Djordjevich, Donna D.; Barr, Pamela K.; Arnold, Jason Darrel; Johnson, Michael M.; Sa, Timothy J.; Hawley, Marilyn F.; Davis, Midge L.; Wright, Aliseya; Bernard, Michael Lewis; Wilcox, William B.; Tam, Ricky; Ammerlahn, Heidi R.
This report describes the purpose and results of the two-year, Sandia-sponsored Laboratory Directed Research and Development (LDRD) project entitled Understanding Communication in Counterterrorism Crisis Management The purpose of this project was to facilitate the capture of key communications among team members in simulated training exercises, and to learn how to improve communication in that domain. The first section of this document details the scenario development aspects of the simulation. The second section covers the new communication technologies that were developed and incorporated into the Weapons of Mass Destruction Decision Analysis Center (WMD-DAC) suite of decision support tools. The third section provides an overview of the features of the simulation and highlights its communication aspects. The fourth section describes the Team Communication Study processes and methodologies. The fifth section discusses future directions and areas in which to apply the new technologies and study results obtained as a result of this LDRD.
counterterrorism strategy , as underscored by the allocation of $675 million for Global Train and Equip program activities in fiscal year 2015—a...COUNTERTERRORISM DOD Should Enhance Management of and Reporting on Its Global Train and Equip Program Report to...Reporting on Its Global Train and Equip Program Why GAO Did This Study The United States has undertaken several efforts, including DOD’s Global Train
Brock, Stephen E., Ed.
This paper presents summaries of four articles relevant to school crisis response. The first article, "Peritraumatic Dissociation Predicts Posttraumatic Stress in Youth Following Accidents" summarized by Jim Matthews, suggests that peritraumatic dissociation is a powerful predictor of PTSD symptoms among youth who have been in a car…
Brock, Stephen E., Ed.
In this column, Crisis Management in the Schools Interest Group members summarize recent crisis management publications. The first article summarized was a meta-analysis of the risk factors associated with Posttraumatic Stress Disorder (PTSD) among adults. The second study looked at the presence of life stressors among students who were expelled…
Koster, Maria C; Politis-Norton, Helen
This paper discusses the different facets of crisis as experienced within the pharmaceutical industry but which are also prevalent throughout other industries. It highlights the importance of early identification and management of crises and issues, which in return are strongly intertwined with a fundamental positive internal corporate climate. A corporate philosophy should always embrace crisis management with the attitude of 'when' and not 'if'; therefore, a company should act today and not tomorrow once a crisis is on its doorstep. Preparation is of utmost importance and there are several items that can be addressed even before a crisis has arisen. Further, this paper also provides guidance on how to deal with the media, what to do and what not to do, and how to appoint the appropriate spokesperson. In this era of fast exchange of information, crisis, which previously may have stayed behind corporate doors, may not do so any longer. Image is very important and should therefore not be risked. Crisis and issue management should therefore be integrated in every company's philosophy and standard operating procedures.
Brock, Stephen E., Ed.; Zhe, Elizabeth; Torem, Chris; Comeaux, Natashia; Dempsey, Allison
This article presents a summary of recent crisis management publications. The first research report summarized, "Predictors of PTSD," was a study of predictor variables for responses to the World Trade Center attack. The second paper, "Effective Mental Health Response to Catastrophic Events," looked at effective responses following Hurricane…
Eramo, Eric M.
Crisis management, or crisis communication, is never a good thing for a business to experience. It is, however, a public relations' professional moment to shine and put their honed skills to good use. A good crisis management plan is not only action during the crisis but preparation and reflection. Hiring a PR firm that deals with crisis…
The impact of crises on organizations has been stronger than ever. This article explores the role of organizational learning in crisis management, an area that has received little attention from HRD community. Recognizing the dynamics and interconnectedness of crisis management, organizational learning, and organizational change, the article…
Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel
This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…
Planning ahead, practicing your response for various scenarios, being open and honest, showing empathy and respect for other peoples' perspectives and assuring stakeholders that you have the situation covered are the foundations of communicating successfully during a crisis, experts say. This article provides strategies for Community College…
Describes a press conference that was used as a "teachable moment" when owl pellets being used for instructional purposes were found to be contaminated with Salmonella. The incident highlighted the need for safe handling of owl pellets, having a crisis management plan, and the importance of conveying accurate information to concerned parents.…
Ferrill, Arther. The Fall of the Oman Empire: the Military Explanation. London: Thames & Hudson , 1986. Gibbon, Edward. The History of the Decline and...Rankov, Boris. The Praetorian Guard. Oxford: Osprey Publishing, 1994. Scarre, Chris. Chronicle of the Roman Emperors. London: Thames And Hudson , 1995...of the Roman Emperors (London: Thames And Hudson , 1995), 149, 197. 8. Srdan Milasinovic and Zelimir Kesetovic, "Crisis And Crisis Management - A
Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,…
Pleviak, Walter; Milkevitch, Frank
Although certain crises cannot be prevented, reactions to many can be planned. A crisis-management team should be organized for each building. Critical crisis-plan elements include telephone trees, forms, reference articles, sample letters, and processes for dealing with local media. Spokespersons should have facts straight before speaking. (MLH)
Demers, R F
The use of managing up in an institution's time of financial crisis is described. The goals of crisis management include survival, maintaining quality and service, learning issues and impacts, supporting the team, and preparing for the aftermath as the crisis subsides. Survival calls for a commitment by leaders to remain focused, and to maintain and support the management team. Pharmacy directors must be able to adapt to chaos and to the limited information disseminated by senior leadership. Identifying the underlying cause of the crisis, which may not be directly related to the measures taken to resolve it, is also critical to survival. Among the keys to maintaining quality and service are keeping the staff focused on patient care and maintaining credibility by sharing all information that is available. Pharmacy directors need to maintain the confidence of their staff members and to encourage them to do the best they can with the resources available. Taking the initiative to acquire appropriate data, to translate that data into relevant information, and to seek benchmarks for comparison is also important. Once the crisis has passed, attention must be given to updating and maintaining databases, supporting the staff, and improving morale. Scenario planning can help identify measures that might be taken if another crisis should develop. Using principles of managing up can prepare pharmacy directors for optimal response to an institutional financial crisis.
Camps should have crisis management plans. Steps to formulating a plan include involving appropriate off-site agencies, identifying potential threats, gathering resources, crafting an appropriate response, training via role-playing, managing incoming and outgoing information, and writing it down. Sidebars present resources, successful response…
Bender, T. Gregory
Thanks to the proliferation of handheld devices and social media such as Facebook and Twitter, people can share information instantly and succinctly. The December 8, 2011, shooting on the Virginia Tech campus underscores how important it is for information to go out quickly but accurately to help school administrators effectively manage a crisis.…
A disturbing escalation in campus emergencies compels school districts to draft effective crisis-management action plans. Effective plans can be devised that relieve burdens on principals and other school personnel, by diminishing chaos and panic, disseminating accurate information, attending to emotional strain on staff and students, and…
Tseng, Hsin-Chao; Chen, Thai-Form; Chou, Shieu-Ming
This study was conducted at a single hospital selected in Taipei during the SARS (Severe Acute Respiratory Syndrome) outbreak from March to July, 2003 in Taiwan. During this period of time, 104 SARS patients were admitted to the hospital. There were no negative reports related to the selected hospital despite its being located right in the center of an area struck by the epidemic. The purpose of this study was to identify the key factors enabling the hospital to survive SARS unscathed. Data were collected from in-depth interviews with the nursing directors and nursing managers of the SARS units, along with a review of relevant hospital documents. The five key elements identified as survival factors during this SARS crisis are as follows: 1. good control of timing for crisis management, 2. careful decision-making, 3. thorough implementation, 4. effective communication, and 5. trust between management and employees. The results of this study reconfirmed the selected hospital as a model for good crisis management during the SARS epidemic.
THREAT EVALUATION, DECISION MAKING), (*STRATEGIC WARFARE, THREAT EVALUATION), (*FOREIGN POLICY, DECISION MAKING), OPERATIONS RESEARCH, MANAGEMENT ...PLANNING AND CONTROL, AERIAL WARFARE, USSR, PERCEPTION, GAME THEORY, WEAPON SYSTEMS , WARFARE, EGYPT, ISRAEL, JORDAN, LEBANON, CUBA, CYPRUS, THEORY, COMMUNISTS, CHINA, SOUTH KOREA, NORTH KOREA.
Szekely, S; Runciman, W; Webb, R; Ludbrook, G
Background: Desaturation occurs for many reasons under anaesthesia, some rare and obscure, and many potentially life threatening. The rapidity with which the cause is determined and appropriate management is instituted varies considerably between anaesthetists. Objectives: To examine the role of a previously described "core" algorithm COVER ABCD–A SWIFT CHECK, supplemented by a specific sub-algorithm for desaturation, in the management of incidents of desaturation occurring in association with anaesthesia. Methods: The potential performance of this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved. Results: Amongst the first 4000 incidents reported to AIMS there were 584 episodes of desaturation in association with general anaesthesia; 41% were dealt with by COVER, 48% by ABCD, and 11% required a specific desaturation sub-algorithm. Nearly a fifth of all desaturations were caused by endobronchial intubation. Within the specific desaturation subgroup, half were due to pulmonary problems in the form of underlying lung disease, excessive secretions or obesity and a third could not be diagnosed. Conclusion: Desaturation may have many causes, some of which are obscure, and failure to respond promptly may place the patient at risk. In the face of persistent desaturation, management should consist of hand ventilation with 100% oxygen, completion of COVER ABCD–A SWIFT CHECK, and a return to a supine posture. Blood gases, chest radiography, and bronchoscopy may be required where desaturation is persistent and/or no apparent causes can be found. PMID:15933303
Bacon, A; Morris, R; Runciman, W; Currie, M
Preventing harm to the patient is the priority during a crisis. After a major incident, and especially when a patient has been harmed, there are a number of matters to be addressed: the ongoing care of the patient; documentation of the incident; investigation of the root causes; completion of reports; interviews with the patient and/or the next of kin, together with apologies and expression of regret; updates and ongoing support for friends and relatives; a word of thanks to the staff involved for their assistance; formal debriefing of staff for quality assurance and possibly ongoing support and a separate debriefing for psychological purposes; ensuring that the recommendations of the root cause analysis are carried out; or, failing that, that the issues are logged on a risk register. The extent and depth of the follow up protocol depends on what, if any, harm may have been done. This may constitute completion of an incident report; notification of an equipment failure to a federal regulatory authority; arranging consultations with a mental health professional to manage psychological sequelae (especially following an awareness episode); follow up during weeks of intensive care treatment; or, when a death has occurred, a full medico-legal and/or coronial set of procedures. A précis is appended in an action card format. PMID:15933299
Dobson Honorary Editor, Ken
yet more unknown persons. But we live in a democracy, and the new core will be put out for consultation. This will take place between November 1st and 20th, and so will be over, more or less, by the time you read this Editorial. Ordinary teachers of physics are unlikely to be asked for opinions. However, the Institute's informal rapid response team will do their best to represent the interests not only of its members but of the wider physics community. The question remains, however, as to why such rapid reactions are necessary. Surely now is the time to reflect upon the consequences of the rushed initiatives of the past eight years or so in education, and indeed undertake a professional, independent evaluation of them. But our rulers seem incapable of doing other than create crises, and then managing the crises they create by creating even more. There are of course alternatives to this, as could easily be discovered by looking north of Hadrian's Wall, where change is taking placed in a managed, courteous fashion, and where the numbers of students studying physics post-16 is gently increasing. The Scottish Office Education Department has recently taken part in an OECD study of curriculum innovation in 13 countries. The department reports some key findings in the Scottish initiative which are in fact common to all the successful initiatives reported [1, 2]. The message is clear: curriculum change will fail - either completely or at least in reaching the anticipated outcome fully - if certain requirements are not met. The most significant of these, reported in the OECD study, are: Teachers will respond to challenges to become involved in curriculum innovation and to acquire new skills and competences if they are given encouragement and reassurance that they will be well supported in their efforts. Innovation must be systemic, i.e. showing an awareness that many aspects of education are interrelated (so that a change in one affects others). Teacher involvement is vital
Despite ever increasing efforts to monitor historically active volcanoes many of those are still very poorly or unmonitored, even in highly populated areas. In case of volcanic unrest or even a volcanic crisis quickly assessing the situation is therefore often very difficult due to the little information that is available for that specific volcano. With vastly increasing possibilities in communication technology and managing huge data volumes mobile systems become more and more an option to be used as a crisis management tool in volcanology. This is going to supplement different programs that have supported volcanic crisis management efforts in third world countries in the past that includes sending experts and improving or even installing new instruments around the volcano. One of the main problems especially when quickly upgrading the monitoring system during a crisis is that each instrument usually comes with its own acquisition and processing system. This makes it very difficult to manage the monitoring network and provide an interdisciplinary interpretation of the data with respect to the activity status of the volcano. Here we present a newly developed volcano fast response system which overcomes several of these shortcomings. The core of the system is a novel database (SEISHUB) that allows for the collection of data of various kinds, i.e. simple time series data like seismic data, gas measurements, GPS measurements, as well as satellite data (SO2 flux, thermal anomaly, ground deformation). Part of the collected data may also come from an already existing network. Data from new field instruments are transmitted through a wireless network that has been specifically designed for the volcano fast response system. One of the main difficulties with such a multidisciplinary data set is an easy access to the data. This is provided through a common Web based GIS interface which allows various datalayers being simultaneously accessed through a Web Browser. The
Margolis, G L; DeMuro, P R
A healthcare organization that once suffered from poor financial performance may fail to correct recovery methods that can cause lingering legal and accounting problems. A crisis management style is prone to creating problems with an organization's debt structure, Medicare and Medicaid payment, tax issues, labor relations, licensing and accreditation, compliance with fraud and abuse rules, and accounting for charity care. After stabilizing a worrisome financial situation, a healthcare organization should conduct an internal audit to ensure that its legal and accounting practices remain above board.
For some purposes, one may consider the roles of technology in nuclear crisis management to fall into four categories. Certain technologies, such as signals intelligence, may assist in monitoring for the emergence of crisis precursors. Other kinds of surveillance, such as that by certain satellites, are intended to detect phenomena, such as missile launches, which clearly signal the transition from pre-crisis to mid-crisis. During this phase, communications and surveillance technologies may be called upon to aid in managing the crisis. Finally, communications technologies will play a vital role in crisis resolution, preferably during the pre-crisis phase, but in mid-crisis if necessary. It has long been recognized that a large fraction of these technical means are vulnerable, both to selective, direct attack, and to the unintended, collateral effects of conflict itself. Systematic efforts are underway to make these systems more robust and survivable in crisis environments, but one must clearly recognize the limits of technology. In particular, one must weigh very seriously the implications and possible consequences of intentional, direct attack, including decapitation, on just those means which may permit timely crisis resolution. In the end, these technologies may prove so vulnerable, that nations may be forced to rely on pre-crisis planning, including force structuring, clearly defined options planning, and clear statements of intent, in order to permit any sort of mid-crisis resolution and conflict termination.
Kluger, M; Szekely, S; Singleton, R; Helps, S
Background: Irrigation of closed body spaces may lead to substantial perioperative fluid and electrolyte shifts. A syndrome occurring during transurethral resection of prostate (TURP), and a similar syndrome described in women undergoing transcervical endometrial ablation (TCEA) are both characterised by a spectrum of symptoms which may range from asymptomatic hyponatraemia to convulsions, coma, and death. Such potentially serious consequences require prompt recognition and appropriate management of this "water intoxication" syndrome. Objectives: To examine the role of a previously described core algorithm "COVER ABCD–A SWIFT CHECK", supplemented by a specific sub-algorithm for water intoxication, in the management of this syndrome occurring in association with anaesthesia. Methods: The potential performance of this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved. Results: From the first 4000 incidents reported to AIMS, 10 reports of water intoxication were identified, two from endometrial ablations under general anaesthesia and eight from male urological procedures under spinal anaesthesia. The "core" crisis management algorithm detected a problem in seven cases; however, it was deficient in dealing with neurological presentations. Diagnosis of the cause of the incident would have required a specific water intoxication sub-algorithm in eight cases and a hypotension algorithm in a further two cases. Corrective strategies also required a specific sub-algorithm in eight cases, while the hypotension and cardiac arrest sub-algorithms were required in conjunction with the water intoxication sub-algorithm in the remaining two. Conclusion: This relatively uncommon problem is managed poorly using the "core" crisis management sub-algorithm and requires a simple specific sub-algorithm for water
Osborne, G; Bacon, A; Runciman, W; Helps, S
Background: Patient awareness during general anaesthesia has considerable potential for severe emotional distress in the patient as well as professional, personal, and financial consequences for the anaesthetist. Objectives: To examine the role of a previously described core algorithm "COVER ABCD–A SWIFT CHECK", supplemented by a specific sub-algorithm for awareness, in the detection and management of potential awareness in association with general anaesthesia. Method: The potential performance of this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved. Results: Of the first 4000 reports received by AIMS, there were 21 incidents of patient awareness under general anaesthesia, and 20 of patients being paralysed while awake from "syringe swaps" before induction of anaesthesia. In 12 of the 21 reports there was an obvious cause, most commonly a low concentration of volatile agent (8 of 12 reports). The AIMS "core" crisis management algorithm would have detected the cause of awareness in all of these cases. In nine reports the course of anaesthesia appeared unremarkable, and in these the algorithm would not have been expected to detect or prevent awareness. Volatile agent monitoring would have prevented some cases of awareness, as would bispectral index electroencephalographic (BIS) monitoring. The role of BIS monitoring is still contentious, but it should be considered for high risk patients. Conclusion: Awareness should be minimised by thorough checking of equipment, particularly vaporisers, and frequent application of a structured scanning routine. Awareness may occur during crisis management and aftermath protocols should include patient follow up to detect and manage awareness when it occurs. PMID:15933289
Johansson, Anders; Härenstam, Malin
A winning concept of crisis management can be summarized in 2 words: knowledge communication. If decision makers, communicators, experts, and the public understand what the crisis is about and share their knowledge, the process of handling it will be optimized. Effective crisis communication implies the necessity of an unhindered but purposeful exchange of information within and between authorities, organizations, media, involved individuals, and groups before, during, and after a crisis. This article focuses on the importance of the before, or prevention, part of a crisis since it holds a rich possibility to enhance the chances for successful crisis management of a bioterrorism incident. An extended perspective on crisis communication efficiently links to a more thorough understanding of risk perception with various stakeholders and the public, which also will be helpful for situational awareness. Furthermore, the grounded baseline for the dialogue type of crisis communication suitable in modern society and to modern social media is achieved by linking to those risk communication efforts that are made. The link between risk and crisis should be afforded more attention since, especially in biosecurity, there would be no crisis without risk negligence and poor or malfunctioning preventive efforts.
Nwogbaga, David M. E.; Nwankwo, Oliver U.; Onwa, Doris O.
This paper examined how conflicts and crisis can be avoided through formal communication. It was necessitated by the observation that most of the conflicts and crisis which tend to mar school management today are functions of the inconsistencies arising from "grapevines, rumours, and gossips" generated through informal communication…
greatly increase the effectiveness of future crisis response operations. The proposed logistics framework serves as a viable solution for common...increase the effectiveness of future crisis response operations. The proposed logistics framework serves as a viable solution for common logistical...FRAMEWORK............................................................29 A. INTEGRATED COMMUNICATIONS NETWORK MODEL ................29 B. INTEGRATED
Sadeghi-Bazargani, Homayoun; Azami-Aghdash, Saber; Kazemi, Abdolhassan; Ziapour, Behrad
Background: Bam earthquake was the most catastrophic natural disasters in recent years. The aim of this study was to review different aspects of crisis management during and after the catastrophic earthquake in Bam City, Iran. Methods: Data needed for this systematic review were collected through searching PubMed, EMBASE and SID databases, for the period from 2003 to 2011. Keywords included earthquake, Iran and Bam earthquake. The data were summarized and were analyzed using Content Analysis. Results: Out of 422 articles, 25 articles were included in the study. Crisis Management aspects and existing pitfalls were classified into seven categories including planning and organization, human resource management, management of logistics, international humanitarian aids, field performance of the military and security forces, health and medical service provision, and information management. Positive aspects and major pitfalls of crisis management have been introduced in all the mentioned categories. Conclusion: The available evidence indicated poor crisis management during Bam earthquake that resulted in aggravating the losses as well as diminishing the effect of interventions. Thus, concerning the importance of different aspects of the crisis management and the high prevalence of disasters in Iran, the observed vulnerability in disaster management process should be addressed. PMID:26000241
As a critical infrastructure, the US electricity grid supplies electricity to 340 million people within eight separate regions. The power infrastructure is vulnerable to many types of disasters capable of severing supplies of electricity. The impact on the employees and communities when small- and medium-size enterprises are shut down due to disasters can be severe. The purpose of the quantitative comparative study was to explore small- and medium-size enterprises crisis management strategies in the case of power infrastructure vulnerabilities. Perceptions of small business leaders were probed about crisis management planning relevant to three secondary factors: prior experience of crises, threat perceptions, and planning self-efficacy. Participants completed an adapted questionnaire instrument based on a five-point Likert scale for six sub-factors including resilience through planning, financial impact, operational crisis management, the perfect storm, the aftermath of survival, and atrophy. The instrument also measured three additional factors to include, prior experience of crises, threat perceptions, and planning self-efficacy, across seven types of crises. The results of this study indicated that of the 276 respondents, 104 had no crisis plans, but 172 did have crisis plans. Of those who had implemented crisis plans, 19% had specific provisions to address power outages or attacks on the electrical grid. Of the respondents who had not planned for power outages nor experienced significant losses of power, a statistically significant number acknowledged an external threat to their business. The majority of respondents indicated that long-term planning was related to resilience; however, the migration of crisis understanding into the planning process or implementation was not implemented. This heightened awareness of potential crises without the corresponding development and implementation of mitigation crisis plans requires additional research to understand
Morgan, Philip I.; And Others
Describing some of the causes of midlife crisis and reasons why organizations should offer help to their employees, the authors suggest these actions: continuing education, retraining, mentoring, autonomy, support groups, counseling, and sabbaticals. (SK)
How a camp responds to a crisis may determine whether it can survive financially. Effective risk management requires total commitment from ownership and management, and staff involvement. Steps in formulating a risk management plan include identifying all potential crises and their frequency and severity potential, developing responses,…
DeWitt, Robert C.
Pennsylvania State University Beaver Campus developed crisis guidelines and a formal working relationship with a local community mental health center in order to be able to deal with on-campus crises and their followup. The guidelines provide each employee with a single, easy-to-follow document that outlines the decision making process to be…
Dunblane Primary School, Scotland, and Columbine High School, USA. Two headline tragedies that have led to trauma for their pupils and staff. Trauma that could be devastating because of the psychological impact and the practical requirements a crisis brings. Children's social and personal development can be negatively affected, their academic…
Di Loreto, Ines; Mora, Simone; Divitini, Monica
Games for crisis management offer an interesting complement to traditional training. Experiments on their usage show that games can be promising tools able to address some of the limitations of traditional training. Also our first assessment with a board game for panic management shows that this particular kind of game could be useful for soft…
Antimicrobial resistance (AMR) is an acknowledged crisis for humanity. Its genetic origins and dire potential outcomes are increasingly well understood. However, diagnostic techniques for monitoring the crisis are currently largely limited to enumerating the increasing incidence of resistant pathogens. Being the end-stage of the evolutionary process that produces antimicrobial resistant pathogens, these measurements, while diagnostic, are not prognostic, and so are not optimal in managing this crisis. A better test is required. Here, using insights from an understanding of evolutionary processes ruling the changing abundance of genes under selective pressure, we suggest a predictive framework for the AMR crisis. We then discuss the likely progression of resistance for both existing and prospective antimicrobial therapies. Finally, we suggest that by the environmental monitoring of resistance gene frequency, resistance may be detected and tracked presumptively, and how this tool may be used to guide decision-making in the local and global use of antimicrobials. PMID:27831476
This article deals with one of the most consistent problems arising during crisis situations, i.e., food shortage. The author first presents the international context conducive to natural or man-made famine. He emphasizes the importance of early detection and the need for an evaluation phase using public health survey skills to determine the objectives of relief. He then describes strategies for management of alimentary and nutritional requirements in famine-stricken populations in function of the different types of malnutrition encountered. The article ends with a presentation of preventive measures that must be implemented in association with crisis management.
Matsuoka, Juri; Tateishi, Seiichiro; Igarashi, Yu; Ide, Hiroshi; Miyamoto, Toshiaki; Hara, Tatsuhiko; Kobashi, Masaki; Inoue, Megumi; Kawashima, Megumi; Okada, Takeo; Mori, Koji
When crises such as natural disasters or industrial accidents occur in workplaces, not only the workers who are injured, but also those who engage in emergency or recovery work may be exposed to various health hazards. We developed a manual to enable occupational health (OH) experts to prevent health hazards. The manual includes detailed explanations of the characteristics and necessary actions for each need in the list of "OH Needs During Crisis Management" developed after an analysis of eight cases in our previous research. We changed the endings of explanatory sentences so that users could learn how often each need occurred in these eight cases. We evaluated the validity of the manual using two processes: 1) Providing the manual to OH physicians during an industrial accident; 2) Asking crisis management experts to review the manual. We made improvements based on their feedback and completed the manual. The manual includes explanations about 99 OH needs, and users can learn how and what to do for each need during various crisis cases. Because additional OH needs may occur in other crises, it is necessary to collect information about new cases and to improve the comprehensiveness of the manual continuously. It is critical that this crisis management manual be available when a crisis occurs. We need to inform potential users of the manual through various media, as well as by posting it on our website.
Miller, Barbara M.; Horsley, J. Suzanne
This study explores crisis management/communication practices within the coal industry through the lens of high reliability organization (HRO) concepts and sensemaking theory. In-depth interviews with industry executives and an analysis of an emergency procedures manual were used to provide an exploratory examination of the status of crisis…
Cirka, Carol C.; Corrigall, Elizabeth A.
In this article, we demonstrate that an exercise using metaphors to overcome cognitive biases helped students to proactively imagine and prepare for an expanded set of potential crises. The exercise complements traditional textbook approaches to crisis management and incorporates creativity skill building in a realistic context. Learning outcomes…
The lack of availability of opioids in many countries has created a pain management crisis. Because the Single Convention on Narcotic Drugs requires governments to report annual opioid statistics, there is a need for methods to calculate individual nations' opioid needs. Ways to address this need are discussed.
Becker, William A.; Popkin, Rodger
Details events of six days during Salmonella outbreak at camp in North Carolina. Explains how camp handled 280 sick campers and staff, well campers, news media, and parents. Based on an epidemiologic survey of food eaten, it was suspected that the culprit of the outbreak was a meat item. Offers suggestions for crisis management in the camp…
This multiple-case qualitative study was conducted to examine the perceptions of community members, students, and staff regarding school crisis management following a 2006 tornado and 2010 bus accident in a small rural school district in Missouri. Online surveys were collected from 66 participants, and 10 follow-up interviews were completed with…
Mackinnon, Lachian; Bacon, Liz; Cortellessa, Gabriella; Cesta, Amedeo
Multi-agency crisis management represents one of the most complex of real-world situations, requiring rapid negotiation and decision-making under extreme pressure. However, the training offered to strategic planners, called Gold Commanders, does not place them under any such pressure. It takes the form of paper-based, table-top exercises, or…
Savelides, Socrates; Mihiotis, Athanassios; Koutsoukis, Nikitas-Spiros
Purpose: The Greek secondary education system lacks a formal crisis management system. The purpose of this paper is to address this problem as follows: elicit current crisis management practices, outline features for designing a formal crisis management system in Greece. Design/methodology/approach: The research is based on a survey conducted with…
Ioannides, K G; Tzialla, C E; Papachristodoulou, C A; Papanikolaou, C; Apostolopoulos, C
The setting up of the Greek Stakeholders Group in the framework of the EC Food and Agriculture Restoration Management Involving Networked Groups (FARMING) project is described. The Group included members from more than 20 governmental and non-governmental organisations, having interest and/or responsibilities in the management of a crisis following a nuclear accident. The stakeholders, during their meetings in 2002, discussed the agricultural countermeasures and rural waste disposal options which have been compiled by the EC Sustainable Restoration and Long-Term Management of Contaminated Rural, Urban and Industrial Ecosystems (STRATEGY) project. All stakeholders agreed that the most preferable were those options that ensure public acceptance, minimise environmental impact and maintain farming practices and acceptable living and working conditions. Their views are synoptically presented along with the major conclusions from the stakeholders meetings regarding nuclear crisis management.
Bailey, Matthew R; Rich, Barbara A; Bennett, B Taylor
Among the multitude of crises that US research institutions may face are those caused by animal rights activists. While most activists opposed to animal research use peaceful and lawful means of expressing their opinions, some extremists resort to illegal methods. Arson, break-ins, and theft with significant property damage at US animal research facilities began in the 1980s. The most troubling trend to develop in the past decade is the targeting of individuals associated with animal research, whether directly or indirectly, and the use of violent scare tactics to intimidate researchers and their families. The National Association for Biomedical Research has a 30-year history of monitoring the animal rights movement and assisting member institutions with crisis situations. In this article we discuss attacks on researchers at their homes, cyber crimes, exploitation of new media formats, infiltration of research facilities, and the targeting of external research stakeholders and business partners. We describe the need for a well-conceived crisis management plan and strong leadership to mitigate crisis situations. Institutions with well-informed leaders and crisis management teams ready to take timely action are best equipped to protect staff, laboratory animals, and research programs. They act on early warnings, provide support for targeted staff, seek legal remedies, thoughtfully control access to research facilities, and identify and enlist new research supporters. We underscore the importance of up-to-date crisis planning so that institutions are not only aware of ongoing risks posed by animal rights extremists but also better prepared to take preemptive action and able to manage those risks successfully.
