables, frequency of substance use, and physical health status. These results suggest that health anxiety may contribute to increased ED visits for medical care among individuals with SUD.

  20. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Office of Solid Waste and Emergency... ORGANIZATION AND GENERAL INFORMATION Headquarters § 1.47 Office of Solid Waste and Emergency Response. The Office of Solid Waste and Emergency Response (OSWER), under the supervision of the...

  1. Evaluation of Rugged Wireless Mesh Nodes for Use In Emergency Response

    SciTech Connect

    Kevin L Young; Alan M Snyder

    2007-11-01

    During the summer of 2007, engineers at the Idaho National Laboratory (INL) conducted a two-day evaluation of commercially available battery powered, wireless, self-forming mesh nodes for use in emergency response. In this paper, the author describes the fundamentals of this emerging technology, applciations for emergency response and specific results of the technology evaluation conducted at the Idaho National Laboratory.

  2. 49 CFR 1.44 - Office of Intelligence, Security and Emergency Response.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Office of Intelligence, Security and Emergency... DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.44 Office of Intelligence, Security and Emergency Response. The Director of the Office of Intelligence, Security and Emergency Response...

  3. 49 CFR 1.44 - Office of Intelligence, Security and Emergency Response.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Office of Intelligence, Security and Emergency... DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.44 Office of Intelligence, Security and Emergency Response. The Director of the Office of Intelligence, Security and Emergency Response...

  4. 49 CFR 1.44 - Office of Intelligence, Security and Emergency Response.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Office of Intelligence, Security and Emergency... DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.44 Office of Intelligence, Security and Emergency Response. The Director of the Office of Intelligence, Security and Emergency Response...

  5. Emergency Preparedness and Response: Information for Pregnant Women - Fact Sheet

    MedlinePlus

    ... Situation Awareness Hurricanes Wildfire Flooding Earthquakes Volcanos Winter Weather Recent Outbreaks and Incidents 2016 2015 2014 2013 ... 2009 2008 2007 2006 Natural Disasters and Severe Weather 2016 Hurricane Matthew Radiation Emergencies Chemical Emergencies Bioterrorism ...

  6. Biogeochemical and Hydrological Heterogeneity and Emergent Archetypical Catchment Response Patterns

    NASA Astrophysics Data System (ADS)

    Jawitz, J. W.; Gall, H. E.; Rao, P. S.

    2014-12-01

    What can stream hydrologic and biogeochemical signals tell us about interactions among spatially heterogeneous hydrological and biogeochemical processes at the catchment-scale? We seek to understand how the spatial structure of solute sources coupled with both stationary and nonstationary hydroclimatic drivers affect observed archetypes of concentration-discharge (C-Q) patterns. These response patterns are the spatially integrated expressions of the spatiotemporal structure of solutes exported from managed catchments, and can provide insight into likely ecological consequences of receiving water bodies (e.g., wetlands, rivers, lakes, and coastal waters). We investigated the following broad questions: (1) How does the spatial correlation between the structure of flow-generating areas and biogeochemical source areas across a catchment evolve under stochastic hydro-climatic forcing? (2) What are the feasible hydrologic and biogeochemical responses that lead to the emergence of archetypical C-Q patterns? and; (3) What implications do these coupled dynamics have for catchment monitoring and implementation of management practices? We categorize the observed temporal signals into three archetypical C-Q patterns: dilution; accretion, and constant concentration. We applied a parsimonious stochastic model of heterogeneous catchments, which act as hydrologic and biogeochemical filters, to examine the relationship between spatial heterogeneity and temporal history of solute export signals. The core concept of the modeling framework is considering the type and degree of spatial correlation between solute source zones and flow generating zones, and activation of different portions of the catchments during rainfall events. Our overarching hypothesis is that each archetype C-Q pattern can be generated by explicitly linking landscape-scale hydrologic responses and spatial distributions of solute source properties within a catchment. We compared observed multidecadal data to

  7. Client disclosure and therapist response in psychotherapy with women with a history of childhood sexual abuse.

    PubMed

    Farber, Barry A; Feldman, Sarah; Wright, A Jordan

    2014-01-01

    This study investigated the perceptions of adult clients (N=98; M age=32) with a history of childhood sexual abuse (CSA) of the costs and benefits of disclosure of this material. Significant benefits of disclosing included a sense of relief from sharing bottled-up emotions, and feeling more accepted and understood by one's therapist; significant negative consequences included feeling emotionally overwhelmed, and feeling uncomfortably vulnerable and exposed. Linear regressions indicated that CSA patients who generally disclose more have a greater tendency to experience both positive and negative effects of disclosure about abuse. In addition, a hierarchical regression analysis indicated that higher levels of symptomatology were predictive of higher levels of anxiety related to disclosure in therapy, suggesting that clinicians need to be cautious in encouraging disclosure about CSA with patients with severe pathology.

  8. Utilizing SAR and Multispectral Integrated Data for Emergency Response

    NASA Astrophysics Data System (ADS)

    Havivi, S.; Schvartzman, I.; Maman, S.; Marinoni, A.; Gamba, P.; Rotman, S. R.; Blumberg, D. G.

    2016-06-01

    the emergency response following an event.

  9. Decreased striatal and enhanced thalamic dopaminergic responsivity in detoxified cocaine abusers

    SciTech Connect

    Volkow, N.D.; Wang, G.J.; Fowler, J.S.

    1997-05-01

    It has been hypothesized that cocaine addiction could result from decreased brain dopamine (DA) function. However, little is known about changes in (DA) neurotransmission in human cocaine addiction. We used PET and [C-11]raclopride, a DA D2 receptor ligand sensitive to competition with endogenous DA, to measure relative changes in extracellular DA induced by methylphenidate (MP) in 20 cocaine abusers (3-6 weeks after cocaine discontinuation) and 23 controls. MP did not affect the transport of [C-11]raclopride from blood to brain (K1); however it induced a significant reduction in DA D2 receptor availability (Bmax/Kd) in striatum. The magnitude of ND-induced changes in striatal [C-11]raclopride binding were significantly larger in controls (21 + 13% change from baseline) than in cocaine abusers (9 {+-} 13 %) (ANOVA p < 0.005). In cocaine abusers, but not in controls, MP also decreased Bmax/Kd values in thalamus (29 {+-} 35 %) (ANOVA p < 0.005). There were no differences in plasma MP concentration between the groups. In striatum MP-induced changes in Bmax/Kd were significantly correlated with MP-induced changes in self reports of restlessness (r = 0.49, df 42, p < 0.002). In thalamus MP-induced changes in Bmax/Kd were significantly correlated with ND-induced changes in self reports of cocaine craving (r = 0.57, df 42, p < 0.0001). These results are compatible with a decrease in striatal DA brain function in cocaine abusers. They also suggest a participation of thalamic DA pathways in cocaine addiction.

  10. Convergence of dopamine and glutamate signaling onto striatal ERK activation in response to drugs of abuse

    PubMed Central

    Cahill, Emma; Salery, Marine; Vanhoutte, Peter; Caboche, Jocelyne

    2014-01-01

    Despite their distinct targets, all addictive drugs commonly abused by humans evoke increases in dopamine (DA) concentration within the striatum. The main DA Guanine nucleotide binding protein couple receptors (GPCRs) expressed by medium-sized spiny neurons of the striatum are the D1R and D2R, which are positively and negatively coupled to cyclic adenosine monophosphate (cAMP)/protein kinase A (PKA) signaling, respectively. These two DA GPCRs are largely segregated into distinct neuronal populations, where they are co-expressed with glutamate receptors in dendritic spines. Direct and indirect interactions between DA GPCRs and glutamate receptors are the molecular basis by which DA modulates glutamate transmission and controls striatal plasticity and behavior induced by drugs of abuse. A major downstream target of striatal D1R is the extracellular signal-regulated kinase (ERK) kinase pathway. ERK activation by drugs of abuse behaves as a key integrator of D1R and glutamate NMDAR signaling. Once activated, ERK can trigger chromatin remodeling and induce gene expression that permits long-term cellular alterations and drug-induced morphological and behavioral changes. Besides the classical cAMP/PKA pathway, downstream of D1R, recent evidence implicates a cAMP-independent crosstalk mechanism by which the D1R potentiates NMDAR-mediated calcium influx and ERK activation. The mounting evidence of reciprocal modulation of DA and glutamate receptors adds further intricacy to striatal synaptic signaling and is liable to prove relevant for addictive drug-induced signaling, plasticity, and behavior. Herein, we review the evidence that built our understanding of the consequences of this synergistic signaling for the actions of drugs of abuse. PMID:24409148

  11. DOE Response to the Fukushima Accident: Advancing the Science of Emergency Response

    NASA Astrophysics Data System (ADS)

    Blumenthal, Daniel

    2015-04-01

    The US Department of Energy maintains specialized technical teams to respond to radiological/nuclear emergencies. They apply well-established laboratory nuclear measurement techniques in field environments, conduct rapid analysis, and deliver data products to government leaders in support of real-time public safety decisions. Meeting these requirements, often in the face of incomplete and imperfect information, takes a great deal of training and practice to effectively translate science into operations. Since large-scale emergencies are rare, the Fukushima nuclear accident in March 2011 provided an opportunity to employ these teams. Their timely support to both US and Japanese decision makers provides an excellent case study in the application of instrumentation, analysis methods, data presentation, and training to emergency response.

  12. Youth Alcohol Use and Dating Abuse Victimization and Perpetration: A Test of the Relationships at the Daily Level in a Sample of Pediatric Emergency Department Patients Who Use Alcohol

    ERIC Educational Resources Information Center

    Rothman, Emily F.; Stuart, Gregory L.; Winter, Michael; Wang, Na; Bowen, Deborah J.; Bernstein, Judith; Vinci, Robert

    2012-01-01

    Objective: This study retrospectively examined the daily-level associations between youth alcohol use and dating abuse (DA) victimization and perpetration for a 6-month period. Method: Timeline Followback (TLFB) interview data were collected from 397 urban emergency department patients, ages 17 to 21 years. Patients were eligible if they reported…

  13. The Drug-Abuse Questionnaire.

    ERIC Educational Resources Information Center

    Ferneau, E.; Mueller, S.

    The drug-abuse questionnaire used to survey college student attitudes on the subject is provided. It is identical to the alcoholism questionnaire except for word changes appropriate to the subject matter. The questionnaire consists of 40 statements about drug abuse and drug abusers, with 7 possible responses: (1) completely disagree; (2) mostly…

  14. The 2012 derecho: emergency medical services and hospital response.

    PubMed

    Kearns, Randy D; Wigal, Mark S; Fernandez, Antonio; Tucker, March A; Zuidgeest, Ginger R; Mills, Michael R; Cairns, Bruce A; Cairns, Charles B

    2014-10-01

    During the early afternoon of June 29, 2012, a line of destructive thunderstorms producing straight line winds known as a derecho developed near Chicago (Illinois, USA). The storm moved southeast with wind speeds recorded from 100 to 160 kilometers per hour (kph, 60 to 100 miles per hour [mph]). The storm swept across much of West Virginia (USA) later that evening. Power outage was substantial as an estimated 1,300,000 West Virginians (more than half) were without power in the aftermath of the storm and approximately 600,000 citizens were still without power a week later. This was one of the worst storms to strike this area and occurred as residents were enduring a prolonged heat wave. The wind damage left much of the community without electricity and the crippling effect compromised or destroyed critical infrastructure including communications, air conditioning, refrigeration, and water and sewer pumps. This report describes utilization of Emergency Medical Services (EMS) and hospital resources in West Virginia in response to the storm. Also reported is a review of the weather phenomena and the findings and discussion of the disaster and implications.

  15. Rapid screening of radioactivity in food for emergency response.

    PubMed

    Bari, A; Khan, A J; Semkow, T M; Syed, U-F; Roselan, A; Haines, D K; Roth, G; West, L; Arndt, M

    2011-06-01

    This paper describes the development of methods for the rapid screening of gross alpha (GA) and gross beta (GB) radioactivity in liquid foods, specifically, Tang drink mix, apple juice, and milk, as well as screening of GA, GB, and gamma radioactivity from surface deposition on apples. Detailed procedures were developed for spiking of matrices with (241)Am (alpha radioactivity), (90)Sr/(90)Y (beta radioactivity), and (60)Co, (137)Cs, and (241)Am (gamma radioactivity). Matrix stability studies were performed for 43 days after spiking. The method for liquid foods is based upon rapid digestion, evaporation, and flaming, followed by gas proportional (GP) counting. For the apple matrix, surface radioactivity was acid-leached, followed by GP counting and/or gamma spectrometry. The average leaching recoveries from four different apple brands were between 63% and 96%, and have been interpreted on the basis of ion transport through the apple cuticle. The minimum detectable concentrations (MDCs) were calculated from either the background or method-blank (MB) measurements. They were found to satisfy the required U.S. FDA's Derived Intervention Levels (DILs) in all but one case. The newly developed methods can perform radioactivity screening in foods within a few hours and have the potential to capacity with further automation. They are especially applicable to emergency response following accidental or intentional contamination of food with radioactivity.

  16. Hanford Site emergency response needs, Volumes 1 and 2

    SciTech Connect

    Good, D.E.

    1996-04-16

    This report presents the results of a comprehensive third party needs assessment of the Hanford Fire Department (HFD), conducted by Hughes Associates Inc. The assessment was commissioned with the intent of obtaining an unbiased report which could be used as a basis for identifying needed changes/modifications to the fire department and its services. This report serves several functions: (1) it documents current and future site operations and associated hazards and risks identified as a result of document review, site and facility surveys, and interviews with knowledgeable personnel; (2) describes the HFD in terms of organization, existing resources and response capabilities; (3) identifies regulatory and other requirements that are applicable to the HFD and includes a discussion of associated legal liabilities; and (4) provides recommendations based on applicable requirements and existing conditions. Each recommendation is followed by a supporting statement to clarify the intent or justification of the recommendation. This report will be followed by a Master Plan document which will present an implementation method for the recommendations (with associated costs) considered to be essential to maintaining adequate, cost effective emergency services at the Hanford site in the next five to seven years.

  17. EPA’s Role in Emergency Response - Special Teams

    EPA Pesticide Factsheets

    The Environmental Response Team; Radiological Response Team; Chemical, Biological, Radiological, and Nuclear Consequence Management Advisory Division; and National Criminal Enforcement Response Team provide specialized support.

  18. Fear versus humor: the impact of sensation seeking on physiological, cognitive, and emotional responses to antialcohol abuse messages.

    PubMed

    Lee, Moon J; Shin, Mija

    2011-01-01

    This study investigates the differences in physiological, cognitive, and emotional responses to existing emotional antialcohol abuse advertisements (fear vs. humor appeal) between high and low sensation seekers. A 2 (Message Type) x 2 (Sensation-Seeking Tendency) x 4 (Message Repetition) mixed-model experiment with repeated measures was conducted with 71 college students. The results, based on self-reports, indicated that fear messages generated more interest and perceived danger of excessive drinking regardless of sensation-seeking tendency, whereas humorous messages were rated as more likeable than fear messages, and the difference was bigger among low sensation seekers than among high sensation seekers. One interesting finding was that for both fear and humor appeals, low sensation seekers showed greater emotional responses (greater corrugators activities and greater zygomatic activities) than high sensation seekers overall. The implications of the current study as well as suggestions for future study were discussed.

  19. The Computer Fraud and Abuse Act of 1986 and the Computer Security Act of 1987: Impact on incident response efforts

    SciTech Connect

    Schultz, E.E.

    1991-10-11

    The purpose of this paper is to evaluate two Federal statutes, the Computer Fraud and Abuse Act of 1986 and the Computer Security Act of 1987, from the perspective of computer security incident response efforts. First, the major relevant provisions of each statute are presented. Next, revisions to each statute are proposed, and additional areas needing to be addressed in future legislation are presented. The major conclusion is that these statutes represent a start in the legislative process to deter and prevent computer offenses such as unauthorized access to systems. However, many revisions and additions are needed before such legislation will significantly impact incident response efforts. In addition, legislation alone cannot bring about the degree of change necessary to address the range of computer security threats that presently exist.

  20. 41 CFR 102-74.230 - Who is responsible for establishing an occupant emergency program?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... establishing, staffing and training an Occupant Emergency Organization with agency employees. Federal agencies... of this chapter) is responsible for developing, implementing and maintaining an Occupant...

  1. Computational fluid dynamics modeling for emergency preparedness & response

    SciTech Connect

    Lee, R.L.; Albritton, J.R.; Ermak, D.L.; Kim, J.

    1995-07-01

    Computational fluid dynamics (CFD) has played an increasing role in the improvement of atmospheric dispersion modeling. This is because many dispersion models are now driven by meteorological fields generated from CFD models or, in numerical weather prediction`s terminology, prognostic models. Whereas most dispersion models typically involve one or a few scalar, uncoupled equations, the prognostic equations are a set of highly-coupled, nonlinear equations whose solution requires a significant level of computational power. Until recently, such computer power could be found only in CRAY-class supercomputers. Recent advances in computer hardware and software have enabled modestly-priced, high performance, workstations to exhibit the equivalent computation power of some mainframes. Thus desktop-class machines that were limited to performing dispersion calculations driven by diagnostic wind fields may now be used to calculate complex flows using prognostic CFD models. The Atmospheric Release and Advisory Capability (ARAC) program at Lawrence Livermore National Laboratory (LLNL) has, for the past several years, taken advantage of the improvements in hardware technology to develop a national emergency response capability based on executing diagnostic models on workstations. Diagnostic models that provide wind fields are, in general, simple to implement, robust and require minimal time for execution. Such models have been the cornerstones of the ARAC operational system for the past ten years. Kamada (1992) provides a review of diagnostic models and their applications to dispersion problems. However, because these models typically contain little physics beyond mass-conservation, their performance is extremely sensitive to the quantity and quality of input meteorological data and, in spite of their utility, can be applied with confidence to only modestly complex flows.

  2. Review of current neutron detection systems for emergency response

    SciTech Connect

    Mukhopadhyay, Sanjoy; Maurer, Richard; Guss, Paul; Kruschwitz, Craig

    2014-09-05

    Neutron detectors are utilized in a myriad of applications—from safeguarding special nuclear materials (SNM) to determining lattice spacing in soft materials. The transformational changes taking place in neutron detection and imaging techniques in the last few years are largely being driven by the global shortage of helium-3 (3He). This article reviews the status of neutron sensors used specifically for SNM detection in radiological emergency response. These neutron detectors must be highly efficient, be rugged, have fast electronics to measure neutron multiplicity, and be capable of measuring direction of the neutron sources and possibly image them with high spatial resolution. Neutron detection is an indirect physical process: neutrons react with nuclei in materials to initiate the release of one or more charged particles that produce electric signals that can be processed by the detection system. Therefore, neutron detection requires conversion materials as active elements of the detection system; these materials may include boron-10 (10B), lithium-6 (6Li), and gadollinium-157 (157Gd), to name a few, but the number of materials available for neutron detection is limited. However, in recent years, pulse-shape-discriminating plastic scintillators, scintillators made of helium-4 (4He) under high pressure, pillar and trench semiconductor diodes, and exotic semiconductor neutron detectors made from uranium oxide and other materials have widely expanded the parameter space in neutron detection methodology. In this article we will pay special attention to semiconductor-based neutron sensors. Finally, modern microfabricated nanotubes covered inside with neutron converter materials and with very high aspect ratios for better charge transport will be discussed.

  3. Review of current neutron detection systems for emergency response

    DOE PAGES

    Mukhopadhyay, Sanjoy; Maurer, Richard; Guss, Paul; ...

    2014-09-05

    Neutron detectors are utilized in a myriad of applications—from safeguarding special nuclear materials (SNM) to determining lattice spacing in soft materials. The transformational changes taking place in neutron detection and imaging techniques in the last few years are largely being driven by the global shortage of helium-3 (3He). This article reviews the status of neutron sensors used specifically for SNM detection in radiological emergency response. These neutron detectors must be highly efficient, be rugged, have fast electronics to measure neutron multiplicity, and be capable of measuring direction of the neutron sources and possibly image them with high spatial resolution. Neutronmore » detection is an indirect physical process: neutrons react with nuclei in materials to initiate the release of one or more charged particles that produce electric signals that can be processed by the detection system. Therefore, neutron detection requires conversion materials as active elements of the detection system; these materials may include boron-10 (10B), lithium-6 (6Li), and gadollinium-157 (157Gd), to name a few, but the number of materials available for neutron detection is limited. However, in recent years, pulse-shape-discriminating plastic scintillators, scintillators made of helium-4 (4He) under high pressure, pillar and trench semiconductor diodes, and exotic semiconductor neutron detectors made from uranium oxide and other materials have widely expanded the parameter space in neutron detection methodology. In this article we will pay special attention to semiconductor-based neutron sensors. Finally, modern microfabricated nanotubes covered inside with neutron converter materials and with very high aspect ratios for better charge transport will be discussed.« less

  4. Underage drinkers' responses to negative-restrictive versus proactive-nonrestrictive slogans in humorous anti-alcohol abuse messages: are humorous responsible drinking campaign messages effective?

    PubMed

    Lee, Moon J; Chen, Yi-Chun Yvonnes

    2013-01-01

    This study examined underage drinkers' responses to negative-restrictive versus proactive-nonrestrictive slogans in humorous anti-alcohol abuse advertisements. The authors conducted a posttest-only control group experiment with 91 teenagers and college-aged participants. For underage moderate drinkers, the negative-restrictive slogans (e.g., "Don't drink") increased participants' perceived risk of excessive drinking and increased a level of intention to change their drinking behavior. However, for underage binge drinkers, the negative-restrictive slogans lowered participants' risk perception of excessive drinking and intention to change their drinking behavior.

  5. Revisiting Chaos Theorem to Understand the Nature of miRNAs in Response to Drugs of Abuse.

    PubMed

    Taki, Faten A; Pan, Xiaoping; Zhang, Baohong

    2015-12-01

    Just like Matryoshka dolls, biological systems follow a hierarchical order that is based on dynamic bidirectional communication among its components. In addition to the convoluted inter-relationships, the complexity of each component spans several folds. Therefore, it becomes rather challenging to investigate phenotypes resulting from these networks as it requires the integration of reductionistic and holistic approaches. One dynamic system is the transcriptome which comprises a variety of RNA species. Some, like microRNAs, have recently received a lot of attention. miRNAs are very pleiotropic and have been considered as therapeutic and diagnostic candidates in the biomedical fields. In this review, we survey miRNA profiles in response to drugs of abuse (DA) using 118 studies. After providing a summary of miRNAs related to substance use disorders (SUD), general patterns of miRNA signatures are compared among studies for single or multiple drugs of abuse. Then, current challenges and drawbacks in the field are discussed. Finally, we provide support for considering miRNAs as a chaotic system in normal versus disrupted states particularly in SUD and propose an integrative approach for studying and analyzing miRNA data.

  6. Industry's voluntary program: Community Awareness and Emergency Response Program and the Emergency Planning and Community Right-to-Know Act

    SciTech Connect

    Cooper, J.S. )

    1990-10-01

    This paper describes the chemical industry's Community Awareness and Emergency Response (CAER) Program, and voluntary and mandatory actions by the chemical industry to comply with the major environmental legislation. The chemical industry started the voluntary CAER Program soon after the Bhopal Disaster in 1984; it is coordinated through the Chemical Manufacturer's Association. This program, which began in March 1985, is a long-term industry commitment to develop a community outreach program and to improve local emergency response planning. The Congress of the United States began, in 1985, to consider proposals for mandatory programs. This led to enactment of the Superfund Amendments and Reauthorization Act of 1986, known as SARA. A portion of this Act, entitled Title III is also known as the Emergency Planning and Community Right-to-Know Act. Although this legislation has many mandatory requirements, it should be emphasized that a significant degree of voluntary industrial participation is needed if the purposes of the statute are to be achieved. Title III has created an intricate and still evolving system that ties together the EPA, industrial plant managers, state emergency response commissions, local emergency planning committees and fire departments with jurisdiction over the facility. Each of these groups has a different role and responsibilities but must work cooperatively with other participants. Because of the intricate network of participants, the magnitude of the information flow, and the continuing evolution of the system, unique public relations problems exist in order to comply with Title III.

  7. Family of Origin Violence and Courtship Abuse.

    ERIC Educational Resources Information Center

    Marshall, Linda L.; Rose, Patricia

    1988-01-01

    Responses from 336 undergraduates revealed 75 percent of respondents had expressed threats or actual violence and 64 percent had received abuse in intimate relationship. In the sample, 30 percent had parents who abused each other; less often the mother or father had been sole abuser. Multiple regression indicated being abused as child predicted…

  8. WETLAND INVERTEBRATE COMMUNITY RESPONSES TO VARYING EMERGENT LITTER IN A PRAIRIE POTHOLE EMERGENT MARSH

    EPA Science Inventory

    Plant litter produced in the interior of dense emergent stands may directly or indirectly influence invertebrate communities. Low litter may provide structure and refuge to invertebrates while high litter may shade out vegetation and algae and decrease oxygen concentrations. With...

  9. Letter from EPA to All State Emergency Response Commissions

    EPA Pesticide Factsheets

    Provides information related to the implementation of the Emergency Planning and Community Right to Know Act, and the Risk Management Program under Section 112r of the Clean Air Act, and suggestions for future actions.

  10. [What response in the face of health emergencies?].

    PubMed

    Bergeran, Pierick

    2015-01-01

    Heat wave, extreme cold, air pollution, epidemics, nuclear plant accidents, production incidents in the pharmaceutical or agro-food sectors, bioterrorism, social movements: over the last thirty years, health emergencies have multiplied. What is the strategy to adopt?

  11. Estimating Derived Response Levels at the Savannah River Site for Use with Emergency Response Models

    SciTech Connect

    Simpkins, A.A.

    2002-12-06

    Emergency response computer models at the Savannah River Site (SRS) are coupled with real-time meteorological data to estimate dose to individuals downwind of accidental radioactive releases. Currently, these models estimate doses for inhalation and shine pathways, but do not consider dose due to ingestion of contaminated food products. The Food and Drug Administration (FDA) has developed derived intervention levels (DIL) which refer to the radionuclide-specific concentration in food present throughout the relevant period of time, with no intervention, that could lead to an individual receiving a radiation dose equal to the protective action guide. In the event of an emergency, concentrations in various food types are compared with these levels to make interdictions decisions. Prior to monitoring results being available, concentrations in the environmental media (i.e. soil), called derived response levels (DRLs), can be estimated from the DILs and directly compared with computer output to provide preliminary guidance as to whether intervention is necessary. Site-specific derived response levels (DRLs) are developed for ingestion pathways pertinent to SRS: milk, meat, fish, grain, produce, and beverage. This provides decision-makers with an additional tool for use immediately following an accident prior to the acquisition of food monitoring data.

  12. Physical Abuse

    MedlinePlus

    ... seniors who are not abused. What are the indicators? Indicators are signs or clues that abuse has ... clusters of indicators that suggest a problem. Physical indicators Sprains, dislocations, fractures, or broken bones Burns from ...

  13. Inhalant Abuse

    MedlinePlus

    ... Who may be abusing inhalants?The most common abusers of inhalants are teenagers, especially those who are ... to your child about the dangers of trying drugs can help him or her make the right ...

  14. Abusive Relationships

    MedlinePlus

    ... relationships and friendships. Emotional abuse (stuff like teasing, bullying, and humiliating others) can be difficult to recognize ... How to Break Up Respectfully Abuse Dealing With Bullying Date Rape Getting Over a Break-Up Posttraumatic ...

  15. Adolescent Abuse.

    ERIC Educational Resources Information Center

    Foreman, Susan; Seligman, Linda

    1983-01-01

    Discusses legal and developmental aspects of adolescent abuse, as distinguished from child abuse. The role of the school counselor in identifying and counseling abused adolescents and their families is discussed and several forms of intervention and support services are described. (JAC)

  16. Emergent Intraverbal Responses VIA Tact and Match-to-Sample Instruction

    ERIC Educational Resources Information Center

    Grannan, Leigh; Rehfeldt, Ruth Anne

    2012-01-01

    The present investigation evaluated the effectiveness of category tact and match-to-sample instruction in facilitating the emergence of intraverbal responses (i.e., naming several items belonging to a specific category) for 2 children with autism. Results demonstrated the emergence of untaught responses, suggesting an effective instructional…

  17. 49 CFR 1.69 - Delegations to the Director of Intelligence, Security, and Emergency Response.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Delegations to the Director of Intelligence... Intelligence, Security, and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority for the following: (a) Intelligence and Security. Carry out the...

  18. 49 CFR 1.69 - Delegations to the Director of Intelligence, Security, and Emergency Response.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Delegations to the Director of Intelligence... Intelligence, Security, and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority for the following: (a) Intelligence and Security. Carry out the...

  19. Concealment of Child Sexual Abuse in Sports

    ERIC Educational Resources Information Center

    Hartill, Mike

    2013-01-01

    When the sexual abuse of children is revealed, it is often found that other nonabusing adults were aware of the abuse but failed to act. During the past twenty years or so, the concealment of child sexual abuse (CSA) within organizations has emerged as a key challenge for child protection work. Recent events at Pennsylvania State University (PSU)…

  20. An Unusual Case of Baclofen Abuse

    PubMed Central

    Das, Soumitra; Palappalllil, Dhanya Sasidharan; Purushothaman, Sumesh Thoppil; Rajan, Varun

    2016-01-01

    Baclofen was initially used for the treatment of spastic conditions. Last decade has seen its emergence as a treatment of profound interest in alcohol dependence, opiates and cocaine abuse, and tobacco addiction. However, the published literature on baclofen abuse is sparse. Here, we report a patient with baclofen abuse. PMID:27833235

  1. Antibiotic resistance and growth of the emergent pathogen Escherichia albertii on raw ground beef stored under refrigeration, abuse, and physiological temperature.

    PubMed

    Perez, Keila L; Alam, M Jahangir; Castillo, Alejandro; Taylor, T Matthew

    2013-01-01

    Escherichia albertii is an emerging gram-negative facultative rod that has been implicated in multiple cases of human diarrheal disease, particularly in young children. When biochemical and other typing methods have been used, this organism has often been misidentified due to similarities with other members of the family Enterobacteriaceae. Isolates have been reported to be capable of producing attachment and effacement lesions via the synthesis of intimin, cytolethal distending toxin, and a variant form of Shiga toxin. The purposes of this study were to characterize the antibiotic resistance characteristics and the growth of individual strains of E. albertii on raw ground beef at different storage temperatures. Nalidixic acid-resistant strains of E. albertii were inoculated onto raw ground beef to a target of 4.0 log CFU/g, and samples were then aerobically incubated at 5, 22, or 35°C for various time periods prior to microbiological enumeration of the pathogen on lactose-free MacConkey agar containing 50 mg of nalidixic acid per liter and 0.5% L-rhamnose. Antibiotic resistance was determined using a broth microdilution assay. E. albertii did not grow at 5°C, with populations declining slowly over 14 days of refrigerated storage. Strains of the organism grew well under abusive storage, increasing by 2.5 to 3.1 log CFU/g and 4.1 to 4.3 log CFU/g after 24 h at 22 and 35°C, respectively. All strains were resistant to tetracycline but were sensitive to tested cephalosporins and chloramphenicol. Resistance to penicillin was observed, but susceptibility to other members of the b -lactam group, including ampicillin, amoxicillin, and clavulanic acid, was recorded. E. albertii represents an emerging pathogen with a probable foodborne transmission route. Future research should focus on verifying food process measures able to inactivate the pathogen.

  2. Massive Open Online Librarianship: Emerging Practices in Response to MOOCs

    ERIC Educational Resources Information Center

    Mune, Christina

    2015-01-01

    Massive Open Online Courses, or MOOCs, have recently emerged as a disruptive pedagogy gaining rapid momentum in higher education. In some states, proposed legislations would accredit MOOCs to provide college-credit courses in the name of cost saving, efficiency and access. While debates rage regarding the place of MOOCs in higher education, some…

  3. 40 CFR 266.204 - Standards applicable to emergency responses.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Military Munitions § 266.204 Standards applicable to emergency... CFR 262.10(i), 263.10(e), 264.1(g)(8), 265.1(c)(11), and 270.1(c)(3), or alternatively to 40 CFR...

  4. 40 CFR 266.204 - Standards applicable to emergency responses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Military Munitions § 266.204 Standards applicable to emergency... CFR 262.10(i), 263.10(e), 264.1(g)(8), 265.1(c)(11), and 270.1(c)(3), or alternatively to 40 CFR...

  5. 40 CFR 266.204 - Standards applicable to emergency responses.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Military Munitions § 266.204 Standards applicable to emergency... CFR 262.10(i), 263.10(e), 264.1(g)(8), 265.1(c)(11), and 270.1(c)(3), or alternatively to 40 CFR...

  6. Addressing the gap between public health emergency planning and incident response

    PubMed Central

    Freedman, Ariela M; Mindlin, Michele; Morley, Christopher; Griffin, Meghan; Wooten, Wilma; Miner, Kathleen

    2013-01-01

    Objectives: Since 9/11, Incident Command System (ICS) and Emergency Operations Center (EOC) are relatively new concepts to public health, which typically operates using less hierarchical and more collaborative approaches to organizing staff. This paper describes the 2009 H1N1 influenza outbreak in San Diego County to explore the use of ICS and EOC in public health emergency response. Methods: This study was conducted using critical case study methodology consisting of document review and 18 key-informant interviews with individuals who played key roles in planning and response. Thematic analysis was used to analyze data. Results: Several broad elements emerged as key to ensuring effective and efficient public health response: 1) developing a plan for emergency response; 2) establishing the framework for an ICS; 3) creating the infrastructure to support response; 4) supporting a workforce trained on emergency response roles, responsibilities, and equipment; and 5) conducting regular preparedness exercises. Conclusions: This research demonstrates the value of investments made and that effective emergency preparedness requires sustained efforts to maintain personnel and material resources. By having the infrastructure and experience based on ICS and EOC, the public health system had the capability to surge-up: to expand its day-to-day operation in a systematic and prolonged manner. None of these critical actions are possible without sustained funding for the public health infrastructure. Ultimately, this case study illustrates the importance of public health as a key leader in emergency response.

  7. Substance Abuse in the Military

    MedlinePlus

    ... Charts Emerging Trends and Alerts Alcohol Club Drugs Cocaine Hallucinogens Heroin Inhalants Marijuana MDMA (Ecstasy/Molly) Methamphetamine ... Drugs Anabolic Steroids Cigarettes and Other Tobacco Products Cocaine Cough and Cold Medicine Abuse Electronic Cigarettes (e- ...

  8. Effects of the NK1 Antagonist, Aprepitant, on Response to Oral and Intranasal Oxycodone in Prescription Opioid Abusers

    PubMed Central

    Walsh, Sharon L.; Heilig, Markus; Nuzzo, Paul A.; Henderson, Pam; Lofwall, Michelle R.

    2015-01-01

    Preclinical studies suggest that the NK1 receptor may modulate the response to opioids, with NK1 inactivation leading to decreased opioid reinforcement, tolerance and withdrawal. Aprepitant is a selective NK1 antagonist currently marketed for clinical use as an anti-emetic. This 6-week inpatient study employed a randomized, double-blind, double-dummy, within-subject, crossover design. Subjects (n=8; 6 male/2 female) were healthy, adult volunteers who provided subjective and objective evidence of current prescription opioid abuse (without physical dependence) and underwent careful medical and psychiatric screening. Fifteen experimental conditions, consisting of one aprepitant dose (0, 40 & 200 mg, p.o. given as a 2-hr pretreatment) in combination with one oxycodone dose (placebo, oral [20 & 40 mg/70 kg] and intranasal [15 & 30 mg/70 kg]), were examined. Sessions were conducted at least 48-hr apart and multi-dimensional measures were collected repeatedly throughout the 6-hour session duration. Oxycodone, by both routes of administration, produced significant dose-related effects on the predicted measures (e.g., subjective measures of abuse liability, respiratory depression, miosis). Pretreatment with aprepitant (200 mg) significantly enhanced ratings of oxycodone subjective effects related to euphoria and liking and doubled the street value estimates for the highest test doses of oxycodone by both routes. Some objective measures (respiratory function, observer-rated opioid agonist effects) were similarly enhanced by pretreatment with the highest dose of aprepitant. All dose combinations were safely tolerated. These findings are discussed in the context of the potential utility of NK1 antagonists in the treatment of opioid use disorders. PMID:22260216

  9. Poisoned social climate, collective responsibility, and the abuse at Abu Ghraib--Or, the establishment of "rule that is lack of rule".

    PubMed

    Mestrovic, Stjepan G; Romero, Rachel

    2012-01-01

    The authors draw upon the experiences of one of the co-authors as an expert witness in sociology for mitigation at three of the courts-martial pertaining to the abuse at Abu Ghraib that were held at Ft. Hood, Texas in the year 2005 (for Javal Davis, Sabrina Harman, and Lynndie England). In addition, this paper is based upon the thousands of pages of affidavits, testimony, and U.S. Government reports concerning Abu Ghraib. These internal government reports, as well as the Levin-McCain report, point to collective responsibility and the responsibility of individuals high in the chain of command for establishing unlawful techniques. We review the shortcomings of a purely psychological approach for understanding the abuse, and turn to Durkheim's original understanding of anomie as a state of social derangement or rule by lack of rule to introduce the ideas of the social origins of and social responsibility for the abuse. We conclude with sociological suggestions for reforming some of the legal, medical, psychiatric, and other professional complicity in the abuse at Abu Ghraib.

  10. Introduction of an Emergency Response Plan for flood loading of Sultan Abu Bakar Dam in Malaysia

    NASA Astrophysics Data System (ADS)

    Said, N. F. Md; Sidek, L. M.; Basri, H.; Muda, R. S.; Razad, A. Z. Abdul

    2016-03-01

    Sultan Abu Bakar Dam Emergency Response Plan (ERP) is designed to assist employees for identifying, monitoring, responding and mitigation dam safety emergencies. This paper is outlined to identification of an organization chart, responsibility for emergency management team and triggering level in Sultan Abu Bakar Dam ERP. ERP is a plan that guides responsibilities for proper operation of Sultan Abu Bakar Dam in respond to emergency incidents affecting the dam. Based on this study four major responsibilities are needed for Abu Bakar Dam owing to protect any probable risk for downstream which they can be Incident Commander, Deputy Incident Commander, On-Scene Commander, Civil Engineer. In conclusion, having organization charts based on ERP studies can be helpful for decreasing the probable risks in any projects such as Abu Bakar Dam and it is a way to identify and suspected and actual dam safety emergencies.

  11. Use of Antiretroviral HIV Post-Exposure Prophylaxis in Sexually Abused Children and Adolescents Treated in an Inner-City Pediatric Emergency Department

    ERIC Educational Resources Information Center

    Fajman, Nancy; Wright, Richelle

    2006-01-01

    Background: In 2002, Georgia had the United States' eighth highest number of persons living with AIDS. Human immunodeficiency virus (HIV) transmission as a result of sexual abuse is uncommon but definitely occurs. In certain circumstances of sexual abuse, antiretroviral post-exposure prophylaxis (ARV-PEP) has been suggested as a means to decrease…

  12. Emergency response concept plan for Anniston Army Depot and vicinity

    SciTech Connect

    Carnes, S.A.; Sorensen, J.H.; Rogers, G.O.; Shumpert, B.L.; Miller, R.L.; Watson, A.P.; Chester, C.V.