Olaniran, Bolanle A.
The "anticipatory" model of crisis management draws the attention of crisis practitioners and researchers to the precrisis phase of crisis management. The model views institutions' position as a condition that has implications for peoples' perceptions regarding the lack of control over factors such as policies, human resources,…
Ambiguity and Time Management relating to crisis management are key issues for consideration in the development of this investigation. These concepts are...themselves to be optimum-management-oriented. The study indicates the possibility of continuing problems in the areas of time management contributing to
Two recent disasters--Hurricane Hugo and the San Francisco-Oakland area earthquake--put a number of hospitals (and their disaster plans) to the text this fall. In future issues, we will present details on how hospitals faced those emergencies. The need for crisis management and disaster planning, however, is not limited to natural disasters like hurricanes, earthquakes, tornadoes, or floods. Man-made disasters, both internal and external, can occur virtually at any time. These include accidents, terrorists bombs, fires, explosions, and toxic chemical spills. In this report, we will present the key elements of a crisis management plan, as well as some expert pointers on what to include in a disaster plan. We will give you details on how two hospitals fared when a major air crash occurred in their community. We will tell you some of the things they would do differently, and we will also describe how an interagency disaster planning committee responded.
This paper discusses about the crisis-management and the security in the Internet. The crime that not is so far occurs during widespread to the society of the Internet, and a big social trouble. Moreover, the problem of a new security such as a cyber war and cyber terrorism appeared, too. It is necessary to recognize such a situation, and to do both correspondences corresponding to the environmental transformation by government and the people.
Guidère, Mathieu; Howard, Newton; Argamon, Shlomo
Accurate and relevant intelligence is critical for effective counterterrorism. Too much irrelevant information is as bad or worse than not enough information. Modern computational tools promise to provide better search and summarization capabilities to help analysts filter and select relevant and key information. However, to do this task effectively, such tools must have access to levels of meaning beyond the literal. Terrorists operating in context-rich cultures like fundamentalist Islam use messages with multiple levels of interpretation, which are easily misunderstood by non-insiders. This chapter discusses several kinds of such “encryption” used by terrorists and insurgents in the Arabic language, and how knowledge of such methods can be used to enhance computational text analysis techniques for use in counterterrorism.
Gülnerman, A. G.; Goksel, C.; Tezer, A.
The most vital applications within urban applications under the title of Geographical Information system applications are Disaster applications. Especially, In Turkey the most occured disaster type Earthquakes impacts are hard to retain in urban due to greatness of area, data and effected resident or victim. Currently, communications between victims and institutions congested and collapsed, after disaster that results emergency service delay and so secondary death and desperation. To avoid these types of life loss, the communication should be established between public and institutions. Geographical Information System Technology is seen capable of data management techniques and communication tool. In this study, Life Saving Kiosk Modal Proposal designed as a communication tool based on GIS, after disaster, takes locational emegency demands, meets emergency demands over notification maps which is created by those demands,increase public solidarity by visualizing close emergency demanded area surrounded another one and gathers emergency service demanded institutions notifications and aims to increasethe capability of management. This design prosals' leading role is public. Increase in capability depends on public major contribution to disaster management by required communication infrastructure establishment. The aim is to propound public power instead of public despiration. Apart from general view of disaster crisis management approaches, Life Saving Kiosk Modal Proposal indicates preparedness and response phases within the disaster cycle and solve crisis management with the organization of design in preparedness phase, use in response phase. This resolution modal flow diagram is builded between public, communication tool (kiosk) amd response force. The software is included in communication tools whose functions, interface designs and user algorithms are provided considering the public participation. In this study, disaster crisis management with public
Michael, Carolyn Anne; Dominey-Howes, Dale; Labbate, Maurizio
The antimicrobial resistance (AMR) crisis is the increasing global incidence of infectious diseases affecting the human population, which are untreatable with any known antimicrobial agent. This crisis will have a devastating cost on human society as both debilitating and lethal diseases increase in frequency and scope. Three major factors determine this crisis: (1) the increasing frequency of AMR phenotypes among microbes is an evolutionary response to the widespread use of antimicrobials; (2) the large and globally connected human population allows pathogens in any environment access to all of humanity; and (3) the extensive and often unnecessary use of antimicrobials by humanity provides the strong selective pressure that is driving the evolutionary response in the microbial world. Of these factors, the size of the human population is least amenable to rapid change. In contrast, the remaining two factors may be affected, so offering a means of managing the crisis: the rate at which AMR, as well as virulence factors evolve in microbial world may be slowed by reducing the applied selective pressure. This may be accomplished by radically reducing the global use of current and prospective antimicrobials. Current management measures to legislate the use of antimicrobials and to educate the healthcare world in the issues, while useful, have not comprehensively addressed the problem of achieving an overall reduction in the human use of antimicrobials. We propose that in addition to current measures and increased research into new antimicrobials and diagnostics, a comprehensive education program will be required to change the public paradigm of antimicrobial usage from that of a first line treatment to that of a last resort when all other therapeutic options have failed. PMID:25279369
Michael, Carolyn Anne; Dominey-Howes, Dale; Labbate, Maurizio
The antimicrobial resistance (AMR) crisis is the increasing global incidence of infectious diseases affecting the human population, which are untreatable with any known antimicrobial agent. This crisis will have a devastating cost on human society as both debilitating and lethal diseases increase in frequency and scope. Three major factors determine this crisis: (1) the increasing frequency of AMR phenotypes among microbes is an evolutionary response to the widespread use of antimicrobials; (2) the large and globally connected human population allows pathogens in any environment access to all of humanity; and (3) the extensive and often unnecessary use of antimicrobials by humanity provides the strong selective pressure that is driving the evolutionary response in the microbial world. Of these factors, the size of the human population is least amenable to rapid change. In contrast, the remaining two factors may be affected, so offering a means of managing the crisis: the rate at which AMR, as well as virulence factors evolve in microbial world may be slowed by reducing the applied selective pressure. This may be accomplished by radically reducing the global use of current and prospective antimicrobials. Current management measures to legislate the use of antimicrobials and to educate the healthcare world in the issues, while useful, have not comprehensively addressed the problem of achieving an overall reduction in the human use of antimicrobials. We propose that in addition to current measures and increased research into new antimicrobials and diagnostics, a comprehensive education program will be required to change the public paradigm of antimicrobial usage from that of a first line treatment to that of a last resort when all other therapeutic options have failed.
Gillon, Stuart; Radford, Sam; Chalwin, Richard; Devita, Michael; Endacott, Ruth; Jones, Daryl
Recently there has been increased focus on improved detection and management of deteriorating patients in Australian hospitals. Since the introduction of the medical emergency team (MET) model there has been an increased role for intensive care unit staff in responding to deterioration of patients in hospital wards. Review and management of MET patients differs from the traditional model of ward patient review, as ICU staff may not know the patient. Furthermore, assessment and intervention is often time-critical and must occur simultaneously. Finally, about 10% of MET patients require intensive care-level interventions to be commenced on the ward, and this requires participation of non-ICU-trained ward staff. • To date, the interventions performed by MET staff and approaches to training responders have been relatively under investigated, particularly in the Australian and New Zealand context. In this article we briefly review the principles of the MET and contend that activation of the MET by ward staff represents a response to a medical crisis. We then outline why MET intervention differs from traditional ward-based doctor-patient encounters, and emphasise the importance of non-technical skills during the MET response. Finally, we suggest ways in which the skills required for crisis resource management within the MET can be taught to ICU staff, and the potential benefits, barriers and difficulties associated with the delivery of such training in New Zealand and Australia.
Alexander, David E
This paper reviews the actual and potential use of social media in emergency, disaster and crisis situations. This is a field that has generated intense interest. It is characterised by a burgeoning but small and very recent literature. In the emergencies field, social media (blogs, messaging, sites such as Facebook, wikis and so on) are used in seven different ways: listening to public debate, monitoring situations, extending emergency response and management, crowd-sourcing and collaborative development, creating social cohesion, furthering causes (including charitable donation) and enhancing research. Appreciation of the positive side of social media is balanced by their potential for negative developments, such as disseminating rumours, undermining authority and promoting terrorist acts. This leads to an examination of the ethics of social media usage in crisis situations. Despite some clearly identifiable risks, for example regarding the violation of privacy, it appears that public consensus on ethics will tend to override unscrupulous attempts to subvert the media. Moreover, social media are a robust means of exposing corruption and malpractice. In synthesis, the widespread adoption and use of social media by members of the public throughout the world heralds a new age in which it is imperative that emergency managers adapt their working practices to the challenge and potential of this development. At the same time, they must heed the ethical warnings and ensure that social media are not abused or misused when crises and emergencies occur.
This paper provides a brief introduction to scenarios and gaming. It clarifies the definitions of each, discusses their possible uses and purposes, and presents some principles of good practice. In then describes how scenarios and gaming can be used together with a computerized crisis management decision support system to provide useful tools for crisis management planning and training.
Wang, Jia; Hutchins, Holly M.; Garavan, Thomas N.
Crisis management has been a largely overlooked territory in human resource development (HRD) despite the increasingly recognized impact of organizational crises on the individual and organizational performance. This article explores the strategic role of HRD in the context of organizational crisis management using Garavan's strategic HRD model as…
Roller, R.; Roes, J.; Verbree, E.
Floodings represent a permanent risk to the Netherlands in general and to her power supply in particular. Data sharing is essential within this crisis scenario as a power cut affects a great variety of interdependant sectors. Currently used data sharing systems have been shown to hamper interoperability between stakeholders since they lack flexibility and there is no consensus in term definitions and interpretations. The study presented in this paper addresses these challenges by proposing a new data sharing solution based on Linked Data, a method of interlinking data points in a structured way on the web. A conceptual model for two data sharing parties in a flood-caused power cut crisis management scenario was developed to which relevant data were linked. The analysis revealed that the presented data sharing solution burderns its user with extra costs in the short run, but saves resources in the long run by overcoming interoperability problems of the legacy systems. The more stakeholders adopt Linked Data the stronger its benefits for data sharing will become.
Van Hasselt, Vincent B; Romano, Stephen J; Vecchi, Gregory M
Role playing has been a mainstay of behavioral assessment for decades. In recent years, however, this analogue strategy has also enjoyed widespread application in the field of law enforcement. Most notably, role-play procedures have become an integral component of assessment and training efforts in hostage and crisis negotiation, which attempts to resolve high-risk and often volatile situations in a peaceful, nonviolent manner when possible. The purpose of this paper is to (a) describe development and validation of a role-play test specifically geared toward law enforcement negotiators, (b) present different role-play formats that have been incorporated in law enforcement negotiation training, and (c) discuss limitations and considerations in use of these instruments. Suggestions for directions that future efforts in this area might take are offered. The heuristic value of role playing in crisis management, counterterrorism, and emergency and mass casualty disaster training exercises is also underscored.
Gstaiger, Veronika; d'Angelo, Pablo; Schneiderhan, Tobais; Krauss, Thomas
The extraction of high resolution surface information from satellite data has become an important area of research. One of the numerous fields of application is disaster management. Detailed information about the affected terrain is not only needed for analyses during the emergency relief phase, but also for reconstruction and prevention activities. In this paper the authors present the generation of a Digital Surface Model (DSM) based on three very high resolution optical satellite images. The DSM was produced to supplement a flood mapping activity in Jordan and serves as example for the implementation of scientific results during an emergency request. The flood affected the Zaatari refugee camp in Jordan and was mapped by the Center for Satellite Based Crisis Information (ZKI) at the German Aerospace Center (DLR) in January 2013 under emergency mapping conditions.
Bertolaso, Guido; De Bernardinis, Bernardo; Cardaci, Chiara; Scalzo, Antonella; Rosi, Mauro
The 2002-2003 eruptive emergency of Stromboli was the most dangerous to have occurred on the island in the past three centuries. Starting from 30 December, the national Department of Civil Protection (DCP), operating under the direct authority of the prime minister, took responsibility for the emergency management. One of the most relevant achievements was the setting up, on the island, of Centro Operativo Avanzato, a permanent scientific/civil protection structure where signals of volcano monitoring are visualized in real time and eventually used by the personnel of the DCP for immediate reactions. Volcanic risk was also structurally reduced by the construction of a new pier to facilitate rapid evacuation of Ginostra village and the planning and implementation of new walking trails and shelters at the top of the mountain. The shelters, six in total, of moderate size, were designed to resist the impact of heavy materials launched by the volcano. The risk mitigation initiatives were completed with the installation of alarm sirens in the two villages, the production and distribution of leaflets, and also by the installation of signs indicating the fastest routes to reach safe waiting areas in case of tsunami. Besides the substantial improvements in the preparedness of the Civil Protection and Stromboli's community to respond effectively to possible future emergencies of the volcano, one of the most important heritages was the elaboration and testing of new protocols and procedures concerning the handling of volcanic emergencies. Although the issues raised during the crisis showed similarities with other volcanic crisis around the world, the role played by the Civil Protection with personnel specifically trained in volcanic problems showed comparatively considerable advantages.
Janka, A; Adler, C; Fischer, L; Perakakis, P; Guerra, P; Duschek, S
Directing disaster operations represents a major professional challenge. Despite its importance to health and professional performance, research on stress in crisis management remains scarce. The present study aimed to investigate self-reported stress and psychophysiological stress responses in crisis managers. For this purpose, 30 crisis managers were compared with 30 managers from other disciplines, in terms of self-reported stress, health status and psychophysiological reactivity to crisis-related and non-specific visual and acoustic aversive stimuli and cognitive challenge. Crisis managers reported lower stress levels, a more positive strain-recuperation-balance, greater social resources, reduced physical symptoms, as well as more physical exercise and less alcohol consumption. They exhibited diminished electrodermal and heart rate responses to crisis-related and non-specific stressors. The results indicate reduced stress and physical complaints, diminished psychophysiological stress reactivity, and a healthier life-style in crisis managers. Improved stress resistance may limit vulnerability to stress-related performance decline and facilitate preparedness for major incidents.
Marwitz, Steve; Maxson, Neil; Koch, Bill; Aukerman, Todd; Cassidy, Jim; Belonger, David
Chemical sites should have well trained and organized emergency response plans to manage an incident within the plant or during transport. The implementation of an incident command system utilizing either internal resources or external response through mutual aid agreements is generally sufficient to address the direct impact of an event on the site. When the site resources become overwhelmed in addressing resulting issues such as press releases, medical advice/support, employees and family support, Agency notifications, etc, Corporate should be ready and able to respond. This paper, taken from an in-depth CCPS workshop led by the author, describes an outline for corporate assistance in the event of a major incident at a site or during transportation.
Carne, Belinda; Kennedy, Marcus; Gray, Tim
Effective team management is a core element of expert practice in emergency medicine. Thus far, training in emergency medicine has focussed predominantly on proficiency in medical and technical skills, with emergency physicians acquiring these 'non-technical' skills in an ad hoc manner or by trial and error with varying levels of success. This paper describes a set of behaviours that, when practised in conjunction with medical and technical expertise, can reduce the incidence of clinical error and contribute to effective teamwork and the smooth running of an ED. Teaching and practice of these behaviours is now a core element of training and skills maintenance in other high-risk areas, such as aviation, and is becoming part of the routine training for anaesthetists. They address areas, such as communication, leadership, knowledge of environment, anticipation and planning, obtaining timely assistance, attention allocation and workload distribution. We outline the application of these behaviours in the speciality of emergency medicine, and suggest that the teaching and practice of crisis resource management principles should become part of the curriculum for training and credentialing of emergency medicine specialists.
Kroschewski, K; Kramer, M; Micklich, A; Staubach, C; Carmanns, R; Conraths, F J
In this era of globalisation the effective control of animal disease outbreaks requires powerful crisis management tools. In the 1990s software packages for different sectors of the government and agricultural industry began to be developed. In 2004, as a special application for tracking the movement of animals and animal products, the European Union developed the Trade Control and Expert System (TRACES) on the basis of its predecessor, the ANImal MOvement (ANIMO) project. The nationwide use of the ANIMO system by the veterinary authorities in Germany marked the beginning of the development in 1993 of a computerised national animal disease reporting system--the TierSeuchenNachrichten (TSN)--using the ANIMO hardware and software components. In addition to TRACES and TSN the third pillar for the management of animal disease outbreaks and crises in Germany is the national cattle and swine database--called Herkunftssicherungs- und Informationssystem für Tiere. A high degree of standardisation is necessary when integrating the different solutions at all levels of government and with the private sector. In this paper, the authors describe the use of these tools on the basis of their experience and in relation to what we can do now and what we should opt for in the future.
usually present in individuals younger than the early 20s. Individuals in their teens have been employed as soldiers in guerilla groups, but...Bruce Hoffman, Inside Terrorism (New York: Columbia University Press, 1998). i. David E. Long, The Anatomy of Terrorism (New York: THE FREE
Lauras, Matthieu; Truptil, Sébastien; Bénaben, Frédérick
Managing complex emergency situations is a challenging task, mainly due to the heterogeneity of the partners involved and the critical nature of such events. Whatever approach is adopted to support this objective, one unavoidable issue is knowledge management. In the context of our research project, gathering, formalising and exploiting all the knowledge and information about a given crisis situation is a critical requirement. This paper presents some research results concerning this specific topic: from a theoretical point of view, the generic dimensions of crisis characterisation are defined, while from a technical point of view, we describe a software solution able to collect that knowledge (based on meta-models and ontologies). This is used to confront the characteristics of the situation (context) with characteristics of the resources (relief system) in order to design a suitable response. Finally, an illustrative example concerning a crash between a tanker truck and a train is described.
Disasters due to natural extreme events continue to grow in number and intensity. Disaster risk and crisis management requires long-term planning, and to undertake that planning, a science-driven approach is needed to understand and assess disaster risks and to help in impact assessment and in recovery processes after a disaster. Science is used in assessments and rapid modeling of the disaster impact, in forecasting triggered hazards and risk (e.g., a tsunami or a landslide after a large earthquake), in contacts with and medical treatment of the affected population, and in some other actions. At the stage of response to disaster, science helps to analyze routinely the disaster happened (e.g., the physical processes led to this extreme event; hidden vulnerabilities; etc.) At the stage of recovery, natural scientists improve the existing regional hazard assessments; engineers try to use new science to produce new materials and technologies to make safer houses and infrastructure. At the stage of disaster risk mitigation new scientific methods and approaches are being developed to study natural extreme events; vulnerability of society is periodically investigated, and the measures for increasing the resilience of society to extremes are developed; existing disaster management regulations are improved. At the stage of preparedness, integrated research on disaster risks should be developed to understand the roots of potential disasters. Enhanced forecasting and early warning systems are to be developed reducing predictive uncertainties, and comprehensive disaster risk assessment is to be undertaken at local, regional, national and global levels. Science education should be improved by introducing trans-disciplinary approach to disaster risks. Science can help society by improving awareness about extreme events, enhancing risk communication with policy makers, media and society, and assisting disaster risk management authorities in organization of local and regional
del Rey Calero, Juan
The Global and economic crisis and Health Management The Health care process discussed are 4 steps: assessment, planing, intervention and evaluation. The identify association between social factors linked to social vulnerability (socio economic status, unemployed, poverty) and objective health relate quality of life. The poverty rate is 24.2%, unemployed 26.26%, youth unemployed 56.13%.ratio worker/retired 2.29. Debts 100% GDP The health inequality influence on health related quality of life. The Health System efficiency index. according Bloomber rate (2,013) Spain is 5 degrees in the world, points 68.3 on 100, for the life expectancy 82.3 years, the personal cost of health care 2,271€. Health care 10% GDP (public 7%,private 3%), SS protected population 92.4%, retired person cost 9.2% GDP, p. capita GDP 23,737€. Cost of Care: Hospital/specialist 54%, P. Care 15%, Pharmaceutical 19.8%, P. Health 3.1%.
of Justice can refer to related departments such as the National Security Bureau (NSB), military police, or police, to formulate the draft...Onderzoeks- en Documentatiecentrum, Netherlands Ministry of Justice , Cahier 2006, 3a. 7 for Effective Emergency and Crisis Management, which collects...network security; (10) moderately improve the criminal liability of terrorist activities; and (11) continue to strengthen international cooperation
Large-scale crisis such as natural disasters and acts of terrorism can have a paralyzing effect on the campus community and business continuity. Campus officials in these situations face significant challenges that go beyond the immediate response including re-building the physical plant, restoring campus infrastructure, retaining displaced…
Mularski, Richard A; Reinke, Lynn F; Carrieri-Kohlman, Virginia; Fischer, Mark D; Campbell, Margaret L; Rocker, Graeme; Schneidman, Ann; Jacobs, Susan S; Arnold, Robert; Benditt, Joshua O; Booth, Sara; Byock, Ira; Chan, Garrett K; Curtis, J Randall; Donesky, Doranne; Hansen-Flaschen, John; Heffner, John; Klein, Russell; Limberg, Trina M; Manning, Harold L; Morrison, R Sean; Ries, Andrew L; Schmidt, Gregory A; Selecky, Paul A; Truog, Robert D; Wang, Angela C C; White, Douglas B
In 2009, the American Thoracic Society (ATS) funded an assembly project, Palliative Management of Dyspnea Crisis, to focus on identification, management, and optimal resource utilization for effective palliation of acute episodes of dyspnea. We conducted a comprehensive search of the medical literature and evaluated available evidence from systematic evidence-based reviews (SEBRs) using a modified AMSTAR approach and then summarized the palliative management knowledge base for participants to use in discourse at a 2009 ATS workshop. We used an informal consensus process to develop a working definition of this novel entity and established an Ad Hoc Committee on Palliative Management of Dyspnea Crisis to further develop an official ATS document on the topic. The Ad Hoc Committee members defined dyspnea crisis as "sustained and severe resting breathing discomfort that occurs in patients with advanced, often life-limiting illness and overwhelms the patient and caregivers' ability to achieve symptom relief." Dyspnea crisis can occur suddenly and is characteristically without a reversible etiology. The workshop participants focused on dyspnea crisis management for patients in whom the goals of care are focused on palliation and for whom endotracheal intubation and mechanical ventilation are not consistent with articulated preferences. However, approaches to dyspnea crisis may also be appropriate for patients electing life-sustaining treatment. The Ad Hoc Committee developed a Workshop Report concerning assessment of dyspnea crisis; ethical and professional considerations; efficient utilization, communication, and care coordination; clinical management of dyspnea crisis; development of patient education and provider aid products; and enhancing implementation with audit and quality improvement.
Huang, Chung-Chi; Huang, Chung-Lin; Liu, Hsiao-Man
In recent years, it is quite important to develop a customized system which can enhance physical fitness and health for people. And the system reliability is more important. In the paper, a fool-proofing design and crisis management for customized physical fitness and healthcare system is proposed. It is designed to prevent the failure of the various mechanisms of customized physical fitness and healthcare system, including records, surveillance, assessments, predictions, diagnosis, prescription, and scheduling. It is separated into (1) fool-proofing design module (2) crisis management module. The fool-proofing indexes are set to prevent the failure of the various mechanisms. The states of the various mechanisms are managed by the auto-checked fool-proofing indexes. If mistakes prevention was fail, we have to execute the crisis management for stopping harmful results. The crisis management will find the error level and response the solution by using fuzzy method. By the experiments, we can find the advantages of the fool-proofing design and crisis management for customized physical fitness and healthcare system. And it is effective to prevent the failure of the various mechanisms of intelligent customized physical fitness and healthcare system.
Dittrich, André; Lucas, Christian
Today, modern sensors or sensor networks provide good quality measurements for the observation of large-scale emergencies as a result of natural disasters. Mostly however, only at certain points in their respective locations and for a very limited number of measurement parameters (e.g. seismograph) and not over the entire course of a disaster event. The proliferation of different social media application (e.g. Twitter, Facebook, Google+, etc.), yields the possibility to use the resulting data as a free and fast supplement or complement to traditional monitoring techniques. In particular, these new channels can serve for rapid detection, for information gathering for emergency protection and for information dissemination. Thus, each user of these networks represents a so-called virtual sensor ('social sensor'), whose eyewitness account can be important for understanding the situation on the ground. The advantages of these social sensors are the high mobility, the versatility of the parameters that can be captured (text, images, videos, etc.) as well as the rapid spread of information. Due to the subjective characteristics however, the data often show different quality and quantity. Against this background, it is essential for an application in crisis management to reasonably (pre-)process the data from social media. Hence, fully-automated processes are used which adequately filter and structure the enormous amount of information and associate it with an event, respectively, a geographic location. This is done through statistical monitoring of the volume of messages (Twitter) in different geographic regions of the world. In combination with a frequency analysis with respect to disaster-relevant terms (in 43 languages), thematic as well as spatio-temporal clustering, an initial assessment regarding the severity and extent of the detected event, its classification and (spatio-temporal) localization can be achieved. This detection in real time (2-5 minutes) thus allows
Hussain, Mumtaz; Mumtaz, Saniea
scarcity. To minimize adverse impacts of climate change on the water crisis in Pakistan, the preparation of integrated national, provincial, and local level master plans encompassing technical, social, environmental, administrative, and financial considerations is necessary. It is imperative to implement two simultaneous approaches of adaptation (living with climate change) and mitigation (addressing negativities of climate change). Salient features are integrated management of watersheds/catchments/water bodies, optimum exploitation of present sources, development of new sources, water conservation, adequate drainage, efficient design of water storage, conveyance, distribution and supply systems, utilization of waste water, and regulation of water quality.
Brickman, Heather K.; Jones, Stephanie E.; Groom, Sara E.
The word "terrorism" has become commonplace in the headlines, workplaces, and homes since September 11, 2001. In the past, school crisis plans commonly addressed how to evacuate in the event of a gas leak or fire. Today, schools must be prepared to address biological, chemical, and radiological attacks, as well as car bombings, suicide attacks,…
June, Audrey Williams
Newly released survey results reveal that many colleges are focusing more than ever on preparing for a crisis since the massacre at Virginia Tech, but that they may not be well equipped to handle one. The online survey was conducted by SimpsonScarborough, a consulting firm that focuses on colleges and universities. It invited 546 people who are…
The story of successful crisis management teaches some lessons applicable not only to surmounting crises but to everyday management decisions as well. On Christmas eve, 1974, a cyclone demolished 90 percent of the city of Darwin in Australia's Northern Territory. As thousands gathered in neighborhood schools, a team of educational administrators…
www.usaid.gov/ The USAID plays critical roles both strategically and operationally in the USG interagency process. Operating under policy direction...and counterterrorism communities. Most of the scores of functional fusion centers now operating follow guidelines developed through the DoJ...Afghanistan to support the effort. Its primary responsibilities were to act as an intelligence-gathering fusion center and to operate the
counterterrorism cooperation has been limited, but the tone and context of counterterrorism helped to stabilize — even if it did not transform — the closer...counterterrorism cooperation has been limited, but the tone and context of counterterrorism helped to stabilize — even if it did not transform — the closer...counterterrorism campaign helped to stabilize U.S.-PRC relations up to the highest level, which faced tensions early in the Bush Administration in April
counterterrorism cooperation has been limited, but the tone and context of counterterrorism helped to stabilize — even if it did not transform — the closer...U.S.-China counterterrorism cooperation has been limited, but the tone and context of counterterrorism helped to stabilize — even if it did not...Ties The counterterrorism campaign helped to stabilize U.S.-PRC relations up to the highest level, which faced tensions early in the Bush
Reducing the risks of nuclear war, limiting the spread of nuclear weapons, and reducing global nuclear weapons stockpiles are key national and international security goals. They are pursued through a variety of international arms control, nonproliferation, and counterterrorism treaties and agreements. These legally binding and political commitments, together with the institutional infrastructure that supports them, work to establish global norms of behavior and have limited the spread of weapons of mass destruction. Beyond the primary security objectives, reducing the likelihood of the use of nuclear weapons, preventing environmental releases of radioactive material, increasing the availability of safe and secure nuclear technology for peaceful purposes, and providing scientific data relevant to predicting and managing the consequences of natural or human-caused disasters worldwide provide significant benefits to global public health. PMID:24524501
Dreicer, Mona; Pregenzer, Arian
Reducing the risks of nuclear war, limiting the spread of nuclear weapons, and reducing global nuclear weapons stockpiles are key national and international security goals. They are pursued through a variety of international arms control, nonproliferation, and counterterrorism treaties and agreements. These legally binding and political commitments, together with the institutional infrastructure that supports them, work to establish global norms of behavior and have limited the spread of weapons of mass destruction. Beyond the primary security objectives, reducing the likelihood of the use of nuclear weapons, preventing environmental releases of radioactive material, increasing the availability of safe and secure nuclear technology for peaceful purposes, and providing scientific data relevant to predicting and managing the consequences of natural or human-caused disasters worldwide provide significant benefits to global public health.
Dreicer, Mona; Pregenzer, Arian
Reducing the risks of nuclear war, limiting the spread of nuclear weapons and reducing global nuclear weapons stockpiles are key national and international security goals. They are pursued through a variety of international arms control, nonproliferation and counter-terrorism treaties and agreements. These legally binding and political commitments, together with the institutional infrastructure that supports them, work to establish global norms of behavior and have limited the spread of weapons of mass destruction. Beyond the primary security objectives, reducing the likelihood of the use of nuclear weapons, preventing environmental releases of radioactive material, increasing the availability of safe and secure nuclear technology for peaceful purposes, and providing scientific data relevant to predicting and managing the consequences of natural or human-caused disasters world-wide provide significant benefits to global public health.