    1989-10-01

    The continued storage and disposal of the United States' unitary chemical stockpile, including that portion stored at Anniston Army Depot (ANAD) near Anniston, Alabama, have the potential for accidental releases that could escape installation boundaries and pose a threat to civilian populations. The US Army, in conjunction with the Federal Emergency Management Agency and other federal agencies, is committed to implement an emergency preparedness program that will significantly reduce the probability of adverse effects from such releases. This concept plan, which is but a part of a comprehensive ongoing effort, provides a framework for initiating such a program for the UMDA stockpile. This report develops information and methodologies that bear on two major decisions for such a program -- determining emergency planning zones and selecting protective action strategies. These decisions are based on the hazards posed by the UMDA stockpile and its disposal. These hazards, in turn, are based largely on the distribution of potential accidental releases associated with interim storage and disposal activities and associated external events (e.g., earthquakes and airplane crashes), the distribution of natural features that can affect an agent release (topographical features and meteorological characteristics), and the distribution of people and resources (e.g., homes, schools, and hospitals) potentially affected by an accidental release. 25 refs., 9 figs., 13 tabs.

  13. Emergency preparedness and response: compensating victims of a nuclear accident.

    PubMed

    Schwartz, Julia

    2004-07-26

    The 1986 tragedy at the Chernobyl Nuclear Power Plant in Ukraine motivated the entire international nuclear community to ensure that countries would, in the future, be well prepared to manage the physical, psychological and financial consequences of a serious nuclear accident. Since that event, numerous nuclear emergency preparedness and post-emergency management programmes have been established at national and international levels to ensure that appropriate mechanisms will respond to the threat, and the aftermath, of a nuclear accident. The INEX 2000 Workshop on the Indemnification of Nuclear Damage, jointly organised by the OECD/Nuclear Energy Agency and the French Government, was the first ever international programme to address the manner in which victims of a nuclear accident with trans-boundary consequences would be compensated for damage suffered before, during and after the accident. The Workshop results revealed striking differences in the compensation principles and practices implemented in the 30 participating countries, in the co-ordination measures between different public authorities within an affected state, and in the co-operative procedures between the accident state and its neighbours. All participants agreed on the need for improvement in these areas, particularly for maintaining public confidence in governments' ability to properly manage nuclear emergencies.

  14. Effects of Nalbuphine on Anterior Pituitary and Adrenal Hormones and Subjective Responses in Male Cocaine Abusers

    PubMed Central

    Goletiani, Nathalie V.; Mendelson, Jack H.; Sholar, Michelle B.; Siegel, Arthur J.; Skupny, Alicja J.; Mello, Nancy K.

    2007-01-01

    Nalbuphine (Nubain®) is a mixed action mu-kappa agonist used clinically for the management of pain. Nalbuphine and other mu-kappa agonists decreased cocaine self-administration in preclinical models. Cocaine stimulates the hypothalamic-pituitary-adrenal (HPA) axis, but the effects of nalbuphine on the HPA axis are unknown. Analgesic doses (5 and 10 mg/70 kg) of IV nalbuphine were administered to healthy male cocaine abusers, and plasma levels of PRL, ACTH and cortisol were measured before and at 10, 17, 19, 23, 27, 31, 35, 40, 45, 60, 75, 105, 135 min after nalbuphine administration. Subjective effects were measured on a Visual Analog Scale (VAS). Prolactin (PRL) increased significantly within 17 min (P=.04) and reached peak levels of 22.1 ± 7.1 ng/ml and 54.1 ± 11.3 at 60 min after low and high dose nalbuphine administration, respectively. VAS reports of “Sick,” “Bad” and “Dizzy” were significantly higher after 10 mg/70 kg than after 5 mg/70 kg nalbuphine (P=.05−.0001), and were significantly correlated with increases in PRL (P=.05−.0003). However, sedation and emesis were observed only after a 10 mg/70 kg dose of nalbuphine. Interestingly, ACTH and cortisol levels did not change significantly after administration of either dose of nalbuphine. Taken together, these data suggest that nalbuphine had both mu- and kappa-like effects on PRL (PRL increase) but did not increase ACTH and cortisol. PMID:17391744

  15. Using molecular similarity to highlight the challenges of routine immunoassay-based drug of abuse/toxicology screening in emergency medicine

    PubMed Central

    Krasowski, Matthew D; Pizon, Anthony F; Siam, Mohamed G; Giannoutsos, Spiros; Iyer, Manisha; Ekins, Sean

    2009-01-01

    Background Laboratory tests for routine drug of abuse and toxicology (DOA/Tox) screening, often used in emergency medicine, generally utilize antibody-based tests (immunoassays) to detect classes of drugs such as amphetamines, barbiturates, benzodiazepines, opiates, and tricyclic antidepressants, or individual drugs such as cocaine, methadone, and phencyclidine. A key factor in assay sensitivity and specificity is the drugs or drug metabolites that were used as antigenic targets to generate the assay antibodies. All DOA/Tox screening immunoassays can be limited by false positives caused by cross-reactivity from structurally related compounds. For immunoassays targeted at a particular class of drugs, there can also be false negatives if there is failure to detect some drugs or their metabolites within that class. Methods Molecular similarity analysis, a computational method commonly used in drug discovery, was used to calculate structural similarity of a wide range of clinically relevant compounds (prescription and over-the-counter medications, illicit drugs, and clinically significant metabolites) to the target ('antigenic') molecules of DOA/Tox screening tests. These results were compared with cross-reactivity data in the package inserts of immunoassays marketed for clinical testing. The causes for false positives for phencyclidine and tricyclic antidepressant screening immunoassays were investigated at the authors' medical center using gas chromatography/mass spectrometry as a confirmatory method. Results The results illustrate three major challenges for routine DOA/Tox screening immunoassays used in emergency medicine. First, for some classes of drugs, the structural diversity of common drugs within each class has been increasing, thereby making it difficult for a single assay to detect all compounds without compromising specificity. Second, for some screening assays, common 'out-of-class' drugs may be structurally similar to the target compound so that they

  16. Interventions to Improve the Response of Professionals to Children Exposed to Domestic Violence and Abuse: A Systematic Review

    PubMed Central

    Hester, Marianne; Broad, Jonathan; Szilassy, Eszter; Feder, Gene; Drinkwater, Jessica; Firth, Adam; Stanley, Nicky

    2015-01-01

    Exposure of children to domestic violence and abuse (DVA) is a form of child maltreatment with short‐ and long‐term behavioural and mental health impact. Health care professionals are generally uncertain about how to respond to domestic violence and are particularly unclear about best practice with regards to children's exposure and their role in a multiagency response. In this systematic review, we report educational and structural or whole‐system interventions that aim to improve professionals' understanding of, and response to, DVA survivors and their children. We searched 22 bibliographic databases and contacted topic experts for studies reporting quantitative outcomes for any type of intervention aiming to improve professional responses to disclosure of DVA with child involvement. We included interventions for physicians, nurses, social workers and teachers. Twenty‐one studies met the inclusion criteria: three randomised controlled trials (RCTs), 18 pre‐post intervention surveys. There were 18 training and three system‐level interventions. Training interventions generally had positive effects on participants' knowledge, attitudes towards DVA and clinical competence. The results from the RCTs were consistent with the before‐after surveys. Results from system‐level interventions aimed to change organisational practice and inter‐organisational collaboration demonstrates the benefit of coordinating system change in child welfare agencies with primary health care and other organisations. Implications for policy and research are discussed. © 2015 The Authors. Child Abuse Review published by John Wiley & Sons Ltd. ‘We searched 22 bibliographic databases and contacted topic experts’ Key Practitioner Messages We reviewed published evidence on interventions aimed at improving professionals' practice with domestic violence survivors and their children.Training programmes were found to improve participants' knowledge, attitudes and clinical

  17. Conceptual design report, Hazardous Materials Management and Emergency Response (HAMMER) Training Center

    SciTech Connect

    Kelly, K.E.

    1994-11-09

    For the next 30 years, the main activities at the US Department of Energy (DOE) Hanford Site will involve the management, handling, and cleanup of toxic substances. If the DOE is to meet its high standards of safety, the thousands of workers involved in these activities will need systematic training appropriate to their tasks and the risks associated with these tasks. Furthermore, emergency response for DOE shipments is the primary responsibility of state, tribal, and local governments. A collaborative training initiative with the DOE will strengthen emergency response at the Hanford Site and within the regional communities. Local and international labor has joined the Hazardous Materials Management and Emergency Response (HAMMER) partnership, and will share in the HAMMER Training Center core programs and facilities using their own specialized trainers and training programs. The HAMMER Training Center will provide a centralized regional site dedicated to the training of hazardous material, emergency response, and fire fighting personnel.

  18. Design of highway landslide warning and emergency response systems based on UAV

    NASA Astrophysics Data System (ADS)

    Huang, Yujie; Yi, Shen; Li, Zongyu; Shao, Shegang; Qin, Xiaochun

    2010-09-01

    Landslide is one of the serious geological disasters that bring serious impact on transportation construction and highway traffics. It is critical to improve the level of warning and emergency response to the highway landslide. Based on the application of unmanned aerial vehicles (UAV), the highway landslide warning and emergency response system is developed in this paper. The system consists of two main components, including landslide warning sub-system and the UAV emergency response sub-system. The establishment of this system will contribute to: 1) improving the warning and monitoring of highway landslide; 2) quickly understanding the situation of landslide disaster, and therefore helping the policy-makers with emergency rescue, disaster assessment, and reconstruction; and 3) using it as a research platform for large-scale landslides, debris flow monitoring and warning, and other emergency relief work.

  19. Emergent response allocation and outcome ratings in slot machine gambling.

    PubMed

    Dymond, Simon; McCann, Kate; Griffiths, Joanne; Cox, Amanda; Crocker, Victoria

    2012-03-01

    The present study describes a contemporary behavior-analytic model of emergent simulated slot machine gambling. Three laboratory experiments investigated the conditions under which stimuli correlated with different slot machine payout probabilities come to have new, emergent functions without those functions being trained directly. After a successful test for verbal relations (A1-B1-C1 and A2-B2-C2), gamblers and nongamblers were exposed to a task in which high- and low-payout probability functions were established for two slot machines labeled with members of the derived relations (B1 and B2). In Experiment 1, participants provided ratings and chose between concurrently presented slot machines labeled with indirectly related stimuli (C1 and C2). In Experiments 2 and 3, participants made ratings and chose under conditions of nonreinforcement and matched payout probabilities, respectively. Across all three experiments, it was predicted that participants would make more selections of, and give higher liking ratings to, the slot machine indirectly related to the trained high-payout probability machine (C2) than the slot machine indirectly related to the trained low-payout probability machine (C1). Findings supported these predictions. The implications for behavior-analytic research on gambling and the development of verbally based interventions for disordered gambling are discussed.

  20. Association between neuroticism and amygdala responsivity emerges under stressful conditions.

    PubMed

    Everaerd, Daphne; Klumpers, Floris; van Wingen, Guido; Tendolkar, Indira; Fernández, Guillén

    2015-05-15

    Increased amygdala reactivity in response to salient stimuli is seen in patients with affective disorders, in healthy subjects at risk for these disorders, and in stressed individuals, making it a prime target for mechanistic studies into the pathophysiology of affective disorders. However, whereas individual differences in neuroticism are thought to modulate the effect of stress on mental health, the mechanistic link between stress, neuroticism and amygdala responsivity is unknown. Thus, we studied the relationship between experimentally induced stress, individual differences in neuroticism, and amygdala responsivity. To this end, fearful and happy faces were presented to a large cohort of young, healthy males (n=120) in two separate functional MRI sessions (stress versus control) in a randomized, controlled cross-over design. We revealed that amygdala reactivity was modulated by an interaction between the factors of stress, neuroticism, and the emotional valence of the facial stimuli. Follow-up analysis showed that neuroticism selectively enhanced amygdala responses to fearful faces in the stress condition. Thus, we show that stress unmasks an association between neuroticism and amygdala responsivity to potentially threatening stimuli. This effect constitutes a possible mechanistic link within the complex pathophysiology of affective disorders, and our novel approach appears suitable for further studies targeting the underlying mechanisms.

  1. Three Essays on Law Enforcement and Emergency Response Information Sharing and Collaboration: An Insider Perspective

    ERIC Educational Resources Information Center

    Treglia, Joseph V.

    2013-01-01

    This dissertation identifies what may be done to overcome barriers to information sharing among federal, tribal, state, and local law enforcement agencies and emergency responders. Social, technical, and policy factors related to information sharing and collaboration in the law enforcement and emergency response communities are examined. This…

  2. Agriculture: Critical issues in planning for an effective radiological emergency response

    SciTech Connect

    Bickerton, G.E.

    1995-12-31

    This paper highlights the significant agricultural issues involved in an effective emergency response to radiation accidents. Topics included are the following: planning for ingestion exercises; ingestion pathway exercise issues of concern; recovering from an emergency - the critical issues often not sufficently address in an exercise including social, political and economic.

  3. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China.

    PubMed

    Duan, Weili; He, Bin

    2015-07-10

    In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency.

  4. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China

    PubMed Central

    Duan, Weili; He, Bin

    2015-01-01

    In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency. PMID:26184260

  5. The computer emergency response team system (CERT-System)

    SciTech Connect

    Schultz, E.E.

    1991-10-11

    This paper describes CERT-System, an international affiliation of computer security response teams. Formed after the WANK and OILZ worms attacked numerous systems connected to the Internet, an operational charter was signed by representatives of 11 response teams. This affiliation's purpose is to provide a forum for ideas about incident response and computer security, share information, solve common problems, and develop strategies for responding to threats, incidents, etc. The achievements and advantages of participation in CERT-System are presented along with suggested growth areas for this affiliation. The views presented in this paper are the views of one member, and do not necessarily represent the views of others affiliated with CERT-System.

  6. Business Responses to Climate Change. Identifying Emergent Strategies

    SciTech Connect

    Kolk, A.; Pinkse, J.

    2005-07-01

    Companies face much uncertainty about the competitive effects of the recently adopted Kyoto Protocol on global climate change and the current and future regulations that may emerge from it. Companies have considerable discretion to explore different market strategies to address global warming and reduce greenhouse gas emissions. This article examines these strategic options by reviewing the market-oriented actions that are currently being taken by 136 large companies that are part of the Global 500. There are six different market strategies that companies use to address climate change and that consist of different combinations of the market components available to managers. Managers can choose between more emphasis on improvements in their business activities through innovation or employ compensatory approaches such as emissions trading. They can either act by themselves or work with other companies, NGOs, or (local) governments.

  7. The use of vaccination in emergency animal disease responses.

    PubMed

    Williams, Rob

    2007-01-01

    The author discusses the potential of vaccination to assist in the management and eradication of emergency animal diseases (EADs), as a complementary measure to either minimise the scale of, or to avoid, stamping out. Vaccination is only one of many tools available for disease control, especially for EADs. The decision on whether to use a vaccine in the face of an outbreak can be controversial, as policy-makers in the United Kingdom found during the foot and mouth disease outbreak in 2001. The advantages, disadvantages and limitations of using vaccination are discussed, as are strategies for EAD vaccination and the importance of contingency planning. The author identifies the potential for vaccines to lead to various problems, including encouraging genetic drift in field strains of pathogens, the risk of reassortment with naturally occurring pathogens, or the creation of a carrier state in an infected animal.

  8. Are archetypes transmitted or emergent? A response to Christian Roesler.

    PubMed

    Martin-Vallas, François

    2013-04-01

    In this paper the author argues that Jung's concept of archetype should not be reduced to an univocal definition. Jung himself proposed many definitions of this concept, some of them being partially or totally contradictory to others. A univocal and logical way of thinking can lead us to refute and reject part of those definitions, but a complex way of thinking, as proposed by Edgar Morin or Roy Bhaskar for example, can allow us to consider that those apparent contradictions in Jung's definitions of archetype reflect the complexity of the psychic reality. The main argument of the author is that Jung was missing the epistemological concept of emergence (which appeared in science at the time of his death) and that he tried to express it with the epistemological concepts of his time.

  9. Indian Point Nuclear Power Station: verification analysis of County Radiological Emergency-Response Plans

    SciTech Connect

    Nagle, J.; Whitfield, R.

    1983-05-01

    This report was developed as a management tool for use by the Federal Emergency Management Agency (FEMA) Region II staff. The analysis summarized in this report was undertaken to verify the extent to which procedures, training programs, and resources set forth in the County Radiological Emergency Response Plans (CRERPs) for Orange, Putnam, and Westchester counties in New York had been realized prior to the March 9, 1983, exercise of the Indian Point Nuclear Power Station near Buchanan, New York. To this end, a telephone survey of county emergency response organizations was conducted between January 19 and February 22, 1983. This report presents the results of responses obtained from this survey of county emergency response organizations.

  10. Notification: Audit of Region 6's Emergency and Rapid Response Services Contracts

    EPA Pesticide Factsheets

    Project #OA-FY13-0046, March 20, 2013. The Office of Inspector General plans to begin the fieldwork phase of our audit of Region 6’s management of the Emergency and Rapid Response Services contracts.

  11. 77 FR 25500 - Standard on Hazardous Waste Operations and Emergency Response (HAZWOPER); Extension of the Office...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-30

    ... Occupational Safety and Health Administration Standard on Hazardous Waste Operations and Emergency Response (HAZWOPER); Extension of the Office of Management and Budget's (OMB) Approval of Information Collection... Office of Management and Budget's (OMB) approval of the information collection requirements specified...

  12. Rapid Educational Response in Complex Emergencies: A Discussion Document.

    ERIC Educational Resources Information Center

    Aguilar, Pilar; Retamal, Gonzalo

    On-going political and economic instability impede access to regular education for large numbers of war-affected children and young adults. This brochure represents an effort to consolidate a systematic response to the special needs of children from the outset of the crisis until they can attend regular basic education. Attempts are made to ensure…

  13. Uses of the Internet in post-emergency response: Some issues

    SciTech Connect

    Herzenberg, C.L.

    1998-09-01

    Can the Internet be of value in post-emergency response? The answer is yes, to judge by its use following the Kobe earthquake in Japan and the ice storms in the US and Canada last winter. This will not be a technical account of the Internet, but rather a quick look at some advantages, disadvantages, promising applications, and issues that may arise in using the Internet for post-emergency response.

  14. Demand responsive programs - an emerging resource for competitive electricity markets?

    SciTech Connect

    Heffner, Grayson C. Dr.; Goldman, Charles A.

    2001-06-25

    The restructuring of regional electricity markets in the U.S. has been accompanied by numerous problems, including generation capacity shortages, transmission congestion, wholesale price volatility, and reduced system reliability. These problems have created significant new opportunities for technologies and business approaches that allow load serving entities and other aggregators, to control and manage the load patterns of their wholesale or retail end-users. These technologies and business approaches for manipulating end-user load shapes are known as Load Management or, more recently, Demand Responsive programs. Lawrence Berkeley National Laboratory (LBNL) is conducting case studies on innovative demand responsive programs and presents preliminary results for five case studies in this paper. These case studies illustrate the diversity of market participants and range of technologies and business approaches and focus on key program elements such as target markets, market segmentation and participation results; pricing scheme; dispatch and coordination; measurement, verification, and settlement; and operational results where available.

  15. The Americans with Disabilities Act and Emergency Preparedness and Response

    DTIC Science & Technology

    2010-06-30

    Disability ( NCD ), the Interagency Coordinating Council on Preparedness and Individuals with Disabilities, and other federal, state, local, and tribal...not coordinated with NCD as required by the Act, which could result in disability-related concerns not being fully addressed.”27 The National Council...Council on Disability ( NCD ), an independent federal agency responsible for gathering information on the development and implementation of federal laws

  16. Automating Hyperspectral Data for Rapid Response in Volcanic Emergencies

    NASA Technical Reports Server (NTRS)

    Davies, Ashley G.; Doubleday, Joshua R.; Chien, Steve A.