Dreicer, Mona; Pregenzer, Arian
Reducing the risks of nuclear war, limiting the spread of nuclear weapons and reducing global nuclear weapons stockpiles are key national and international security goals. They are pursued through a variety of international arms control, nonproliferation and counter-terrorism treaties and agreements. These legally binding and political commitments, together with the institutional infrastructure that supports them, work to establish global norms of behavior and have limited the spread of weapons of mass destruction. Beyond the primary security objectives, reducing the likelihood of the use of nuclear weapons, preventing environmental releases of radioactive material, increasing the availability of safe and secure nuclearmore » technology for peaceful purposes, and providing scientific data relevant to predicting and managing the consequences of natural or human-caused disasters world-wide provide significant benefits to global public health.« less
Rios, Jesus; Rios Insua, David
Recent large-scale terrorist attacks have raised interest in models for resource allocation against terrorist threats. The unifying theme in this area is the need to develop methods for the analysis of allocation decisions when risks stem from the intentional actions of intelligent adversaries. Most approaches to these problems have a game-theoretic flavor although there are also several interesting decision-analytic-based proposals. One of them is the recently introduced framework for adversarial risk analysis, which deals with decision-making problems that involve intelligent opponents and uncertain outcomes. We explore how adversarial risk analysis addresses some standard counterterrorism models: simultaneous defend-attack models, sequential defend-attack-defend models, and sequential defend-attack models with private information. For each model, we first assess critically what would be a typical game-theoretic approach and then provide the corresponding solution proposed by the adversarial risk analysis framework, emphasizing how to coherently assess a predictive probability model of the adversary's actions, in a context in which we aim at supporting decisions of a defender versus an attacker. This illustrates the application of adversarial risk analysis to basic counterterrorism models that may be used as basic building blocks for more complex risk analysis of counterterrorism problems.
van Asselt, E D; van der Fels-Klerx, H J; Breuer, O; Helsloot, I
In order to prevent food safety incidents from becoming a crisis, a good crisis management structure is essential. The aim of the current study was to compare and evaluate the national food incident response plans of 2 neighboring EU Member States: Germany and the Netherlands. This revealed that the structure of these plans is comparable, starting with initial alerting, assessment of the problem, upscaling, an execution phase and finally an evaluation of the crisis management. However, the German communication structure is more complex than the Dutch one and cross-border communication between both countries is currently limited. In general, the presence of national response plans does not guarantee a good and swift response to a food safety incident as this is often hampered by difficulties in tracing the source of the problem as well as difficulties in communication between organizations involved in crisis management. A timely detection can be improved through the development of fast screening and detecting systems and through combining various data sources using computer software systems. Mutual cooperation and communication can be improved through joint exercises or projects. This will help to streamline communication toward consumers and trade partners. Such communication should be transparent relaying not only the facts but also the uncertainties in a crisis in order to gain consumer trust and safeguard international trade.
Adams, Mark Thomas
This qualitative study investigated the nature of the relationship between principal leadership and school culture within a school-wide implementation of Professional Crisis Management (PCM). PCM is a comprehensive and fully integrated system designed to manage crisis situations effectively, safely, and with dignity. While designed primarily to…
Kreske, Audrey; Ducharme, Diane; Gunter, Chris; Phister, Trevor
Foodborne illness outbreaks have measurable public health effects and often lead to negative produce industry impacts. Reducing loss following a crisis event requires a management plan, although many fresh produce industry members don't have one. Evidence-based workshops using a role-play simulated outbreak were delivered to impact crisis…
Kayes, D. Christopher; Allen, Nate; Self, Nate
This article presents a model and case study used to teach crisis leadership as a management education topic. The materials emerge from studies of U.S. Army leaders (company commanders and platoon leaders) working in Iraq and Afghanistan. The authors explain how examples and cases from military combat provide tools to teach about crisis…
Moran, Daniel J.; Consulting, Pickslyde
The evidence-based executive coaching movement suggests translating empirical research into practical methods to help leaders develop a repertoire of crisis resiliency and value-directed change management skills. Acceptance and Commitment Therapy (ACT) is an evidence-based modern cognitive-behavior therapy approach that has been and applied to…
Research on the process and effects of school budget development by superintendents during the current economic crisis is limited. This study sought to determine the job satisfaction, efficacy, and longevity of school superintendents during economic crises. Using data from an original survey instrument TRIPLEM (Managing More than the Money…
Skavdahl, Britta M.
Purpose. The purpose of this study was to determine what research-based and federally recommended practices in the area of school crisis response planning and management were being implemented in K-8 school districts in Northern California, as well as the degree with which the recommended practices were being implemented. Finally, the study…
Lott, Mary Keane
Crisis has remained as prevalent in our lives today as it ever has been, especially in this post-9/11 era. People handle all types of crises, whether personally, professionally or socially. Arguably, people's worldviews after the tragedies of September 11, 2001 have never been the same, including the way they manage and respond to crises. This…
Wallo, Andreas; Kock, Henrik; Nilsson, Peter
Purpose: The purpose of this article is to present the results of a study of an industrial company's top management team (TMT) that fought to survive an economic crisis. Specifically, the article seeks to focus on describing the TMT's composition, group processes, and work during a period of high external pressure; analysing the TMT's work in…
Liaw, S. Y.; Chen, F. G.; Klainin, P.; Brammer, J.; O'Brien, A.; Samarasekera, D. D.
This study aimed to evaluate the integration of a simulation based learning activity on nursing students' clinical crisis management performance in a problem-based learning (PBL) curriculum. It was hypothesized that the clinical performance of first year nursing students who participated in a simulated learning activity during the PBL session…
Malignant hyperthermia (MH) can be fatal if the crisis is not appropriately treated. It is an inherited disease usually triggered by the administration of volatile inhalational anesthetics and/or succinylcholine, a muscle relaxant. In a patient with suspected MH, the mechanism of calcium release from storage in the sarcoplasmic reticulum in the skeletal muscle is abnormally accelerated. Unexplained hypercarbia representing >55 mmHg of end-tidal carbon dioxide, tachycardia, and muscle rigidity (including masseter muscle rigidity) are early signs of the initiation of MH, because the metabolism is accelerated. The body temperature can rise by >0.5 °C/15 min and may reach ≥40 °C. Respiratory and metabolic acidosis, arrhythmia, cola-colored urine, increased levels of serum potassium, and tented T-waves on electrocardiogram are common and can lead to cardiac arrest. MH should be treated by discontinuation of the triggering agents, administration of intravenous dantrolene (initially 1 mg/kg), and reduction of the body temperature. Early diagnosis and sufficient dantrolene with body temperature reduction are essential to relieve the patient's MH crisis. This guideline in Japanese translation has been posted on the website: http://www.anesth.or.jp/guide/pdf/guideline_akuseikounetsu.pdf .
Khun, Vuthy Wongsawaeng, Doonyapong
The risk of nuclear or dirty bomb attack by terrorists is one of the most urgent and threatening danger. The Cambodian national strategy to combat weapons of mass destruction (WMD) depicts a layered system of preventive measures ranging from securing materials at foreign sources to interdicting weapons or nuclear or other radioactive materials at ports, border crossings, and within the Cambodian institutions dealing with the nuclear security to manage the preventive programs. The aim of this study is to formulate guidance, to identify scenario of threat and risk, and to pinpoint necessary legal frameworks on nuclear security in the context of counterterrorism based on the International Atomic Energy Agency nuclear security series. The analysis of this study is guided by theoretical review, the review of international laws and politics, by identifying and interpreting applicable rules and norms establishing the nuclear security regime and how well enforcement of the regime is carried out and, what is the likelihood of the future reform might be. This study will examine the existing national legal frameworks of Cambodia in the context of counterterrorism to prevent acts of nuclear terrorism and the threat of a terrorist nuclear attack within the Cambodia territory. It will shed light on departmental lanes of national nuclear security responsibility, and provide a holistic perspective on the needs of additional resources and emphasis regarding nuclear security policy in the context of counterterrorism in Cambodia.
Khun, Vuthy; Wongsawaeng, Doonyapong
The risk of nuclear or dirty bomb attack by terrorists is one of the most urgent and threatening danger. The Cambodian national strategy to combat weapons of mass destruction (WMD) depicts a layered system of preventive measures ranging from securing materials at foreign sources to interdicting weapons or nuclear or other radioactive materials at ports, border crossings, and within the Cambodian institutions dealing with the nuclear security to manage the preventive programs. The aim of this study is to formulate guidance, to identify scenario of threat and risk, and to pinpoint necessary legal frameworks on nuclear security in the context of counterterrorism based on the International Atomic Energy Agency nuclear security series. The analysis of this study is guided by theoretical review, the review of international laws and politics, by identifying and interpreting applicable rules and norms establishing the nuclear security regime and how well enforcement of the regime is carried out and, what is the likelihood of the future reform might be. This study will examine the existing national legal frameworks of Cambodia in the context of counterterrorism to prevent acts of nuclear terrorism and the threat of a terrorist nuclear attack within the Cambodia territory. It will shed light on departmental lanes of national nuclear security responsibility, and provide a holistic perspective on the needs of additional resources and emphasis regarding nuclear security policy in the context of counterterrorism in Cambodia.
Isaak, Robert Scott; Stiegler, Marjorie Podraza
The practice of medicine is characterized by routine and typical cases whose management usually goes according to plan. However, the occasional case does arise which involves rare catastrophic emergencies, such as intraoperative malignant hyperthermia (MH), which require a comprehensive, coordinated, and resource-intensive treatment plan. Physicians are expected to provide expert quality care for routine, typical cases, but is it reasonable to expect the same standard of expertise and comprehensive management when the emergency involves a rare entity? Although physicians would like to say yes to this question, the reality is that no physician will ever amass the amount of experience in patient care needed to truly qualify as an expert in the management of a rare emergency entity, such as MH. However, physicians can become expert in the global process of managing emergencies by using the principles of crisis resource management (CRM). In this article, we review the key concepts of CRM, using a real life example of a team who utilized CRM principles to successfully manage an intraoperative MH crisis, despite there being no one on the team who had ever previously encountered a true MH crisis.
Guenthner, Daniel H
A literature review was performed on critical incident stress after September 11th, 2001 (9/11), and Hurricanes Katrina and Rita, which focused on the need to implement a holistic critical incident stress management programme for first responders and business organisations. Critical incident stress management is required to handle acute stress and other distress in the face of natural or man-made disasters, including terrorist attacks. A holistic approach to community resilience through a well-planned and implemented critical incident stress management programme has been shown in the literature to promote self-help and self-efficacy of individuals and organisations. The interventions and programme elements defined clearly show how a number of different intervention and prevention strategies will promote business and community resilience and also self-efficacy in a culturally-diverse community and organisation. Implementing a critical incident stress management programme within a responding business organisation is critical because of the fact that first responders are the most susceptible every day to exposure to critical incidents that will affect their mental health; and business employees will suffer some of the same maladies as first responders in the event of a disaster or crisis. Utilising the framework provided, a holistic critical incident stress management programme can be implemented to help reduce the effects of burnout, absenteeism, acute stress, post-traumatic stress, substance use and traumatic stress, and to work to promote community resilience and toughen individuals against the effects of stress. Taking care of the needs of the employees of a business organisation, and of those of first responders, is clearly required.
Steinman, Theodore I
The geriatric population with end-stage renal disease (ESRD) is placed at risk with regards to the quality and extent of medical coverage because of the rapidly changing financial environment. Managed care organizations (MCOs) are generally for-profit companies that must focus on the bottom line. While the verbal commitment to quality care is voiced, the financial pressures on MCOs have led to a decrease in coverage of many services and outright denial for some necessary treatments. While denying services, the MCOs have also reduced payments to providers for services rendered. The coverage crisis is compounded by health maintenance organizations (HMOs) quitting Medicare because the reimbursement from the Health Care Financing Administration (HCFA) is less than their costs. Because of the above issues which can potentially impact on the quality of care delivered to the ESRD geriatric population, a new approach to disease management has created the opportunity to improve total patient care to a level not yet achieved in the United States. Disease management encompasses integrated care across all disciplines. Every component of care can be tracked by a dedicated information system. Improvement in outcomes has far exceeded the U.S. Renal Data System (USRDS) benchmark performance measurements with a disease management model approach. The key to success is the health service coordinator (HSC), a senior nurse with many years of ESRD experience. This individual coordinates care across all disciplines and expedites necessary referrals. With rapid attention to patient needs there has been a significant reduction in hospital admissions, hospital length of stay, and emergency room visits. Patient care will steadily improve as the disease management system matures as a consequence of understanding the patients total physical and psychosocial needs.
Liu, Sophia B.
Crowdsourcing is not a new practice but it is a concept that has gained significant attention during recent disasters. Drawing from previous work in the crisis informatics, disaster sociology, and computer-supported cooperative work (CSCW) literature, the paper first explains recent conceptualizations of crowdsourcing and how crowdsourcing is a way of leveraging disaster convergence. The CSCW concept of “articulation work” is introduced as an interpretive frame for extracting the salient dimensions of “crisis crowdsourcing.” Then, a series of vignettes are presented to illustrate the evolution of crisis crowdsourcing that spontaneously emerged after the 2010 Haiti earthquake and evolved to more established forms of public engagement during crises. The best practices extracted from the vignettes clarified the efforts to formalize crisis crowdsourcing through the development of innovative interfaces designed to support the articulation work needed to facilitate spontaneous volunteer efforts. Extracting these best practices led to the development of a conceptual framework that unpacks the key dimensions of crisis crowdsourcing. The Crisis Crowdsourcing Framework is a systematic, problem-driven approach to determining the why, who, what, when, where, and how aspects of a crowdsourcing system. The framework also draws attention to the social, technological, organizational, and policy (STOP) interfaces that need to be designed to manage the articulation work involved with reducing the complexity of coordinating across these key dimensions. An example of how to apply the framework to design a crowdsourcing system is offered with with a discussion on the implications for applying this framework as well as the limitations of this framework. Innovation is occurring at the social, technological, organizational, and policy interfaces enabling crowdsourcing to be operationalized and integrated into official products and services.
military, specifically Special Operations Forces, possesses a pool of talent in advanced counterterrorism operations that is not being utilized by...United States. The U.S. military, specifically Special Operations Forces, possesses a pool of talent in advanced counterterrorism operations that...examine and restructure the force allowing creativity to be applied to existing and older problems. The Army has created new and effective ideas when
Szabo, Ashley; August, David A; Klainer, Suzanne; Miller, Andrew D; Kaye, Alan D; Raemer, Daniel B; Urman, Richard D
When an unexpected perioperative crisis arises, simulation studies have suggested that the use of an emergency manual (EM) may offset the large cognitive load involved in crisis management, facilitating the efficient performance of key steps in treatment. However, little is known about how well EMs will translate into actual practice and what is required to use them optimally. While EMs are a promising tool in the management of perioperative critical events, more research is needed to define best practices and their limitations. In the interim, cautious use of these cognitive aids is recommended, especially when the diagnosis is not straightforward, falls "in between" sections of the EM, or falls outside of the EM itself. Further research should focus on the efficacy of EMs as measured by the percentage of critical steps correctly performed by their users in scenarios that do not closely mirror one of the listed EM scenarios from the beginning or as the situation evolves.
Mafimisebi, Oluwasoye Patrick; Thorne, Sara
The controversial issues of terrorism and militancy have generated contemporary interests and different interpretations have emerged on how to combat and manage these dangerous events. This study widens understanding of moral disengagement mechanism application in the perpetuation of inhumanities within the context of oil terrorist and militant behaviors. The research findings and model are explicit on how people form moral evaluations of agents who are forced to make morally relevant decisions over times in context of crisis situations. Quite crucially, understanding the context of terrorism and militancy provides policymakers, emergency and crisis managers better analysis and response to such events. The research fundamental purpose was to investigate the mediating role of moral disengagement on delinquency of oil terrorism and militancy; and considered implications for emergency and crisis management practices. The study found that situational-induced crises such as oil terrorism and militancy were sufficient to account for an individual's misdeeds and unethical or inhumane decisions made under frustration and agitation may be perceived as less indicative of one's fundamental character. Findings suggest that more repugnant delinquencies could have been committed in the name of justice than in the name of injustice, avenues for future research. In context, the result of the moral disengagement scale shows that morality of delinquency (oil terrorism and militancy) is accomplished by cognitively redefining the morality of such acts. The main finding is that people in resistance movements are rational actors making rational choices. The authors argue that theorists, policymakers, and practitioners must give meaningful attention to understanding the multidimensional nature of emergency, crisis and disaster management for better strength of synthesis between theory and practice. The research is concluded by thorough examination of the implication and limitations for
A cloud of ash drifting from the erupting Eyjafjallajökull volcano in Iceland in April and May 2010 covered Europe and created an unprecedented situation. It resulted in an almost complete lockdown of European airspace in the period from 15th to 21st April, 2010: more than 100,000 flights were cancelled, 10 million people were affected and over US$1.8bn was lost by airlines globally. This paper presents the air traffic management (ATM) view of the situation. Through an analysis of the evolution of the events in the affected region, the paper will provide more details on ATM planning, reaction and follow-up actions. Furthermore, the influence of this event on the identification of further improvements needed to advance volcanic procedures internationally will be discussed. Actions undertaken since the end of the event - the establishment of the European Aviation Crisis Coordination Cell, running of the International Civil Aviation Organization VOLCEX 11/01 volcanic ash exercise and European response to the Grimsvötn eruption in May 2011 - will be discussed at the end of the paper.
The report presents key data on Kosovo refugees in Albania during the 1999 crisis in Kosovo. In a three-month period, from March through May 1999, Albania received, accommodated, and cared for 479,223 officially registered refugees from Kosovo (FR Yugoslavia). Many foreign governmental and non-governmental organizations helped the Albanian government during the crisis. The Government cooperated with the organizations through Government Commission, which appointed a Special Coordinator to the Emergency Management Group that coordinated factors and actions in the field. A Health Desk was established by the Emergency Management Group to provide an overview of the health impact of the crisis upon refugees and domestic Albanian population. There were no serious outbreaks of infectious diseases, but the Health Desk registered 2,165 cases of diarrhea without and 14 cases of diarrhea with blood in the stool. Scabies and lice affected around 4% of the refugees. After the refugees returned to Kosovo, Emergency Management Group continued to coordinate the work on the rehabilitation of the refugee-affected areas. In this phase, humanitarian emergency work served as a bridge between emergency activities and normal development.
Technology : A Comparison of Two Theoretical Models,” 982. 28 The Technology Acceptance Model ( TAM ...Emergency Management and Homeland Security B.S., University of Connecticut, 1993 M.S., New York Institute of Technology , 1998 Submitted in partial...Figure 6. Utilization of Different Technologies for Collecting and Disseminating Information during an Incident
Dolan, Thomas G.
Most colleges and universities are poorly prepared to efficiently address and manage crises. That is the finding of a survey, the results of which were in the January/February issue of the publication, "Change." The authors point to Hurricane Katrina and the 9/11 terrorist attacks as wake-up calls to higher education and maintain both that campus…
Florida State Dept. of Education, Tallahassee. Office of Educational Facilities.
This document provides school districts and community colleges in Florida with guidance on disaster preparedness planning and management for all types of disasters. Procedures include those for insurance coverage, emergency shelters, command centers and disaster team organization, emergency communications, security, preparation prior to disaster,…
and hindrance stress : Relationships with exhaustion, motivation to learn, and learning performance. Journal of Applied Psychology , 89, 883-891...The notion of EOs is not new. Indeed, in organizational psychology and management sciences very similar concepts – for example, empowered self...role and implications of adaptability in relation to other aspects of teamwork and team effectiveness, for instance team cognition (e.g., shared
Aubrecht, C.; Steinnocher, K.; Freire, S.; Loibl, W.; Peters-Anders, J.; Ungar, J.
Crisis and disaster management is much more than the immediate first-response actions following an incident. In many projects the main focus has been on the phase starting at the point when an unwanted event happens and lasting until the activities return to normal routines (i.e., ad hoc reaction rather than proactive mitigation). There has been less emphasis on the other phases of the disaster management cycle such as prevention, preparedness, recovery and reconstruction, even though those phases have a strong influence on the general status of a society and its citizens. Especially the potential of a crisis to escalate into a large-scale disaster is heavily dependent on the overall level of preparedness as well as on the planning of mitigation and response actions and their timely execution. There is a need for improved decision-making support that enables modeling of different crisis scenarios and their impacts according to chosen prevention and response actions. Vulnerability describing the status of a society with respect to an imposed hazard or potential impact is considered a strongly multidisciplinary concept. A central objective of vulnerability assessment is to provide indications where and how people - and more specifically, what kind of people - might be affected by a certain impact. Results should provide decision- and policy-makers with supporting information to target response and mitigation actions adequately. For assessment of the social dimension of vulnerability, population exposure mapping is usually considered the starting point. Integration of social structure and varying aspects of resilience further differentiate situation-specific vulnerability patterns on a local scale. In a disaster risk management context, assessment of human vulnerability has generally been lagging behind hazard analysis efforts. Accurately estimating population exposure is a key component of catastrophe loss modeling, one element of effective integrated risk analysis
Hoff, Larry A.
This study was a cross-sectional study of leadership and staff of a public school system in Georgia concerning their temperament type, emergency management motivation and emergency management knowledge in relation to Emergency Management/Crisis performance (ERCM). The study consisted of an inclusive questionnaire that contains questions on four…
De Silva, Terrence; Chikersal, Jyotsna; Snoad, Nigel; Woodworth, Brent; Ghaly, Cherif; Catterall, Martin
This is a summary of the presentations and discussion of Panel 2.18, Logistics, Information Technology, and Telecommunications in Crisis Management of the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed included issues related to logistics, information technology (IT), and crisis communication pertaining to the responses to the damage created by the Tsunami. It is presented in the following major sections: (1) issues; (2) lessons learned; (3) what was done well; (4) what could have been done better; and (5) conclusions and recommendations. Each major section is presented in four sub-sections: (1) needs assessments; (2) coordination; (3) filling the gaps; and (4) capacity building.
Larsen, Tulinda Deegan
In this study the researcher provides a behavioral framework for managing massive airline flight disruptions (MAFD) in the United States. Under conditions of MAFD, multiple flights are disrupted throughout the airline's route network, customer service is negatively affected, additional costs are created for airlines, and governments intervene. This study is different from other studies relating to MAFD that have focused on the operational, technical, economic, financial, and customer service impacts. The researcher argues that airlines could improve the management of events that led to MAFD by applying the principles of crisis management where the entire organization is mobilized, rather than one department, adapting organization development (OD) interventions to implement change and organization learning (OL) processes to create culture of innovation, resulting in sustainable improvement in customer service, cost reductions, and mitigation of government intervention. At the intersection of crisis management, OD, and OL, the researcher has developed a new conceptual framework that enhances the resiliency of individuals and organizations in responding to unexpected-yet-recurring crises (e.g., MAFD) that impact operations. The researcher has adapted and augmented Lalonde's framework for managing crises through OD interventions by including OL processes. The OD interventions, coupled with OL, provide a framework for airline leaders to manage more effectively events that result in MAFD with the goal of improving passenger satisfaction, reducing costs, and preventing further government intervention. Further research is warranted to apply this conceptual framework to unexpected-yet-recurring crises that affect operations in other industries.
Farber, E.; Vengosh, A.; Gavrieli, I.; Marie, A.; Bullen, T.D.; Mayer, B.; Holtzman, R.; Segal, M.; Shavit, U.
Recent geochemical and hydrological findings show that the water quality of the base flow of the Lower Jordan River, between the Sea of Galilee and the Dead Sea, is dependent upon the ratio between surface water flow and groundwater discharge. Using water quality data, mass-balance calculations, and actual flow-rate measurements, possible management scenarios for the Lower Jordan River and their potential affects on its salinity are investigated. The predicted scenarios reveal that implementation of some elements of the Israel-Jordan peace treaty will have negative effects on the Jordan River water salinity. It is predicted that removal of sewage effluents dumped into the river (???13 MCM/a) will significantly reduce the river water's flow and increase the relative proportion of the saline groundwater flux into the river. Under this scenario, the Cl content of the river at its southern point (Abdalla Bridge) will rise to almost 7000 mg/L during the summer. In contrast, removal of all the saline water (16.5 MCM/a) that is artificially discharged into the Lower Jordan River will significantly reduce its Cl concentration, to levels of 650-2600 and 3000-3500 mg/L in the northern and southern areas of the Lower Jordan River, respectively. However, because the removal of either the sewage effluents or the saline water will decrease the river's discharge to a level that could potentially cause river desiccation during the summer months, other water sources must be allocated to preserve in-stream flow needs and hence the river's ecosystem. ?? 2005 Elsevier Ltd. All rights reserved.
Qin, Boqiang; Zhu, Guangwei; Gao, Guang; Zhang, Yunlin; Li, Wei; Paerl, Hans W.; Carmichael, Wayne W.
In late May, 2007, a drinking water crisis took place in Wuxi, Jiangsu Province, China, following a massive bloom of the toxin producing cyanobacteria Microcystis spp. in Lake Taihu, China’s third largest freshwater lake. Taihu was the city’s sole water supply, leaving approximately two million people without drinking water for at least a week. This cyanobacterial bloom event began two months earlier than previously documented for Microcystis blooms in Taihu. This was attributed to an unusually warm spring. The prevailing wind direction during this period caused the bloom to accumulate at the shoreline near the intake of the water plant. Water was diverted from the nearby Yangtze River in an effort to flush the lake of the bloom. However, this management action was counterproductive, because it produced a current which transported the bloom into the intake, exacerbating the drinking water contamination problem. The severity of this microcystin toxin containing bloom and the ensuing drinking water crisis were attributable to excessive nutrient enrichment; however, a multi-annual warming trend extended the bloom period and amplified its severity, and this was made worse by unanticipated negative impacts of water management. Long-term management must therefore consider both the human and climatic factors controlling these blooms and their impacts on water supply in this and other large lakes threatened by accelerating eutrophication.
Qin, Boqiang; Zhu, Guangwei; Gao, Guang; Zhang, Yunlin; Li, Wei; Paerl, Hans W; Carmichael, Wayne W
In late May, 2007, a drinking water crisis took place in Wuxi, Jiangsu Province, China, following a massive bloom of the toxin producing cyanobacteria Microcystis spp. in Lake Taihu, China's third largest freshwater lake. Taihu was the city's sole water supply, leaving approximately two million people without drinking water for at least a week. This cyanobacterial bloom event began two months earlier than previously documented for Microcystis blooms in Taihu. This was attributed to an unusually warm spring. The prevailing wind direction during this period caused the bloom to accumulate at the shoreline near the intake of the water plant. Water was diverted from the nearby Yangtze River in an effort to flush the lake of the bloom. However, this management action was counterproductive, because it produced a current which transported the bloom into the intake, exacerbating the drinking water contamination problem. The severity of this microcystin toxin containing bloom and the ensuing drinking water crisis were attributable to excessive nutrient enrichment; however, a multi-annual warming trend extended the bloom period and amplified its severity, and this was made worse by unanticipated negative impacts of water management. Long-term management must therefore consider both the human and climatic factors controlling these blooms and their impacts on water supply in this and other large lakes threatened by accelerating eutrophication.
Healthcare organizations were faced with so great a challenge following the financial slump that they were forced to 'sharpen their wits' in order to survive. Integrated Quality Management (in Spanish GIC), proved the ideal instrument. GIC has four foundational elements, the application of which allow for successful management of crisis situations. They are as follows: TRAINING of human resources EVALUATION of healthcare institutions SELF-EVALUATION by institutions QUALITY ACCREDITATION of institutions All our organizations have the appropriate tools to carry out these activities which form the basis of our project: CAES (Argentinean Chamber of Healthcare Institutions) -training-, CIDCAM (Inter-institutional Committee for Quality Development in Medical Care) -evaluation and self-evaluation-, CENAS (Specialist Centre for the Standardization and Accreditation in Health Care)-accreditation-. In times of crisis, we play an active part, that is, instead of withdrawing our efforts, we do our best to achieve the best and most adequate objective in order to meet the needs of the population through Integrated Quality Management. Eventually, when the results are examined, medical care that meets the best quality standards is found to be, after all, the most economical (that is best results, better satisfaction of healthcare users and providers as well as less mistakes).
This paper discusses the implications for managers' careers of the global financial crisis. It draws on empirical research during the last period of major job cuts. Evidence comes from a mail survey of over 1000 career histories of Australian managers, with a response rate of 44%. Changes to career satisfaction, job satisfaction, job security,…
The nationalities universities and colleges set up the crisis pre-warning management system, not only related to the management of our nationalities universities and colleges and their growth, but also related to the country's national unity plan in some way. However, because of minority students in the particularity of the national cultural…
Lauer, Larry D.
Issues management is defined as a distant early warning system through which colleges and universities can develop strategies to deal with legislative, community, and internal issues before they reach a crisis point. The issues management process at Texas Christian University is described. (MLW)
Lehman, Lynn A.; Krause, Lee S.
This paper will evaluate the feasibility of constructing a system to support intelligence analysts engaged in counter-terrorism. It will discuss the use of emerging techniques to evaluate a large-scale threat data repository (or Infosphere) and comparing analyst developed models to identify and discover potential threat-related activity with a uncertainty metric used to evaluate the threat. This system will also employ the use of psychological (or intent) modeling to incorporate combatant (i.e. terrorist) beliefs and intent. The paper will explore the feasibility of constructing a hetero-hierarchical (a hierarchy of more than one kind or type characterized by loose connection/feedback among elements of the hierarchy) agent based framework or "family of agents" to support "evidence retrieval" defined as combing, or searching the threat data repository and returning information with an uncertainty metric. The counter-terrorism threat prediction architecture will be guided by a series of models, constructed to represent threat operational objectives, potential targets, or terrorist objectives. The approach would compare model representations against information retrieved by the agent family to isolate or identify patterns that match within reasonable measures of proximity. The central areas of discussion will be the construction of an agent framework to search the available threat related information repository, evaluation of results against models that will represent the cultural foundations, mindset, sociology and emotional drive of typical threat combatants (i.e. the mind and objectives of a terrorist), and the development of evaluation techniques to compare result sets with the models representing threat behavior and threat targets. The applicability of concepts surrounding Modeling Field Theory (MFT) will be discussed as the basis of this research into development of proximity measures between the models and result sets and to provide feedback in support of model
Rivera, Marco; Thouret, Jean-Claude; Mariño, Jersy; Berolatti, Rossemary; Fuentes, José
Ubinas volcano is located 75 km East of Arequipa and ca. 5000 people are living within 12 km from the summit. This composite cone is considered the most active volcano in southern Peru owing to its 24 low to moderate magnitude (VEI 1-3) eruptions in the past 500 years. The onset of the most recent eruptive episode occurred on 27 March 2006, following 8 months of heightened fumarolic activity. Vulcanian explosions occurred between 14 April 2006 and September 2007, at a time ejecting blocks up to 40 cm in diameter to distances of 2 km. Ash columns commonly rose to 3.5 km above the caldera rim and dispersed fine ash and aerosols to distances of 80 km between April 2006 and April 2007. Until April 2007, the total volume of ash was estimated at 0.004 km 3, suggesting that the volume of fresh magma was small. Ash fallout has affected residents, livestock, water supplies, and crop cultivation within an area of ca. 100 km 2 around the volcano. Continuous degassing and intermittent mild vulcanian explosions lasted until the end of 2008. Shortly after the initial explosions on mid April 2006 that spread ash fallout within 7 km of the volcano, an integrated Scientific Committee including three Peruvian institutes affiliated to the Regional Committee of Civil Defense for Moquegua, aided by members of the international cooperation, worked together to: i) elaborate and publish volcanic hazard maps; ii) inform and educate the population; and iii) advise regional authorities in regard to the management of the volcanic crisis and the preparation of contingency plans. Although the 2006-2008 volcanic crisis has been moderate, its management has been a difficult task even though less than 5000 people now live around the Ubinas volcano. However, the successful management has provided experience and skills to the scientific community. This volcanic crisis was not the first one that Peru has experienced but the 2006-2008 experience is the first long-lasting crisis that the Peruvian civil
Renna, Tania Di; Crooks, Simone; Pigford, Ashlee-Ann; Clarkin, Chantalle; Fraser, Amy B; Bunting, Alexandra C; Bould, M Dylan; Boet, Sylvain
This study aimed to assess the perceived value of the Cognitive Aids for Role Definition (CARD) protocol for simulated intraoperative cardiac arrests. Sixteen interprofessional operating room teams completed three consecutive simulated intraoperative cardiac arrest scenarios: current standard, no CARD; CARD, no CARD teaching; and CARD, didactic teaching. Each team participated in a focus group interview immediately following the third scenario; data were transcribed verbatim and qualitatively analysed. After 6 months, participants formed eight new teams randomised to two groups (CARD or no CARD) and completed a retention intraoperative cardiac arrest simulation scenario. All simulation sessions were video recorded and expert raters assessed team performance. Qualitative analysis of the 16 focus group interviews revealed 3 thematic dimensions: role definition in crisis management; logistical issues; and the "real life" applicability of CARD. Members of the interprofessional team perceived CARD very positively. Exploratory quantitative analysis found no significant differences in team performance with or without CARD (p > 0.05). In conclusion, qualitative data suggest that the CARD protocol clarifies roles and team coordination during interprofessional crisis management and has the potential to improve the team performance. The concept of a self-organising team with defined roles is promising for patient safety.
Dörtbudak, Mehmet F.
Terrorism is not a new phenomenon to the world, yet it remains difficult to define and counter. Countering terrorism requires several measures that must be taken simultaneously; however, counterterrorism strategies of many countries mostly depend on military measures. In the aftermath of the 2001 terrorist attack on the Twin Towers of the World Trade Center, the United States (U.S.) has started and led the campaign of Global War on Terrorism. They have invaded Afghanistan and Iraq and have encountered insurgencies run by terrorist organizations, such as al-Qaeda and its affiliates. The U.S. made the utilization of Air and Space Power very intensively during these operations. In order to implement operations; Intelligence, Surveillance, and Reconnaissance (ISR) assets were used to collect the necessary information. Before the successful insertion of a small number of U.S. Special Operation Force (SOF) teams into Afghanistan, the U.S. Air Force attacked al-Qaeda and Taliban's targets such as infrastructure, airfields, ground forces, command-control facilities etc. As soon as the U.S. troops got on the ground and started to marshal to Kabul, the Air Force supported them by attacking jointly determined targets. The Air Force continued to carry out the missions and played a significant role to achieve the objective of operation during all the time. This is not the only example of utilization of Air and Space Power in counterterrorism and counterinsurgency operations. All around the world, many countries have also made the utilization of Air Power in different missions ranging from ISR to attacking. Thinking that terrorism has a psychological dimension and losing a pilot during operations may result in decreasing the population support to operations, Unmanned Aerial Vehicles (UAVs) started to be used by practitioners and took priority over other assets. Although UAVs have been on the theatre for a long time used for ISR mission in conventional conflicts, with the advent
Bellomo, N.; Clarke, D.; Gibelli, L.; Townsend, P.; Vreugdenhil, B. J.
This paper proposes an essay concerning the understanding of human behaviours and crisis management of crowds in extreme situations, such as evacuation through complex venues. The first part focuses on the understanding of the main features of the crowd viewed as a living, hence complex system. The main concepts are subsequently addressed, in the second part, to a critical analysis of mathematical models suitable to capture them, as far as it is possible. Then, the third part focuses on the use, toward safety problems, of a model derived by the methods of the mathematical kinetic theory and theoretical tools of evolutionary game theory. It is shown how this model can depict critical situations and how these can be managed with the aim of minimizing the risk of catastrophic events.
Bellomo, N; Clarke, D; Gibelli, L; Townsend, P; Vreugdenhil, B J
This paper proposes an essay concerning the understanding of human behaviours and crisis management of crowds in extreme situations, such as evacuation through complex venues. The first part focuses on the understanding of the main features of the crowd viewed as a living, hence complex system. The main concepts are subsequently addressed, in the second part, to a critical analysis of mathematical models suitable to capture them, as far as it is possible. Then, the third part focuses on the use, toward safety problems, of a model derived by the methods of the mathematical kinetic theory and theoretical tools of evolutionary game theory. It is shown how this model can depict critical situations and how these can be managed with the aim of minimizing the risk of catastrophic events.
Aarsen, R.; Janssen, M.; Ramkisoen, M.; Biljecki, F.; Quak, W.; Verbree, E.
In case of a calamity in the Netherlands - e.g. a dike breach - parts of the nationwide electric network can fall out. In these occasions it would be useful if decentralised energy sources of the Smart Grid would contribute to balance out the fluctuations of the energy network. Decentralised energy sources include: solar energy, wind energy, combined heat and power, and biogas. In this manner, parts of the built environment - e.g. hospitals - that are in need of a continuous power flow, could be secured of this power. When a calamity happens, information about the Smart Grid is necessary to control the crisis and to ensure a shared view on the energy networks for both the crisis managers and network operators. The current situation of publishing, storing and sharing data of solar energy has been shown a lack of reliability about the current number, physical location, and capacity of installed decentralised photovoltaic (PV) panels in the Netherlands. This study focuses on decentralised solar energy in the form of electricity via PV panels in the Netherlands and addresses this challenge by proposing a new, reliable and up-to-date database. The study reveals the requirements for a registration of the installed base of PV panels in the Netherlands. This new database should serve as a replenishment for the current national voluntary registration, called Production Installation Register of Energy Data Services Netherland (EDSN-PIR), of installed decentralised PV panel installations in the Smart Grid, and provide important information in case of a calamity.
Wood, Jennifer D; Beierschmitt, Laura
Law enforcement officers continue to serve on the front lines as mental health interventionists, and as such have been subject to a wave of "first generation" reform designed to enhance their crisis response capabilities. Yet, this focus on crisis intervention has not answered recent calls to move "upstream" and bolster early intervention in the name of long-term recovery. This paper reports on findings from an action research project in Philadelphia aimed at exploring opportunities for enhanced upstream engagement. Study methods include spatial analyses of police mental health transportations from an eight year period (2004-2011) and qualitative data from twenty-three "framing conversations" with partners and other stakeholders, seven focus groups with police and outreach workers, five key informant interviews as well as document reviews of the service delivery system in Philadelphia. Recommendations include the need to move beyond a focus on what police can do to a wider conception of city agencies and business stakeholders who can influence vulnerable people and vulnerable spaces of the city. We argue for the need to develop shared principles and rules of engagement that clarify roles and stipulate how best to enlist city resources in a range of circumstances. Since issues of mental health, substance use and disorder are so tightly coupled, we stress the importance of establishing a data-driven approach to crime and disorder reduction in areas of the city we term "hotspots of vulnerability". In line with a recovery philosophy, such an approach should reduce opportunities for anti-social behavior among the "dually labeled" in ways consistent with "procedural justice". Furthermore, crime and disorder data flowing from police and security to behavioral health analysts could contribute to a more focused case management of "repeat utilizers" across the two systems. Our central argument is that a twin emphasis on "case management" and "place management" may provide
USAWC STRATEGY RESEARCH PROJECT STRATEGIES TO INTEGRATE AMERICA’S LOCAL POLICE AGENCIES INTO DOMESTIC COUNTERTERRORISM by Colonel Blair C. Alexander...Strategies to Integrate America’s Local Police Agencies into Domestic 5b. GRANT NUMBER Counterterrorism 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d...Z39-18 ABSTRACT AUTHOR: Colonel Blair C. Alexander TITLE: Strategies to Integrate America’s Local Police Agencies into Domestic Counterterrorism FORMAT
tone and context of counterterrorism helped to stabilize — even if it did not transform — the closer bilateral relationship pursued by President George...counterterrorism helped to stabilize — even if it did not transform — the closer bilateral relationship pursued by President Bush since late 2001. In the...Options and Implications for U.S. Policy Summits and “Strategic” Ties The counterterrorism campaign helped to stabilize U.S.-PRC relations up to the highest
Plant, Jennifer L.; van Schaik, Sandrijn M.; Sliwka, Diane C.; Boscardin, Christy K.; O'Sullivan, Patricia S.
Self-efficacy is thought to be important for resuscitation proficiency in that it influences the development of and access to the associated medical knowledge, procedural skills and crisis resource management (CRM) skills. Since performance assessment of CRM skills is challenging, self-efficacy is often used as a measure of competence in this…
Asselin, Martha Jo
With the rising number of major crises on college campuses today (Security on Campus Inc., 2009), institutions of higher education can benefit from understanding of how social networks may be used in times of emergency. What is currently known about the usage of social networks is not integral to the current practices of crisis management that are…
Papadakis, Nikos E.; Tsakanika, Theofano; Kyridis, Argyris
With this paper we approach the new policy making paradigm for Europe's higher education policy, set with the Bologna Process, given emphasis to the legitimacy deficit of this political venture and the necessity of a crisis management over the implementation phase within national frames. The implementation of the Bologna's policies, using Greece…
The study aims to identify the impact of creativity management in fighting the educational crisis in secondary schools in Palestine from the viewpoint of headmasters, researcher worked to follow the descriptive analytical method and also resorted to statistical methods, has developed a questionnaire included several paragraphs about the school…
Raeesi, M.; Sadeghi-Niaraki, A.
Earthquakes are among the most destructive natural disasters. Earthquakes happen mainly near the edges of tectonic plates, but they may happen just about anywhere. Earthquakes cannot be predicted. Quick response after disasters, like earthquake, decreases loss of life and costs. Massive earthquakes often cause structures to collapse, trapping victims under dense rubble for long periods of time. After the earthquake and destroyed some areas, several teams are sent to find the location of the destroyed areas. The search and rescue phase usually is maintained for many days. Time reduction for surviving people is very important. A Geographical Information System (GIS) can be used for decreasing response time and management in critical situations. Position estimation in short period of time time is important. This paper proposes a GIS based system for post-earthquake disaster management solution. This system relies on several mobile positioning methods such as cell-ID and TA method, signal strength method, angel of arrival method, time of arrival method and time difference of arrival method. For quick positioning, the system can be helped by any person who has a mobile device. After positioning and specifying the critical points, the points are sent to a central site for managing the procedure of quick response for helping. This solution establishes a quick way to manage the post-earthquake crisis.
Gálvez, Carlos; Rivera-Cogollos, María Jesus; Galiana-Ivars, María; Bolufer, Sergio; Martínez-Adsuar, Francisco
The management of surgical and medical intraoperative emergencies are included in the group of high acuity (high potential severity of an event and the patient impact) and low opportunity (the frequency in which the team is required to manage the event). This combination places the patient into a situation where medical errors could happen more frequently. Although medical error are ubiquitous and inevitable we should try to establish the necessary knowledge, skills and attitudes needed for effective team performance and to guide the development of a critical event. This strategy would probably reduce the incidence of error and improve decision-making. The way to apply it comes from the application of the management of critical events in the airline industry. Its use in a surgical environment is through the crisis resource management (CRM) principles. The CRM tries to develop all the non-technical skills necessary in a critical situation, but not only that, also includes all the tools needed to prevent them. The purpose of this special issue is to appraise and summarize the design, implementation, and efficacy of simulation-based CRM training programs for a specific surgery such as the non-intubated video-assisted thoracoscopic surgery. PMID:26046052
Andreatta, Pamela; Klotz, Jessica J; Madsen, James M; Hurst, Charles G; Talbot, Thomas B
Military and civilian first responders must be able to recognize and effectively manage mass disaster casualties. Clinical management of injuries resulting from nerve agents provides different challenges for first responders than those of conventional weapons. We evaluated the impact of a mixed-methods training program on competency acquisition in cholinergic crisis clinical management using multimedia with either live animal or patient actor examples, and hands-on practice using SimMan3G mannequin simulators. A purposively selected sample of 204 civilian and military first responders who had not previously completed nerve agent training were assessed pre- and post-training for knowledge, performance, self-efficacy, and affective state. We conducted analysis of variance with repeated measures; statistical significance p < 0.05. Both groups had significant performance improvement across all assessment dimensions: knowledge > 20%, performance > 50%, self-efficacy > 34%, and affective state > 15%. There were no significant differences between the live animal and patient actor groups. These findings could aid in the specification of training for first-responder personnel in military and civilian service. Although less comprehensive than U.S. Army Medical Research Institute of Chemical Defense courses, the training outcomes associated with this easily distributed program demonstrate its value in increasing the competency of first responders in recognizing and managing a mass casualty cholinergic event.
Biddle, Christopher J.
The purpose of this qualitative holistic multiple-case study was to identify the optimal theoretical approach for a Counter-Terrorism Reality-Based Training (CTRBT) model to train post-9/11 police officers to perform effectively in their counter-terrorism assignments. Post-9/11 police officers assigned to counter-terrorism duties are not trained…
Ross, A.; Little, M. M.
NASA's Atmospheric Science Data Center (ASDC) is piloting the use of Geographic Information System (GIS) technology that can be leveraged for crisis planning, emergency response, and disaster management/awareness. Many different organizations currently use GIS tools and geospatial data during a disaster event. ASDC datasets have not been fully utilized by this community in the past due to incompatible data formats that ASDC holdings are archived in. Through the successful implementation of this pilot effort and continued collaboration with the larger Homeland Defense and Department of Defense emergency management community through the Homeland Infrastructure Foundation-Level Data Working Group (HIFLD WG), our data will be easily accessible to those using GIS and increase the ability to plan, respond, manage, and provide awareness during disasters. The HIFLD WG Partnership has expanded to include more than 5,900 mission partners representing the 14 executive departments, 98 agencies, 50 states (and 3 territories), and more than 700 private sector organizations to directly enhance the federal, state, and local government's ability to support domestic infrastructure data gathering, sharing and protection, visualization, and spatial knowledge management.The HIFLD WG Executive Membership is lead by representatives from the Department of Defense (DoD) Office of the Assistant Secretary of Defense for Homeland Defense and Americas' Security Affairs - OASD (HD&ASA); the Department of Homeland Security (DHS), National Protection and Programs Directorate's Office of Infrastructure Protection (NPPD IP); the National Geospatial-Intelligence Agency (NGA) Integrated Working Group - Readiness, Response and Recovery (IWG-R3); the Department of Interior (DOI) United States Geological Survey (USGS) National Geospatial Program (NGP), and DHS Federal Emergency Management Agency (FEMA).
Brandis, K. J.; Kingsford, R. T.; Ren, S.; Ramp, D.
Narran Lakes is a Ramsar site recognised for its importance for colonial waterbird breeding, which only occurs after large highly variable flooding events. In 2008, 74,095 pairs of ibis bred for the first time in seven years, establishing two contiguous colonies, a month apart. Most (97%) of the colony consisted of the straw-necked ibis ( Threskiornis spinicollis) with the remainder consisting of glossy ibis (2%, Plegadis falcinellus) and Australian white ibis (1%, T. molucca) . Following cessation of river flows, water levels fell rapidly in the colony site, resulting in a crisis management decision by governments to purchase and deliver water (10,423 Ml) to avert mass desertion of the colonies. There were significant differences in the reproductive success of each colony. In colony 1 60% of eggs hatched and 94% of chicks fledged, while in colony 2 40% of eggs hatched with only 17% of chicks fledging. Statistical analyses found that water depth was a significant variable in determining reproductive success. Rapid falls in water level during the chick stage in colony 2 resulted in decreased chick and overall offspring success. The results of this study identify the impact of upstream water resource development on colonial waterbird breeding and have implications for water management policies.
Brandis, K J; Kingsford, R T; Ren, S; Ramp, D
Narran Lakes is a Ramsar site recognised for its importance for colonial waterbird breeding, which only occurs after large highly variable flooding events. In 2008, 74,095 pairs of ibis bred for the first time in seven years, establishing two contiguous colonies, a month apart. Most (97%) of the colony consisted of the straw-necked ibis (Threskiornis spinicollis) with the remainder consisting of glossy ibis (2%, Plegadis falcinellus) and Australian white ibis (1%, T. molucca). Following cessation of river flows, water levels fell rapidly in the colony site, resulting in a crisis management decision by governments to purchase and deliver water (10,423 Ml) to avert mass desertion of the colonies. There were significant differences in the reproductive success of each colony. In colony 1 60% of eggs hatched and 94% of chicks fledged, while in colony 2 40% of eggs hatched with only 17% of chicks fledging. Statistical analyses found that water depth was a significant variable in determining reproductive success. Rapid falls in water level during the chick stage in colony 2 resulted in decreased chick and overall offspring success. The results of this study identify the impact of upstream water resource development on colonial waterbird breeding and have implications for water management policies.
Salvi, Stefano; Atzori, Simone; Pezzo, Giuseppe; Merryman Boncori, John Peter; Tolomei, Cristiano; Antonioli, Andrea; Trasatti, Elisa; Zoffoli, Simona; Coletta, Alessandro
Rapid generation of value added products for seismic crisis management, using ground and satellite data Stefano Salvi (1), Simone Atzori (1), Giuseppe Pezzo (1), John Peter Merryman Boncori (1), Cristiano Tolomei (1), Andrea Antonioli (1), Elisa Trasatti (1), Simona Zoffoli (2), Alessandro Coletta (2) (1): Istituto Nazionale di Geofisica e Vulcanologia, Centro Nazionale Terremoti, via di Vigna Murata 605, 00143 Roma, Italy (2): Agenzia Spaziale Italiana, Unità Osservazione della Terra, Viale Liegi 26, 00198, Roma, Italy The increased availability of Earth Observation optical and SAR data occurred in the last few years, has stimulated new applications in many different fields. The foreseen launch of new space platforms as the Sentinel satellites, providing good monitoring frequencies and free worldwide access to data is expected to increase the number of scientific and commercial activities exploiting EO data. In the sector of natural hazards the EO data have already demonstrated to be indispensable for the generation of information products for the prevention, and emergency management phases. In particular, the Italian Space Agency has promoted and funded, together with INGV, the development of dedicated infrastructures for the generation of advanced information products supporting different phases of the seismic and volcanic risk management cycles. These products were based mainly on SAR data from the COSMO-SkyMed 4-satellite constellation, and on optical data from commercial and scientific platforms, integrated with data from ground monitoring networks. During the last few years, such infrastructures have been tested under operational conditions and the products distributed to the Italian Civil Protection authority for validation and assessment. Here, with reference to the earthquake emergency management, we will present the infrastructure, the rapid mapping information products and some examples of activities during the latest seismic crises.
Hammitzsch, Martin; Necmioglu, Ocal; Lendholt, Matthias; Reißland, Sven; Schulz, Jana; Aksari, Dogan; Koseoglu, Aysegul; Ozer, Ceren; Comoglu, Mustafa; Meral Ozel, Nurcan; Wächter, Joachim
On November 27-28, 2012, the Kandilli Observatory and Earthquake Research Institute (KOERI) joined other countries in the North-eastern Atlantic, the Mediterranean and Connected Seas (NEAM) region as participants in an international tsunami response exercise. The exercise, titled NEAMWave12, simulated widespread Tsunami Watch situations throughout the NEAM region. It is the first international exercise as such, in this region, where the UNESCO-IOC ICG/NEAMTWS tsunami warning chain has been tested to a full scale for the first time with different systems. One of the systems is developed in the project Collaborative, Complex, and Critical Decision-Support in Evolving Crises (TRIDEC) and has been validated in this exercise among others by KOERI. KOERI, representing the Tsunami National Contact (TNC) and Tsunami Warning Focal Point (TWFP) for Turkey, is one of the key partners in TRIDEC. KOERI is responsible for the operation of a National Tsunami Warning Centre (NTWC) for Turkey and establishes candidate Tsunami Watch Provider (TWP) responsibilities for the Eastern Mediterranean, Aegean, Marmara and Black Seas. Based on this profound experience KOERI is contributing valuable requirements to the overall TRIDEC system and is responsible for the definition and development of feasible tsunami-related scenarios in the context of UNESCO-IOC ICG/NEAMTWS activities. However, KOERI's, most important input focuses on testing and evaluating the TRIDEC system according to specified evaluation and validation criteria in order to meet ICG/NEAMTWS requirements. The TRIDEC system will be implemented in three phases, each with a demonstrator. Successively, the demonstrators are addressing related challenges. The first and second phase system demonstrator, deployed at KOERI's crisis management room has been designed and implemented, firstly, to support plausible scenarios for the Turkish NTWC to demonstrate the treatment of simulated tsunami threats with an essential subset of a NTWC
Cunniff, Judith; Cunniff, Daniel T.; Kay, Kenneth D.
There is a drug crisis in the United States that is growing at an alarming rate. Its participants work in our businesses, government agencies, and schools. California leads the nation in drug use and until recently, Fresno County was the leader in methamphetamine production. This drug crisis is having a paralyzing effect causing loss of income,…
Lum, Cynthia; Kennedy, Leslie W; Sherley, Alison
Is counter-terrorism policy evidence-based? What works, what harms, and what is unknown. One of the central concerns surrounding counter-terrorism interventions today, given the attention and money spent on them, is whether such interventions are effective. To explore this issue, we conducted a general review of terrorism literature as well as a Campbell systematic review on counter-terrorism strategies. In this article, we summarize some of our findings from these works. Overall, we found an almost complete absence of evaluation research on counter-terrorism strategies and conclude that counter-terrorism policy is not evidence-based. The findings of this review emphasise the need for government leaders, policy makers, researchers, and funding agencies to include and insist on evaluations of the effectiveness of these programs in their agendas.
Hort, M. K.
Despite ever increasing efforts to monitor historically active volcanoes many of those are still very poorly or unmonitored, even in highly populated areas. In case of volcanic unrest or even a volcanic crisis evaluating the situation is therefore often very difficult due to the little information that is available for that specific volcano. Over the past decades several different programs have supported volcanic crisis management efforts in third world countries from sending experts all the way to improving or even installing new networks around the volcano. One of the main problems especially when quickly upgrading networks during a crisis is that each system usually comes with its own acquisition and processing system which makes it very difficult to manage the observational network and provide an interdisciplinary interpretation of the data with respect to the activity status of the volcano. Here we present a newly developed volcano fast response system which overcomes several of these shortcomings. The core of the system is a novel database (SEISHUB) that allows for the collection of data of various kinds, i.e. simple time series data like seismic data, gas measurements, GPS measurements, as well as satellite data (SO2 flux, thermal anomaly, ground deformation). Part of the collected data may also come from an already existing network. Data from new field instruments are transmitted through a wireless network that has been specifically designed for the volcano fast response system. One of the main difficulties with such a multidisciplinary data set is an easy access to the data. This is provided through a common Web based GIS interface which allows various datalayers being simultaneously accessed through a Web Browser. The underlying software is designed in such a way that it only uses open source software, so it can be easily installed on other systems not having to deal with purchasing proprietary software. Aside from this the system provides tools to
A recent literature on crowd dynamics [9,10] has enlightened that the management of crisis situations needs models able to depict social behaviors and, in particular, the spread of emotional feelings such as stress by panic situation.
Sawalha, Ihab Hanna Salman
Failing to collaborate in crisis and emergency situations will increase the vulnerability of organisations and societies towards potential disasters. This paper highlights the significance of effective collaboration at different levels in times of crises. The case of snow storm 'Alexa', which hit Jordan in December 2013, was considered for the purpose of this research. The impact of Alexa raised many questions regarding the country's preparedness and the capacity of its infrastructure to maintain critical business functions across various industry sectors. First, should people individually take all the responsibility to manage crises and emergencies in order to protect themselves and their belongings? Secondly, should organisations join efforts with other organisations within the same or different sectors? Thirdly, should governments seek external collaboration for the ultimate goal of securing their economies? These issues are significant as they underline the element of collaboration. This paper contributes to the understanding of the role of collaboration in times of intense difficulty and loss of control. The proposition made by this research is that an effective collaborative process is positively associated with perceptions of improved disaster risk reduction practices.
Jeihouni, Mehrdad; Toomanian, Ara; Alavipanah, Seyed Kazem; Shahabi, Mahmoud; Bazdar, Saba
Climate change influences many countries' rainfall patterns and temperatures. In Iran, population growth has increased water demands. Tabriz is the capital of East Azerbaijan province, in northwestern Iran. A large proportion of the water required for this city is supplied from dams; thus, it is important to find alternatives to supply water for this city, which is the largest industrial city in northwestern Iran. In this paper, the groundwater quality was assessed using 70 wells in Tabriz Township. This work seeks to define the spatial distribution of groundwater quality parameters such as chloride, electrical conductivity (EC), pH, hardness, and sulfate using Geographic Information Systems (GIS) and geostatistics; map groundwater quality for drinking purposes employing multiple-criteria decision-making (MCDM), such as the Analytical Hierarchy Process (AHP) and fuzzy logic, in the study area; and develop an Spatial Decision Support System (SDSS) for managing a water crisis in the region. The map produced by the AHP is more accurate than the map produced using fuzzy logic because in the AHP, priorities were assigned to each parameter based on the weights given by water quality experts. The final map indicates that the groundwater quality increases from the north to the south and from the west to the east within the study area. During critical conditions, the groundwater quality maps and the presented SDSS core can be utilized by East Azerbaijan Regional Water Company to develop an SDSS to drill new wells or to select existing wells to supply drinking water to Tabriz City.
Khawaja, Omar M; Reed, J Taylor; Shaefi, Shahzad; Chitilian, Hovig V; Sandberg, Warren S
Klippel-Feil syndrome is a visually arresting deformity wherein severe restriction of cervical motion predicts a difficult airway. Even minor distraction of the neck risks cervical spine or neurologic injury, so regional techniques, awake fiberoptic intubation, or awake tracheostomy are recommended anesthetic approaches. We present a case of aortic dissection in a Klippel-Feil syndrome patient for whom congenital bilateral deafness, coupled with the urgency of the surgery, mitigated against the recommended first-choice techniques. Using anesthesia crisis resource management methods, a multi-member team rehearsed predefined roles and then managed the airway via inhaled induction of anesthesia, followed by flexible fiberoptic intubation.
Jessup, David A
Currently most of the activities of state, federal, first nation, and private conservation agencies, including management of and field research on free-ranging wildlife, are not regulated under the Animal Welfare Act (AWA) and thus not subject to National Institutes of Health guidelines or routine institutional animal care and use committee (IACUC) review. However, every day thousands of fish and wildlife management activities occur across North America that provide an opportunity to take observations, measurements, biological specimens, or samples that may have research value. Most of these opportunities are secondary to ongoing and often mandated wildlife management or conservation actions. Strange as it may seem to the academic and research community, the full research potentials of these opportunities are rarely utilized. IACUCs and research institutions should strive to facilitate such research, which by its very nature is often more opportunistic than designed. They can do this by ensuring that their policies do not unnecessarily impede the rapid research responses needed, or over burden researchers with inappropriate reporting requirements designed for laboratory research. The most prominent reasons for failures to utilize wildlife research opportunities include lack of the following: personnel and expertise to collect and use the information; preparation for inevitable (or predictable) events (e.g., oil spills); resources to preserve and curate specimens; a mandate to conduct research; and recognition of the value in data or sample collection. IACUC support of open protocols and generic sampling plans can go a long way toward improving the development of useful knowledge from animals that will otherwise be lost. Opportunities to sample wildlife are categorized generally as dead sampling (road kill surveys, harvest sampling, lethal collection, and "die-offs"); live sampling (handling for marking, relocation or restocking; and captures for field or biological
Fung, Lillia; Boet, Sylvain; Bould, M Dylan; Qosa, Haytham; Perrier, Laure; Tricco, Andrea; Tavares, Walter; Reeves, Scott
Crisis resource management (CRM) abilities are important for different healthcare providers to effectively manage critical clinical events. This study aims to review the effectiveness of simulation-based CRM training for interprofessional and interdisciplinary teams compared to other instructional methods (e.g., didactics). Interprofessional teams are composed of several professions (e.g., nurse, physician, midwife) while interdisciplinary teams are composed of several disciplines from the same profession (e.g., cardiologist, anaesthesiologist, orthopaedist). Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and ERIC were searched using terms related to CRM, crisis management, crew resource management, teamwork, and simulation. Trials comparing simulation-based CRM team training versus any other methods of education were included. The educational interventions involved interprofessional or interdisciplinary healthcare teams. The initial search identified 7456 publications; 12 studies were included. Simulation-based CRM team training was associated with significant improvements in CRM skill acquisition in all but two studies when compared to didactic case-based CRM training or simulation without CRM training. Of the 12 included studies, one showed significant improvements in team behaviours in the workplace, while two studies demonstrated sustained reductions in adverse patient outcomes after a single simulation-based CRM team intervention. In conclusion, CRM simulation-based training for interprofessional and interdisciplinary teams show promise in teaching CRM in the simulator when compared to didactic case-based CRM education or simulation without CRM teaching. More research, however, is required to demonstrate transfer of learning to workplaces and potential impact on patient outcomes.