    2013-01-01

    In a volcanic emergency, time is of the essence. It is vital to quantify eruption parameters (thermal emission, effusion rate, location of activity) and distribute this information as quickly as possible to decision-makers in order to enable effective evaluation of eruption-related risk and hazard. The goal of this work was to automate and streamline processing of spacecraft hyperspectral data, automate product generation, and automate distribution of products. Visible and Short-Wave Infrared Images of volcanic eruption in Iceland in May 2010." class="caption" align="right">The software rapidly processes hyperspectral data, correcting for incident sunlight where necessary, and atmospheric transmission; detects thermally anomalous pixels; fits data with model black-body thermal emission spectra to determine radiant flux; calculates atmospheric convection thermal removal; and then calculates total heat loss. From these results, an estimation of effusion rate is made. Maps are generated of thermal emission and location (see figure). Products are posted online, and relevant parties notified. Effusion rate data are added to historical record and plotted to identify spikes in activity for persistently active eruptions. The entire process from start to end is autonomous. Future spacecraft, especially those in deep space, can react to detection of transient processes without the need to communicate with Earth, thus increasing science return. Terrestrially, this removes the need for human intervention.

  17. Subjective responses and cardiovascular effects of self-administered cocaine in cocaine-abusing men and women.

    PubMed

    Lynch, Wendy J; Kalayasiri, Rasmon; Sughondhabirom, Atapol; Pittman, Brian; Coric, Vladimir; Morgan, Peter T; Malison, Robert T

    2008-09-01

    This study aimed to examine sex differences in cocaine self-administration and cocaine-induced subjective and cardiovascular measures. The research was based on secondary analysis of data collected in our human laboratory in which subjects self-administered cocaine infusions (8, 16 and 32 mg/70 kg) over a 2-hour period under a fixed ratio 1, 5 minute time out schedule in three test sessions. Subjects were 10 women and 21 men with a history of either cocaine abuse or dependence who were not currently seeking treatment. Women and men self-administered similar amounts of cocaine. None of the subjective effects measures showed a significant main effect of sex during the cocaine self-administration session. Significant interactions were observed for subjective ratings of 'high' (sex x time) and 'stimulated' (sex x time x dose), with women reporting lower ratings over time/doses than men. Relative to men, cocaine produced dose- and time-dependent increases in feelings of hunger (i.e., reduced appetite suppression) in women. Systolic and diastolic blood pressures showed different patterns of change in men and women, with women showing less robust cocaine-induced increases than men. Taken together, these findings suggest that women and men may differ in their subjective and cardiovascular responses to self-administered cocaine. Further research that prospectively controls for hormonal influences upon these measures is needed.

  18. Emergency response planning to reduce the impact of contaminated drinking water during natural disasters

    NASA Astrophysics Data System (ADS)

    Patterson, Craig L.; Adams, Jeffrey Q.

    2011-12-01

    Natural disasters can be devastating to local water supplies affecting millions of people. Disaster recovery plans and water industry collaboration during emergencies protect consumers from contaminated drinking water supplies and help facilitate the repair of public water systems. Prior to an event, utilities and municipalities can use "What if"? scenarios to develop emergency operation, response, and recovery plans designed to reduce the severity of damage and destruction. Government agencies including the EPA are planning ahead to provide temporary supplies of potable water and small drinking water treatment technologies to communities as an integral part of emergency response activities that will ensure clean and safe drinking water.

  19. Child Sexual Abuse

    MedlinePlus

    ... for pornography is also sexual abuse. Most sexual abusers know the child they abuse. They may be ... friends, neighbors or babysitters. About one-third of abusers are related to the child. Most abusers are ...

  20. Fetal Abuse.

    ERIC Educational Resources Information Center

    Kent, Lindsey; And Others

    1997-01-01

    Five cases of fetal abuse by mothers suffering from depression are discussed. Four of the women had unplanned pregnancies and had considered termination of the pregnancy. Other factors associated with fetal abuse include pregnancy denial, pregnancy ambivalence, previous postpartum depression, and difficulties in relationships. Vigilance for…

  1. A Vision-Based Emergency Response System with a Paramedic Mobile Robot

    NASA Astrophysics Data System (ADS)

    Jeong, Il-Woong; Choi, Jin; Cho, Kyusung; Seo, Yong-Ho; Yang, Hyun Seung

    Detecting emergency situation is very important to a surveillance system for people like elderly live alone. A vision-based emergency response system with a paramedic mobile robot is presented in this paper. The proposed system is consisted of a vision-based emergency detection system and a mobile robot as a paramedic. A vision-based emergency detection system detects emergency by tracking people and detecting their actions from image sequences acquired by single surveillance camera. In order to recognize human actions, interest regions are segmented from the background using blob extraction method and tracked continuously using generic model. Then a MHI (Motion History Image) for a tracked person is constructed by silhouette information of region blobs and model actions. Emergency situation is finally detected by applying these information to neural network. When an emergency is detected, a mobile robot can help to diagnose the status of the person in the situation. To send the mobile robot to the proper position, we implement mobile robot navigation algorithm based on the distance between the person and a mobile robot. We validate our system by showing emergency detection rate and emergency response demonstration using the mobile robot.

  2. A national census of ambulance response times to emergency calls in Ireland

    PubMed Central

    Breen, N.; Woods, J.; Bury, G.; Murphy, A.; Brazier, H.

    2000-01-01

    Background—Equity of access to appropriate pre-hospital emergency care is a core principle underlying an effective ambulance service. Care must be provided within a timeframe in which it is likely to be effective. A national census of response times to emergency and urgent calls in statutory ambulance services in Ireland was undertaken to assess current service provision. Methods—A prospective census of response times to all emergency and urgent calls was carried out in the nine ambulance services in the country over a period of one week. The times for call receipt, activation, arrival at and departure from scene and arrival at hospital were analysed. Crew type, location of call and distance from ambulance base were detailed. The type of incident leading to the call was recorded but no further clinical information was gathered. Results—2426 emergency calls were received by the services during the week. Fourteen per cent took five minutes or longer to activate (range 5–33%). Thirty eight per cent of emergencies received a response within nine minutes (range 10–47%). Only 4.5% of emergency calls originating greater than five miles from an ambulance station were responded to within nine minutes (range 0–10%). Median patient care times for "on call" crews were three times longer than "on duty" crews. Conclusion—Without prioritised use of available resources, inappropriately delayed responses to critical incidents will continue. Recommendations are made to improve the effectiveness of emergency medical service utilisation. PMID:11104237

  3. Renaissance CFO emerges in response to market pressures.

    PubMed

    1995-08-01

    A 1995 survey of chief financial officers (CFOs) in healthcare organizations finds that as the healthcare industry reshapes itself through mergers, acquisitions, and downsizing, the CFOs of the mid-1990s also are reshaping themselves into "Renaissance CFOs." They are acquiring new skills and expertise beyond the traditional area of finance. About one-third of the CFOs who took part in the February 1995 survey, which updates similar surveys in 1992 and 1990, said they are working to enhance their knowledge of managed care because they expect to assume responsibility for managed care as part of their expanding CFO responsibilities. Other new areas survey respondents said they expect to oversee before the decade's end are financial costing and pricing and physician relations. The 1995 CFO survey was commissioned by HFMA and Executive Risk Management Associates, Inc., and was conducted by Elrick & Lavidge, Inc. Previous CFO profile surveys have included analysis of CFO compensation data. This year, however, a separate, more indepth survey of CFO compensation was commissioned by HFMA; the findings of this survey will be presented in the October issue of HFM.

  4. Airborne remote sensing for Deepwater Horizon oil spill emergency response

    NASA Astrophysics Data System (ADS)

    Kroutil, Robert T.; Shen, Sylvia S.; Lewis, Paul E.; Miller, David P.; Cardarelli, John; Thomas, Mark; Curry, Timothy; Kudaraskus, Paul

    2010-08-01

    On April 28, 2010, the Environmental Protection Agency's (EPA) Airborne Spectral Photometric Environmental Collection Technology (ASPECT) aircraft was deployed to Gulfport, Mississippi to provide airborne remotely sensed air monitoring and situational awareness data and products in response to the Deepwater Horizon oil rig disaster. The ASPECT aircraft was released from service on August 9, 2010 after having flown over 75 missions that included over 250 hours of flight operation. ASPECT's initial mission responsibility was to provide air quality monitoring (i.e., identification of vapor species) during various oil burning operations. The ASPECT airborne wide-area infrared remote sensing spectral data was used to evaluate the hazard potential of vapors being produced from open water oil burns near the Deepwater Horizon rig site. Other significant remote sensing data products and innovations included the development of an advanced capability to correctly identify, locate, characterize, and quantify surface oil that could reach beaches and wetland areas. This advanced identification product provided the Incident Command an improved capability to locate surface oil in order to improve the effectiveness of oil skimmer vessel recovery efforts directed by the US Coast Guard. This paper discusses the application of infrared spectroscopy and multispectral infrared imagery to address significant issues associated with this national crisis. More specifically, this paper addresses the airborne remote sensing capabilities, technology, and data analysis products developed specifically to optimize the resources and capabilities of the Deepwater Horizon Incident Command structure personnel and their remediation efforts.

  5. Using Geo-Data Corporately on the Response Phase of Emergency Management

    NASA Astrophysics Data System (ADS)

    Demir Ozbek, E.; Ates, S.; Aydinoglu, A. C.

    2015-08-01

    Response phase of emergency management is the most complex phase in the entire cycle because it requires cooperation between various actors relating to emergency sectors. A variety of geo-data is needed at the emergency response such as; existing data provided by different institutions and dynamic data collected by different sectors at the time of the disaster. Disaster event is managed according to elaborately defined activity-actor-task-geodata cycle. In this concept, every activity of emergency response is determined with Standard Operation Procedure that enables users to understand their tasks and required data in any activity. In this study, a general conceptual approach for disaster and emergency management system is developed based on the regulations to serve applications in Istanbul Governorship Provincial Disaster and Emergency Directorate. The approach is implemented to industrial facility explosion example. In preparation phase, optimum ambulance locations are determined according to general response time of the ambulance to all injury cases in addition to areas that have industrial fire risk. Management of the industrial fire case is organized according to defined actors, activities, and working cycle that describe required geo-data. A response scenario was prepared and performed for an industrial facility explosion event to exercise effective working cycle of actors. This scenario provides using geo-data corporately between different actors while required data for each task is defined to manage the industrial facility explosion event. Following developing web technologies, this scenario based approach can be effective to use geo-data on the web corporately.

  6. Bethesda hospitals' emergency preparedness partnership: a model for transinstitutional collaboration of emergency responses.

    PubMed

    Henderson, David K; Malanoski, Michael P; Corapi, Gene; Passamani, Eugene; Notobartolo, Cynthia; Gillette, Chris; Hawes, Patricia; Lee, Laura M

    2009-10-01

    The events of September 11, 2001 identified a need for health care institutions to develop flexible, creative, and adaptive response mechanisms in the event of a local, regional, or national disaster. The 3 major health care institutions in Bethesda, MD-the National Naval Medical Center (NNMC), the Suburban Hospital Healthcare System (SHHS), and the National Institutes of Health Clinical Center (NIHCC)-have created a preparedness partnership that outstrips what any of the institutions could provide independently by pooling complementary resources. The creation of the partnership initially was driven by geographic proximity and by remarkably complementary resources. This article describes the creation of the partnership, the drivers and obstacles to creation, and the functioning and initial accomplishments of the partnership. The article argues that similar proximity and resource relationships exist among institutions at academic centers throughout the United States and suggests that this partnership may serve as a template for other similarly situated institutions.

  7. Integrating international responses to complex emergencies, unconventional war, and terrorism.

    PubMed

    Burkle, Frederick M

    2005-01-01

    The world is experiencing unprecedented violence and threats of violence, taking the form of complex internal nation-state conflicts, unconventional or guerrilla warfare against established governments, and stateless threats of terrorism by potential biologic, chemical, and nuclear weapons. What happens locally has immediate ramifications internationally. Real and potential health consequences of these events have evoked global concerns and realization that capacities and capabilities to respond to such events require unparalleled integration, coordination, and cooperation of the international community. However, politics and the institutions singular governments form are inherently limited in their objectives and capability to effectively respond. Public health, broadly defined, must be recognized as a security and strategic requirement, one that serves to build a foundation for an international integrated response capacity.

  8. Cumulative childhood maltreatment and its dose-response relation with adult symptomatology: Findings in a sample of adult survivors of sexual abuse.

    PubMed

    Steine, Iris M; Winje, Dagfinn; Krystal, John H; Bjorvatn, Bjørn; Milde, Anne Marita; Grønli, Janne; Nordhus, Inger Hilde; Pallesen, Ståle

    2017-03-01

    In the present study, we examined the role of cumulative childhood maltreatment experiences for several health related outcomes in adulthood, including symptoms of psychological distress as well as perceived social support and hardiness. The sample comprised adult survivors of sexual abuse (N=278, 95.3% women, mean age at first abusive incident=6.4 years). One-way ANOVAs revealed a statistically significant dose-response relation between cumulative childhood maltreatment scores and self-reported symptoms of posttraumatic stress (PTSS), anxiety, depression, eating disorders, dissociation, insomnia, nightmare related distress, physical pain, emotional pain, relational problems, self-harm behaviors as well as on a measure of symptom complexity. Cumulative childhood maltreatment was also associated with lower levels of work functioning. An inverse dose-response relation was found for perceived social support and hardiness. Using a Bonferroni corrected alpha level, cumulative childhood maltreatment remained significantly associated with all outcome measures with the exception of eating disorder symptoms after controlling for abuse-related independent variables in hierarchical regression analyses. Results add to previous literature by showing that dose-response relation between cumulative childhood adversities and adult symptom outcomes could also be identified in a sample characterized by high exposure to adversities, and lends support to the notion put forth by previous authors that cumulative childhood adversities seem to be related to the severity of adult health outcomes in a rule-governed way.

  9. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS PLANNING Federal Participation § 352.26 Arrangements for... from commercial nuclear power plant licensees to State and local governments and to surrounding...

  10. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS PLANNING Federal Participation § 352.26 Arrangements for... from commercial nuclear power plant licensees to State and local governments and to surrounding...

  11. Proper oxygen use can help save lives in initial medical emergency response.

    PubMed

    Starr, L M

    1993-03-01

    For many people who deal with medical emergencies--some human resource managers, emergency team administrators, CPR and first aid instructors, EMTs, nurses and physicians--the topic of oxygen use by nonmedical responders at the workplace is poorly understood. Workplace emergency response administrators may find it helpful to become familiar with the current emergency medical literature and learn that the previous literature may no longer apply. Furthermore, fear that use of emergency oxygen by nonmedical responders is "playing doctor," and will lead to some imagined uncontrollable catastrophe is based on statistically and medically unfounded misinformation. As is the case with many uncertain events, the perception of risk is unrelated to the actual risk. Refusing to allow appropriately trained nonmedical responders to use reliable emergency oxygen when it is available is a potentially grave error and makes emergency care in the workplace less efficient and valuable. There are many cases of workplace injury or illness in which oxygen use is not only appropriate but may help save a patient's life. Ensuring that the proper emergency oxygen equipment is available where appropriate and properly training personnel are responsible for first aid can, in some cases, lessen the severity of workplace illness and injury incidents.

  12. 78 FR 33467 - Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-04

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

  13. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    SciTech Connect

    Not Available

    1992-06-01

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses ``lessons learned`` from the response to the accident and suggests areas where improvements might be made.

  14. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    SciTech Connect

    Not Available

    1992-06-01

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses lessons learned'' from the response to the accident and suggests areas where improvements might be made.

  15. LEADERS: Lightweight Epidemiology Advanced Detection and Emergency Response System

    NASA Astrophysics Data System (ADS)

    Ritter, Todd A.

    2002-06-01

    Technological advancements in molecular biology now offer a wide-range of applications for bio-warfare defense, medical surveillance, agricultural surveillance and pure research. Idaho Technology has designed and produced the world's fastest DNA-based identifiers. The R.A.P.I.D. TM (Ruggedized Advanced Pathogen Identification Device) provides several options for using sensitive and specific molecular biology-based technology One of the key features of the RAPID is a software package called Detector*. Detector* allows Minimally Trained Care Providers (MTCP) to operate the instrument by automating the steps of running PCR and automatically analyzing the sample data. Pathogen identification is carried out automatically using positive and negative controls to protect against false positive and false negative results. As part of the LEADER system, the Remote RAPID Viewer (RRV) component allows for real-time remote monitoring of PCR reactions run on the RAPID, thus giving the Subject Matter Expert (SME) the ability to request specific tests when triggered by the auto-analysis system. In addition the RRV component facilitates in result verification of tests run by MTCP, assists in tracking outbreaks, and helps coordinate large scale real-time crisis management. The system will allow access to epidemiological data from thin client (i.e. web browser), thus allowing the SME to connect from anywhere with an internet connection. In addition the LEADER system will automatically contact and alert SME when threshold criteria are met, helping reduce the time to first response.

  16. Immune response in pemphigus and beyond: progresses and emerging concepts.

    PubMed

    Di Zenzo, Giovanni; Amber, Kyle T; Sayar, Beyza S; Müller, Eliane J; Borradori, Luca

    2016-01-01

    Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are two severe autoimmune bullous diseases of the mucosae and/or skin associated with autoantibodies directed against desmoglein (Dsg) 3 and/or Dsg1. These two desmosomal cadherins, typifying stratified epithelia, are components of cell adhesion complexes called desmosomes and represent extra-desmosomal adhesion receptors. We herein review the advances in our understanding of the immune response underlying pemphigus, including human leucocyte antigen (HLA) class II-associated genetic susceptibility, characteristics of pathogenic anti-Dsg antibodies, antigenic mapping studies as well as findings about Dsg-specific B and T cells. The pathogenicity of anti-Dsg autoantibodies has been convincingly demonstrated. Disease activity and clinical phenotype correlate with anti-Dsg antibody titers and profile while passive transfer of anti-Dsg IgG from pemphigus patients' results in pemphigus-like lesions in neonatal and adult mice. Finally, adoptive transfer of splenocytes from Dsg3-knockout mice immunized with murine Dsg3 into immunodeficient mice phenotypically recapitulates PV. Although the exact pathogenic mechanisms leading to blister formation have not been fully elucidated, intracellular signaling following antibody binding has been found to be necessary for inducing cell-cell dissociation, at least for PV. These new insights not only highlight the key role of Dsgs in maintenance of tissue homeostasis but are expected to progressively change pemphigus management, paving the way for novel targeted immunologic and pharmacologic therapies.

  17. GIS-based emergency response system for sudden water pollution accidents

    NASA Astrophysics Data System (ADS)

    Rui, Yikang; Shen, Dingtao; Khalid, Shoaib; Yang, Zaigui; Wang, Jiechen

    The frequent occurrence of sudden water pollution accidents brings enormous risks to water environment safety. Therefore, there is great need for the modeling and development of early warning systems and rapid response procedures for current water pollution situation in China. This paper proposes an emergency response system based on the integration of Geographic Information System (GIS) technology and a hydraulic/water-quality model. Using the spatial analysis and three-dimensional visualization capabilities of GIS technology, we calculated pollutant diffusion measures, and visualized and analyzed the simulation results, in order to provide the services of early warning and emergency response for sudden water pollution accidents in the Xiangjia Dam area on the Yangtze River. The results show that the proposed system offers reliable technological support for emergency response to sudden water pollution events, and it shows good potential for wide applications in various aspects of water resources protection.

  18. Substance Abuse Treatment, HIV/AIDS, and the Continuum of Response for People Who Inject Drugs

    PubMed Central

    Kresina, Thomas F.; Lubran, Robert; Clark, H. Westley; Cheever, Laura W.

    2012-01-01

    The continuum of response (CoR) to HIV/AIDS is a framework for implementation of HIV prevention, care, and treatment programs based on a national strategic plan for HIV/AIDS services. The CoR for people who inject drugs (PWID) is an important extension of the developed CoR to HIV/AIDS. The CoR-PWID employs stakeholders who together plan, develop, pilot, and provide a full range of services that address the various prevention, care/support, and treatment needs of people, families, and communities infected or affected by HIV/AIDS and injection drug use. The CoR-PWID comprises a broad range of services that include but are not limited to the World Health Organization priority interventions for HIV/AIDS prevention, treatment, and care in the health sector and the package of essential interventions for the prevention, treatment, and care of HIV for people who inject drugs. Implementation of these well-defined, essential prevention, care/support, and treatment services, in addition to locally defined needed services, in a coordinated fashion is important to clients, their families, and communities. The CoR-PWID is, therefore, a necessary framework essential for service development for countries that address HIV/AIDS in populations of PWID. PMID:23243517

  19. Coordinating a Team Response to Behavioral Emergencies in the Emergency Department: A Simulation-Enhanced Interprofessional Curriculum

    PubMed Central

    Wong, Ambrose H.; Wing, Lisa; Weiss, Brenda; Gang, Maureen

    2015-01-01

    Introduction While treating potentially violent patients in the emergency department (ED), both patients and staff may be subject to unintentional injury. Emergency healthcare providers are at the greatest risk of experiencing physical and verbal assault from patients. Preliminary studies have shown that a team-based approach with targeted staff training has significant positive outcomes in mitigating violence in healthcare settings. Staff attitudes toward patient aggression have also been linked to workplace safety, but current literature suggests that providers experience fear and anxiety while caring for potentially violent patients. The objectives of the study were (1) to develop an interprofessional curriculum focusing on improving teamwork and staff attitudes toward patient violence using simulation-enhanced education for ED staff, and (2) to assess attitudes towards patient aggression both at pre- and post-curriculum implementation stages using a survey-based study design. Methods Formal roles and responsibilities for each member of the care team, including positioning during restraint placement, were predefined in conjunction with ED leadership. Emergency medicine residents, nurses and hospital police officers were assigned to interprofessional teams. The curriculum started with an introductory lecture discussing de-escalation techniques and restraint placement as well as core tenets of interprofessional collaboration. Next, we conducted two simulation scenarios using standardized participants (SPs) and structured debriefing. The study consisted of a survey-based design comparing pre- and post-intervention responses via a paired Student t-test to assess changes in staff attitudes. We used the validated Management of Aggression and Violence Attitude Scale (MAVAS) consisting of 30 Likert-scale questions grouped into four themed constructs. Results One hundred sixty-two ED staff members completed the course with >95% staff participation, generating a total of

  20. Project plan, Hazardous Materials Management and Emergency Response Training Center: Project 95L-EWT-100

    SciTech Connect

    Borgeson, M.E.

    1994-11-09

    The Hazardous Materials Management and Emergency Response (HAMMER) Training Center will provide for classroom lectures and hands-on practical training in realistic situations for workers and emergency responders who are tasked with handling and cleanup of toxic substances. The primary objective of the HAMMER project is to provide hands-on training and classroom facilities for hazardous material workers and emergency responders. This project will also contribute towards complying with the planning and training provisions of recent legislation. In March 1989 Title 29 Code of Federal Regulations Occupational Safety and Health Administration 1910 Rules and National Fire Protection Association Standard 472 defined professional requirements for responders to hazardous materials incidents. Two general types of training are addressed for hazardous materials: training for hazardous waste site workers and managers, and training for emergency response organizations.

  1. Medical and radiological aspects of emergency preparedness and response at SevRAO facilities.

    PubMed

    Savkin, M N; Sneve, M K; Grachev, M I; Frolov, G P; Shinkarev, S M; Jaworska, A

    2008-12-01

    Regulatory cooperation between the Norwegian Radiation Protection Authority and the Federal Medical Biological Agency (FMBA) of the Russian Federation has the overall goal of promoting improvements in radiation protection in Northwest Russia. One of the projects in this programme has the objectives to review and improve the existing medical emergency preparedness capabilities at the sites for temporary storage of spent nuclear fuel and radioactive waste. These are operated by SevRAO at Andreeva Bay and in Gremikha village on the Kola Peninsula. The work is also intended to provide a better basis for regulation of emergency response and medical emergency preparedness at similar facilities elsewhere in Russia. The purpose of this paper is to present the main results of that project, implemented by the Burnasyan Federal Medical Biophysical Centre. The first task was an analysis of the regulatory requirements and the current state of preparedness for medical emergency response at the SevRAO facilities. Although Russian regulatory documents are mostly consistent with international recommendations, some distinctions lead to numerical differences in operational intervention criteria under otherwise similar conditions. Radiological threats relating to possible accidents, and related gaps in the regulation of SevRAO facilities, were also identified. As part of the project, a special exercise on emergency medical response on-site at Andreeva Bay was prepared and carried out, and recommendations were proposed after the exercise. Following fruitful dialogue among regulators, designers and operators, special regulatory guidance has been issued by FMBA to account for the specific and unusual features of the SevRAO facilities. Detailed sections relate to the prevention of accidents, and emergency preparedness and response, supplementing the basic Russian regulatory requirements. Overall it is concluded that (a) the provision of medical and sanitary components of emergency

  2. Scaling up the predator functional response in heterogeneous environment: when Holling type III can emerge?

    PubMed

    Cordoleani, Flora; Nerini, David; Morozov, Andrey; Gauduchon, Mathias; Poggiale, Jean-Christophe

    2013-11-07

    Accurate parametrization of functional terms in model equations is of great importance for reproducing the dynamics of real food webs. Constructing models over large spatial and temporal scales using mathematical expressions obtained based on microcosm experiments can be erroneous. Here, using a generic spatial predator-prey model, we show that scaling up the microscale functional response of a predator can result in qualitative alterations of functional response on macroscales. In particular, a global functional response of sigmoid type (Holling type III) can emerge as a result of non-linear averaging of non-sigmoid local responses (Holling type I or II). We demonstrate that alteration between the local and the global response in the model is a result of the interplay between density-dependent dispersal of the predator across the habitat and heterogeneity of the environment. Using the method of aggregation of variables, we analytically derive the mathematical formulation of the global functional response as a function of the total amount of prey in the system, and reveal the key parameters which control the emergence of a Holling type III global response. We argue that this mechanism by which a global Holling type III emerges from a local Holling type II response has not been reported in the literature yet: in particular, Holling type III can emerge in the case of a fixed gradient of resource distribution across the habitat, which would be impossible in priorly suggested mechanisms. As a case study, we consider the interaction between phytoplankton and zooplankton grazers in the water column; and we show that the emergence of a Holling type III global response can allow for the efficient top-down regulation of primary producers and stabilization of planktonic ecosystems under eutrophic conditions.

  3. Drug abuse

    MedlinePlus

    ... 5th ed. Arlington, VA: American Psychiatric Publishing. 2013. Weiss RD. Drugs of abuse. In: Goldman L, ... Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the ...

  4. Abusive Relationships

    MedlinePlus

    ... Break Up Respectfully Abuse Sexual Harassment and Sexual Bullying Love and Romance Getting Over a Break-Up Dealing With Bullying Posttraumatic Stress Disorder Sexual Attraction and Orientation Teens ...

  5. Survey of state and tribal emergency response capabilities for radiological transportation incidents

    SciTech Connect

    Vilardo, F J; Mitter, E L; Palmer, J A; Briggs, H C; Fesenmaier, J

    1990-05-01

    This publication is the final report of a project to survey the fifty states, the District of Columbia, Puerto Rico, and selected Indian Tribal jurisdictions to ascertain their emergency-preparedness planning and capabilities for responding to transportation incidents involving radioactive materials. The survey was conducted to provide the Nuclear Regulatory Commission and other federal agencies with information concerning the current level of emergency-response preparedness of the states and selected tribes and an assessment of the changes that have occurred since 1980. There have been no major changes in the states' emergency-response planning strategies and field tactics. The changes noted included an increased availability of dedicated emergency-response vehicles, wider availability of specialized radiation-detection instruments, and higher proportions of police and fire personnel with training in the handling of suspected radiation threats. Most Indian tribes have no capability to evaluate suspected radiation threats and have no formal relations with emergency-response personnel in adjacent states. For the nation as a whole, the incidence of suspected radiation threats declined substantially from 1980 to 1988. 58 tabs.

  6. A next generation electronic triage to aid mass casualty emergency medical response.

    PubMed

    Gao, Tia; White, D

    2006-01-01

    For years, emergency medical response communities have relied upon paper triage tags, clipboards of notes, and voice communications to share information during medical emergencies. This workflow, however, has proven labor intensive, time consuming, and prone to human error [1]. In collaboration with three EMS groups in the Washington, DC Metropolitan area, we have developed a next generation triage system to improve the effectiveness of emergency response. This system includes: 1) electronic triage tags, 2) wearable vital sign sensors, 3) base stations laptops to monitor and manage patients, 4) pervasive tracking software to locate patients at all stages of the disaster response process, and 5) PDAs to support documentation and communication. Our system has evolved through three iterations of rapid-development, field-studies, usability reviews, and focus-group interview. This paper summarizes engineering considerations for technologies that must operate under constraints of medical emergencies. It is our hope that the lessons reported in this paper will help technologists in developing future emergency response systems.

  7. Understanding "elder abuse and neglect": a critique of assumptions underpinning responses to the mistreatment and neglect of older people.

    PubMed

    Harbison, Joan; Coughlan, Stephen; Beaulieu, Marie; Karabanow, Jeff; Vanderplaat, Madine; Wildeman, Sheila; Wexler, Ezra

    2012-04-01

    This article provides an overview of the ways in which the mistreatment and neglect of older people have come to be understood as a social problem, one which is underpinned by a variety of substantive and theoretical assumptions. It connects the process of conceptualizing elder abuse and neglect to political-economic and social evolution. The authors draw on a review of the literature, government sources, interest group websites, and their own research to provide a critical commentary illustrating how these understandings have become manifest in legislation, policies, and programs pertaining to "elder abuse and neglect" in Canada. Suggestions are provided for changes in direction for policies, programs, and research.

  8. Aminorex poisoning in cocaine abusers.

    PubMed

    Karch, Steven B; Mari, Francesco; Bartolini, Viola; Bertol, Elisabetta

    2012-07-26

    Levamisole is found in more than 80% of illicit cocaine seized within United States borders. Percentages are somewhat lower in Europe. In 2009, controlled in vivo studies demonstrated that horses metabolize levamisole to aminorex. Earlier this year our laboratory demonstrated that the same conversion occurs in man. Levamisole itself causes aplastic anemia and numerous reports have begun to appear in the literature, but the conversion of levamisole to aminorex is of much more concern. Aminorex ingestion was responsible for a five-year epidemic (1967-1972) of idiopathic pulmonary hypertension (IPH) confined to Switzerland, Austria, and Germany, the only countries where aminorex had been marketed as an anorectic. The incidence of IPH reverted to normal levels as soon as aminorex was withdrawn. In most cases onset of symptoms in IPH began after six to nine months of aminorex use, with average dosage ranges of 10 to 40 mg per day. The outcome was almost uniformly fatal. The conversion rate of levamisole to aminorex has not been established, but given the high daily intake of cocaine by many abusers, it seems likely that many of them will have ingested enough contaminated cocaine to ultimately cause IPH. Until the disease is well established, the symptoms of IHP are vague, and existing drug registries specifically exclude drug abusers, making it difficult to track these cases. This review is intended to draw attention to what may be a slowly emerging new epidemic.

  9. Rainfall intensity-duration thresholds for postfire debris-flow emergency-response planning

    USGS Publications Warehouse

    Cannon, S.H.; Boldt, E.M.; Laber, J.L.; Kean, J.W.; Staley, D.M.

    2011-01-01

    Following wildfires, emergency-response and public-safety agencies can be faced with evacuation and resource-deployment decisions well in advance of coming winter storms and during storms themselves. Information critical to these decisions is provided for recently burned areas in the San Gabriel Mountains of southern California. A compilation of information on the hydrologic response to winter storms from recently burned areas in southern California steeplands is used to develop a system for classifying magnitudes of hydrologic response. The four-class system describes combinations of reported volumes of individual debris flows, consequences of debris flows and floods in an urban setting, and spatial extents of the hydrologic response. The range of rainfall conditions associated with different magnitude classes is defined by integrating local rainfall data with the response magnitude information. Magnitude I events can be expected when within-storm rainfall accumulations (A) of given durations (D) fall above the threshold A = 0.4D0.5 and below A = 0.5D0.6 for durations greater than 1 h. Magnitude II events will be generated in response to rainfall accumulations and durations between A = 0.4D0.5 and A = 0.9D0.5 for durations less than 1 h, and between A = 0.5D0.6 and A = 0.9D0.5 or durations greater than 1 h. Magnitude III events can be expected in response to rainfall conditions above the threshold A = 0.9D0.5. Rainfall threshold-magnitude relations are linked with potential emergency-response actions as an emergency-response decision chart, which leads a user through steps to determine potential event magnitudes and identify possible evacuation and resource-deployment levels. Use of this information in planning and response decision-making process could result in increased safety for both the public and emergency responders. ?? 2011 US Government.

  10. Ongoing efforts to improve the international nuclear and radiological emergency response.

    PubMed

    Ugletveit, Finn; Molhoek, Wim

    2004-01-01

    It is recognised that states, through the development of a consistent, coherent and sustainable joint programme for improved and more efficient international responses to nuclear and radiological emergencies, could achieve a better and more cost-effective response capability. Enhanced efforts by IAEA member states and the IAEA secretariat to improve the implementation of the Convention on Early Notification of a Nuclear Accident and the Convention on Assistance in Case of a Nuclear Accident or Radiological Emergency have been initiated, establishing a national competent authority coordination group (NCACG) and a long-term action plan for the work.

  11. The leaking tank car on TC-4. [Industry and government response to hazardous material emergencies

    SciTech Connect

    Not Available

    1982-07-01

    Most hazardous waste spills are taken care of by the industries directly involved. U.S. EPA's Emergency Response Program encourages industry and the States to take all possible countermeasures without federal intervention.An example is given of an incident involving a leak of approximately one ton of sulfur dioxide from a tank car in Kansas. What might have been a serious problem was controlled successfully by a railroad environmental emergency response team with no injuries to the team personnel or to the community. (JMT)

  12. SAVANNAH RIVER SITE CAPABILITIES FOR CONDUCTING INGESTION PATHWAY CONSEQUENCE ASSESSMENTS FOR EMERGENCY RESPONSE

    SciTech Connect

    Hunter, C

    2007-12-11

    Potential airborne releases of radioactivity from facilities operated for the U. S. Department of Energy at the Savannah River Site could pose significant consequences to the public through the ingestion pathway. The Savannah River National Laboratory has developed a suite of technologies needed to conduct assessments of ingestion dose during emergency response, enabling emergency manager at SRS to develop initial protective action recommendation for state agencies early in the response and to make informed decisions on activation of additional Federal assets that would be needed to support long-term monitoring and assessment activities.

  13. A Coordinated Emergency Response: A Color Dust Explosion at a 2015 Concert in Taiwan

    PubMed Central

    Yang, Chih-Ching

    2016-01-01

    In June 2015, nearly 500 concert attendees suffered injuries from smoke inhalation and severe burns following a color-dust explosion at a waterpark in Taiwan. We report on the progressions of the incident and government responses, share cross-departmental mobilization and case management lessons, and reflect on clinical and complex policy issues emerged. The timely and coordinated emergency responses, a high-quality universal health care system, and dedicated clinicians voluntarily working overtime resulted in an unprecedented 2.4% mortality rate (international statistics predicted 26.8%). PMID:27459446

  14. Preparedness and emergency response research centers: using a public health systems approach to improve all-hazards preparedness and response.

    PubMed

    Leinhos, Mary; Qari, Shoukat H; Williams-Johnson, Mildred

    2014-01-01

    In 2008, at the request of the Centers for Disease Control and Prevention (CDC), the Institute of Medicine (IOM) prepared a report identifying knowledge gaps in public health systems preparedness and emergency response and recommending near-term priority research areas. In accordance with the Pandemic and All-Hazards Preparedness Act mandating new public health systems research for preparedness and emergency response, CDC provided competitive awards establishing nine Preparedness and Emergency Response Research Centers (PERRCs) in accredited U.S. schools of public health. The PERRCs conducted research in four IOM-recommended priority areas: (1) enhancing the usefulness of public health preparedness and response (PHPR) training, (2) creating and maintaining sustainable preparedness and response systems, (3) improving PHPR communications, and (4) identifying evaluation criteria and metrics to improve PHPR for all hazards. The PERRCs worked closely with state and local public health, community partners, and advisory committees to produce practice-relevant research findings. PERRC research has generated more than 130 peer-reviewed publications and nearly 80 practice and policy tools and recommendations with the potential to significantly enhance our nation's PHPR to all hazards and that highlight the need for further improvements in public health systems.

  15. A Response to Commentary on Faust, Bridges, and Ahern's (2009) "Methods for the Identification of Sexually Abused Children"

    ERIC Educational Resources Information Center

    Ahern, David C.; Bridges, Ana J.; Faust, David

    2012-01-01

    Our series of three chapters (Faust, Bridges, & Ahern, 2009a, 2009b; Bridges, Faust, & Ahern, 2009) on the methodology of identifying sexually abused children elicited a number of comments, both supportive and critical. The criticisms appear related to three primary issues or apparent misconceptions of our work, perhaps due in part to incomplete…

  16. Akt inhibition improves irinotecan treatment and prevents cell emergence by switching the senescence response to apoptosis

    PubMed Central

    Vétillard, Alexandra; Jonchère, Barbara; Moreau, Marie; Toutain, Bertrand; Henry, Cécile; Fontanel, Simon; Bernard, Anne-Charlotte; Campone, Mario; Guette, Catherine; Coqueret, Olivier

    2015-01-01

    Activated in response to chemotherapy, senescence is a tumor suppressive mechanism that induces a permanent loss of proliferation. However, in response to treatment, it is not really known how cells can escape senescence and how irreversible or incomplete this pathway is. We have recently described that cells that escape senescence are more transformed than non-treated parental cells, they resist anoikis and rely on Mcl-1. In this study, we further characterize this emergence in response to irinotecan, a first line treatment used in colorectal cancer. Our results indicate that Akt was activated as a feedback pathway during the early step of senescence. The inhibition of the kinase prevented cell emergence and improved treatment efficacy, both in vitro and in vivo. This improvement was correlated with senescence inhibition, p21waf1 downregulation and a concomitant activation of apoptosis due to Noxa upregulation and Mcl-1 inactivation. The inactivation of Noxa prevented apoptosis and increased the number of emergent cells. Using either RNA interference or p21waf1-deficient cells, we further confirmed that an intact p53-p21-senescence pathway favored cell emergence and that its downregulation improved treatment efficacy through apoptosis induction. Therefore, although senescence is an efficient suppressive mechanism, it also generates more aggressive cells as a consequence of apoptosis inhibition. We therefore propose that senescence-inducing therapies should be used sequentially with drugs favoring cell death such as Akt inhibitors. This should reduce cell emergence and tumor relapse through a combined induction of senescence and apoptosis. PMID:26485768

  17. The changing career of "elder abuse and neglect" as a social problem in Canada: learning from feminist frameworks?

    PubMed

    Harbison, J

    2000-01-01

    ABSTRACT "Elder Abuse and Neglect" was constructed as a social problem by experts and has largely been a product of "expert" knowledge building and intervention. The idea of woman abuse as a social problem, on the other hand, originated with women themselves. The paper examines the changing social context in which some older people are currently seeking ownership of responses to mistreatment. It explores emerging criticisms of present constructions of "elder abuse and neglect" and the needs they imply, and links these to feminist frameworks. It then considers the appeal and utility of these frameworks for older women active in the fight against mistreatment.

  18. Child Sexual Abuse

    MedlinePlus

    ... Enter ZIP code here Enter ZIP code here Child Sexual Abuse Public This section is for Veterans, General Public, Family, & Friends Child Sexual Abuse What is child sexual abuse? Child sexual abuse ...