School crises may be categorized as emergency situations, human-made crises, natural events, medical emergencies, and mechanical crises. Central to any successful crisis-management plan are onsite and district-level crisis response teams. Plans should specify staff responsibilities; provide for communication codes, devices, and procedures;…
Keebler, Barbara A.
Urges Catholic educators to develop a crisis communication plan to ensure that all communication with the press and public is handled promptly and thoroughly by a designated spokesperson. Describes workshops which simulate real-life challenges as a means of testing crisis management plans. Offers guidelines for the development of a crisis…
Multiple scales modelling approaches to social interaction in crowd dynamics and crisis management. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.
In this comprehensive review concerning the modelling of human behaviours in crowd dynamics , the authors explore a wide range of mathematical approaches spanning over multiple scales that are suitable to describe emerging crowd behaviours in extreme situations. Focused on deciphering the key aspects leading to emerging crowd patterns evolutions in challenging times such as those requiring an evacuation on a complex venue, the authors address this complex dynamics at both microscale (individual level), mesoscale (probability distributions of interacting individuals), and macroscale (population level), ultimately aiming to gain valuable understanding and knowledge that would inform decision making in managing crisis situations.
Descatha, Alexis; Huynh Tuong, Alice; Coninx, Pierre; Baer, Michel; Loeb, Thomas; Despréaux, Thomas
In massive catastrophic events, occupational health practitioners are more and more frequently involved in the management of such situations. We aim to describe the multiple aspects of the role that occupational health practitioners might play, by focusing on the recent example of the Paris terrorist attack of November 2015. During and after the Paris attack, occupational practitioners, in collaboration with emergency and security professionals, were involved in psychological care, assembling information, follow-up, return-to-work, and improving in-company safety plans. Based on this experience and other industrial disasters, we distinguish three phases: the critical phase, the post-critical phase, and the anticipation phase. In the critical phase, the occupational practitioner cares for patients before the emergency professionals take charge, initiates the psychological management, and may also play an organizational role for company health aspects. In the post-critical phase, he or she would be involved in monitoring those affected by the events and participate in preventing, to the extent possible, posttraumatic stress disorder, helping victims in the return-to-work process, and improving procedures and organizing drills. In addition to their usual work of primary prevention, occupational practitioners should endeavor to improve preparedness in the anticipation phase, by taking part in contingency planning, training in first aid, and defining immediately applicable protocols. In conclusion, recent events have highlighted the essential role of occupational health services in anticipation of a crisis, management during the crisis, and follow-up.
Descatha, Alexis; Huynh Tuong, Alice; Coninx, Pierre; Baer, Michel; Loeb, Thomas; Despréaux, Thomas
In massive catastrophic events, occupational health practitioners are more and more frequently involved in the management of such situations. We aim to describe the multiple aspects of the role that occupational health practitioners might play, by focusing on the recent example of the Paris terrorist attack of November 2015. During and after the Paris attack, occupational practitioners, in collaboration with emergency and security professionals, were involved in psychological care, assembling information, follow-up, return-to-work, and improving in-company safety plans. Based on this experience and other industrial disasters, we distinguish three phases: the critical phase, the post-critical phase, and the anticipation phase. In the critical phase, the occupational practitioner cares for patients before the emergency professionals take charge, initiates the psychological management, and may also play an organizational role for company health aspects. In the post-critical phase, he or she would be involved in monitoring those affected by the events and participate in preventing, to the extent possible, posttraumatic stress disorder, helping victims in the return-to-work process, and improving procedures and organizing drills. In addition to their usual work of primary prevention, occupational practitioners should endeavor to improve preparedness in the anticipation phase, by taking part in contingency planning, training in first aid, and defining immediately applicable protocols. In conclusion, recent events have highlighted the essential role of occupational health services in anticipation of a crisis, management during the crisis, and follow-up. PMID:27703965
Caniato, Marco; Tudor, Terry Louis; Vaccari, Mentore
Health-care waste management requires technical, financial and human resources, and it is a challenge for low- and middle income countries, while it is often neglected in protracted crisis or emergency situations. Indeed, when health, safety, security or wellbeing of a community is threatened, solid waste management usually receives limited attention. Using the Gaza Strip as the case study region, this manuscript reports on health-care waste management within the context of a humanitarian crisis. The study employed a range of methods including content analyses of policies and legislation, audits of waste arisings, field visits, stakeholder interviews and evaluation of treatment systems. The study estimated a production from clinics and hospitals of 683kg/day of hazardous waste in the Gaza Strip, while the total health-care waste production was 3357 kg/day. A number of challenges was identified including lack of clear definitions and regulations, limited accurate data on which to base decisions and strategies and poor coordination amongst key stakeholders. Hazardous and non-hazardous waste was partially segregated and treatment facilities hardly used, and 75% of the hazardous waste was left untreated. Recommendations for mitigating these challenges posed to patients, staff and the community in general are suggested. The outputs are particularly useful to support decision makers, and re-organize the system according to reliable data and sound assumptions. The methodology can be replicated in other humanitarian settings, also to other waste flows, and other sectors of environmental sanitation.
Merrick, Jason R W; Leclerc, Philip
Counterterrorism decisions have been an intense area of research in recent years. Both decision analysis and game theory have been used to model such decisions, and more recently approaches have been developed that combine the techniques of the two disciplines. However, each of these approaches assumes that the attacker is maximizing its utility. Experimental research shows that human beings do not make decisions by maximizing expected utility without aid, but instead deviate in specific ways such as loss aversion or likelihood insensitivity. In this article, we modify existing methods for counterterrorism decisions. We keep expected utility as the defender's paradigm to seek for the rational decision, but we use prospect theory to solve for the attacker's decision to descriptively model the attacker's loss aversion and likelihood insensitivity. We study the effects of this approach in a critical decision, whether to screen containers entering the United States for radioactive materials. We find that the defender's optimal decision is sensitive to the attacker's levels of loss aversion and likelihood insensitivity, meaning that understanding such descriptive decision effects is important in making such decisions.
Dodds, Dick; Swiniarski, Donna
The first 2 hours following a crisis can determine the public's lasting perception of an educational system or organization. Following the assumption that crises are inevitable, school administrators must be prepared to communicate quickly and accurately to avoid being judged unfairly. This book offers strategies to public-sector educators who are…
Johnson, Darrin; Sellnow, Timothy
Explains that when organizations face crises, their rhetorical response often follows two steps: assessment of causes leading to the crisis, and a search for potential solutions and preventive measures for the future. States that epideictic rhetoric designed to sustain or regain the organization's reputation is effective in both steps. Examines…
Zenere, Frank J.
On February 27 and 28, 2013, The Symposium of Hope: Recovery and Resilience after the Sandy Hook Tragedy, was held in Danbury, Connecticut. The event was hosted by the United Way of Western Connecticut and Western Connecticut State University. Frank J. Zenere, school psychologist and crisis team member in the Division of Student Services of the…
Winston, Gary; Lerman, Shlomo; Goldberger, Shalom; Collins, Malcolm; Leventhal, Alex
Herein, we report on the actual events linked to an ammonia spillage into the main waterline of the Tel-Aviv metropolitan area and its surrounding municipalities. Based upon a large magnitude increase of unknown origin in the turbidity and ammonia levels of the main drinking water supply, area residents were warned of possible serious contamination and advised to refrain from drinking tap water until further notice. Turbidity was later linked only to CaCO3, which was precipitated from the water due to the rise in pH caused by the excessive ammonia levels. The source of the ammonia (a malfunction of the measurement buoy in the ammonia tank) was not identified until several days after the warning was issued. The toxicological implications of the turbidity and ammonia elevations are considered and reconciled with the management strategies that followed. Of consequence to the management of this crisis was the approach of Ministry of Health officials to regard the ammonia, from the onset, as an indicator of several possible sources of origin rather than as a contaminant. Decision-making policies were hampered by ineffective communication between the national water supplier and government health officials. An outcome of this crisis was a heightened awareness of the potential of a water crisis occurring during peace time and not only in association with terrorist activities, to which Israeli citizens are highly sensitized. Finally, the present paper may serve to guide municipal environmental and health officials more appropriately in the event of similar drinking water crises in Israel or elsewhere.
Paper  presents a survey and a critical analysis on models of crowd dynamics derived to support crisis management related to safety problems. This is an important topic which can have an important impact on the wellbeing of our society. We are very interested in this topic as we operate in a country, Saudi Arabia, where huge crowds can be present and that stress conditions can be occasionally induced by non predictable events. In these situations the problem of crisis management is of fundamental importance.
Spiker, V Alan; Johnston, Joan H
Development of behavioral pattern recognition and analysis skills is an essential element of Counter-Terrorism training, particularly in the field. Three classes of behavioral measures were collected in an assessment of skill acquisition during a US Joint Forces Command-sponsored course consisting of Combat Tracking and Combat Profiling segments. Measures included situational judgment tests, structured behavioral observation checklists, and qualitative assessments of the emergence of specific knowledge-skills-attitudes over the course of the training. The paper describes statistical evidence across the three types of measures that indicate that behavioral pattern recognition and analysis skills were successfully acquired by most students (a mix of Army and civilian law enforcement personnel) during the field training exercises. Implications for broader training of these critical skills are also discussed.
Netek, R.; Panek, J.
See-Think-Do is a framework originally used as an approach focused on a service and product marketing on the Internet. Customers can be classified into three groups according to their involvement from potential users to real customers. The article presents an idea of public involvement in community mapping in three levels: "See"—almost any user; "Think"—potential contributors; and "Do"—interested users. The case study implements the See-Think-Do framework as an awareness-based approach used for The Crisis Map of the Czech Republic. It is an Ushahidi-based crowdsourcing platform for sharing spatial and multimedia information during crisis situations, e.g. disaster floods in 2013. While the current crisis projects use public mapping just at the onset of the disaster, according to See-Think-Do any user can be considered as a potential contributor even during the dormant period. The focus is put on the "See" and "Think" groups of contributors, which are currently ignored. The objective of this paper is to summarize approaches (social networks, mass-media, emailing, gamification, …) and tools (GIT/GIS, ICT, multimedia) for increasing the awareness about the project within the resting phase. That recruits a higher number of both active and passive users during the disaster. It allows the training in ICT, cartographical, spatial and GIS skills in a non-stressful way and the targeting on specific operators. Volunteers from the "Think" group may be used for data processing or rectification, GIS professionals from the "Do" group for data verification. The results refer that contributors with already established skills and required literacy (interface, data uploading) provide data faster and more accurate, the usability of the project increases based on users' comments.
Bellomo, N.; Clarke, D.; Gibelli, L.; Townsend, P.; Vreugdenhil, B. J.
The survey  presents an overview and critical analysis of the existing literature on the modeling of crowd dynamics related to crisis management toward the search of safety conditions. Out of this general review some rationale on research perspectives have been brought to the attention of the reader.
Plant, Jennifer L; van Schaik, Sandrijn M; Sliwka, Diane C; Boscardin, Christy K; O'Sullivan, Patricia S
Self-efficacy is thought to be important for resuscitation proficiency in that it influences the development of and access to the associated medical knowledge, procedural skills and crisis resource management (CRM) skills. Since performance assessment of CRM skills is challenging, self-efficacy is often used as a measure of competence in this area. While self-efficacy may influence performance, the true relationship between self-efficacy and performance in this setting has not been delineated. We developed an instrument to measure pediatric residents' self-efficacy in CRM skills and assessed its content validity, internal structure, and relationship to other variables. After administering the instrument to 125 pediatric residents, critical care fellows and faculty, we performed an exploratory factor analysis within a confirmatory factor analysis as well as a known group comparison. The analyses specified four factors that we defined as: situation awareness, team management, environment management, and decision making. Pediatric residents reported lower self-efficacy than fellows and faculty in each factor. We also examined the correlation between self-efficacy and performance scores for a subset of 30 residents who led video recorded simulated resuscitations and had their performances rated by three observers. We found a significant, positive correlation between residents' self-efficacy in situation awareness and environment management and their overall performance of CRM skills. Our findings suggest that in a specific context, self-efficacy as a form of self-assessment may be informative with regards to performance.
Bharosa, Nitesh; van Zanten, Bart; Janssen, Marijn; Groenleer, Martijn
Governments are searching for ways to improve information sharing between autonomous agencies. During crises, information demand and supply are often unbalanced, leading to situations in which relief workers are faced with incorrect, outdated or incomplete information. To address such challenges, network-centric operations (NCO), which involves information sharing with the socio-technical network as the central enabling mechanism, has been proposed. Yet, NCO is ill-understood and it is unclear whether the promised benefits can be realized in practice. In this paper we address the gap between the concept and reality of NCO. The necessary capabilities for NCO are identified using literature research and potential benefits are analyzed using field research. We found that NCO is not a silver bullet for overcoming the inherent problems of crisis management and could even reinforce existing problems. Our findings suggest that NCO is difficult to implement and needs to be complemented with capability development in the information and cognitive domain.
Runciman, W B; Webb, R K; Klepper, I D; Lee, R; Williamson, J A; Barker, L
Anaesthetists are called upon to manage complex life-threatening crises at a moment's notice. As there is evidence that this may require cognitive tasking beyond the information-processing capacity of the human brain, it was decided to try and develop a generic crisis management algorithm analogous to the "Phase I" immediate response routine used by airline pilots. Such an algorithm, based on the mnemonic "COVER ABCD, A SWIFT CHECK", was developed and refined over 3 meetings, each attended by 60-100 anaesthetists and aviation psychologists. It was validated against 1301 relevant incidents among the first 2000 incidents reported to the Australian Incident Monitoring Study. It proved sufficiently robust and safe to recommend its general use as an initial response to any incident or crisis which occurs when a patient is breathing gas from an anesthetic machine. It requires a limited knowledge base and is easily learnt and rehearsed during the anaesthetist's working day. It will provide a functional diagnosis in over 99% of cases and will correct 62% of the problems in 40-60 seconds. In the remaining 37% it will allow the anaesthetist to proceed with a "sub-algorithm", confident in the knowledge that some important step has not been missed. In just over 30% of incidents this will be for a problem familiar to all anaesthetists (e.g. laryngospasm, bradycardia); in just over 6% it will be for a less common, more complex, but finite, set of problems (3% cardiac arrest, 1% air embolism, 1% anaphylaxis, 1% for the remaining desaturations); in less than 1% diagnosis and correction will require a more complex checklist (e.g. for malignant hyperthermia, pneumothorax). The next stage, the development of specific sub-algorithms and a structured team approach for ongoing problems, is in progress.
The Austrian Program for Suicide Prevention defines as Point 2: "Support and treatment". The suicide-preventive outcome of the development of psychotherapeutic-psychosocial care in Austria has been proved. This means, that the further development of institutions with focus on crisis intervention is a central agenda of Suicide prevention Austria (SUPRA). First, in this article are defined the terms crisis and crisis intervention, also the close connection to programs of suicide prevention is pointed out. Furthermore general aims and standards for crisis intervention are defined and the current situation of crisis intervention in Austria is described. Finally recommendations for practical aims and their implementation in the context of SUPRA are made.
Terrorist attacks combine features of a criminal assault, a mass casualty disaster and an act of war Accordingly, this article presents a model for prevention, response and recovery from the psychological impact of a terror attack. The nature of terrorism is delineated and the various psychological effects are described, including diagnostic clinical syndromes, as well as individual reactions. Interventions in the immediate aftermath of a terrorist attack include on-scene crisis intervention, short-term psychological stabilization, and longer-term psychotherapeutic approaches. Special techniques are described for individuals, families, children, and large groups of survivors and responders. Finally, the ways that mental health clinicians can serve as valuable consultants to community recovery efforts are discussed.
Witharana, Chandi; Civco, Daniel L.
This study investigated how different fusion algorithms performed when applied to very high spatial resolution (VHSR) satellite images that encompass ongoing- and post-crisis scenes. The evaluation entailed twelve fusion algorithms. The selected algorithms were applied to GeoEye-1 satellite images taken over three different geographical settings representing natural and anthropogenic crises that had occurred in the recent past: earthquake-damaged sites in Haiti, flood-impacted sites in Pakistan, and armed-conflicted areas and internally displaced persons (IDP) camps in Sri Lanka. Spectral quality metrics included correlation coefficient, peak signal-to-noise ratio index, mean structural similarity index, spectral angle mapper, and relative dimensionless global error in synthesis. The spatial integrity of fused images was assessed using Canny edge correspondence and high-pass correlation coefficient. Under each metric, fusion methods were ranked and best competitors were identified. In this study, the Ehlers fusion, wavelet-PCA fusion (WVPCA), and the high-pass filter fusion algorithms reported the best values for the majority of spectral quality indices. Under spatial metrics, the University of New Brunswick and Gram-Schmidt fusion algorithms reported the optimum values. The color normalization sharpening and subtractive resolution merge algorithms exhibited the highest spectral distortions where as the WV-PCA algorithm showed the weakest spatial improvement. In conclusion, we recommend the University of New Brunswick algorithm if visual image interpretation is involved, whereas the high-pass filter fusion is recommended if semi- or fully-automated feature extraction is involved, for pansharpening VHSR satellite images of ongoing and post crisis sites
Veil, Shari R.
Objectives: Students will demonstrate research, decision making, team building, and public speaking skills, while applying issues management and crisis communication concepts in a realistic setting. Courses: Introduction to Public Relations, Public Relations Cases, Crisis Communication.
Jones, L. R.
Based in part on interviews conducted in 32 municipalities, this paper is intended to provide information to public managers, policy analysts, and others on methods for improving the management of retrenchment. A model summarizes how public organizations recognize and attempt to manage financial crises and prolonged financial stress. Some cutback…
Becker, T.; König, G.
Cartographic visualizations of crises are used to create a Common Operational Picture (COP) and enforce Situational Awareness by presenting relevant information to the involved actors. As nearly all crises affect geospatial entities, geo-data representations have to support location-specific analysis throughout the decision-making process. Meaningful cartographic presentation is needed for coordinating the activities of crisis manager in a highly dynamic situation, since operators' attention span and their spatial memories are limiting factors during the perception and interpretation process. Situational Awareness of operators in conjunction with a COP are key aspects in decision-making process and essential for making well thought-out and appropriate decisions. Considering utility networks as one of the most complex and particularly frequent required systems in urban environment, meaningful cartographic presentation of multiple utility networks with respect to disaster management do not exist. Therefore, an optimized visualization of utility infrastructure for emergency response procedures is proposed. The article will describe a conceptual approach on how to simplify, aggregate, and visualize multiple utility networks and their components to meet the requirements of the decision-making process and to support Situational Awareness.
Ing, H.; Smith, M. B.; Koslowsky, M. R.; Andrews, H. R.
A new scintillator crystal, now known as CLYC (Cs2LiYCl6:Ce), has been under development for over 15 years (1). It was primarily of interest for radiation detection applications because of its good energy resolution for gamma rays (< 4% for 662 keV gamma rays) and its capability for detection of thermal neutrons. The pulse shapes of the signals from the two radiations are different, which allow them to be separated electronically, permitting simultaneous detection of gamma rays and neutrons. The crystal is now commercially available. Early investigations of the neutron response by the current authors (2) revealed that CLYC also responds to fast neutrons. In fact, the good energy resolution of the response under monoenergetic neutron irradiations showed that CLYC was an excellent high-energy neutron spectrometer. This discovery has great impact on the field of neutron spectroscopy, which has numerous, although often specialized, applications. This presentation focuses on applications in counter-terrorism scenarios where neutrons may be involved. The relative importance of the fast neutron response of CLYC, compared to the thermal and gamma-ray response, will be discussed for these scenarios.
Smith, Larry L.; Millar, Dan P.
This guide offers suggestions to college administrators for dealing with a variety of emergency or crisis situations that could affect a community college's effectiveness. The authors used the Institute for Crisis Management's (ICM) four types of crises in higher education as the framework for the guide. The four types of crises are: (1) sudden;…
Hancox, Melissa K. Gibson; Allen, Jennifer R.
This article examines a 2004 crisis event that occurred when the president of a small private Catholic college was accused of sexually molesting boys earlier in his career. It discusses the crisis response of college officials with the institution's various publics, including students, faculty, alumni, and the media. Our purpose is twofold. First,…
Dominey-Howes, Dale; Bajorek, Beata; Michael, Carolyn A.; Betteridge, Brittany; Iredell, Jonathan; Labbate, Maurizio
We advocate that antibiotic resistance be reframed as a disaster risk management problem. Antibiotic-resistant infections represent a risk to life as significant as other commonly occurring natural disasters (e.g., earthquakes). Despite efforts by global health authorities, antibiotic resistance continues to escalate. Therefore, new approaches and expertise are needed to manage the issue. In this perspective we: (1) make a call for the emergency management community to recognize the antibiotic resistance risk and join in addressing this problem; (2) suggest using the risk management process to help tackle antibiotic resistance; (3) show why this approach has value and why it is different to existing approaches; and (4) identify public perception of antibiotic resistance as an important issue that warrants exploration. PMID:26388864
Poyato, David; Soler, Juan
The study of human behavior is a complex task, but modeling some aspects of this behavior is an even more complicated and exciting idea. From crisis management to decision making in evacuation protocols, understanding the complexity of humans in stress situations is more and more demanded in our society by obvious reasons [5,6,8,12]. In this context,  deals with crowd dynamics with special attention to evacuation.
Eaker, Rachel; Viars, Jamie
This fictional case study examines crisis response in higher education settings. Information about current crisis response procedures, plans, and trends was gathered from informational interviews, current crisis management literature, and multiple college and university websites. The information was synthesized into a fictional case study using…
... Office of Foreign Assets Control 31 CFR Parts 594, 595, and 597 Technical Amendments to Counter-Terrorism... is amending the Global Terrorism Sanctions Regulations and the Terrorism Sanctions Regulations (the.... The Terrorism Sanctions Regulations, 31 CFR part 595 (the ``TSR''), implement Executive Order 12947...
... 3 The President 1 2012-01-01 2012-01-01 false Executive Order 13584 of September 9, 2011. Developing an Integrated Strategic Counterterrorism Communications Initiative and Establishing a Temporary Organization To Support Certain Government-Wide Communications Activities Directed Abroad 13584 Order 13584 Presidential Documents Executive...
This paper outlines some of the implications of counterterrorist legislation, including Prevent, for the pedagogical relationship and for educational institutions. The concept of "radicalisation", central to the Prevent Strategy, is one that is contested in the field of counterterrorism, yet educators are now expected to identify and…
Faure, R.M.; Pairault, T.; Pham, M.; Bernardeau-Moreau, A.; Fayolle, G.; Robinson, J.C.; Foucheyrand, G.
The authors present here the developments in their risk management research; software tools based on object oriented techniques, an image and graphics based man-machine interface, a new algorithm which allows the quick construction of a GIS, strong links with analysis software with the possibility of using fuzzy logic reasoning. The case of the threatening landslide at Sechilienne (Isere, France), studied using these tools, is briefly presented. The authors will show that is management is facilitated through the use of networks as in the WASSS project approach.
Aarons, Dakarai I.
Robert C. Bobb, the state-appointed emergency financial manager of the Detroit public school system, may have the biggest "turnaround" job in the nation. The district, with an annual budget of $1.2 billion, has a deficit projected to be $259 million and growing. Over the past 10 years, about half of the district's students have left,…
Zaré, M; Afrouz, S Ghaychi
The huge earthquake in 11 March 2012 which followed by a destructive tsunami in Japan was largest recorded earthquake in the history. Japan is pioneer in disaster management, especially earthquakes. How this developed country faced this disaster, which had significant worldwide effects? The humanitarian behavior of the Japanese people amazingly wondered the word’s media, meanwhile the management of government and authorities showed some deficiencies. The impact of the disaster is followed up after the event and the different impacts are tried to be analyzed in different sectors. The situation one year after Japan 2011 earthquake and Tsunami is overviewed. The reason of Japanese plans failure was the scale of tsunami, having higher waves than what was assumed, especially in the design of the Nuclear Power Plant. Japanese authorities considered economic benefits more than safety and moral factors exacerbate the situation. Major lessons to be learnt are 1) the effectiveness of disaster management should be restudied in all hazardous countries; 2) the importance of the high-Tech early-warning systems in reducing risk; 3) Reconsidering of extreme values expected/possible hazard and risk levels is necessary; 4) Morality and might be taken as an important factor in disaster management; 5) Sustainable development should be taken as the basis for reconstruction after disaster. PMID:23113189
The 2008 crash has been likened to that of 1929. Does it have consequences for the management of education, and in particular for distributed leadership? Informed by evolutionary economics, it is argued that 2008 marked the end of the installation period of a major technological innovation, namely ICT. In the aftermath of the crash, a period of…
Wood, Jennifer; Beierschmitt, Laura
Law enforcement officers continue to serve on the front lines as mental health interventionists, and as such have been subject to a wave of “first generation” reform designed to enhance their crisis response capabilities. Yet, this focus on crisis intervention has not answered recent calls to move “upstream” and bolster early intervention in the name of long-term recovery. This paper reports on findings from an action research project in Philadelphia aimed at exploring opportunities for enhanced upstream engagement. Study methods include spatial analyses of police mental health transportations from an eight year period (2004–2011) and qualitative data from twenty-three “framing conversations” with partners and other stakeholders, seven focus groups with police and outreach workers, five key informant interviews as well as document reviews of the service delivery system in Philadelphia. Recommendations include the need to move beyond a focus on what police can do to a wider conception of city agencies and business stakeholders who can influence vulnerable people and vulnerable spaces of the city. We argue for the need to develop shared principles and rules of engagement that clarify roles and stipulate how best to enlist city resources in a range of circumstances. Since issues of mental health, substance use and disorder are so tightly coupled, we stress the importance of establishing a data-driven approach to crime and disorder reduction in areas of the city we term “hotspots of vulnerability”. In line with a recovery philosophy, such an approach should reduce opportunities for anti-social behavior among the “dually labeled” in ways consistent with “procedural justice”. Furthermore, crime and disorder data flowing from police and security to behavioral health analysts could contribute to a more focused case management of “repeat utilizers” across the two systems. Our central argument is that a twin emphasis on “case management” and
Both the nation's health-care and nursing education systems are in crisis. While the care provided by registered nurses (RNs) is essential to patients' recovery from acute illness and to the effective management of their chronic conditions, the United States is experiencing a nursing shortage that is anticipated to increase as baby boomers age and…
As the events of Virginia Tech tragedy recede in time, leaders of other colleges and universities are sure to look at Virginia Tech president Charles W. Steger's performance and question the readiness of presidents to act like corporate executives, take visible control of a campus in crisis, manage the onslaught of cameras and microphones, and…
May 2009 C3I for Crisis, Emergency and Consequence Management (C3I pour la gestion des crises , des urgences et de leurs conséquences) Research and...consequence management. ES - 2 RTO-MP-IST-086 C3I pour la gestion des crises , des urgences et de leurs conséquences (RTO-MP-IST-086...contre-terrorisme, de sécurité nationale/publique et de réponse collective face aux situations d’urgence (à la fois gestion des crises et gestion de leurs
Anne, Olga; Burskyte, Vilma; Stasiskiene, Zaneta; Balciunas, Arunas
Freight handling in EU ports fell by more than 12 % during the global economic crisis in 2008-2009 after almost a decade of continuous growth. The decrease of freight handling in the Klaipeda seaport, the only port in Lithuania, was 6.7 % and happened due to the dominant outward movement of goods (mainly oil products). The Klaipeda seaport, due to its peculiarity, is the only ice-free port in the northern part of Baltic Sea. The present study explores the environmental impact of Klaipeda seaport activities from 2001 to 2011. Moreover, it compares the environmental effectiveness of environmental protection strategies used in the four biggest companies that, in fact, cover about 88 % of total activities (except general cargo) of the seaport. The first group of targeted companies used an environmental protection strategy to implement an ISO 14001-based environmental management system, and the second group selected to follow environmental management practices without certification. The paper analyses the development of the companies' activities in regard to the change of environmental effectiveness. The paper evaluates the pressure of the economic crisis on the companies' activities and its influence on environmental decisions, with particular interest in the ability of different environmental protection systems to resist and handle the expected performance. The study identified a significant decrease in companies' activities during the crisis period. However, the economic activities and environmental effectiveness demonstrated similar short-term tendencies in regard to the environmental strategy selection but differed in long-term perspective.
National Forum on Education Statistics, 2010
In the aftermath of hurricanes Katrina and Rita, the immediate demand for data about displaced students overwhelmed many school districts that had gained or lost students because of the disasters. The scale of these crises and their effects on school operations and management were in many ways unprecedented. This guide reflects "lessons…
Wilhite, D. A.; Sivakumar, M. K.; Stefanski, R.