  19. Psychological Abuse among College Women in Exclusive Heterosexual Dating Relationship.

    ERIC Educational Resources Information Center

    Pipes, Randolph B.; LeBov-Keeler, Karen

    1997-01-01

    Identifies possible predictors of psychological abuse in nonmarital heterosexual romantic relationships. Responses from 175 undergraduate women reveal 11% claiming psychological abuse as well as more instances of partner behaviors characteristic of psychological abuse. Abused individuals were more likely to have lower self-esteem, had parents'…

  20. Child Abuse among Children with Disabilities: Implications for Special Educators.

    ERIC Educational Resources Information Center

    Pearson, Suzanne

    1996-01-01

    This discussion of child abuse in children with disabilities focuses on teachers' rights and responsibilities for reporting abuse and the need to overcome barriers to reporting abuse. Recommendations to protect teachers from unwarranted allegations of abuse are also given, including creating an open classroom environment, distinguishing between…

  1. Environmental Protection Agency (EPA) airborne gamma spectrometry system for environmental and emergency response surveys

    NASA Astrophysics Data System (ADS)

    Cardarelli, John, II; Thomas, Mark; Curry, Timothy

    2010-08-01

    The EPA Airborne Spectral Photometric Environmental Collection Technology (ASPECT) Program provides airborne ortho-rectified imagery, video, chemical and now radiological information directly to emergency response personnel via a commercial satellite link onboard the aircraft. EPA initiated the ASPECT Gamma Emergency Mapper GEM Project in 2008 to improve its airborne gamma-screening and mapping capability for monitoring any ground-based gamma contamination. This paper will provide an overview of the system, which can be configured to carry six 2"x4"x16" NaI(Tl) detectors and two 3"x3" LaBr3(Ce) detectors or eight 2"x4"x16" NaI(Tl) detectors. The paper will provide an overview of the analysis of gamma radiation spectra, system limitations, and emergency response applications.

  2. The Umbra Simulation and Integration Framework Applied to Emergency Response Training

    NASA Technical Reports Server (NTRS)

    Hamilton, Paul Lawrence; Britain, Robert

    2010-01-01

    The Mine Emergency Response Interactive Training Simulation (MERITS) is intended to prepare personnel to manage an emergency in an underground coal mine. The creation of an effective training environment required realistic emergent behavior in response to simulation events and trainee interventions, exploratory modification of miner behavior rules, realistic physics, and incorporation of legacy code. It also required the ability to add rich media to the simulation without conflicting with normal desktop security settings. Our Umbra Simulation and Integration Framework facilitated agent-based modeling of miners and rescuers and made it possible to work with subject matter experts to quickly adjust behavior through script editing, rather than through lengthy programming and recompilation. Integration of Umbra code with the WebKit browser engine allowed the use of JavaScript-enabled local web pages for media support. This project greatly extended the capabilities of Umbra in support of training simulations and has implications for simulations that combine human behavior, physics, and rich media.

  3. International Space Station Environmental Control and Life Support Emergency Response Verification for Node 1

    NASA Technical Reports Server (NTRS)

    Williams, David E.

    2008-01-01

    The International Space Station (ISS) Node 1 Environmental Control and Life Support (ECLS) System is comprised of five subsystems: Atmosphere Control and Supply (ACS), Atmosphere Revitalization (AR), Fire Detection and Suppression (FDS), Temperature and Humidity Control (THC), and Water Recovery and Management (WRM). This paper provides a summary of the Node 1 Emergency Response capability, which includes nominal and off-nominal FDS operation, off nominal ACS operation, and off-nominal THC operation. These subsystems provide the capability to help aid the crew members during an emergency cabin depressurization, a toxic spill, or a fire. The paper will also provide a discussion of the detailed Node 1 ECLS Element Verification methodologies for operation of the Node 1 Emergency Response hardware operations utilized during the Qualification phase.

  4. Response trees for detection, diagnosis, and treatment of emergency conditions at the LOFT facility

    SciTech Connect

    Nelson, W.R.

    1980-01-01

    A technique for detecting, diagnosing, and treating emergency conditions has been developed at the LOFT facility. A response tree is a pictorial representation of many different cooling modes which can be used to cool the reactor core. A comprehensive methodology is being developed which will assist the reactor operator in choosing the correct cooling mode, monitoring its performance, and selecting an alternate mode when required. The technique will be implemented using a computer to monitor system status and evaluate the response trees.

  5. National Training Course. Emergency Medical Technician. Paramedic. Instructor's Lesson Plans. Module I. The Emergency Medical Technician, His Role, Responsibility, and Training.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    This instructor's lesson plan guide is one of fifteen modules designed for use in the training of emergency medical technicians (EMT). Four units are presented: (1) role of the EMT, including the operation of an emerging medical services system; (2) the laws relevant to EMTs functioning in the field; (3) activities and responsibilities of an EMT…

  6. New drugs of abuse.

    PubMed

    Rech, Megan A; Donahey, Elisabeth; Cappiello Dziedzic, Jacqueline M; Oh, Laura; Greenhalgh, Elizabeth

    2015-02-01

    Drug abuse is a common problem and growing concern in the United States, and over the past decade, novel or atypical drugs have emerged and have become increasingly popular. Recognition and treatment of new drugs of abuse pose many challenges for health care providers due to lack of quantitative reporting and routine surveillance, and the difficulty of detection in routine blood and urine analyses. Furthermore, street manufacturers are able to rapidly adapt and develop new synthetic isolates of older drugs as soon as law enforcement agencies render them illegal. In this article, we describe the clinical and adverse effects and purported pharmacology of several new classes of drugs of abuse including synthetic cannabinoids, synthetic cathinones, salvia, desomorphine, and kratom. Because many of these substances can have severe or life-threatening adverse effects, knowledge of general toxicology is key in recognizing acute intoxication and overdose; however, typical toxidromes (e.g., cholinergic, sympathomimetic, opioid, etc.) are not precipitated by many of these agents. Medical management of patients who abuse or overdose on these drugs largely consists of supportive care, although naloxone may be used as an antidote for desomorphine overdose. Symptoms of aggression and psychosis may be treated with sedation (benzodiazepines, propofol) and antipsychotics (haloperidol or atypical agents such as quetiapine or ziprasidone). Other facets of management to consider include treatment for withdrawal or addiction, nutrition support, and potential for transmission of infectious diseases.

  7. Anti-Addiction Meds Given in ER Can Help Battle Abuse

    MedlinePlus

    ... Services. More Health News on: Emergency Medical Services Opioid Abuse and Addiction Recent Health News Related MedlinePlus Health Topics Emergency Medical Services Opioid Abuse and Addiction About MedlinePlus Site Map FAQs Customer Support Get ...

  8. Emergency Preparedness and Response in the School Setting--The Role of the School Nurse. Position Statement

    ERIC Educational Resources Information Center

    Tuck, Christine M.; Haynie, Kathey; Davis, Catherine

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) provides leadership in all phases of emergency preparedness and response. School nurses are a vital part of the school team responsible for developing emergency response procedures for the…

  9. Radiation release and health effects lessons from the Three Mile Island accident. Application to emergency response planning

    SciTech Connect

    Mynatt, F.R.; Berger, C.D.

    1980-11-21

    The Three Mile Island-2 accident and the ORNL response are discussed briefly. Three documents are reviewed in relation to emergency response planning for the Zimmer Nuclear Plant: NUREG-0610, NUREG-0654, and the Sequoyah emergency response plan. Distribution of potassium iodide tablets is not recommended. (DLC)

  10. Preparing Emergency Physicians for Acute Disaster Response: A Review of Current Training Opportunities in the US.

    PubMed

    Hansoti, Bhakti; Kellogg, Dylan S; Aberle, Sara J; Broccoli, Morgan C; Feden, Jeffrey; French, Arthur; Little, Charles M; Moore, Brooks; Sabato, Joseph; Sheets, Tara; Weinberg, R; Elmes, Pat; Kang, Christopher

    2016-12-01

    Study Objective This study aimed to review available disaster training options for health care providers, and to provide specific recommendations for developing and delivering a disaster-response-training program for non-disaster-trained emergency physicians, residents, and trainees prior to acute deployment.

  11. Emotional Intelligence in Library Disaster Response Assistance Teams: Which Competencies Emerged?

    ERIC Educational Resources Information Center

    Wilkinson, Frances C.

    2015-01-01

    This qualitative study examines the relationship between emotional intelligence competencies and the personal attributes of library disaster response assistance team (DRAT) members. Using appreciative inquiry protocol to conduct interviews at two academic libraries, the study presents findings from emergent thematic coding of interview…

  12. INVESTIGATION OF OPEN-PATH FTIR FOR FAST DEPLOYMENT EMERGENCY RESPONSE TO CHEMICAL THREATS AND ACCIDENTS.

    EPA Science Inventory

    We have performed a series of experiments to determine the tradeoff in detection sensitivity for implementing design features for an Open-Path Fourier Transform Infrared (OP-FTIR) chemical analyzer that would be quick to deploy under emergency response conditions. The fast-deplo...

  13. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...; economic and long-term environmental analyses; economic impact assessment of RCRA and CERCLA regulations... supports Regions and States in the implementation of the CERCLA and RCRA enforcement programs. The Office... Regions in implementing emergency and remedial response program plans; (8) Maintaining liaison...

  14. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...; economic and long-term environmental analyses; economic impact assessment of RCRA and CERCLA regulations... supports Regions and States in the implementation of the CERCLA and RCRA enforcement programs. The Office... Regions in implementing emergency and remedial response program plans; (8) Maintaining liaison...

  15. An Evacuation Emergency Response Model Coupling Atmospheric Release Advisory Capability Output.

    DTIC Science & Technology

    1983-01-10

    concentration contours coupled with the SMI evacuation model were calculated by using the MATHEW and ADPIC codes. The evacuation emergency response...2 M ATH EW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2 ADPIC ...CDC 7600 computer within a matter of minutes MATHEW and ADPIC codes. These two models after the computer center is notified, are described briefly

  16. 29 CFR 1926.65 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false Hazardous waste operations and emergency response. 1926.65 Section 1926.65 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Occupational Health and Environmental Controls §...

  17. 29 CFR 1926.65 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false Hazardous waste operations and emergency response. 1926.65 Section 1926.65 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Occupational Health and Environmental Controls §...

  18. 29 CFR 1926.65 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Hazardous waste operations and emergency response. 1926.65 Section 1926.65 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Occupational Health and Environmental Controls §...

  19. 29 CFR 1910.120 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 5 2011-07-01 2011-07-01 false Hazardous waste operations and emergency response. 1910.120 Section 1910.120 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials § 1910.120 Hazardous waste operations and...

  20. 29 CFR 1910.120 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 5 2013-07-01 2013-07-01 false Hazardous waste operations and emergency response. 1910.120 Section 1910.120 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials § 1910.120 Hazardous waste operations and...

  1. 29 CFR 1910.120 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 5 2010-07-01 2010-07-01 false Hazardous waste operations and emergency response. 1910.120 Section 1910.120 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials § 1910.120 Hazardous waste operations and...

  2. 29 CFR 1910.120 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 5 2012-07-01 2012-07-01 false Hazardous waste operations and emergency response. 1910.120 Section 1910.120 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials § 1910.120 Hazardous waste operations and...

  3. 29 CFR 1926.65 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false Hazardous waste operations and emergency response. 1926.65 Section 1926.65 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Occupational Health and Environmental Controls §...

  4. 29 CFR 1926.65 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 8 2011-07-01 2011-07-01 false Hazardous waste operations and emergency response. 1926.65 Section 1926.65 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Occupational Health and Environmental Controls §...

  5. 29 CFR 1910.120 - Hazardous waste operations and emergency response.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 5 2014-07-01 2014-07-01 false Hazardous waste operations and emergency response. 1910.120 Section 1910.120 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials § 1910.120 Hazardous waste operations and...

  6. [The responsibility of the emergency service physician and patient consent to treatment and hospitalization].

    PubMed

    Wiernikowski, A; Szczepanek, M

    1997-01-01

    Amenability of emergency service physician for the treatment given without patient consent has been presented in the study. Depending on circumstances it can be penal, civil, disciplinary and professional responsibility. The study has been annotated with current legal and ethical rules, which should be not only commonly known to physicians but also respected to avoid legal consequences.

  7. Brief Report: Effects of Tact Training on Emergent Intraverbal Vocal Responses in Adolescents with Autism

    ERIC Educational Resources Information Center

    May, Richard J.; Hawkins, Emma; Dymond, Simon

    2013-01-01

    The present study evaluated the emergence of intraverbal responses following tact training with three adolescents diagnosed with autism spectrum disorders. Participants were taught to tact the name of a cartoon character (e.g., "What is the name of this monster?" ["Simon"]) and that character's preferred food (e.g., "What food does this monster…

  8. 14 CFR 431.45 - Mishap investigation plan and emergency response plan.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... shall also submit an emergency response plan (ERP) that contains procedures for informing the affected public of a planned RLV mission. An acceptable ERP satisfies the requirements of paragraph (e) of this section. The MIP and ERP shall be signed by an individual authorized to sign and certify the...

  9. 14 CFR 431.45 - Mishap investigation plan and emergency response plan.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... shall also submit an emergency response plan (ERP) that contains procedures for informing the affected public of a planned RLV mission. An acceptable ERP satisfies the requirements of paragraph (e) of this section. The MIP and ERP shall be signed by an individual authorized to sign and certify the...

  10. 14 CFR 431.45 - Mishap investigation plan and emergency response plan.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... shall also submit an emergency response plan (ERP) that contains procedures for informing the affected public of a planned RLV mission. An acceptable ERP satisfies the requirements of paragraph (e) of this section. The MIP and ERP shall be signed by an individual authorized to sign and certify the...

  11. 76 FR 72431 - Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-23

    ... Plans and Preparedness in Support of Nuclear Power Plants, NUREG-0654/FEMA-REP-1, Supplement 4 and FEMA... Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants,'' NUREG-0654/FEMA... Program Manual). Supplement 4 is a joint document issued by FEMA and the Nuclear Regulatory...

  12. Work Scope for Developing Standards for Emergency Preparedness and Response: Fiscal Year 2004 Final Report

    SciTech Connect

    Stenner, Robert D.

    2005-09-28

    Summarizes the fiscal year 2004 work completed on PNNL's Department of Homeland Security Emergency Preparedness and Response Standards Development Project. Also, the report includes key draft standards, in various stages of development and publication, that were associated with various tasks of the fiscal year 2004 scope of the project.

  13. A Quantitative Assessment of the Factors that Influence Technology Acceptance in Emergency Response

    ERIC Educational Resources Information Center

    Seiter, Thomas C.

    2012-01-01

    Traditional models for studying user acceptance and adoption of technology focused on the factors that identify and tested the relationships forged between the user and the technology in question. In emergency response, implementing technology without user acceptance may affect the safety of the responders and citizenry. Integrating the factors…

  14. 76 FR 23810 - Public Safety and Homeland Security Bureau; Federal Advisory Committee Act; Emergency Response...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-28

    ... advises interested persons that the FCC Emergency Response Interoperability Center Public Safety Advisory....fullano@fcc.gov (e-mail); or Brian Hurley, Deputy Designated Federal Official for PSAC at (202) 418-2220 (voice) or brian.hurley@fcc.gov (e-mail). SUPPLEMENTARY INFORMATION: The PSAC is a Federal...

  15. Crisis and Response: The Emergence of Modern Jewish Politics in Russia.

    ERIC Educational Resources Information Center

    Ritterband, Paul

    This collection of documents examines the response of the Jewish people--primarily in Russia but also in the West--to the sociological and political crises of Tsarist Russia between the years 1800 and 1914. It emphasizes in particular the emergence and interaction of the two ideologies which formulated the most radical solutions to the Jewish…

  16. A Guide to Performing Reinspections under the Asbestos Hazard Emergency Response Act (AHERA).

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC. Office of Pollution Prevention and Toxics.

    Under the Asbestos Hazard Emergency Response Act (AHERA), the United States Environmental Protection Agency (EPA) requires each elementary and secondary school to perform an inspection for asbestos-containing building material (ACBM) and to prepare an asbestos management plan. The AHERA regulations further require a reinspection of the ACBM at…

  17. Community emergency response to nuclear power plant accidents: A selected and partially annotated bibliography

    SciTech Connect

    Youngen, G.

    1988-10-01

    The role of responding to emergencies at nuclear power plants is often considered the responsibility of the personnel onsite. This is true for most, if not all, of the incidents that may happen during the course of the plant`s operating lifetime. There is however, the possibility of a major accident occurring at anytime. Major nuclear accidents at Chernobyl and Three Mile Island have taught their respective countries and communities a significant lesson in local emergency preparedness and response. Through these accidents, the rest of the world can also learn a great deal about planning, preparing and responding to the emergencies unique to nuclear power. This bibliography contains books, journal articles, conference papers and government reports on emergency response to nuclear power plant accidents. It does not contain citations for ``onsite`` response or planning, nor does it cover the areas of radiation releases from transportation accidents. The compiler has attempted to bring together a sampling of the world`s collective written experience on dealing with nuclear reactor accidents on the sate, local and community levels. Since the accidents at Three Mile Island and Chernobyl, that written experience has grown enormously.

  18. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ORGANIZATION AND GENERAL INFORMATION Headquarters § 1.47 Office of Solid Waste and Emergency Response. The...; economic and long-term environmental analyses; economic impact assessment of RCRA and CERCLA regulations; analyses of alternative technologies and trends; and cost-benefit analyses and development of...

  19. Functional design criteria for the Hazardous Materials Management and Emergency Response (HAMMER) Training Center. Revision 1

    SciTech Connect

    Sato, P.K.

    1995-03-10

    Within the United States, there are few hands-on training centers capable of providing integrated technical training within a practical application environment. Currently, there are no training facilities that offer both radioactive and chemical hazardous response training. There are no hands-on training centers that provide training for both hazardous material operations and emergency response that also operate as a partnership between organized labor, state agencies, tribes, and local emergency responders within the US Department of Energy (DOE) complex. Available facilities appear grossly inadequate for training the thousands of people at Hanford, and throughout the Pacific Northwest, who are required to qualify under nationally-mandated requirements. It is estimated that 4,000 workers at the Hanford Site alone need hands-on training. Throughout the Pacific Northwest, the potential target audience would be over 30,000 public sector emergency response personnel, as well as another 10,000 clean-up workers represented by organized labor. The HAMMER Training Center will be an interagency-sponsored training center. It will be designed, built, and operated to ensure that clean-up workers, fire fighters, and public sector management and emergency response personnel are trained to handle accidental spills of hazardous materials. Training will cover wastes at clean-up sites, and in jurisdictions along the transportation corridors, to effectively protect human life, property, and the environment.

  20. NOAA's National Geodetic Survey Utilization of Aerial Sensors for Emergency Response Efforts

    NASA Technical Reports Server (NTRS)

    White, Stephen

    2007-01-01

    Remote Sensing Division has a Coastal Mapping program and a Airport Survey program and research and development that support both programs. NOAA/NGS/RSD plans to acquire remotely sensed data to support the agency's homeland security and emergency response requirements.

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

    PubMed Central

    Vielot, Nadja A.; Horney, Jennifer A.