Drought is a normal part of climate for virtually all of the world's climatic regimes. To better address the risks associated with this hazard and societal vulnerability, there must be a dramatic paradigm shift in our approach to drought management in the coming decade in the light of the increasing frequency of droughts and projections of increased severity and duration of these events in the future for many regions, especially in the developing world. Addressing this challenge will require an improved awareness of drought as a natural hazard, the establishment of integrated drought monitoring and early warning systems, a higher level of preparedness that fully incorporates risk-based management, and the adoption of national drought policies that are directed at increasing the coping capacity and resilience of populations to future drought episodes. The World Meteorological Organization (WMO), in partnership with other United Nations' agencies, the National Drought Mitigation Center at the University of Nebraska, NOAA, the U.S. Department of Agriculture, and other partners, is currently launching a program to organize a High Level Meeting on National Drought Policy (HMNDP) in March 2013 to encourage the development of national drought policies through the development of a compendium of key policy elements. The key objectives of a national drought policy are to: (1) encourage vulnerable economic sectors and population groups to adopt self-reliant measures that promote risk management; (2) promote sustainable use of the agricultural and natural resource base; and (3) facilitate early recovery from drought through actions consistent with national drought policy objectives. The key elements of a drought policy framework are policy and governance, including political will; addressing risk and improving early warnings, including vulnerability analysis, impact assessment, and communication; mitigation and preparedness, including the application of effective and
Crow, Mary Lynn
Indicates that women experiencing a midlife crisis pass through five recognizable stages: (1) feeling trapped, (2) the first change, (3) multiple changes, (4) rational planning, and (5) implementing the plan. (NKA)
Naeem, Farooq; Johal, Rupinder K; Mckenna, Claire; Calancie, Olivia; Munshi, Tariq; Hassan, Tariq; Nasar, Amina; Ayub, Muhammad
Background Cognitive behavioral therapy (CBT) is found to be effective for common mental disorders and has been delivered in self-help and guided self-help formats. Crisis and transitional case management (TCM) services play a vital role in managing clients in acute mental health crises. It is, therefore, an appropriate setting to try CBT in guided self-help format. Methods This was a preliminary evaluation of a formulation-driven cognitive behavioral guided self-help. Thirty-six (36) consenting participants with a diagnosis of nonpsychotic illness, attending crisis and the TCM services in Kingston, Canada, were recruited in this study. They were randomly assigned to the guided self-help plus treatment as usual (TAU) (treatment group) or to TAU alone (control group). The intervention was delivered over 8–12 weeks. Assessments were completed at baseline and 3 months after baseline. The primary outcome was a reduction in general psychopathology, and this was done using Clinical Outcomes in Routine Evaluation – Outcome Measure. The secondary outcomes included a reduction in depression, measured using the Hospital Anxiety and Depression Scale, and reduction in disability, measured using the World Health Organization Disability Assessment Schedule 2.0. Findings Participants in the treatment group showed statistically significant improvement in overall psychopathology (P<0.005), anxiety and depression (P<0.005), and disability (P<0.005) at the end of the trial compared with TAU group. Conclusion A formulation-driven cognitive behavioral guided self-help was feasible for the crisis and TCM clients and can be effective in improving mental health, when compared with TAU. This is the first report of a trial of guided self-help for clients attending crisis and TCM services. PMID:28331328
politics and clashing political views. For example, in the 18 th century, the French masses rose against the absolute monarchy of Louis XVI and Marie ... Antoinette for their decadence during a fiscal crisis. The commoners wanted their government to change; therefore they filled the streets with their
Brown, Hart S
Historically, the unauthorised access and theft of information was a tactic used between countries as part of espionage campaigns, during times of conflict as well as for personal and criminal purposes. The consumers of the information were relatively isolated and specific. As information became stored and digitised in larger quantities in the 1980s the ability to access mass amounts of records at one time became possible. The expertise needed to remotely access and exfiltrate the data was not readily available and the number of markets to monetise the data was limited. Over the past ten years, shadow networks have been used by criminals to collaborate on hacking techniques, exchange hacking advice anonymously and commercialise data on the black market. The intersection of these networks along with the unintentional losses of information have resulted in 5,810 data breaches made public since 2005 (comprising some 847,807,830 records) and the velocity of these events is increasing. Organisations must be prepared for a potential breach event to maintain cyber resiliency. Proper management of a breach response can reduce response costs and can serve to mitigate potential reputational losses.
Emergency preparedness in the school setting necessitates the formation and development of a Crisis Team that will be prepared to assume critical roles in the event of a crisis. This paper discusses the school Crisis Team, including member identification and responsibilities, and the relationship of the Crisis Team to the school crisis plan and policies.
Häner, R.; Wächter, J.
The project Collaborative, Complex, and Critical Decision-Support in Evolving Crises (TRIDEC), co-funded by the European Commission in its Seventh Framework Programme aims at establishing a network of dedicated, autonomous legacy systems for large-scale concurrent management of natural crises utilising heterogeneous information resources. TRIDEC's architecture reflects the System-of- Systems (SoS) approach which is based on task-oriented systems, cooperatively interacting as a collective in a common environment. The design of the TRIDEC-SoS follows the principles of service-oriented and event-driven architectures (SOA & EDA) exceedingly focusing on a loose coupling of the systems. The SoS approach in combination with SOA and EDA has the distinction of being able to provide novel and coherent behaviours and features resulting from a process of dynamic self-organisation. Self-organisation is a process without the need for a central or external coordinator controlling it through orchestration. It is the result of enacted concurrent tasks in a collaborative environment of geographically distributed systems. Although the individual systems act completely autonomously, their interactions expose emergent structures of evolving nature. Particularly, the fact is important that SoS are inherently able to evolve on all facets of intelligent information management. This includes adaptive properties, e.g. seamless integration of new resource types or the adoption of new fields in natural crisis management. In the case of TRIDEC with various heterogeneous participants involved, concurrent information processing is of fundamental importance because of the achievable improvements regarding cooperative decision making. Collaboration within TRIDEC will be implemented with choreographies and conversations. Choreographies specify the expected behaviour between two or more participants; conversations describe the message exchange between all participants emphasising their logical
learned process to ensure that it is learning and adapting its counterterrorism operations for maximum success. Yet, at least publically, this...appears to not be the case. The lack of such a process is compounded by the fact that both the conduct and oversight of these operations are divided among...analytic framework and lessons-learned process that the U.S. government could—and should—use to continually and comprehensively improve the
A downturn in enrolments of international students following the Global Financial Crisis is causing publicised stress among Australian universities that have come to rely on associated income. How to survive the financial consequences is currently receiving urgent attention within the sector. This paper models the problem of developing responses…
Kopp, David M.; Nikolovska, Irena; Desiderio, Katie P.; Guterman, Jeffrey T.
In this conceptual paper, we consider organizational storytelling as a communications tool in which stories are used to reduce the stress and anxiety of organizational members during a crisis. While there is much consensus among organizational scholars detailing storytelling's active role in such processes as organizational learning and…
Davis B. Bobrow 9. PERFORMING CmOANlZATION N^Mt AND ADORaSi Department of Government and Politics University of Maryland College Park...and Integration Tasks, 3) Data Set Inventory, 4) Intensive Events Data - 1963-1965, and 5) Chinese Perceptions of Political Symbols. I I DD .STM...Kringcn ana « uniquely pertinent set of semantic information on political symbols described .n Ap- pendix E. Orientation of these materials to our
Cornell, Dewey G.; Sheras, Peter L.
Describes five school crises. In each case example, errors in crisis management by school staff exacerbated the crisis and resulted in deleterious consequences for the school, its students, and the surrounding community. Identifies common themes of leadership, teamwork, and responsibility that are critical to successful crisis management.…
involved Egypt and Israel on opposing sides, as well as other opposing pairs such as Syria and Israel . The advantage of organ- izing the cases in...West municipalities. An agreement to end the blockade was reached in May 1949. Crisis: Costa Rica- Nicaragua Dates: 12/3/48-1/30/49 Country Pair...Costa Rica- Nicaragua In the midst of domestic political turmoil in Costa Rica, Rafael Calderon - previously a Presidential candidate in Costa Rica
The Department of Defense has rules and procedures to minimize the opportunity for error and improper behavior among those with access to strategic weapons, but no psychiatric screening system can predict with assurance who will or will not behave rationally during a crisis. Personal problems and institutional decision-making pressures may destroy nuclear deterrence. Certain features of military life, including drug and alcohol abuse, heavy responsibility, tension, and group decision making, can destreoy rationality. 12 references.
Elizabeth Rindskopf Parker, “Civil Liberties in the Struggle Against Terror,” In Legal Issues in the Struggle Against Terror, edited by John Norton Moore...Right, 43. 14 Ibid, 43-44. 15 Matthew Dalton , "EU Court’s Ruling Deals a Blow to Counterterror Efforts: Saudi Buisnessman’s Removal From List is... Dalton , "EU Court’s Ruling Deals a Blow to Counterterror Efforts” 9 European allies’ emphasis on protecting civil liberties and human rights over the
Igbedioh, S O
Nigeria's nutrition crisis has been shown to have a considerable negative impact on infants, young children and women. Available evidence suggests that 'caring capacity' when properly planned and targeted at the most-at-risk can help. Strategies that can achieve this care are increasing women's income and control over income, increasing investment in women's education and improving access to credit facilities. Others are the aggressive promotion of gender-biased labour saving technology, increasing women's access to basic health and family planning services and implementing reforms in land ownership while instituting social security for women.
Managing a crisis and providing leadership in a crisis are not the same activity. Crisis leadership principally deals with how leaders handle the human response to a crisis, including their own. This book, in discussing crisis leadership, focuses on three questions: (1) Will the leader address the crisis head-on, take action to fix it, and, if…
This is a brief exploration of the ethical issues raised for psychiatrists, and for universities, schools and wider society, by the demand that they attend mandatory training as part of the UK government's Prevent counter-terrorism strategy. The silence on this matter to date on the part of the General Medical Council, medical Royal Colleges, and the British Medical Association is a failure of ethical leadership. There is also a civil liberties issue, reminiscent of the McCarthyism of 1950s USA. We should refuse to attend.
detainees will be “put into the same category ” as the five original petitioners, including Parhat, who challenged their status as “enemy combatants.”68 In...responded on July 14, 2005, that China and Russia were “trying to bully ” the Central Asian countries. A week later, China’s official People’s Daily...from the Philippines, Singapore, and Malaysia .127 The Pentagon’s June 2002 report on foreign contributions in the counterterrorism war did not
Heifetz, Ronald; Grashow, Alexander; Linsky, Marty
The current economic crisis is not just another rough spell. Today's mix of urgency, high stakes, and uncertainty will continue even after the recession ends. The immediate crisis--which we will get through with policy makers' expert technical adjustments--sets the stage for a sustained, or even permanent, crisis, a relentless series of challenges no one has encountered before. Instead of hunkering down and relying on their familiar expertise to deal with the sustained crisis, people in positions of authority--whether they are CEOs or managers heading up a company initiative--must practice what the authors call adaptive leadership. They must, of course, tackle the underlying causes of the crisis, but they must also simultaneously make the changes that will allow their organizations to thrive in turbulent environments. Adaptive leadership is an improvisational and experimental art, requiring some new practices. Like Julie Gilbert, who overcame internal resistance to reorient Best Buy toward female purchasers, adaptive leaders get things done to meet today's challenges and then modify those things to thrive in tomorrow's world. They also embrace disequilibrium, using turbulence as an opportunity to build crucial new capacities, as Paul Levy did to rescue Beth Israel Deaconess Medical Center from a profound financial crisis. Finally, adaptive leaders, such as Egon Zehnder, the founder of an executive search firm, draw out the leadership skills that reside deep in the organization, recognizing the interdependence of all employees and mobilizing everyone to generate solutions.
In today's world, managing a campus crisis poses special challenges for an institution's governing board, which may operate some distance removed from the immediate events giving rise to the crisis. In its most challenging form, a campus crisis--a shooting, a natural disaster, a fraternity hazing death, the arrest of a prominent campus…
My research into pupils' perceptions of terrorism and current UK counter-terrorism policy highlights the need for more detailed and accurate discussions about the implementation of the educational aims, in particular those laid out by the Prevent Strategy. Religious education (RE) in England is affected by these aims, specifically the challenging…
Atlantic Information Centre for Teachers, London (England).
This Crisis Paper is thirty-third in a series which expands the analysis of the crisis under discussion to provide a multi-national view of the issue by quoting comment from a selection of newspapers and journals of several countries. A brief introduction outlines the history and background of the energy crisis, emphasizing the underestimated…
The objective of this paper is to highlight the dimensions characterising the socialisation process in a crisis context. Based on the definition of organisational socialisation advanced by Van Maanen and Schein (1979) and employed later by Jones (1986), a crisis is presented as a passage from a 'normal' situation to an 'exceptional' situation. A crisis represents a socialisation context in the sense that it is a novel state in which actors must develop a different way of mobilising their knowledge, utilising their skills, and practicing their trade or profession. The paper discusses certain findings that have emerged from the literature on organisational socialisation, as well as from the testimony of actors who participated in efforts to manage the Quebec ice-storm crisis of early 1998. It is hoped that this exploratory study's data will give rise to fruitful interaction between the field of organisational socialisation and that of crisis management.
Liles, Harold R.
Discusses what steps were taken by the Cooperative Extension Service in Oklahoma, after the energy crisis began, to help landowners make better decisions regarding oil and gas leases. Oklahoma's Extension educational efforts in mineral rights management have been successful because they met the needs of the people. (EM)
To school business managers, the energy crisis is a continuing economic disaster as energy costs continue to climb and schools are without money to make necessary renovations to reduce energy consumption. (Author/IRT)
Safe, A. F.; Griffiths, K. D.; Maxwell, R. T.
A 30 year old male patient with thyrotoxic crisis presenting as status epilepticus is reported. The aetiology, manifestations and management of this medical emergency are discussed. The importance of prompt, vigorous and comprehensive treatment of thyrotoxic crisis is emphasized. Rapid control of hyperthyroidism as well as other supportive measures are essential if the high fatality rate is to be reduced. Comprehensive management reduces mortality from 90% to 20%. PMID:2349191
Sánchez-Martínez, Fernando I; Abellán-Perpiñán, José María; Oliva-Moreno, Juan
It is often asserted that public management of healthcare facilities is inefficient. On the basis of that unproven claim, it is argued that privatization schemes are needed. In this article we review the available evidence, in Spain and other countries, on the application of private management mechanisms to publicly funded systems similar to the Spanish national health system. The evidence suggests that private management of healthcare services is not necessarily better than public management, nor vice versa. Ownership-whether public or private-of health care centers does not determine their performance which, on the contrary, depends on other factors, such as the workplace culture or the practice of suitable monitoring by the public payer. Promoting competition among centers (irrespective of the specific legal form of the management arrangements), however, could indeed lead to improvements under some circumstances. Therefore, it is advisable to cease the narrow-minded debate on the superiority of one or other model in order to focus on improving healthcare services management per se. Understanding that good governance affects health policies, the management of health care organizations, and clinical practice is, undoubtedly, an essential requirement but may not necessarily lead to policies that stimulate the solvency of the system.
Ryan, Michelle K; Haslam, S Alexander; Hersby, Mette D; Bongiorno, Renata
The "think manager-think male" (TMTM) association underlies many gender inequalities in the workplace. However, research into the "glass cliff" has demonstrated that the suitability of male and female managers varies as a function of company performance such that in times of poor performance people may "think female" (Ryan & Haslam, 2005, 2007). Three studies examined gender and managerial stereotypes in the context of companies that are doing well or doing badly. Study 1 reproduced TMTM associations for descriptions of managers of successful companies but demonstrated a reversal for managers of unsuccessful companies. Study 2 examined the prescriptive nature of these stereotypes. No TMTM relationship was found for ideal managers of successful companies, but ideal managers of unsuccessful companies were associated with the female stereotype. Study 3 suggested that women may be favored in times of poor performance, not because they are expected to improve the situation, but because they are seen to be good people managers and can take the blame for organizational failure. Together, the studies illustrate the importance of context as a moderator of the TMTM association. Practical and theoretical implications for gender discrimination in the workplace are discussed.
Bayntun, Claire; Rockenschaub, Gerald; Murray, Virginia
BACKGROUND The World Health Organisation's (WHO) sixty-fourth World Health Assembly in May 2011 adopted a resolution on ‘strengthening national health emergency and disaster management capacities and resilience of health systems’. Disaster management is a topical issue globally and countries are being encouraged to improve their disaster preparedness, along with growing international commitment to strengthening health systems. Lessons identified from disasters have not been effectively collated; essential experience is forgotten. METHODS This paper describes the analysis of the worldwide experience of disasters through a health systems approach. A systematic search of the core literature from January 2000 to November 2011 was conducted. Components drawn from the WHO’s Global assessment of national health sector emergency preparedness and response baseline survey were combined with WHO’s six health system building blocks (or levers) to act as the initial analysis anchors, with a further grounded theory qualitative analysis of the literature allowing the identification of emerging themes and insights. The priority areas identified by this literature review were then compared with the topics covered by the new expert-consensus-derived Toolkit for assessing health-system capacity for crisis management developed by the WHO Regional Office for Europe. FINDINGS 143 publications identified from a literature search were analysed and appraised. Themes and examples from the literature demonstrate how health system strengthening should contribute to disaster management. Priority areas under-represented in the WHO Toolkit and identified by the qualitative analysis are discussed. INTERPRETATION Collation and analysis of the disaster management literature identifies how health system strengthening can promote resilience and efficient recovery in the face of disasters. These findings support and complement the WHO Toolkit. Countries can use the literature evidence with the
... Surgery? A Week of Healthy Breakfasts Shyness Sickle Cell Crisis (Pain Crisis) KidsHealth > For Teens > Sickle Cell ... drepanocíticas (Crisis de dolor) What Is a Sickle Cell Crisis? Sickle cell disease changes the shape of ...
A fire safety engineering perspective on crowd evacuation dynamics. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.
The review presented by Bellomo et al.  addresses the modelling approaches employed to represent human behaviour in evacuation in a comprehensive manner. The authors discuss crowd evacuation modelling in light of crisis management, a relevant and current topic given the recent escalation of terrorist threats all over the world. The need for designing buildings for rapid evacuation using crowd evacuation models has been recently raised in important forums . This research area is strictly linked to the field of Fire Safety Engineering.
Silva Parejas, C.; Lara, L. E.; Bertin, D.; Amigo, A.; Orozco, G.
A new kind of integrated approach was for first time achieved during the eruptive crisis of Cordón Caulle volcano (Southern Andes, 40.59°S, 72.12°W) in Chile. The monitoring network of SERNAGEOMIN around the volcano detected the increasing precursory seismicity, alerting the imminence of an eruption about 5 hours before its onset, on June 4, 2011. In addition, SERNAGEOMIN generated daily forecasts of tephra dispersal and fall (ASHFALL advection-diffusion model), and prepared simulations of areas affected by the possible occurrence of lahars and pyroclastic flows. Models were improved with observed effects on the field and satellite imagery, resulting in a good correlation. The information was timely supplied to the authorities as well as recommendations in order to better precise the vulnerable areas. Eruption has initially occurred from a couple of overlapped cones located along the eastern fault scarp of the Pleistocene-Holocene extensional graben of Cordón Caulle. Eruptive products have virtually the same bulk composition as those of the historical 1921 and 1960 eruptions, corresponding to phenocryst-poor rhyodacites (67-70 % SiO2). During the first eruptive stage, a ca. 15-km strong Plinian column lasting 27 hours emitted 0.2-0.4 km3 of magma (DRE). Thick tephra deposits have been accumulated in Chile and Argentina, whereas fine particles and aerosols dispersion disrupted air navigation across the Southern Hemisphere. The second ongoing eruptive stage, which started in mid-June, has been characterized by lava emission already covering a total area comparable to the 1960 lava flows with a total estimated volume <0.25 km3 (at the end of December 2011). Weak but persistent plumes have caused preventive flight suspensions in Chile and Argentina until the end of the year. Main current hazards at Cordón Caulle volcano are fine tephra fallout, secondary lahars, minor explosions and lava flow front collapse. Even if this case can be considered successful from the
Grant, T.A.; Flanders-Wanner, B.; Shaffer, T.L.; Murphy, R.K.; Knutsen, G.A.
In the northern Great Plains, native prairies managed by the U.S. Fish and Wildlife Service (Service) can be pivotal in conservation of North America's biological diversity. From 2002 to 2006, we surveyed 7,338 belt transects to assess the general composition of mixed-grass and tallgrass prairie vegetation across five "complexes" (i.e., administrative groupings) of national wildlife refuges managed by the Service in North Dakota and South Dakota. Native grasses and forbs were common (mean frequency of occurrence 47%-54%) on two complexes but uncommon (4%-13%) on two others. Conversely, an introduced species of grass, smooth brome (Bromus inermis), accounted for 45% to 49% of vegetation on two complexes and another species, Kentucky bluegrass (Poa pratensis) accounted for 27% to 36% of the vegetation on three of the complexes. Our data confirm prior suspicions of widespread invasion by introduced species of plants on Service-owned tracts of native prairie, changes that likely stem in part from a common management history of little or no disturbance (e.g., defoliation by grazing or fire). However, variability in the degree and type of invasion among prairie tracts suggests that knowledge of underlying causes (e.g., edaphic or climatic factors, management histories) could help managers more effectively restore prairies. We describe an adaptive management approach to acquire such knowledge while progressing with restoration. More specifically, we propose to use data from inventories of plant communities on Service-owned prairies to design and implement, as experiments, optimal restoration strategies. We will then monitor these experiments and use the results to refine future strategies. This comprehensive, process-oriented approach should yield reliable and robust recommendations for restoration and maintenance of native prairies in the northern Great Plains. ??2009 by the Board of Regents of the University of Wisconsin System.
Coastal areas are staggering under an onslaught of human activity. We are presently in the process of destroying 70 percent of the world`s 600,000 square kilometers of coral reefs, an ecosystem containing some 200,000 different species and rivaling tropical rain forests in biodiversity. A combination of pollution, habitat destruction, and gross overfishing has led to the collapse of major fisheries and paved the way for malnutrition and disease in regions where people fish for subsistence. Globally, little is being done to manage the crisis of our coasts. Management strategies, if they exist at all, often deal with economic development along a wafer-thin strip of coastal land. Resource degradation is ignored, and watershed management is mostly rhetoric. Although some 55 countries have drawn up coastal management plans, only a handful have been properly implemented. Coasts must be managed in an integrated manner that takes into account the full range of human activities. Initiating this process is costly, time-consuming, and difficult. Yet we have more than three decades of accumulated experience to draw on.
Ingemann, Mira; Jackson, LaTrelle; Pittman, Jeffrey
Violence on college campuses has spurred administrators and campus safety officials to devise effective crisis management and threat assessment strategies. The college community lends itself to a systematic multi-component model of crisis intervention primarily due to its self-contained and widespread interconnected social networks. The CISM model for a crisis response is an empirically supported program that would inform practice prior to, during, and following university-based crises. Ultimately, best practices in the world of academia should rest on a foundation of detailed preparation, interdepartmental collaboration and coordination, extensive specialized training, and periodic review of campus protocols to assess for systemic changes.
Hazif-Thomas, Cyril; Bordage, Catherine; Cornec, Gwenole; Berrouiguet, Sofian; Walter, Michel
Bound to the idea of a crisis and the brutal intrusion of psychological suffering, the suicide drama rarely lends itself to a direct analysis which can highlight the different stages of its process. Taking into account increasing quantities of scientific data from current research and the spirit of crisis interventions is fundamental for allowing hopes of effective prevention. Speaking the same language by using the same conceptual basis, that of the suicide crisis, is a prerequisite in pedagogical terms for the current care management of suicidal patients.
Regan, JoAnne Howland
Describes a creative approach to teaching the application of crisis theory to nursing students. Students experience crisis themselves, evaluate their own and others' coping mechanisms, and learn to recognize the various physical and psychological symptoms of people in crisis. (Author/CT)
Benson, James A.
Illustrates how Johnson & Johnson's crisis communication management adhered to many of the recommended guidelines for managing contingency planning, for mobilizing a crisis communication effort, and for post-crisis communication. Reveals the advantageous use of flexible, proactive, and corollary communication strategies. (MS)
Franc, Jeffrey Micheal; Verde, Manuela; Gallardo, Alba Ripoll; Carenzo, Luca; Ingrassia, Pier Luigi
Objective measurement of simulation performance requires a validated and reliable tool. However, no published Italian language assessment tool is available. Translation of a published English language tool, the Ottawa Crisis Resource Management Global Rating Scale (GRS), may lead to a validated and reliable tool. After developing an Italian language translation of the English language tool, the study measured the reliability of the new tool by comparison with the English language tool used independently in the same simulation scenarios. In addition, the validity of the Italian language tool was measured by comparison to a skills score also applied independently. The correlation coefficient between the Italian language overall GRS and the English language overall GRS was 0.82 (adjusted 95 % confidence interval: 0.62-0.92). The correlation coefficient between the Italian language overall GRS and the skill score was 0.85 (adjusted 95 % confidence interval 0.68-0.94). This study demonstrated that the Italian language GRS has acceptable reliability when compared with the English language tool, suggesting that it can be used reliably to evaluate the performance during simulated emergencies. The study also suggests that the tool has acceptable validity for assessing the simulation performance. The study suggests that the Italian language GRS translation has reasonable reliability when compared with the English language GRS and reasonable validity when compared with the assessment of the skills scores. Data suggest that the instrument is adequately reliable for informal and formative type of examinations, but may require further confirmation before use for high-stake examinations such as licensing.
Chebbi, Hela; Pündrich, Aline Pereira
Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…
Crites, T R
In 1994, the U. S. and Russian Federation governments formally agreed to exchange information on the safety and security of nuclear weapons. This agreement included three major elements, called Technical Working Groups (TWGs). TWG C deals with counter-terrorism. Its four assigned actions and U.S./Russian experience are reviewed in this paper. Although active exchange programs were created under TWGs A and B, involving workshops and laboratory-to-laboratory development projects, little work was initiated in TWG C, due to the sensitive nature of this information. After 9/11, however, it became clear that much could be gained by having each country share information to help solve the problem of nuclear proliferation among terrorist groups. Government-to-government meetings have reaffirmed the initial agreement to exchange information on this topic, and a number of joint project proposals are now under discussion. The Joint Steering Committee that oversees this exchange has approved approximately 20 projects. They include such topics as terrorist threat scenario development, detection of nuclear material and explosives in transportation containers, analysis of material mass and configuration, and consequence mitigation. It is expected that the joint development of these capabilities will enhance our ability to respond to a nuclear threat and to facilitate mutual assistance, should either party experience a nuclear terrorist event.
An interactive mapping project is revolutionizing the way crises are reported and managed, and is spotlighting the value of citizen journalism. The project, called Ushahidi, which means testimony in Swahili, uses crowdsourcing (gathering information from a large number of people) to map crisis information. This crisis mapping tool has since been…
Shaw, Mahauganee Dawn
Despite a growing body of literature on campus crisis management and the breadth of research on organizational change, little is known about organizational changes prompted by campus crisis. The purpose of this study is to examine the changes made to the operational profiles of Gulf Coast institutions during the process of recovering from major…
Aspiranti, Kathleen B.; Pelchar, Taylor K.; McCLeary, Daniel F.; Bain, Sherry K.; Foster, Lisa N.
It is of vital importance that children are educated in a safe environment. Every school needs to have a well-developed crisis management document containing plans for prevention, intervention, and postvention. We developed the Comprehensive Crisis Plan Checklist (CCPC) to serve as a valuable tool that can be used to assist practitioners with…
Nickerson, Amanda B.; Brock, Stephen E.; Reeves, Melissa A.
Despite the increasing attention given to the need for schools to be prepared to respond in a variety of crisis situations, there is a lack of information about how to coordinate with multiple agencies following a crisis. This article describes the U. S. Department of Homeland Security's (2004) National Incident Management System and its Incident…
who, what, when, where). I f a match was found, then the parser would h igh l igh t that port ion of the message as being relevant to determine the...Existence of hunger, malnutrition , famine 01 = attr ibutable primarily to crop fa i lure 02 = attr ibutable primarily to drought 03 = attr ibutable
This paper will explore lessons learned following a series of natural and man-made disasters affecting the Massachusetts Mutual Life Insurance Company and/or its subsidiaries. The company employs a team of certified continuity professionals who are charged with overseeing resilience on behalf of the enterprise and leading recovery activities wherever and whenever necessary.
Merriman, Lynette S.
In the wake of 9/11, Hurricane Katrina, and the Virginia Tech shooting tragedy, it is no surprise that concern for students' safety is the primary reason attributed to parents' increased involvement. Parents and university administrators share in their commitment to student safety. However, college and university staff who assume responsibility…
This paper suggests that educational resources and opportunities currently in operation in rural Australia are brought forward during times of crisis. The paper discusses five aspects of education in rural Australia that are a response to the perceived sense of crisis and that have improved the general and comparative quality of rural education,…
Evans, J V
At one time or another, many of us experience a life-threatening crisis that proves to be a turning point in our lives. I had such a crisis while working as a medic on the oil-rig Vinland, offshore of Nova Scotia, in 1984.
Industrial maintenance in Northeast Georgia is facing an acute crisis. Contributing factors are economic development that is depleting the work force, aging of the population, downsizing of the military, and lack of technical school graduates. Solutions to the crisis fall into three categories: short-term, mid-term, and long-term. For short-term…
The presentation of the historical epistemological path is needed to understand and reconsider the discipline of Educational Technology in articulation to contributions of rupturistic theorists in order to reach to a critical proposal and a revision of its field. This field is facing a deep crisis within a time of world crisis, specially in the…
Bickel, Perry S.
Physical interventions for special education students in crisis remains a controversial concept. The first minute of a crisis situation represents the most crucial time to prevent injury or the exacerbation of injury. Although preventing violence and escalation of negative emotions is the first step in crisis management, school staff also must be…
... health crisis. 550.409 Section 550.409 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL... during a pandemic health crisis. (a) An agency may order one or more employees to evacuate from their... the employee) during a pandemic health crisis without regard to whether the agency and the...
Oshiro, Masakatsu; Sugahara, Kazuhiro
Intraoperative crisis is an inevitable event to anesthesiologists. The crisis requires effective and coordinated management once it happened but it is difficult to manage the crises properly under extreme stressful situation. Recently, it is reported that the use of surgical crisis checklists is associated with significant improvement in the management of operating-room crises in a high-fidelity simulation study. Careful preoperative evaluation, proper intraoperative management and using intraoperative crisis checklists will be needed for safer perioperative care in the future. Postoperative complication is a serious public health problem. It reduces the quality of life of patients and raises medical cost. Careful management of surgical patients is required according to their postoperative condition for preventing postoperative complications. A 10-point surgical Apgar score, calculated from intraoperative estimated blood loss, lowest mean arterial pressure, and lowest heart rate, is a simple and available scoring system for predicting postoperative complications. It undoubtedly predicts higher than average risk of postoperative complications and death within 30 days of surgery. Surgical Apgar score is a bridge between proper intraoperative and postoperative care. Anesthesiologists should make effort to reduce the postoperative complication and this score is a tool for it.
Boscarato, Kara; Lee, Stuart; Kroschel, Jon; Hollander, Yitzchak; Brennan, Alice; Warren, Narelle
The manner in which people with mental illness are supported in a crisis is crucial to their recovery. The current study explored mental health consumers' experiences with formal crisis services (i.e. police and crisis assessment and treatment (CAT) teams), preferred crisis supports, and opinions of four collaborative interagency response models. Eleven consumers completed one-on-one, semistructured interviews. The results revealed that the perceived quality of previous formal crisis interventions varied greatly. Most participants preferred family members or friends to intervene. However, where a formal response was required, general practitioners and mental health case managers were preferred; no participant wanted a police response, and only one indicated a preference for CAT team assistance. Most participants welcomed collaborative crisis interventions. Of four collaborative interagency response models currently being trialled internationally, participants most strongly supported the Ride-Along Model, which enables a police officer and a mental health clinician to jointly respond to distressed consumers in the community. The findings highlight the potential for an interagency response model to deliver a crisis response aligned with consumers' preferences.
perpetrated against U.S. citizens and U.S. interests. Historically, the FBI has played a leadership role in providing training to international...its training curriculum, CEPDU and the Training Division must play leadership roles in changing the mindset of the organization as well as...development of employee skills, leadership development, and the enhancement of the work environment to facilitate the mission. The examples outlined by
Revell, Lynn; Bryan, Hazel
In requiring that teachers should "not undermine fundamental British values (FBV)," a phrase originally articulated in the Home Office counter-terrorism document, Prevent, the Teachers' Standards has brought into focus the nature of teacher professionalism. Teachers in England are now required to promote FBV within and outside school,…
Borzí, Alfio; Caponigro, Marco
The formulation of mathematical models for crowd dynamics is one current challenge in many fields of applied sciences. It involves the modelization of the complex behavior of a large number of individuals. In particular, the difficulty lays in describing emerging collective behaviors by means of a relatively small number of local interaction rules between individuals in a crowd. Clearly, the individual's free will involved in decision making processes and in the management of the social interactions cannot be described by a finite number of deterministic rules. On the other hand, in large crowds, this individual indeterminacy can be considered as a local fluctuation averaged to zero by the size of the crowd. While at the microscopic scale, using a system of coupled ODEs, the free will should be included in the mathematical description (e.g. with a stochastic term), the mesoscopic and macroscopic scales, modeled by PDEs, represent a powerful modelling tool that allows to neglect this feature and provide a reliable description. In this sense, the work by Bellomo, Clarke, Gibelli, Townsend, and Vreugdenhil  represents a mathematical-epistemological contribution towards the design of a reliable model of human behavior.
This paper places Husserl's mature work, The Crisis of the European Sciences, in the context of his engagement with--and critique of--experimental psychology at the time. I begin by showing (a) that Husserl accorded psychology a crucial role in his philosophy, i.e., that of providing a scientific analysis of subjectivity, and (b) that he viewed contemporary psychology--due to its naturalism--as having failed to pursue this goal in the appropriate manner. I then provide an analysis of Husserl's views about naturalism and scientific philosophy. Some central themes of the Crisis are traced back to Husserl's earlier work and to his relationship with his teacher, Franz Brentano, with whom he disagreed about the status of "inner perception" as the proper scientific method for a phenomenological analysis. The paper then shows that Husserl was well aware of at least one publication about the crisis of psychology (Bühler's 1927 book), and it teases out some aspects of the complicated relationship between Husserl and members of the Würzburg School of thought psychology: The latter had drawn on Husserl's writings, but Husserl felt that they had misunderstood his central thesis. I conclude by placing Husserl's work in the wider context of scientific, cultural, and political crisis-discourses at the time.
Siriwardena, A Niroshan
W Edwards Deming's Out of the Crisis, was first published almost three decades ago.(1) It was a bestseller and remains a classic text written by one of the foremost quality improvement experts of the 20th century. It is a book which certainly warrants re-examination in light of today's challenges for health care. This discussion paper reviews what Deming can teach us about causes of failure in management, including health care, what can be done to remedy them and how to avert problems in future.
Vermont Department of Education, 2004
The 2004 Vermont School Crisis Guide has been revised to improve its use by School Crisis Teams and Public Safety Committees. The Guide is now organized by roles so users can quickly locate their responsibilities in a crisis. The Crisis Guide pages can be used to document pertinent information (time, witnesses) immediately after an emergency…
Cancer diagnoses and treatments can be crisis-causing events that overwhelm the usual coping abilities of patients and their families. Oncology nurses constantly are observing and attending to patients' diverse needs, ranging from biomedical to emotional, social, and psychological. Nurses have the chance to be first responders in times of patient crises, as they are in the position to recognize the crisis, respond effectively, and transform the crisis into a pivotal learning experience. This article discusses a way to think about patient and family crises that empowers nurses to respond in a manner appropriate to the cultural context and respectful of the individual space of the patient.
Sediments can pose a threat to humans not only when these deposits are polluted but also due to their large quantities. This physical aspect of sediments as a risk will be shown on a case study of a sediment-related disaster that occurred in the mountainous part of Slovenia, Central Europe in 2000. In November 2000, after a long wet period a large debris landslide had been triggered on the Stože slope and stopped in the channel of the Mangart creek. Such an event took the majority of local inhabitants and emergency staff by surprise. Nevertheless, they had just organized the first mitigation measures when, after 35 hours, they were surprised by an even larger debrisflowinitiated as the second phase of the same mass movement event. Within a few minutes, the wet debris flow had devastated the alpine valley of the Koritnica River and killed 7 people in the village of Log pod Mangartom. This paper deals with crisis management and first mitigation measures under this very tense situation of searching for dead bodies. The uncertainty about possible new debris flows drove all inhabitants out of the village by a decision of the civil protection unit, and also other activities of the emergency relief units were overshadowed by the 7 victims. One of the main problems and challenges at the same time was the over 700,000 m³ of wet debris flow deposits in the area of the village of Log pod Mangartom within the Triglav National park, which posed a direct threat of flooding during the first heavy rainfalls in spring 2001, and which were about to be removed to make place for future debris flows. The understanding about what really happened or about the immediate triggering factors was different among the professionals in charge for relief action and for preparing a final remediation plan. The first phase during and immediately after the disaster (relief intervention of emergency units especially those for civil protection) can be described as Concern-Driven Crisis Management or
Simington, J A; Cargill, L; Hill, W
Crisis intervention is based upon crisis theory and is defined as a short-term active mode of therapy that focuses on solving the client's immediate problem and reestablishing psychological equilibrium. The crisis intervention program was the first phase in the development of a broader mental health program with advancement decisions being based upon evaluation results of this initial phase. An evaluation methodology using the Stufflebeam Goal-Stakeholder Model (1980) was designed and implemented. A satisfaction survey was conducted to develop a database relative to the program's process. The Mental Health Category Measure, and the Crisis Call Outcome Rating Scale were used to capture outcome data. Analysis of the qualitative and quantitative data indicate that stakeholders are satisfied with the program. outcome data demonstrates that the program produces the intended outcomes. Triangulation, a method of comparing the qualitative and quantitative findings revealed consistency, and thus provides confidence in the accuracy of the findings.
Brown, Mark S.
Examines current books and articles on educational problems, which the author refers to as literature of crisis," and concludes that these works should be read along with other genres of literature which examine human problems of communication and commitment. (VJ)
Freund, Alexandra M; Ritter, Johannes O
Without doubt, the midlife crisis is the most popular concept describing middle adulthood. Facing the limitation of the time until death, men in particular are believed to pause from actively pursuing their goals and review their achievements, take stock of what they have and have not yet accomplished, at times taking drastic measures to fulfill their dreams. This paper critically discusses the concept of a midlife crisis and the relevant empirical evidence, presenting arguments for and against a strict, a moderate, and a lenient conceptualization of the midlife crisis. Although a strict and even moderate definition of the midlife crisis does not seem tenable on empirical and theoretical grounds, a lenient conceptualization has the potential to stimulate new research directions exemplifying processes of the interaction of social expectations on the one hand and personal goals on the other, and their importance for developmental regulation.
true. Crisis develops as an organization’s values, beliefs, culture, or behavior becomes incongruent with its operating environment. A leader, who is...an organization’s values, beliefs, culture, and behaviors ; while the other reflects its changing environment. In the beginning, as the plates...a random, cataclysmic event that can strike without warning. However, crisis occurs when an organization’s values, beliefs, culture, or behaviors
threat to US interests in the Middle East and South Asia and the United States has been portrayed as the “Great Satan .” Leaders on both sides need to...cooperation including energy, counterterrorism, drug trafficking, regional security, Iraq, Afghanistan, and many others. An American- Iranian rapprochement
AD-A 23 956 IMPLICATIONS OF ORGANIZATIDNAL PLANNING FOR CRISIS RELOCATION(U) NORTH CAROLINA DEPT OF CRIME CONTROL AND PUBLIC SAFETY RALEIG.. M A...policies of the Federal Emergency Management Agency. Division of Emergency Management North Carolina Department of Crime Control and Public Safety...North Carolina Department of Crime Control and Work Unit 0 4412 1 Public Safety, 116 W.Jones St. ,Raleigh, NC 27611 II. CONTROLLING OFFICE NAME AND
Ramsey, D. W.; Robinson, J. E.; Schilling, S. P.; Schaefer, J. R.; Kimberly, P.; Trusdell, F. A.; Guffanti, M. C.; Mayberry, G. C.; Cameron, C. E.; Smith, J. G.; McIntire, J. A.; Snedigar, S.; Ewert, J. W.
Geographic Information Systems (GIS) specialists from the Volcano Hazards Program (VHP) of the U.S. Geological Survey (USGS), including personnel at Menlo Park, California, the Cascades Volcano Observatory in Vancouver, Washington, the Alaska Volcano Observatory in Anchorage and Fairbanks, Alaska, the Hawaiian Volcano Observatory in Hawaii National Park, Hawaii, and the Smithsonian Institution Global Volcanism Program in Washington, DC, are developing a GIS response plan in the event of a volcano crisis. This plan, referred to as "Crisis GIS", outlines how VHP can ensure rapid, reliable delivery of spatial and ancillary information for data analysis and visualization at any required location during a volcanic crisis or event within the United States. An effective Crisis GIS needs the capacity to store multiple, large datasets, including: base layer data, elevation data, geologic maps, hazard assessment maps, satellite data, and aerial photography for volcanoes around the U.S. It must be readily accessible by VHP GIS specialists stationed around the Nation. Such a GIS should also support installations of monitoring instruments and telemetry equipment that relay monitoring signals, and provision of updates to public officials, the media, and the public during a crisis. GIS technology has proven to be an invaluable tool for crisis response. Recently, GIS was applied as part of the response efforts to two large-scale crises: the terrorist attacks of September 11, 2001, and the Southern California wildfires of Fall 2003. In each case, GIS was used to organize large quantities of spatial data and to produce electronic and paper maps that illustrated hazards, supported decision making, and communicated developing situations to responsible emergency-management authorities and to the populace affected (Kant, 2002, and Pratt, 2003). VHP GIS specialists are currently testing the software and hardware employed in recent major crisis response efforts and are learning to adapt
[Risk and crisis management by anesthesiologists regarding 'Guidelines for Actions Against Intraoperative Critical Hemorrhage' published by the Japanese Society of Anesthesiologists and the Japan Society of Transfusion Medicine and Cell Therapy].
Irita, Kazuo; Yoshimura, Hayashi; Sakaguchi, Yoshiro; Takamatsu, Chihiro; Tokuda, Kentaro
According to a survey of anesthesia-related critical incidents by the Japanese Society of Anesthesiologists, hemorrhage was the major cause of cardiac arrest developing in the operating room. To deal with critical hemorrhage swiftly, not only cooperation between anesthesiologists and surgeons but also the linkage of operating rooms with transfusion management divisions and the blood center is important. It is desirable for the hospital transfusion committee to prepare hospital regulations on 'actions to be taken to manage critical hemorrhage', and practice the implementation of these guidelines by simulated drills. When critical hemorrhage occurs, a person in charge is appointed, and an emergency is declared (call for manpower and notification of the emergency to the transfusion management divisions). A person in charge comprehensively assesses the hemostatic condition, hemodynamics, laboratory data, and blood product supply system, and consults the operator regarding the continuation of surgery or changing surgical procedures. When time is short, the cross-matching test is omitted, and the ABO-identical blood is used. When a supply of the identical ABO-type blood is not available, compatible blood type is used. The evolving concept of hemostatic resuscitation seems to be important to prevent coagulopathy, which easily develops during massive hemorrhage. Anesthesiologists should be aware of the risk of such an emergency transfusion and procedures to be taken to switch to transfusion of the ABO-identical blood. Establishment of a hospital emergency transfusion system depends on the overall capability of the critical and crisis management systems of the hospital.
central qutesti-n. J international crisis management case studies done by Allen Whiting, Ole HlA i, Alexander George, and Richard Smoke form a base for...an historical case study that addresses these central’questions. International crisis management case studies done by Allen Whiting, Ole Holsti
Gullatt, David E.; Long, Douglas
Physical measures such as weapons checks and metal detectors are inadequate to forestall school violence. The key to managing crises is a trained, broad-based crisis-intervention team and a crisis-management plan. Team responsibilities include developing an intervention plan, coordinating with community services, educating and training staff, and…
Reynolds, Barbara; W Seeger, Matthew
This article describes a model of communication known as crisis and emergency risk communication (CERC). The model is outlined as a merger of many traditional notions of health and risk communication with work in crisis and disaster communication. The specific kinds of communication activities that should be called for at various stages of disaster or crisis development are outlined. Although crises are by definition uncertain, equivocal, and often chaotic situations, the CERC model is presented as a tool health communicators can use to help manage these complex events.
The economic depression of the 1930s represented the most important economic and social crisis of its time. Surprisingly, its effect on health did not show in available morbidity and mortality rates. In 1932, the League of Nations Health Organisation embarked on a six-point program addressing statistical methods of measuring the effect and its influence on mental health and nutrition and establishing ways to safeguard public health through more efficient health systems. Some of these studies resulted in considerations of general relevance beyond crisis management. Unexpectedly, the crisis offered an opportunity to reconsider key concepts of individual and public health.
The sheer enormity of last year's terrorist attacks on the World Trade Center and the Pentagon gave new meaning to the term "crisis management." Suddenly, companies near Ground Zero, as well as those more than a thousand miles away, needed a plan. Because the disasters disrupted established channels not only between businesses and customers but between businesses and employees, internal crisis-communications strategies that could be quickly implemented became a key responsibility of top management. Without these strategies, employees' trauma and confusion might have immobilized their firms and set their customers adrift. In this article, executives from a range of industries talk about how their companies, including Morgan Stanley, Oppenheimer Funds, American Airlines, Verizon, the New York Times, Dell, and Starbucks, went about restoring operations and morale. From his interviews with these individuals, author and management professor Paul Argenti was able to distill a number of lessons, each of which, he says, may "serve as guideposts for any company facing a crisis that undermines its employees' composure, confidence, or concentration." His advice to senior executives includes: Maintain high levels of visibility, so that employees are certain of top management's command of the situation and concern; establish contingency communication channels and work sites; strive to keep employees focused on the business itself, because a sense of usefulness enhances morale and good morale enhances usefulness; and ensure that employees have absorbed the firm's values, which will guide them as they cope with the unpredictable. The most forward-thinking leaders realize that managing a crisis-communications program requires the same dedication and resources they give to other dimensions of their business. More important, they realize that their employees always come first.
Larson, Wendy Ann, Ed.
This handbook aids in planning for effective crisis communication at institutions of higher education. The book opens with a behind-the-scenes look at a particular crisis--the 1990 murders of five students at the University of Florida. This first section offers tested advice from a campus communicator, an account of the crisis and the…
Grison-Curinier, Juliete; Limongi, Marc; Bocoum, Amadou
In the first-time admission unit, psychological containment is based essentially on receivingthe patient in crisis. While the management of the crisis is inseparable from containment, the drawing up of the patient's history, centred on observation, transfer and the clinical aspect, is a key stage in the patient's care. In an institution, the nursing team will, through its creativity, invent the care, seeking a possible alliance.
Akenhead, James; Andreani, Alan
School officials put a crisis communications plan into action after two Ohio students died and a third became critically ill from meningitis in May 2001. A mass immunization program prevented a major outbreak, and rumor control helped calm the public's fears. Recounts things learned from the experience. (MLF)
This paper suggests that all life is polar because polarity is the underlying context of life. The idea of polarity is based on two halves that originally belonged together to form a whole. These two halves are constantly trying to come together to regain their wholeness. The philosophical view of crisis presented in this paper is that the…
Klopfer, Leopold E.; Champagne, Audrey B.
Discussed is the history of school science curriculum reform from the Sputnik era to 1990. The relationship between the crisis in the 1950s and 1990 is addressed. A list of curriculum development programs for all levels and special needs students is included. (KR)
Guthrie, James W.; Peng, Arthur
If one relies on newspaper headlines for education funding information, one might conclude that America's schools suffer from a perpetual fiscal crisis, every year perched precariously on the brink of financial ruin, never knowing whether there will be sufficient funding to continue operating. Budgetary shortfalls, school district bankruptcies,…
Because schools are entrusted with children's safety, any crisis (particularly food poisoning) affecting that inviolable trust is fodder for a ravenous media. Proactive school business officials and food-service personnel work together to publicize the school nutrition department's good work. Communicating clearly and assigning a food-service…
Sandoval, Jonathan; Scott, Amy Nicole; Padilla, Irene
Psychologists working in schools are often the first contacts for children experiencing a potentially traumatizing event or change in status. This article reviews basic concepts in crisis counseling and describes the components of psychological first aid. This form of counseling must be developmentally and culturally appropriate as well as…
Eaton, Tim V.
The accounting profession is facing a potential crisis not only from the overall shortage of accounting faculty driven by smaller numbers of new faculty entering the profession as many existing faculty retire but also from changes that have been less well documented. This includes: (1) changes in attitude towards the roles of teaching, service and…
Hilliard, Robert L.
At a time of urban crisis, it becomes essential for people to learn about the special problems and needs of other people in the same community. If not actual experience, then visual experience through television can provide a good view into the perspective of other cultures. Television has an obligation to provide education of this sort,…
A CRISIS WAITING TO HAPPEN10 THESIS F Terrence P. Long Tommy> J. Mc^lamr Captain, USAF Captain. USAF AFlIT/GLM/LSM/84S-40 DEPARTMENT OF THE AIR FORCE...and do not necessarily * reflect the views of the School of Systems and Logistics, the- Air University, the United States Air Force, or the Department ...following U.S. Government Agencies: Bureau of Mines, Department of Commerce, Defense Intelligence Agency, Federal Emergency Management Agency, Central
This paper gives an overview about the most important aspects of crisis intervention, with special emphasis on crisis intervention with elderly people. First a review of the development of crisis intervention is given, including of some of the major concepts, with particular emphasis on psychoanalytic aspects of crisis intervention. Then a clinical case example of a crisis intervention with an elderly woman following a suicide attempt is given and discussed. The focus lies on the description of the transference-countertransference relationship, with attempts of pressing the therapist to comply with superficial, denying and minimizing fantasies. Peculiarities of crisis intervention with elderly people are highlighted: it is necessary to emphasize that elderly people are underrepresented in most crisis services, whereby they represent the group with the highest suicide risk. Peculiarities of elderly people still are not sufficiently met and they are created by a particularly wide range of aspects.
Burns, William J; Peters, Ellen; Slovic, Paul
We conducted a longitudinal survey of public response to the economic crisis to understand the trajectory of risk perception amidst an ongoing crisis. A nation-wide panel responded to seven surveys beginning in late September 2008 at the peak of the crisis and concluded in October 2009. At least 600 respondents participated in each survey, with 413 completing all seven surveys. Our online survey focused on perceptions of risk (savings, investments, retirement, job), negative emotions toward the financial crisis (sadness, anxiety, fear, anger, worry, stress), confidence in national leaders to manage the crisis (President Obama, Congress, Treasury Secretary, business leaders), and belief in one's ability to realize personal objectives despite the crisis. We employed latent growth curve modeling to analyze change in risk perception throughout the crisis. Our results suggest that, in general, people's perceptions of risk appear to decrease most rapidly during the initial phase of a crisis and then begin to level off. Negative emotion about the crisis was the most predictive of increased risk perception, supporting the notion of risk as feelings. Belief in one's ability to realize personal objectives was also predictive. Confidence in national leaders, however, was not predictive of perceived risk. Finally, our results demonstrate that groups may experience a crisis differently depending on a combination of personal characteristics such as gender, income, numeracy, and political attitude. Risk management and communication should work in sync with these mechanisms and differences across groups.
Lefetz, Christelle; Reich, Michel
Patients with advanced cancer often experience with physical impairment and loss of autonomy sometimes preceding inexorable death. It is that can emerge Suicidal ideation occasionally associated with suicidal attempt can arise in this particular context but also following the initial diagnostic talk and during all the stages of the disease. The risk is often considered twice higher in this patients'group compared to the general population and increases with advanced stages of the disease. Among patients with cancer, suicidal crisis can be expressed as part of a request for euthanasia, physician-assisted suicide and para suicide behaviors. Clues can help the clinician to identify early these vulnerable patients. Therefore, suicidal situations can emerge in the particular context of physical impairment, poor quality of life and poor control of physical symptoms (such as pain, tumoral localization in particular lung, head and neck, pancreas). The association of hopelessness and helplessness and a loss of control of the situation are strongly correlated with the expression of suicidal ideations. The presence of a confusional or psychomotor disinhibition with hallucinations, irrational thoughts and the absence of a libidinal object of investment have also to be taken into account. This suicidal crisis can be considered as a way for the patient to escape an intolerable situation (uncontrolled pain or other symptoms) and maintain self-control and decisional autonomy. Management of suicidal crisis in patients with cancer includes careful attention and legitimization of the patient's distress without inducing any guilt. Appropriate control of physical symptoms is warranted including screening and treating any mood disorder or any organic mental disorder. Treating associated anxiety and making sure that the patient's safety is under control are essential. Last but not the least, involving the whole treatment team is key in preventing transformation of the suicidal crisis
'Wikification of GIS by the masses' is a phrase-term first coined by Kamel Boulos in 2005, two years earlier than Goodchild's term 'Volunteered Geographic Information'. Six years later (2005-2011), OpenStreetMap and Google Earth (GE) are now full-fledged, crowdsourced 'Wikipedias of the Earth' par excellence, with millions of users contributing their own layers to GE, attaching photos, videos, notes and even 3-D (three dimensional) models to locations in GE. From using Twitter in participatory sensing and bicycle-mounted sensors in pervasive environmental sensing, to creating a 100,000-sensor geo-mashup using Semantic Web technology, to the 3-D visualisation of indoor and outdoor surveillance data in real-time and the development of next-generation, collaborative natural user interfaces that will power the spatially-enabled public health and emergency situation rooms of the future, where sensor data and citizen reports can be triaged and acted upon in real-time by distributed teams of professionals, this paper offers a comprehensive state-of-the-art review of the overlapping domains of the Sensor Web, citizen sensing and 'human-in-the-loop sensing' in the era of the Mobile and Social Web, and the roles these domains can play in environmental and public health surveillance and crisis/disaster informatics. We provide an in-depth review of the key issues and trends in these areas, the challenges faced when reasoning and making decisions with real-time crowdsourced data (such as issues of information overload, "noise", misinformation, bias and trust), the core technologies and Open Geospatial Consortium (OGC) standards involved (Sensor Web Enablement and Open GeoSMS), as well as a few outstanding project implementation examples from around the world. PMID:22188675
Kamel Boulos, Maged N; Resch, Bernd; Crowley, David N; Breslin, John G; Sohn, Gunho; Burtner, Russ; Pike, William A; Jezierski, Eduardo; Chuang, Kuo-Yu Slayer
'Wikification of GIS by the masses' is a phrase-term first coined by Kamel Boulos in 2005, two years earlier than Goodchild's term 'Volunteered Geographic Information'. Six years later (2005-2011), OpenStreetMap and Google Earth (GE) are now full-fledged, crowdsourced 'Wikipedias of the Earth' par excellence, with millions of users contributing their own layers to GE, attaching photos, videos, notes and even 3-D (three dimensional) models to locations in GE. From using Twitter in participatory sensing and bicycle-mounted sensors in pervasive environmental sensing, to creating a 100,000-sensor geo-mashup using Semantic Web technology, to the 3-D visualisation of indoor and outdoor surveillance data in real-time and the development of next-generation, collaborative natural user interfaces that will power the spatially-enabled public health and emergency situation rooms of the future, where sensor data and citizen reports can be triaged and acted upon in real-time by distributed teams of professionals, this paper offers a comprehensive state-of-the-art review of the overlapping domains of the Sensor Web, citizen sensing and 'human-in-the-loop sensing' in the era of the Mobile and Social Web, and the roles these domains can play in environmental and public health surveillance and crisis/disaster informatics. We provide an in-depth review of the key issues and trends in these areas, the challenges faced when reasoning and making decisions with real-time crowdsourced data (such as issues of information overload, "noise", misinformation, bias and trust), the core technologies and Open Geospatial Consortium (OGC) standards involved (Sensor Web Enablement and Open GeoSMS), as well as a few outstanding project implementation examples from around the world.
Trump, Kenneth S.
Student and parent use of cell phones, text messaging and social networking through Facebook and Twitter can quickly become the enemies of a superintendent and principal. Rumors and misinformation about threats and other student safety issues that used to take hours and days to spread now goes viral in seconds. This rapid dissemination of…
Kamel Boulos, Maged; Resch, Bernd; Crowley, David N.; Breslin, John G.; Sohn, Gunho; Burtner, Edwin R.; Pike, William A.; Jeziersk, Eduardo; Slayer Chuang, Kuo Yu
The PIE Activity Awareness Environment is designed to be an adaptive data triage and decision support tool that allows role and activity based situation awareness through a dynamic, trainable filtering system. This paper discusses the process and methodology involved in the application as well as some of its capabilities. 'Wikification of GIS by the masses' is a phrase-term first coined by Kamel Boulos in 2005, two years earlier than Goodchild's term 'Volunteered Geographic Information'. Six years later (2005-2011), OpenStreetMap and Google Earth (GE) are now full-fledged, crowdsourced 'Wikipedias of the Earth' par excellence, with millions of users contributing their own layers to GE, attaching photos, videos, notes and even 3-D (three dimensional) models to locations in GE. From using Twitter in participatory sensing and bicycle-mounted sensors in pervasive environmental sensing, to creating a 100,000-sensor geo-mashup using Semantic Web technology, to the 3-D visualisation of indoor and outdoor surveillance data in real-time and the development of next-generation, collaborative natural user interfaces that will power the spatially-enabled public health and emergency situation rooms of the future, where sensor data and citizen reports can be triaged and acted upon in real-time by distributed teams of professionals, this paper offers a comprehensive state-of-the-art review of the overlapping domains of the Sensor Web, citizen sensing and 'human-in-the-loop sensing' in the era of the Mobile and Social Web, and the roles these domains can play in environmental and public health surveillance and crisis/disaster informatics. We provide an in-depth review of the key issues and trends in these areas, the challenges faced when reasoning and making decisions with real-time crowdsourced data (such as issues of information overload, 'noise', misinformation, bias and trust), the core technologies and Open Geospatial Consortium (OGC) standards involved (Sensor Web Enablement
Miguel, António F.
Walking is the most basic form of transportation. A good understanding of pedestrian's dynamics is essential in meeting the mobility and accessibility needs of people by providing a safe and quick walking flow . Advances in the dynamics of pedestrians in crowds are of great theoretical and practical interest, as they lead to new insights regarding the planning of pedestrian facilities, crowd management, or evacuation analysis. Nicola Bellomo's et al. article  is a very timely review of the related research on modelling approaches, computational simulations, decision-making and crisis response. It also includes an attempt to accurately define commonly used terms, as well as a critical analysis of crowd dynamics and safety problems. As noted by the authors, ;models and simulations offer a virtual representation of real dynamics; that are essential to understand and predict the ;behavioural dynamics of crowds; . As a physicist, I would like to put forward some additional theoretical and practical contributions that could be interesting to explore, regarding the perspective of physics on about human crowd dynamics (panic as a specific form of behaviour excluded).