    2014-01-01

    Some jurisdictions have reduced workforce and reallocated responsibilities for public health preparedness and emergency management to more efficiently use resources and improve planning and response. Key informant interviews were conducted in six counties in North Carolina (USA) to discuss perceptions of the challenges and opportunities provided by the new shared positions. Respondents feel that planning and response have improved, but that requirements related to activities or equipment that are eligible for funding (particularly on the public health side) can present an impediment to consolidating public health preparedness and emergency management roles. As the financial resources available for public health preparedness and emergency management continue to be reduced, the merging of the roles and responsibilities of public health preparedness and emergency management may present jurisdictions with an effective alternative to reducing staff, and potentially, readiness. PMID:24619123

  2. Ongoing incestuous abuse during adulthood.

    PubMed

    Middleton, Warwick

    2013-01-01

    Individual cases of adult incestuous abuse have surfaced repeatedly in the lay and professional literature of the past 1.5 centuries without it occasioning systematic investigation, such as the reporting of a case series of individuals subjected to such extreme abuse. Yet substantial numbers of patients with dissociative identity disorder at the time of presentation report incestuous abuse continuing into the adult years, and for many the abuse is ongoing. Data relating to a series of 10 such incestuously abused women are presented. These patients were sexually abused from a very early age (typically from before age 3), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment. Shame and fear were also used to ensure compliance and silence. The women, when able to speak of it, describe the induction by their paternal abuser of orgasm at an early age, typically around the age of 6. The women have high indices of self-harm and suicidality and are prone to placing themselves in dangerous reenactment scenarios. The average duration of incestuous abuse for this group of women was 31 years, and the average estimate of total episodes of sexual abuse was 3,320. Most women do not feel that they own their body and experience being "fused" to their father. Their mother was reported as an active participant in the sexual abuse or as having done nothing to protect their daughter despite seeing obvious evidence of incest. The fathers, despite a propensity to use or threaten violence, were generally outwardly productively employed, financially comfortable, and stably married and half had close church involvement. However, suicide and murder occurred within the 1st- or 2nd-degree relatives of these women at a high frequency. All 10 had been sexually abused by various groupings of individuals connected to their fathers.

  3. Declarative memory in abused and neglected infants.

    PubMed

    Cheatham, Carol L; Larkina, Marina; Bauer, Patricia J; Toth, Sheree L; Cicchetti, Dante

    2010-01-01

    adaptive to develop exceptional event memory so as to avoid the events that lead to abuse. Mechanisms of plasticity are responsible for the laying down of memories (Aimone, Wiles, & Gage, 2006). Thus, the higher performance seen in the abused group could be related to a preservation of brain plasticity that facilitates resilience in the face of poverty, stress, and/or trauma. Plasticity in the brains of the neglected children may be lost due to the lack of stimulation, leaving them more vulnerable to the stress of poverty and neglect. In conclusion, maltreated children have often been studied as a single group. However, it is becoming clear from research conducted by our group and others that the subtypes of maltreatment may have different developmental sequelae. It is important that we understand the differential pathways involved in the development of abused versus neglected children. As discussed in other chapters of this volume, the imitation paradigm has emerged as a valuable tool in the identification of at-risk infants and toddlers. With the data reported here, it is evident that data from the elicited imitation procedure utilized herein differentiates between the subtypes of maltreatment. Research must be conducted to further elucidate the correlates of resilience in toddlers who have been abused. A longitudinal investigation would enable investigation of the questions of continuity of the observed increase in imitative behavior and whether increased imitation has a detrimental social effect while exerting a bolstering cognitive effect.

  4. Utility of the cumulative stress and mismatch hypotheses in understanding the neurobiological impacts of childhood abuse and recent stress in youth with emerging mental disorder.

    PubMed

    Paquola, Casey; Bennett, Maxwell R; Hatton, Sean N; Hermens, Daniel F; Lagopoulos, Jim

    2017-03-03

    Childhood abuse has an enduring impact on the brain's stress system. Whether the effects of childhood abuse and adulthood stress are additive (cumulative stress hypothesis) or interactive (mismatch hypothesis) is widely disputed, however. The primary aim of this study was to test the utility of the cumulative stress and mismatch hypotheses in understanding brain and behaviour. We recruited 64 individuals (aged 14-26) from a specialised clinic for assessment and early intervention of mental health problems in young people. A T1-weighted MRI, a resting state fMRI and clinical assessment were acquired from each participant. Grey matter estimates and resting state functional connectivity (rsFC) of the hippocampus, amygdala and anterior cingulate cortex (ACC) were determined using segmentation and seed-to-voxel rsFC analyses. We explored the effects of childhood abuse and recent stress on the structure and function of the regions of interest within general linear models. Worse psychiatric symptoms were significantly related to higher levels of life time stress. Individuals with mismatched childhood and recent stress levels had reduced left hippocampal volume, reduced ACC-ventrolateral prefrontal cortex rsFC and greater ACC-hippocampus rsFC, compared to individuals with matched childhood and recent stress levels. These results show specific utility of the cumulative stress hypothesis in understanding psychiatric symptomatology and of the mismatch hypothesis in modelling hippocampal grey matter, prefrontal rsFC, and prefrontal-hippocampal rsFC. We provide novel evidence for the enduring impact of childhood abuse on stress reactivity in a clinical population, and demonstrate the distinct effects of stress in different systems. Hum Brain Mapp, 2017. © 2017 Wiley Periodicals, Inc.

  5. Military-civilian cooperative emergency response to infectious disease prevention and control in China.

    PubMed

    Ma, Hui; Dong, Ji-Ping; Zhou, Na; Pu, Wei

    2016-01-01

    In recent years, the incidence of severe infectious diseases has increased, and the number of emerging infectious diseases continues to increase. The Chinese government and military forces have paid a great deal of attention to infectious disease prevention and control, and using military-civilian cooperation, they have successfully prevented numerous severe epidemic situations, such as severe acute respiratory syndrome (SARS), influenza A (H1N1), avian influenza H5N1 and H7N9, and Ebola hemorrhagic fever, while actively maintained public health, economic development, and national construction. This paper focuses on the mechanisms of the military-cooperative emergency response to infectious diseases--the joint working mechanism, the information-sharing mechanism, the research collaboration mechanism, and the joint disposal mechanism--and presents a sorted summary of the practices and experiences of cooperative emergency responses to infectious diseases. In the future, the Chinese military and the civilian sector will further strengthen the cooperative joint command system and emergency rescue force and will reinforce their collaborative information-sharing platform and technical equipment system to further improve military-civilian collaborative emergency infectious diseases disposal, advance the level of infectious disease prevention and control, and maintain public health.

  6. Neurobiology of attachment to an abusive caregiver: short-term benefits and long-term costs.

    PubMed

    Perry, Rosemarie; Sullivan, Regina M

    2014-12-01

    Childhood maltreatment is associated with adverse brain development and later life psychiatric disorders, with maltreatment from the caregiver inducing a particular vulnerability to later life psychopathologies. Here we review two complementary rodent models of early life abuse, which are used to examine the infant response to trauma within attachment and the developmental trajectories that lead to later life neurobehavioral deficits. These rodent models include being reared with an abusive mother, and a more controlled attachment-learning paradigm using odor-shock conditioning to produce a new maternal odor. In both of these rodent models, pups learn a strong attachment and preference to the maternal odor. However, both models produce similar enduring neurobehavioral deficits, which emerge with maturation. Importantly, cues associated with our models of abuse serve as paradoxical safety signals, by normalizing enduring neurobehavioral deficits following abuse. Here we review these models and explore implications for human interventions for early life maltreatment.

  7. Abuse of Disabled Children in Ghana

    ERIC Educational Resources Information Center

    Kassah, Alexander Kwesi; Kassah, Bente Lilljan Lind; Agbota, Tete Kobla

    2012-01-01

    Even though disabled children are targets of various forms of abuse, such issues remain mostly undocumented open secrets in many countries including Ghana. The article is based on a qualitative data provided by three key informants. Six stories emerged from the data and are discussed in terms of four main forms of abuse. Labelling theories are…

  8. Eating disorders and sexual abuse.

    PubMed

    Molinari, E

    2001-06-01

    This review examines the current debate on the role that sexual and physical abuse may play in predisposing to eating disorders in women. Despite some discordant opinions, clinicians agree that the experience of abuse in early childhood may be important for understanding the complex genesis of the eating disorders of some women. Three groups of studies are presented: those in which no connections emerge between sexual abuse and eating disorders, those in which a strong link is present and those in which the results refer to a multifactorial interpretative model. Some of the main symptoms, such as reactualization of the trauma, dissociation, personality disorders, pathological relationship with food, distortion of body image, suicide attempts and self-inflicted punishment that victims of abuse and eating disordered subjects share are examined.

  9. Factors responsible for the emergence of arboviruses; strategies, challenges and limitations for their control

    PubMed Central

    Liang, Guodong; Gao, Xiaoyan; Gould, Ernest A

    2015-01-01

    Slave trading of Africans to the Americas, during the 16th to the 19th century was responsible for the first recorded emergence in the New World of two arthropod-borne viruses (arboviruses), yellow fever virus and dengue virus. Many other arboviruses have since emerged from their sylvatic reservoirs and dispersed globally due to evolving factors that include anthropological behaviour, commercial transportation and land-remediation. Here, we outline some characteristics of these highly divergent arboviruses, including the variety of life cycles they have developed and the mechanisms by which they have adapted to evolving changes in habitat and host availability. We cite recent examples of virus emergence that exemplify how arboviruses have exploited the consequences of the modern human lifestyle. Using our current understanding of these viruses, we also attempt to demonstrate some of the limitations encountered in developing control strategies to reduce the impact of future emerging arbovirus diseases. Finally, we present recommendations for development by an international panel of experts reporting directly to World Health Organization, with the intention of providing internationally acceptable guidelines for improving emerging arbovirus disease control strategies. Success in these aims should alleviate the suffering and costs encountered during recent decades when arboviruses have emerged from their sylvatic environment. PMID:26038768

  10. Enhancing Emergency Preparedness and Response Systems: Correlates of Collaboration Between Local Health Departments and School Districts

    PubMed Central

    Kelley, Melissa M.; O'Keefe, Kaitlin; Arrington, Katharine D.; Prelip, Michael L.

    2014-01-01

    Objective Collaboration between existing components of the public health system is important for protecting public health and promoting community resilience. We describe the factors that promote collaborative emergency preparedness and response activities between local health departments (LHDs) and school systems. Methods We gathered data from a multistage, stratified random sample of 750 LHDs nationwide. Utilizing a mailed invitation, we recruited respondents to participate in an online questionnaire. We calculated descriptive and inferential statistics. Results The majority of LHDs collaborated with school systems for emergency preparedness and response activities and most indicated they were likely to collaborate in the future. Characteristics of the jurisdiction, general experience and perceptions of collaboration, and characteristics of the preparedness collaboration itself predicted future collaboration. Conclusion Our results help us understand the nature of collaborations between LHDs and school systems on emergency preparedness and response activities, which can be used to identify priority areas for developing successful and sustainable joint efforts in the future. By focusing on the perceived value of collaboration and building on existing non-preparedness partnering, communities can increase the likelihood of ongoing successful LHD-school system emergency preparedness collaborations. PMID:25355981

  11. Resource conflict detection and removal strategy for nondeterministic emergency response processes using Petri nets

    NASA Astrophysics Data System (ADS)

    Zeng, Qingtian; Liu, Cong; Duan, Hua

    2016-09-01

    Correctness of an emergency response process specification is critical to emergency mission success. Therefore, errors in the specification should be detected and corrected at build-time. In this paper, we propose a resource conflict detection approach and removal strategy for emergency response processes constrained by resources and time. In this kind of emergency response process, there are two timing functions representing the minimum and maximum execution time for each activity, respectively, and many activities require resources to be executed. Based on the RT_ERP_Net, the earliest time to start each activity and the ideal execution time of the process can be obtained. To detect and remove the resource conflicts in the process, the conflict detection algorithms and a priority-activity-first resolution strategy are given. In this way, real execution time for each activity is obtained and a conflict-free RT_ERP_Net is constructed by adding virtual activities. By experiments, it is proved that the resolution strategy proposed can shorten the execution time of the whole process to a great degree.

  12. Lessons Learned From Chicago's Emergency Response to Mass Evacuations Caused by Hurricane Katrina

    PubMed Central

    Levin, Elise C.; Mucha, Amy P.; Pelzel, Darlene; Wong, William; Persky, Victoria W.; Hershow, Ronald C.

    2009-01-01

    Objectives. We analyzed the response of the Chicago Department of Public Health with respect to its effectiveness in providing health care to Hurricane Katrina evacuees arriving in the city. Methods. Between September 12 and October 21, 2005, we conducted a real-time qualitative assessment of a medical unit in Chicago's Hurricane Victim Welcome and Relief Center. A semistructured guide was used to interview 33 emergency responders in an effort to identify key operational successes and failures. Results. The medical unit functioned at a relatively high level, primarily as a result of the flexibility, creativity, and dedication of its staff and the presence of strong leadership. Chronic health care services and prescription refills were the most commonly mentioned services provided, and collaboration with a national pharmacy proved instrumental in reconstructing medication histories. The lack of a comprehensive and well-communicated emergency response plan resulted in several preventable inefficiencies. Conclusions. Our findings highlight the need for improved planning for care of evacuee populations after a major emergency event and the importance of ensuring continuity of care for the most vulnerable. We provide an emergency response preparedness checklist for local public health departments. PMID:19197088

  13. Web-based emergency response exercise management systems and methods thereof

    DOEpatents

    Goforth, John W.; Mercer, Michael B.; Heath, Zach; Yang, Lynn I.

    2014-09-09

    According to one embodiment, a method for simulating portions of an emergency response exercise includes generating situational awareness outputs associated with a simulated emergency and sending the situational awareness outputs to a plurality of output devices. Also, the method includes outputting to a user device a plurality of decisions associated with the situational awareness outputs at a decision point, receiving a selection of one of the decisions from the user device, generating new situational awareness outputs based on the selected decision, and repeating the sending, outputting and receiving steps based on the new situational awareness outputs. Other methods, systems, and computer program products are included according to other embodiments of the invention.

  14. Sexual Abuse

    MedlinePlus

    ... bruises, while behavioral indicators are ways victims and abusers act or interact with each other. Some of the indicators listed below can be explained by other causes (e.g. inappropriate or unusual behavior may signal dementia or drug interactions) and no single indicator can be taken ...

  15. Client and responder perceptions of a personal emergency response system: Lifeline.

    PubMed

    Fallis, Wendy M; Silverthorne, Diane; Franklin, Jonathon; McClement, Susan

    2007-01-01

    A mixed methodology mail survey was used to gauge level of customer satisfaction with, and identify issues that may help improve, personal emergency response system service delivery. A total of 1,236 surveys were mailed out to subscribers of Victoria Lifeline (Canada; n = 618) and their designated responders (n = 618). Overall response rate was 50%. Significant predictors of subscriber and responder satisfaction were satisfaction with the service during an emergency and whether expectations of service were met. In addition, for responders, customer service also predicted satisfaction. Thematic analysis of subscriber and responder comments identified the need for improvement in several areas: equipment, cost of the service, training sessions for users, and communication between subscribers and service providers. Although more than 95% of subscribers and responders were satisfied with the service, the findings provide direction to personal emergency response service providers about ways in which their product and service delivery might be enhanced, and underscore the need for research examining the impacts of response systems on family caregivers and public policy regarding community care solutions.

  16. Difficult Airway Response Team: A Novel Quality Improvement Program for Managing Hospital-Wide Airway Emergencies

    PubMed Central

    Mark, Lynette J.; Herzer, Kurt R.; Cover, Renee; Pandian, Vinciya; Bhatti, Nasir I.; Berkow, Lauren C.; Haut, Elliott R.; Hillel, Alexander T.; Miller, Christina R.; Feller-Kopman, David J.; Schiavi, Adam J.; Xie, Yanjun J.; Lim, Christine; Holzmueller, Christine; Ahmad, Mueen; Thomas, Pradeep; Flint, Paul W.; Mirski, Marek A.

    2015-01-01

    Background Difficult airway cases can quickly become emergencies, increasing the risk of life-threatening complications or death. Emergency airway management outside the operating room is particularly challenging. Methods We developed a quality improvement program—the Difficult Airway Response Team (DART)—to improve emergency airway management outside the operating room. DART was implemented by a team of anesthesiologists, otolaryngologists, trauma surgeons, emergency medicine physicians, and risk managers in 2005 at The Johns Hopkins Hospital in Baltimore, Maryland. The DART program had three core components: operations, safety, and education. The operations component focused on developing a multidisciplinary difficult airway response team, standardizing the emergency response process, and deploying difficult airway equipment carts throughout the hospital. The safety component focused on real-time monitoring of DART activations and learning from past DART events to continuously improve system-level performance. This objective entailed monitoring the paging system, reporting difficult airway events and DART activations to a web-based registry, and using in situ simulations to identify and mitigate defects in the emergency airway management process. The educational component included development of a multispecialty difficult airway curriculum encompassing case-based lectures, simulation, and team building/communication to ensure consistency of care. Educational materials were also developed for non-DART staff and patients to inform them about the needs of patients with difficult airways and ensure continuity of care with other providers after discharge. Results Between July 2008 and June 2013, DART managed 360 adult difficult airway events comprising 8% of all code activations. Predisposing patient factors included body mass index > 40, history of head and neck tumor, prior difficult intubation, cervical spine injury, airway edema, airway bleeding, and previous

  17. Hedgehog-responsive mesenchymal clusters direct patterning and emergence of intestinal villi

    PubMed Central

    Walton, Katherine D.; Kolterud, Åsa; Czerwinski, Michael J.; Bell, Michael J.; Prakash, Ajay; Kushwaha, Juhi; Grosse, Ann S.; Schnell, Santiago; Gumucio, Deborah L.

    2012-01-01

    In the adult intestine, an organized array of finger-like projections, called villi, provide an enormous epithelial surface area for absorptive function. Villi first emerge at embryonic day (E) 14.5 from a previously flat luminal surface. Here, we analyze the cell biology of villus formation and examine the role of paracrine epithelial Hedgehog (Hh) signals in this process. We find that, before villus emergence, tight clusters of Hh-responsive mesenchymal cells form just beneath the epithelium. Cluster formation is dynamic; clusters first form dorsally and anteriorly and spread circumferentially and posteriorly. Statistical analysis of cluster distribution reveals a patterned array; with time, new clusters form in spaces between existing clusters, promoting approximately four rounds of villus emergence by E18.5. Cells within mesenchymal clusters express Patched1 and Gli1, as well as Pdgfrα, a receptor previously shown to participate in villus development. BrdU-labeling experiments show that clusters form by migration and aggregation of Hh-responsive cells. Inhibition of Hh signaling prevents cluster formation and villus development, but does not prevent emergence of villi in areas where clusters have already formed. Conversely, increasing Hh signaling increases the size of villus clusters and results in exceptionally wide villi. We conclude that Hh signals dictate the initial aspects of the formation of each villus by controlling mesenchymal cluster aggregation and regulating cluster size. PMID:23019366

  18. Lawrence Livermore National Laboratory Emergency Response Capability 2009 Baseline Needs Assessment Performance Assessment

    SciTech Connect

    Sharry, J A

    2009-12-30

    This document was prepared by John A. Sharry, LLNL Fire Marshal and Division Leader for Fire Protection and was reviewed by Sandia/CA Fire Marshal, Martin Gresho. This document is the second of a two-part analysis of Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2009 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2004 BNA, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures. On October 1, 2007, LLNL contracted with the Alameda County Fire Department to provide emergency response services. The level of service called for in that contract is the same level of service as was provided by the LLNL Fire Department prior to that date. This Compliance Assessment will evaluate fire department services beginning October 1, 2008 as provided by the Alameda County Fire Department.

  19. A stratified response system for the emergency management of the severely injured.

    PubMed Central

    Lloyd, D. A.; Patterson, M.; Robson, J.; Phillips, B.

    2001-01-01

    A decade ago, there were justifiable criticisms of the delivery of emergency care for injured patients in accident and emergency departments in the UK. To address this, a trauma management system was developed in 1991 at Alder Hey Hospital, Liverpool. This includes a trauma team, communication system, management guidelines and quality assurance. On admission to the accident and emergency department, injured patients are triaged to one of three levels of injury severity, and a multidisciplinary team lead by a paediatric surgeon or senior accident and emergency department physician is activated. The level of injury severity determines the composition of the trauma team. A care pathway based on ATLS/APLS principles has been developed. The response process as well patient management are documented and reviewed at a monthly audit meeting. Currently, more than 80% of eligible patients are managed using the trauma system, with an over-triage rate of about 25%. Regular modifications to the trauma system since its inception in 1991 have resulted in an efficient and effective management structure. Stratification of the trauma response has minimised unnecessary use of the multidisciplinary trauma team and ensures that mobilisation and use of hospital staff and resources are tailored to the needs of the injured patient. Although developed in a specialist children's hospital, the system could be adapted for any acute hospital. PMID:11212442

  20. Site-specific emergency response concept plans for the Chemical Stockpile Disposal Program

    SciTech Connect

    Carnes, S.A.

    1989-12-01

    Site-specific emergency response concept plans were developed to help initiate enhanced emergency preparedness for continued storage of the stockpile and the Chemical Stockpile Disposal Program (CSDP) at the eight army installations storing the unitary chemical stockpile -- Aberdeen Proving Ground, Anniston Army Depot, Lexington-Blue Grass Army Depot, Newport Army Ammunition Plant, Pine Bluff Arsenal, Pueblo Depot Activity, Tooele Army Depot, and Umatilla Depot Activity. This document summarizes the emergency response plans for all the sites and highlights similarities and differences among them. Section 2 summarizes site-specific differences in stockpile hazard and risk by showing differences in planning-basis accident categories and distributions of topographical features, meteorological conditions, and populations at risk. Section 3 presents a summary of the methodology used to identify the emergency planning zones for each site and the actual recommended boundaries of those zones for the eight sites. Section 4 identifies feasible and recommended protective actions for the sites and explains reasons for differences in them. Finally, Section 5 notes the dependence of protective action effectiveness on the development and implementation of command and control and warning systems that can be implemented in a timely manner, it also identifies the differences in recommended lead times (i.e., from the onset of an accidental release) needed at the sites for effective implementation of protective actions. 17 refs., 11 figs. , 12 tabs.

  1. Surveillance, detection and response: managing emerging diseases at national and international levels.

    PubMed

    Jebara, K Ben

    2004-08-01

    Globalisation is leading to a rise in the emergence of diseases and the author describes the new challenges that this brings for individual countries and the international community. The paper describes the existing international early warning systems and response mechanisms, discusses the role of international organisations in managing diseases that have the potential for cross-border spread, and underlines the importance of disease surveillance, detection and response at national level. While international collaboration exists in dealing with disease emergency situations, there is a need to develop regional and international contingency plans that can be launched as soon as an emergency situation arises. This will only be possible if there is the political will to tackle problems wherever they occur. The Global Early Warning System, which is a system currently being developed jointly by the Food and Agriculture Organization of the United Nations, the World Organisation for Animal Health and the World Health Organization, could provide an effective framework in which to achieve a higher level of international emergency preparedness.

  2. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.

    PubMed

    Chalwin, R P; Flabouris, A

    2013-09-01

    Efforts are ongoing to improve outcomes from cardiac arrest and medical emergencies. A promising quality improvement modality is use of non-technical skills (NTS) that aim to address human factors through improvements in performance of leadership, communication, situational awareness and decision-making. Originating in the airline industry, NTS training has been successfully introduced into anaesthesia, surgery, emergency medicine and other acute medical specialities. Some aspects of NTS have already achieved acceptance for cardiac arrest teams. Leadership skills are emphasised in advanced life support training and have shown favourable results when employed in simulated and clinical resuscitation scenarios. The application of NTS in medical emergency teams as part of a rapid response system attending medical emergencies is less certain; however, observations of simulations have also shown promise. This review highlights the potential benefits of NTS competency for cardiac arrest teams and, more importantly, medical emergency teams because of the diversity of clinical scenarios encountered. Discussion covers methods to assess and refine NTS and NTS training to optimise performance in the clinical environment. Increasing attention should be applied to yielding meaningful patient and organisational outcomes from use of NTS. Similarly, implementation of any training course should receive appropriate scrutiny to refine team and institutional performance.

  3. Experiences of an Engineer working in Reactor Safety and Emergency Response

    NASA Astrophysics Data System (ADS)

    Osborn, Douglas

    2015-04-01

    The U.S. Department of Energy's Federal Radiological Monitoring and Assessment Center Consequence Management Home Team (FRMAC/CMHT) Assessment Scientist's roles, responsibilities incorporate the FRMAC with other federal, state, and local agencies during a nuclear/radiological emergency. Before the Consequence Management Response Team arrives on-site, the FRMAC/CMHT provides technical and logistical support to the FRMAC and to state, local, and tribal authorities following a nuclear/radiological event. The FRMAC/CMHT support includes analyzing event data, evaluating hazards that relate to protection of the public, and providing event information and data products to protective action decision makers. The Assessment Scientist is the primary scientist responsible for performing calculations and analyses and communicating results to the field during any activation of the FRMAC/CMHT assets. As such, the FRMAC/CMHT Assessment Scientist has a number of different roles and responsibilities to fill depending upon the type of response that is required. Additionally, the Sandia National Laboratories (SNL) Consequence Assessment Team (CAT) Consequence Assessor roles, responsibilities involve hazardous materials operational emergency at SNL New Mexico facilities (SNL/NM) which include loss of control over radioactive, chemical, or explosive hazardous materials. When a hazardous materials operational emergency occurs, key decisions must be made in order to regain control over the hazards, protect personnel from the effects of the hazards, and mitigate impacts on operations, facilities, property, and the environment. Many of these decisions depend in whole or in part on the evaluation of potential consequences from a loss of control over the hazards. As such, the CAT has a number of different roles and responsibilities to fill depending upon the type of response that is required. Primary consequence-based decisions supported by the CAT during a hazardous materials operational

  4. 40 CFR Appendix III to Part 310 - Form: Application for Reimbursement to Local Governments for Emergency Response to Hazardous...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec. 123 III Appendix III to Part 310 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND... Reimbursement to Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec....

  5. 40 CFR Appendix III to Part 310 - Form: Application for Reimbursement to Local Governments for Emergency Response to Hazardous...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec. 123 III Appendix III to Part 310 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND... Reimbursement to Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec....

  6. 40 CFR Appendix III to Part 310 - Form: Application for Reimbursement to Local Governments for Emergency Response to Hazardous...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec. 123 III Appendix III to Part 310 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND... Reimbursement to Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec....

  7. 40 CFR Appendix III to Part 310 - Form: Application for Reimbursement to Local Governments for Emergency Response to Hazardous...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec. 123 III Appendix III to Part 310 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND... Reimbursement to Local Governments for Emergency Response to Hazardous Substance Release Under CERCLA Sec....

  8. Digital detectives and virtual volunteers: Integrating emergent online communities into disaster response operations.

    PubMed

    Griswold, Alisha

    2013-01-01

    The demonstration of altruistic behaviours by disaster survivors, and even those observing emergencies from afar, is well documented. Over the past few decades, government-sponsored crisis planning has evolved to include affiliated volunteer agencies, with a general acknowledgment of the need to plan for unaffiliated or spontaneous volunteers. Just as the understanding of the need for volunteers has grown, so too have the ways in which volunteers are able to donate their time and skills. The popularity of social media networks and online communities provide new ways for the public to get involved in disaster response. Public service agencies should be proactive in investigating these emerging platforms and understanding their impacts during crises. Established methods of integrating on-scene volunteers into post-disaster response operations can be used as templates for creating virtual volunteer programmes.

  9. "Hits" emerge through self-organized coordination in collective response of free agents

    NASA Astrophysics Data System (ADS)

    Chakrabarti, Anindya S.; Sinha, Sitabhra

    2016-10-01

    Individuals in free societies frequently exhibit striking coordination when making independent decisions en masse. Examples include the regular appearance of hit products or memes with substantially higher popularity compared to their otherwise equivalent competitors or extreme polarization in public opinion. Such segregation of events manifests as bimodality in the distribution of collective choices. Here we quantify how apparently independent choices made by individuals result in a significantly polarized but stable distribution of success in the context of the box-office performance of movies and show that it is an emergent feature of a system of noninteracting agents who respond to sequentially arriving signals. The aggregate response exhibits extreme variability amplifying much smaller differences in individual cost of adoption. Due to self-organization of the competitive landscape, most events elicit only a muted response but a few stimulate widespread adoption, emerging as "hits".

  10. Mapping convergence points in the initial emergency response to 9/11.

    PubMed

    Bevc, Christine A; Barlau, Ashly N; Passanante, Nick A

    2009-10-01

    In response to extreme events, researchers have recognised the convergence of volunteers, emergency responders, and other individuals and organisations. In 2000, geographer Paul Routledge presented the concept of convergence spaces as a theoretical means to explain social movements. In applying this concept, this paper explores the geographic space in which organisations and individuals converged immediately following the 11 September 2001 attacks on the World Trade Center. The paper begins to answer the question of whether there were in fact any patterns of convergence among the locations utilised by organisations responding to the attacks. Using data collected from field documents, these geographic locations are mapped over 12 days to help identify possible patterns of clustering. Results of this analysis will begin to provide researchers, policy makers and practitioners with a better understanding of how emergency response evolves geographically following an event.

  11. Emergency Response to and Preparedness for Extreme Weather Events and Environmental Changes in China.

    PubMed

    Wang, Li; Liao, Yongfeng; Yang, Linsheng; Li, Hairong; Ye, Bixiong; Wang, Wuyi

    2016-03-01

    China has achieved impressive rapid economic growth over the past 30 years but accompanied by significant extreme weather events and environmental changes caused by global change and overfast urbanization. Using the absolute hazards index (AHI), we assessed the spatial distribution patterns and related health effects of 4 major extreme natural disasters, including drought, floods (landslides, mudslides), hails, and typhoons from 2000 to 2011 at the provincial level in China. The results showed that (1) central and south China were the most affected by the 4 natural disasters, and north China suffered less; (2) the provinces with higher AHI suffered most from total death, missing people, collapse, and emergently relocated population; (3) the present health emergency response system to disasters in China mainly lacks a multidisciplinary approach. In the concluding section of this article, suggestions on preparedness and rapid response to extreme health events from environmental changes are proposed.

  12. "Hits" emerge through self-organized coordination in collective response of free agents.

    PubMed

    Chakrabarti, Anindya S; Sinha, Sitabhra

    2016-10-01

    Individuals in free societies frequently exhibit striking coordination when making independent decisions en masse. Examples include the regular appearance of hit products or memes with substantially higher popularity compared to their otherwise equivalent competitors or extreme polarization in public opinion. Such segregation of events manifests as bimodality in the distribution of collective choices. Here we quantify how apparently independent choices made by individuals result in a significantly polarized but stable distribution of success in the context of the box-office performance of movies and show that it is an emergent feature of a system of noninteracting agents who respond to sequentially arriving signals. The aggregate response exhibits extreme variability amplifying much smaller differences in individual cost of adoption. Due to self-organization of the competitive landscape, most events elicit only a muted response but a few stimulate widespread adoption, emerging as "hits".

  13. [Response of maize emergence rate and yield to soil water stress in period of seeding emergence and its meteorological assessment in central area of Jilin Province].

    PubMed

    Ma, Shu-Qing; Wang, Qi; Zhang, Tie-Lin; Yu, Hai; Xu, Li-Ping; Ji, Ling-Ling

    2014-02-01

    In spring of 2010-2011, an experiment with treatments on soil water stress and sowing by stages of spring maize (Zea mays) was conducted in the central Jilin Province. The responses of maize emergence rate and yield to soil water stress were analyzed, and the assessment models of the emergence rate and reduction of yield caused by drought were established based on meteorological conditions. The results showed that during the study period, the relationship between maize emergence rate or per unit yield, and the soil moisture in 0-20 cm layer or soil available water content presented a significant quadratic function. The emergence rate and yield increased with the higher surface soil moisture, while decreased obviously under the drought condition. The emergence rate and yield were higher in the conditions of soil moisture in the range of 22%-24% or soil available water content in 50-65 mm, while the emergence rate and yield decreased obviously with the soil moisture less than 19% or available water content less than 35 mm. The soil moisture decreased 1% each, along with the emergence rate decreased by about 6% , and the yield decreased by about 7%. The soil available water content decreased by 10 mm, along with the emergence rate and yield decreased by about 13% and 14%, respectively. The indicators and models in this article could be applied to assessment and prediction of maize emergence rate and the reduction of yield caused by drought.

  14. Future Roles for Autonomous Vertical Lift in Disaster Relief and Emergency Response

    NASA Technical Reports Server (NTRS)

    Young, Larry A.

    2006-01-01

    System analysis concepts are applied to the assessment of potential collaborative contributions of autonomous system and vertical lift (a.k.a. rotorcraft, VTOL, powered-lift, etc.) technologies to the important, and perhaps underemphasized, application domain of disaster relief and emergency response. In particular, an analytic framework is outlined whereby system design functional requirements for an application domain can be derived from defined societal good goals and objectives.

  15. A PUBLIC HEALTH PERSPECTIVE ON THE U.S. RESPONSE TO THE FUKUSHIMA RADIOLOGICAL EMERGENCY

    PubMed Central

    Whitcomb, Robert C.; Ansari, Armin J.; Buzzell, Jennifer J.; McCurley, M. Carol; Miller, Charles W.; Smith, James M.; Evans, D. Lynn

    2015-01-01

    On 11 March 2011, northern Japan was struck by first a magnitude 9.0 earthquake off the eastern coast and then by an ensuing tsunami. At the Fukushima Dai-ichi Nuclear Power Plant (NPP), these twin disasters initiated a cascade of events that led to radionuclide releases. Radioactive material from Japan was subsequently transported to locations around the globe, including the U.S. The levels of radioactive material that arrived in the U.S. were never large enough to cause health effects, but the presence of this material in the environment was enough to require a response from the public health community. Events during the response illustrated some U.S. preparedness challenges that previously had been anticipated and others that were newly identified. Some of these challenges include the following: (1) Capacity, including radiation health experts, for monitoring potentially exposed people for radioactive contamination are limited and may not be adequate at the time of a large-scale radiological incident; (2) there is no public health authority to detain people contaminated with radioactive materials; (3) public health and medical capacities for response to radiation emergencies are limited; (4) public health communications regarding radiation emergencies can be improved to enhance public health response; (5) national and international exposure standards for radiation measurements (and units) and protective action guides lack uniformity; (6) access to radiation emergency monitoring data can be limited; and (7) the Strategic National Stockpile may not be currently prepared to meet the public health need for KI in the case of a surge in demand from a large-scale radiation emergency. Members of the public health community can draw on this experience to improve public health preparedness. PMID:25627948

  16. Personal Emergency Response Systems--Communication Technology Aids Elderly and Their Families.

    ERIC Educational Resources Information Center

    Dibner, Andrew S.

    Personal response systems (PRS) bring immediate help to aged and disabled persons at home at the touch of a button. The PRS user wears a tiny radio transmitter as a pendant or a bracelet and can send a telephone signal from any part of the home to a 24-hour emergency center when help is needed. This study examined research on the Lifeline system,…

  17. Secure, Autonomous, Intelligent Controller for Integrating Distributed Emergency Response Satellite Operations

    NASA Technical Reports Server (NTRS)

    Ivancic, William D.; Paulsen, Phillip E.; Miller, Eric M.; Sage, Steen P.

    2013-01-01

    This report describes a Secure, Autonomous, and Intelligent Controller for Integrating Distributed Emergency Response Satellite Operations. It includes a description of current improvements to existing Virtual Mission Operations Center technology being used by US Department of Defense and originally developed under NASA funding. The report also highlights a technology demonstration performed in partnership with the United States Geological Service for Earth Resources Observation and Science using DigitalGlobe(Registered TradeMark) satellites to obtain space-based sensor data.

  18. Review of Randomized Controlled Trials on Psychological Interventions in Child Sexual Abuse: Current Status and Emerging Needs in the Indian Context

    PubMed Central

    Choudhary, Vandana; Satapathy, Sujata; Sagar, Rajesh

    2016-01-01

    Child sexual abuse (CSA) is a critical, psychologically traumatic and sometimes life-threatening incident often associated with sequel of adverse physical, behavioral, and mental health consequences. Factors such as developmental age of the child, severity of abuse, closeness to the perpetrator, availability of medico-legal-social support network and family care, gender stereotypes in the community complicate the psychological trauma. Although the research on the effects of CSA as well as psychological intervention to reduce the victimization and promote the mental health of the child is in its infancy stage in India, the global research in the past three decades has progressed much ahead. A search was performed using MEDLINE, PubMed, PsycINFO, and Google Scholar from 1984 to 2015 and only 17 randomized controlled trials (RCTs) out of 96 potentially relevant studies were included. While nonspecific therapies covering a wide variety of outcome variables were prominent till 1999s, the trend changed to specific and focused forms of trauma-focused therapies in next one-and-half decades. Novel approaches to psychological interventions have also been witnessed. One intervention (non-RCT) study on effects on general counseling has been reported from India. PMID:27570336

  19. Drug abuse and addiction.

    PubMed

    Nessa, A; Latif, S A; Siddiqui, N I; Hussain, M A; Hossain, M A

    2008-07-01

    Among the social and medical ills of the twentieth century, substance abuse ranks as on one of the most devastating and costly. The drug problem today is a major global concern including Bangladesh. Almost all addictive drugs over stimulate the reward system of the brain, flooding it with the neurotransmitter dopamine. That produces euphoria and that heightened pleasure can be so compelling that the brain wants that feeling back again and again. However repetitive exposure induces widespread adaptive changes in the brain. As a consequence drug use may become compulsive. An estimated 4.7% of the global population aged 15 to 64 or 184 million people, consume illicit drug annually. Heroin use alone is responsible for the epidemic number of new cases of HIV/AIDS, Hepatitis and drug addicted infant born each year. Department of narcotic control (DNC) in Bangladesh reported in June 2008 that about 5 million drug addicts in the country & addicts spend at least 17 (Seventeen) billion on drugs per year. Among these drug addicts, 91% are young and adolescents population. Heroin is the most widely abused drugs in Bangladesh. For geographical reason like India, Pakistan and Myanmar; Bangladesh is also an important transit root for internationally trafficking of illicit drug. Drug abuse is responsible for decreased job productivity and attendance increased health care costs, and escalations of domestic violence and violent crimes. Drug addiction is a preventable disease. Through scientific advances we now know much more about how exactly drugs work in the brain, and we also know that drug addiction can be successfully treated to help people stop abusing drugs and resume their productive lives. Most countries have legislation designed to criminalize some drugs. To decrease the prevalence of this problem in our setting; increase awareness, promoting additional research on abused and addictive drugs, and exact implementation of existing laws are strongly recommended. We should

  20. ANSI/ANS-8.23-1997: nuclear criticality accident emergency planning and response.

    SciTech Connect

    Baker, J. S.

    2004-01-01

    American National Standard ANSUANS-8.23 was developed to expand upon the basic emergency response guidance given in American National Standard, 'Administrative Practices for Nuclear Criticality Safety' ANSI/ANS-8.19-1996 (Ref. 1). This standard provides guidance for minimizing risks to personnel during emergency response to a nuclear criticality accident outside reactors. This standard is intended to apply to those facilities for which a criticality accident alarm system, as specified in American National Standard, 'Criticality Accident Alarm System', ANSI/ANS-8.3-1997 (Ref. 2) is in use. The Working Group was established in 1990, with Norman L. Pruvost as chairman. The Working Group had up to twenty-three members representing a broad range of the nuclear industry, and has included members from Canada, Japan and the United Kingdom. The initial edition of ANSI/ANS-8.23 was approved by the American National Standards Institute on December 30, 1997. It provides guidance for the following topics: (1) Management and technical staff responsibilities; (2) Evaluation of a potential criticality accident; (3) Emergency plan provisions; (4) Evacuation; (5) Re-entry, rescue and stabilization; and (6) Classroom training, exercises and evacuation drills. This guidance is not for generic emergency planning issues, but is specific to nuclear criticality accidents. For example, it assumes that an Emergency Plan is already established at facilities that implement the standard. During the development of the initial edition of ANSI/ANS-8.23, each Working Group member evaluated potential use of the standard at a facility with which the member was familiar. This revealed areas where a facility could have difficulty complying with the standard. These reviews helped identify and eliminate many potential problems and ambiguities with the guidance. The Working Group has received very limited feedback from the user community since the first edition of the standard was published. Suggestions