McMorris, Carly A.; Weiss, Jonathan A.; Cappelletti, Gabriella; Lunsky, Yona
Carers of individuals with an intellectual disability are often responsible for managing their children's psychiatric crises when they arise. The purpose of this study was to examine the experiences of families using crisis and short-term transitional supports from the perspectives of families and of crisis and transitional support staff. Three…
Leão Fernandes, Graça; Chagas Lopes, Margarida
This research aims to identify the effects of the economic crisis on higher education (HE) dropout rates at Lisbon School of Economics and Management (ISEG)--Universidade de Lisboa, after having controlled for individual characteristics, family background, High School and HE trajectories. Our main hypothesis is that the economic crisis induces…
Workplace learning in a crisis-rich environment is often difficult if not impossible to integrate into programs so that students are able to experience and apply crisis management practices and principles. This study presents the results of a pilot project that examined the effective use of a virtual reality (VR) environment as a tool to teach…
There is a disproportion between diagnostic and therapeutic medical achievements and the doctor/patient relationship. Are we allowed to do everything we are able to do in medicine? People are concerned and worried (genetic technology, invasive medicine, embryos in test tubes etc.). The crisis of ethics in medicine is evident. The analysis of the situation shows one of the causes in the shift of the paradigma-modern times to postmodern following scientific positivism-but also a loss of ethics in medicine due to an extreme secularism and to modern philosophical trends (Hans Jonas and the responsibility for the future and on the other hand modern utilitarism).
Earle, Timothy C
The 2008 global financial crisis has been compared to a "once-in-a-century credit tsunami," a disaster in which the loss of trust and confidence played key precipitating roles and the recovery from which will require the restoration of these crucial factors. Drawing on the analogy between the financial crisis and environmental and technological hazards, recent research on the role of trust and confidence in the latter is used to provide a perspective on the former. Whereas "trust" and "confidence" are used interchangeably and without explicit definition in most discussions of the financial crisis, this perspective uses the TCC model of cooperation to clearly distinguish between the two and to demonstrate how this distinction can lead to an improved understanding of the crisis. The roles of trust and confidence-both in precipitation and in possible recovery-are discussed for each of the three major sets of actors in the crisis, the regulators, the banks, and the public. The roles of trust and confidence in the larger context of risk management are also examined; trust being associated with political approaches, confidence with technical. Finally, the various stances that government can take with regard to trust-such as supportive or skeptical-are considered. Overall, it is argued that a clear understanding of trust and confidence and a close examination of the specific, concrete circumstances of a crisis-revealing when either trust or confidence is appropriate-can lead to useful insights for both recovery and prevention of future occurrences.
Describes the activities of Indiana University's crisis communications team during the Bob Knight controversy. Discusses how the school's response was based on four crisis communications principles: create a plan, appoint a single spokesperson, respond with open and continuous communications, and expect the unexpected. (EV)
To get a picture of the impact of the current economic and financial crisis on educational building programmes so far, the OECD Centre for Effective Learning Environments (CELE) has been conducting a survey of member countries and regions. The survey focuses on three main issues: the impact of the crisis on publicly funded projects, the impact on…
That the Mediterranean Sea underwent a salinity crisis during the Miocene (Messinian) is proven by the 1970 JOIDES deep sea drilling expedition. Subsequent work by ocean drilling and by studies on land have recorded the history of this crisis. Based upon the deep desiccated-basin model, the use of event-stratigraphy, calibrated by strontium-isotope dating and magnetostratigraphy, has enabled them to decipher the following events between 6.0 and 5.1 Ma: (1) deposition of marine diatom-rich sediments in a partially restricted basin, (2) first desiccation of the Mediterranean when Calcare di base was deposited at a time of isolation from the Atlantic because of a glacial eustatic drop of sea level, (3) influx of marine waters through southern Spanish basins to furnish brines for the deposition of the main salt, (4) Intra-Messinian desiccation, as evidenced by the erosional unconformity above the lower evaporite, (5) Intra-Messinian denudation, when reefs grew on Cyprus and marine sediments were deposited in basins, (6) frequency isolations due to oscillating sea level, when the upper evaporite was deposited, (7) Lago mare, formation of freshwater and brackish lakes due to influx of Paratethys water, (8) opening of the Gibraltar and Pliocene inundation of the Mediterranean.
Anstee, M J
The United Nations (UN), the principal role of which is dealing with crises, has been in almost perpetual crisis since its foundation. The situation has become worse in the 1990s, a time when the need for an effective UN has been greater than ever, to cope with issues such as climate-change, pollution and the consequences of globalization. The current crisis has various aspects. Politically there have been widely publicized failures in peacekeeping, largely due to the Security Council being a body of compromise, while successes in peacekeeping have been largely ignored. In the economic and social field, influence has passed to the International Monetary Fund (IMF) and the World Bank. Development aid has plummeted, despite its key role in peace and security, and so an integrated approach to development and security is urgently needed. The UN has been constantly under-funded, with the failure of the United States (US) to pay its dues a key factor. Reform of the UN is vital, but the vested interests of member states make root-and-branch reform virtually impossible. Public pressure for reform can come from non-governmental organizations, perhaps coordinated through the Internet.
Tegtmeier, Carl H; Miller, David J; Shub, Judith L
Last May, the New York State Dental Association and the New York State Dental Foundation convened the first "Oral Health Stakeholders' Summit on the Future of Special Needs Dentistry, Hospital Dentistry and Dental Education." The summit was chaired by David J. Miller, then NYSDA President Elect, and Carl H. Tegtmeier, then chair of the NYSDA Council on Dental Health Planning and Hospital Dentistry. It brought together experts, called to frame the issues and provide information necessary for a reasoned response. And it sought input from attendees to develop recommendations to ensure that patients with intellectual and developmental disabilities, as well as an aging population with Alzheimer's disease and dementia, have access to appropriate oral health care in the years ahead. Over 100 participants, representing dentistry, hospital training programs, third-party payers, state government offices and related patient support associations, attended the two-day event in Albany. They focused on the impact of reductions in funding, the transition of Medicaid services into a managed care model, a loss of service providers and the need for expanded training programs. They heard from speakers epresenting a broad spectrum of those involved in he oral health care of patients with intellectual and evelopmental disabilities, the Alzheimer's Association, dental educators and researchers, hospital dentistry and the benefits industry, whose presentations focused on a looming oral health crisis threatening access to dental care for patients with disabilities.
Velichkovskiĭ, B T
During reformation years all basic medical and demographic indices have undergone negative changes in Russia. Since 1992 there has been a steady-state decrease in the population due to the fact that mortality rates are extremely greater than birth ones. In 2001, the Russian population reduced in number by nearly a million. The birth rates are twice less than that requires for a simple reproduction of generations. Extremely high death rates remain among the population, in able-bodied males. The main reasons for the demographic crisis are the negative consequences of the implemented reforms rather than the transition from traditional to the new present-day reproduction of the population. It is problematic now to correct the situation via active migration of Russian-speaking persons. This requires enormous funds to provide comers with jobs and dwelling. It is unreal to diminish annual departure of 100 thousand persons, mainly young educated professionals from the country, though it is joust not only a demographic, but a strategic problem. In 2001 there was a some rise in birth rates. But this is the most illusive way of solving the demographic crisis. Just in the USSR, the high educational level of the population, the socioeconomic emancipation of females and progress in medicine gave rise to the transition to the present-day reproduction of the population, which is characterized by low birth and death rates. So the population is unlikely to be replenished by high birth rates. The main way of overcoming the demographic crisis is to reduce mortality and not to allow young people to die prematurely. For this it is necessary to know the biological mechanisms responsible for extremely high mortality. It is most likely to be due to breakdown in the dynamic stereotype of higher nervous performance, as stated by I. P. Pavlov. Today it is insufficient to control alcoholism, traumatism, and smoking by healthy lifestyle propaganda in order to reduce death rates in Russian. All
Rybansky, M.; Kratochvil, V.
This article summarizes the various expressions of object positioning using different coordinate data and different methods, such as use of maps, exploiting the properties of digital Global System for Mobile Communications (GSM) networks, Global Navigational Satellite Systems (GNSS), Inertial Navigation Systems (INS), Inertial Measurement Systems (IMS), hybrid methods and non-contact (remote sensing) methods; all with varying level of accuracy. Furthermore, the article describes some geographical identifiers and verbal means to describe location of geographical objects such as settlements, rivers, forest, roads, etc. All of the location methods have some advantages and disadvantages, especially in emergency situations, when usually the crisis management has a lack of time in a decision process.
Garas, Antonios; Argyrakis, Panos; Rozenblat, Céline; Tomassini, Marco; Havlin, Shlomo
We model the spreading of a crisis by constructing a global economic network and applying the susceptible-infected-recovered (SIR) epidemic model with a variable probability of infection. The probability of infection depends on the strength of economic relations between a given pair of countries and the strength of the target country. It is expected that a crisis that originates in a large country, such as the USA, has the potential to spread globally, such as the recent crisis. Surprisingly, we also show that countries with a much lower GDP, such as Belgium, are able to initiate a global crisis. Using the k-shell decomposition method to quantify the spreading power (of a node), we obtain a measure of 'centrality' as a spreader of each country in the economic network. We thus rank the different countries according to the shell they belong to, and find the 12 most central ones. These countries are the most likely to spread a crisis globally. Of these 12, only six are large economies, while the other six are medium/small ones, a result that could not have been otherwise anticipated. Furthermore, we use our model to predict the crisis spreading potential of countries belonging to different shells according to the crisis magnitude.
Camps should always have a crisis management plan, but the events of September 11, 2001, make it especially important. Honest communication with parents is paramount--directors should choose their words carefully and control the tone of their voices. Examples are given of crises involving weather, transportation, and a shooting. Questions to…
Economic crises such as those of 1929, 1973 and 2008 appear to associate with shifts in the rhetorics of management. These dates mark the end of expansionary phases within an economic cycle, and they portend what James O'Connor has called a "fiscal crisis of the state". It is argued, speculatively, that immediately before and after an…
Blundell, Joan; And Others
Describes five creative/innovative human service programs currently dealing with the farm/rural crisis: Northwest Iowa Community Mental Health Center (Spencer), Lutheran Social Services in southwest Minnesota, Farm Counseling Service, Inc. (Memphis, Missouri), Missouri Financial Advisory and Resource Management Support (Columbia), and Missouri…
Kowalski, Theodore J.
In the aftermath of several tragic incidents of school violence, school administrators began focusing more directly on crisis management. Those who actually had to activate their plans often discovered that communication--with the media and with the general community--was one of the most challenging tasks they faced. In an effort to determine if…
Barron Ausbrooks, Carrie Y.
This case study is designed for preservice school administrators enrolled in principalship and school law courses in educational administration. It describes an incident in which a school's crisis management and communication protocol were challenged. One day, through a series of unanticipated events, an assistant principal is engulfed in a test…
Renzulli, Joseph S.; Reis, Sally M.
Gifted education faces a quiet crisis as reform movements focus on cosmetic administrative changes in school organization and management rather than interaction among teachers, students, and the material to be learned. Two goals of American education are presented: providing the best possible education to promising students and improving the…
Kaplan, Raymond L.; Burgess, Thomas E.
When you are ill and consult a physician for his or her expertise, many times laboratory testing is part of the clinical workup. This testing is critical to the physician’s ability to diagnose the patient’s condition. What if testing was not available … because there was no one to do the testing? Although seemingly far-fetched, this scenario could play itself out in the next ten years due to an impending manpower crisis in laboratory medicine. The profession of Medical Technology, also known as Clinical Laboratory Science, is experiencing a shortage of qualified individuals for a variety of reasons – not the least of which is the closure of almost 70% of the schools teaching this critical profession. Health care workers (HCW) rely on accurate and timely clinical laboratory results in order to make decisions for their patients. Because ∼ 70% of patient care decisions are based on clinical laboratory results, it is important to have a well-trained supply of laboratory professionals. This article will give an overview of the situation and the possible causes of this shortage, and pose challenges to our profession as to how this crisis can be averted. Visibility of this profession must be a prime focus of this effort in order for the population in general to be aware of the role Clinical Laboratory Scientists play in the health care consortium. This effort should begin early in the educational process, potentially as early as Middle School (junior high school), bringing awareness of the profession not only to students but to educators as well. PMID:23653714
Past Crisis • The Role of ICT in Crisis • The iSAR + Way: an Approach for Social Media in Crisis – The THEO Methodological Approach – iSAR ...The Role of Social Media in Crisis Agenda • Contributors List • Definitions • Lessons From Past Crisis • The Role of ICT in Crisis • The iSAR + Way...an Approach for Social Media in Crisis – The THEO Methodological Approach – iSAR + Platform and Services • Conclusions Best Paper Award Paper
Monif, G R; Severin, M J
A crisis exists in medical education. Changes in methodology have diverted attention from synthesis to mass accumulation of factual data. The response to this crisis has been largely focused on a shell game involving new pathways and curriculum changes without addressing the critical issue of what constitutes education. The ultimate problem in medical education is a crisis of leadership. Until education is given a priority status and the obligations to teach on the part of medical educators and to learn on the part of students are translated into a creative policy by those who can lead, the wheels of learning will continue to spin without significant progress.
This paper describes a digital-ultrasonic ground network, which forms an unique "unattended mote sensor system" for monitoring the environment, personnel, facilities, vehicles, power generation systems or aircraft in Counter-Terrorism, Force Protection, Prognostic Health Monitoring (PHM) and other ground applications. Unattended wireless smart sensor/tags continuously monitor the environment and provide alerts upon changes or disruptions to the environment. These wireless smart sensor/tags are networked utilizing ultrasonic wireless motes, hybrid RF/Ultrasonic Network Nodes and Base Stations. The network is monitored continuously with a 24/7 remote and secure monitoring system. This system utilizes physical objects such as a vehicle"s structure or a building to provide the media for two way secure communication of key metrics and sensor data and eliminates the "blind spots" that are common in RF solutions because of structural elements of buildings, etc. The digital-ultrasonic sensors have networking capability and a 32-bit identifier, which provide a platform for a robust data acquisition (DAQ) for a large amount of sensors. In addition, the network applies a unique "signature" of the environment by comparing sensor-to-sensor data to pick up on minute changes, which would signal an invasion of unknown elements or signal a potential tampering in equipment or facilities. The system accommodates satellite and other secure network uplinks in either RF or UWB protocols. The wireless sensors can be dispersed by ground or air maneuvers. In addition, the sensors can be incorporated into the structure or surfaces of vehicles, buildings, or clothing of field personnel.
Mitchell, Jeffrey T
The field of crisis intervention has grown dramatically during the last hundred years. Many new procedures and techniques have been added to the crisis intervention repertoire. Periodically, providers of crisis intervention, psychological first aid, critical incident stress management, or Peer Support overlook important elements of crisis intervention or make inadvertent mistakes as they attempt to intervene. The use of checklists and flow charts, similar to those used in aviation and medicine, may assist crisis intervention personnel in properly assessing a traumatic event and its impact on the people involved. Simple checklists and flow charts may significantly decrease the potential for mistakes in crisis intervention. This article provides background on the development of flip charts in aviation and medicine and suggests how these tools may be utilized within the field of crisis intervention. Examples of checklists and flow charts that are relevant to crisis intervention are provided. The article also provides guidelines for developing additional checklists and flow charts for use in crisis intervention services.
Woodward (1965), and Lawrence and Lorsch (1967), organization and management theory has been guided by the understanding that no single approach to...Sheppard, & R. Lewicki (Eds.), Research on negotiations in organizations, vol. 5, pp. 219-247. Greenwich, CT: JAI Press. Brown, S. L., & Eisenhardt, K...Frontiers of theory and research. Thousand Oaks, CA: Sage. Lawrence, R. R., & Lorsch , J. W. (1967). Organization and environment: Managing
Lutzenhiser, Loren; Janda, Kathryn; Kunkle, Rick; Payne, Christopher
-structured inter views with members of commercial and institutional organizations (many of which participated in three different California Energy Commission Programs) and with 21 key informants representing program managers, administrators, and aggregators as well as a small number of energy service providers and utilities. Separate reports examine the consumer response in the residential and agricultural sectors.
Blaufarb, Herbert; Levine, Jules
This article describes the crisis intervention techniques used by the San Fernanco Valley Child Guidance Clinic to help families deal with the traumatic events experienced in the 1971 earthquake in California. (Author)
Describes the solar-hydrogen technologies at the East Valley Institute of Technology, the only technology center in the nations that offers this class. Describes its focus on solving the energy crisis. (JOW)
Rossi, Nicole E; Mebert, Carolyn J
In this study, the authors examined quarterlife crisis, defined in the popular press as an identity crisis that leaves recent college graduates depressed, anxious, and full of doubt. To determine if a unique crisis exists, 4 groups of young adults (recent high school [n = 23] and college [n = 117] graduates in the workforce, present undergraduate [n = 75], and graduate [n = 57] students) completed self-report measures assessing identity development, future time perspective, social support, coping, depression, anxiety, and job and life satisfaction. No support was found for a quarterlife crisis among these 4 groups. Working high school graduates displayed the highest anxiety, followed by present undergraduates. Depression was predicted by family support and identity commitment. Job satisfaction was associated with income and support from friends. Life satisfaction was associated with income, social support from friends and family, and identity commitment.
Durdu, S.; Patrick, R.
This conference was held in Philadelphia, Pennsylvania January 11--12, 1994. The purpose of this conference was to provide a forum for exchange of state-of-the-art information on the water supply. A water supply of quality and quantity necessary for the people of the US is a very important problem facing the country in the next 10 to 20 years. In many sections of the country, water is presently of inadequate supply and of poor quality. Attention was focused on preventing a water crisis from a technical standpoint and evaluating what management and institutional changes are necessary to prevent a crisis and the cost of preventing a crisis. Water quality considerations are included. Individual papers have been processed separately for inclusion in the appropriate data bases.
...)(1) and (k)(5) of the Act: (1) NCTC Human Resources Management System (ODNI/NCTC-001). (2) (b... contents) because the system is exempted from subsection (d) provisions regarding access and amendment, and... of records about them and how they may access records and contest contents) because the system...
and Lawrence and Lorsch (1967), organization and management theory has been guided by the understanding that no single approach to organizing is best......organizations: Frontiers of theory and research. Thousand Oaks, CA: Sage. Lawrence, R. R., & Lorsch , J. W. (1967). Organization and environment
Weinstock, Robert J; Lewis, Tashorn; Miller, Jared; Clarkson, Earl I
Thyroid crisis, also known as thyroid storm, is a rare complication of thyrotoxicosis that results in a hypermetabolic and hyperadrenergic state. This condition requires prompt recognition and treatment because the mortality from thyroid crisis approaches 30%. Thyrotoxicosis alone will usually not progress to thyroid crisis. Thyroid crisis will typically be precipitated by some concomitant event such as infection, iodine-containing contrast agents, medications such as amiodarone, pregnancy, or surgery. Trauma is a rare precipitator of thyroid crisis. Several published studies have reported thyroid crisis resulting from blunt or penetrating neck trauma. Significant systemic trauma, such as motor vehicle accidents, has also been reported to precipitate thyroid crisis. It is very unusual for minor trauma to precipitate thyroid crisis. In the present study, we report the case of a patient who had incurred relatively minor maxillofacial trauma and developed thyroid crisis 2 weeks after the initial trauma.
Pánek, Jiří; Marek, Lukáš; Pászto, Vít; Valůch, Jaroslav
Crisis mapping is a legitimate component of both crisis informatics and disaster risk management. It has become an effective tool for humanitarian workers, especially after the earthquake in Haiti in 2010. Ushahidi is among the many mapping platforms on offer in the growing field of crisis mapping, and involves the application of crowdsourcing to create online and interactive maps of areas in turmoil. This paper presents the Crisis Map of the Czech Republic, which is the first such instrument to be deployed nationwide in Central Europe. It describes the methodologies used in the preparatory work phase and details some practices identified during the creation and actual employment of the map. In addition, the paper assesses its structure and technological architecture, as well as its potential possible development in the future. Lastly, it evaluates the utilisation of the Crisis Map during the floods in the Czech Republic in 2013.
airports, including screen- ing of luggage for potential explosives. The EU created the Agency for the Management of External Borders ( FRONTEX ...Action Task Force on Money Laundering).19 Moreover, the increase in the number of autonomous EU agencies (for example, FRONTEX , Europol, the...Mediterranean/ Operation Active Endeavor FRONTEX /Schengen Information System II/EU Transport Council/SAFEMED Air/Missile Defense Theater Missile
between Congo (Zaire) and Portugual ; Congo charges that Tshombe opposition forces are . operating out of Portuguese Cabinda; Portugal charges that Congo has...regime (for example, South Vietnam, Rhodesia, Portuguese colonies in Africa), or denial of military access (that is, Western and Chinese). * The USSR was...172 601118 French paratroops intervene to aid pro-French regime in Gabon. *• 173 610315- The Soviet Union opposes continued Portuguese colonial
information to generate and interpret anaphoric expressions and to interpret forms of ellipsis. Given the real- time nature of the interactions, and the...the discourse, to support interpretation and generation of anaphoric expressions; 2. The structure and interpretation of the immediately preceding...resources are the objects that are used to bind the variables in the plan and, in fact, many applications of planning are essentially resource
database such an Science Citation Index (SCI), Social Sciences Citation Index (SSCI), etc. in order to determine the number of cocitations (Rousseau, 2004...Information (ISI) database such the Science Citation Index (SCI), Social Sciences Citation Index (SSCI), etc. in order to determine the number of...firstname.lastname@example.org Y N Journal of Travel Research Richard R. Perdue Rick.Perdue@vt.edu Y N JSTOR Gerard Aurigemma Gerard.Aurigemma@jstor.org Y N Leadership
Suicide is the second leading cause of death among adolescents and young adults between the ages of 15-25. Every day, over 1,000 young adults attempt to destroy themselves. Although adolescents contemplate suicide for many reasons, research suggests that depression is the number one risk factor in suicide. Accordingly, this paper describes many of…
... or are blindsided by unexpected bills and additional fees. Even wealthier families can find themselves on the ... in coordinating care with your health plan. Negotiate fees with the doctors, clinics, and hospital and set ...
significantly from that of the U.S. The Soviets have maintained a continuous presence there since 1964, but the number of ships present at any one time has varied...posture, and indicates that the U.S. was not overly con- cerned about Soviet naval activities at. this time . When the war broke out, this posture changed...Independence was ordered to the eastern Med- iterranean. The amphibious force was also kept at sea. The main - 0 - concern of the U.S. at this time appears to
ancient Mediterranean, the people in Athens spread the free trade system and the democratic system which we live upon today. Now, Taiwan is spreading the...unsatisfactory, but painfully acceptable to Mainland China. 4 What is the biggest concern in the Peoples ’ Republic of China(PRC) leadership? The PRC...Chinese without jobs. The CCP, the single party, and the leadership would be blamed for the failure. Angry people can not wait until the next
... your child's primary health advocate. Although the emotional price of raising a seriously ill child can be ... But each medical service comes with its own price tag, and parents are often shocked to learn ...
Bellver Capella, Vicente
We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e.,just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the "weak signals" the latent opportunities that await we become them realities.
Varounis, Christos; Katsi, Vasiliki; Nihoyannopoulos, Petros; Lekakis, John; Tousoulis, Dimitris
Despite the high prevalence of hypertension (HTN), only a small proportion of the hypertensive patients will ultimately develop hypertensive crisis. In fact, some patients with hypertensive crisis do not report a history of HTN or previous use of antihypertensive medication. The majority of the patients with hypertensive crisis often report non-specific symptoms, whereas heart-related symptoms (dyspnea, chest pain, arrhythmias, and syncope) are less common. Hypertensive crises can be divided into hypertensive emergencies or hypertensive urgencies according to the presence or absence of acute target organ damage, respectively. This differentiation is an extremely useful classification in clinical practice since a different management is needed, which in turn has a significant effect on the morbidity and mortality of these patients. Therefore, it is very crucial for the physician in the emergency department to identify the hypertensive emergencies and to manage them through blood pressure lowering medications in order to avoid further target organ damage or deterioration. The aim of this narrative review is to summarize the recent evidence in an effort to improve the awareness, recognition, risk stratification, and treatment of hypertensive crisis in patients referred to the emergency department. PMID:28119918
that will be used is the use of Drupal , an open source content management platform. According to the Drupal.org website, Drupal is, software...thousands of people and organizations have used Drupal to set up scores of different kinds of web sites, including: • community web portals and...directories Drupal includes features to enable • content management systems • blogs • collaborative authoring environments • forums
The authors summarize their viewpoint on and recommendations for strategic command and forces, and arms control and crisis stability. They pressent a study of the paths which might lead the superpowers from a crisis to nuclear war. This book examines the various arenas in which superpower crises may occur. The authors describe the strategies, command structures, and forces of NATO and the Warsaw Pact, paying particular attention to the ladder of alert postures and operations that their forces might mount as a crisis intensifies. They address the Middle East, with special emphasis on the confrontation between Syria and Israel, and the dangers posed by locally-owned chemical and nuclear weapons. The authors also consider the oceans and space.
Philippine migration policy is traced from the early 1970s to the present. The main migration trends in the 1990s are described. An assessment is made of the efficacy and appropriateness of present migration policy in light of the economic crisis. A regional approach to migration policy is necessary in order to encourage placing migration as a greater priority on national agendas and in bilateral agreements. In the Philippines, migrants are considered better paid workers, which diminishes their importance as a legislative or program priority. Santo Tomas (1998) conducted an empirical assessment of migration policies in the Philippines, but refinement is needed. Although migration is a transnational experience, there is little dialogue and cooperation among countries. Philippine migration policy defines its role as an information resource for migrants. Policy shifted from labor export to migrant management in the public and private sectors. Predeparture information program studies are recommending a multi-stage process that would involve all appropriate parties. There is talk of including migration information in the education curriculum. There are a variety of agendas, competing interests, and information resources between migration networks and officiating agencies. The Asian financial crisis may have a mild impact, but there are still issues of reintegration, protection, and employment conditions
The difficulty of providing adequate protection to the civilian population with some kind of civil defense program is magnified by the technology available in the nuclear age. The United States expanded its civil defense program in the 1950's to include a measure of protection in the event of the explosion of nuclear devices. However, the history of the United States civil defense program has been generally characterized by inadequate funding and little interest at all levels of government. Most recently, the civil defense program has been associated and considered a component of nuclear deterrence. Under the direction of the Federal Emergency Management Agency, the government will rely on crisis relocation as the primary means of protecting the population in the event of a nuclear attack or detonation. This plan envisions that evacuation of the population from high-risk areas to safer host areas. Does crisis relocation provide the country with a credible component to our nuclear deterrence. Do the leaders and citizens have confidence in the nation's ability to protect the civilian population. Have the leaders been completely forthright in preparing the population for the possibility of a nuclear war. These and related issues are discussed in this essay.
Motto, J A
Constant efforts to improve crisis services have led to many innovative programs. Some have proven their feasibility and become established procedures. Others are now in a developing stage and still others represent new approaches. A survey of 50 suicide prevention and crisis services around the world provides evidence of a trend toward a broadening range of services, a more active case-finding approach, greater visibility, increased integration into the community care system, and creative leadership by newer and smaller centers as well as the well-established ones. This is being accomplished without relinquishing the traditional respect for anonymity, ever-present availability, and a nonjudgmental regard for each person's need.
Lewis, Marc S.; And Others
Psychological tests were administered to a crisis group undergoing surgery for cancer and to a comparison group on the night before surgery and thereafter at three-week intervals. Results indicated significant psychological changes only in the crisis group. Duration of crisis was greater than six weeks but less than seven months. (Author)
Cho, Dongchul; Shin, Sukha
This paper examines Korea's employment dynamics and analyzes how adverse impacts could be mitigated during the recent economic crisis in comparison with the 1997 to 1998 Asian crisis. A clear lesson is that policies to mitigate adverse impacts of financial crisis on the macroeconomic level should be given priority for preserving employment. In…
Meyers, B. David
A simulation designed for an introductory college-level international politics and comparative foreign policy course is described. Regional Crisis requires student decision-maker diplomats, grouped in teams, to respond to a Middle Eastern crisis that has substantial potential for escalation. In response to an initial crisis scenario, student teams…
Analysis of the British Office of Standards in Education reports suggests that management and documentation are valued and rewarded over creativity in teaching. As in other policymaking bodies, preconditions to support creativity in schools are lacking, resulting in a mismatch between rhetoric about developing creative talents and the reality…
Singer, S. Fred
Describes the university's role in providing education for the ecological crisis, and divides environmental sciences into two major areas: basic and applied. Proposes a curriculum leading to a B.S. degree in physics consisting of a two-year honor physics program followed by specialization in environmental and planetary sciences (EPS). (PR)
When "crisis" and "extramural funding" are mentioned, most academics think about problems such as the low percentage of proposals funded by federal agencies (now approaching single digits in many fields) or inadequate indirect-cost recovery rates that fail to reimburse universities for all costs of research. These are great problems draining…
Vygotsky's The Historical Significance of the Crisis in Psychology (1926-1927) is an important text in the history and philosophy of psychology that has only become available to scholars in 1982 in Russian, and in 1997 in English. The goal of this paper is to introduce Vygotsky's conception of psychology to a wider audience. I argue that Vygotsky's argument about the "crisis" in psychology and its resolution can be fully understood only in the context of his social and political thinking. Vygotsky shared the enthusiasm, widespread among Russian leftist intelligentsia in the 1920s, that Soviet society had launched an unprecedented social experiment: The socialist revolution opened the way for establishing social conditions that would let the individual flourish. For Vygotsky, this meant that "a new man" of the future would become "the first and only species in biology that would create itself." He envisioned psychology as a science that would serve this humanist teleology. I propose that The Crisis is relevant today insofar as it helps us define a fundamental problem: How can we systematically account for the development of knowledge in psychology? I evaluate how Vygotsky addresses this problem as a historian of the crisis.
In this article, the author focuses on technology use related to campus crisis and shows the impact that newer technologies have on making the world seem much smaller and united. When crises occur, such as at Virginia Tech shootings or Hurricane Katrina, students across the United States and even the world reach out to one another through new…
Altbach, Philip G.
The status of the academic profession is discussed: its ambivalent situation of having benefitted from postwar expansion of higher education, but of having been content to maintain the status quo. The worldwide nature of the crisis is noted. Available from AAPSS, 3937 Chestnut St., Philadelphia, PA 19104. (MSE)
The world is facing an impinging crisis on water as population growth continues, energy use increases, and affluence (standard of living) increases all requiring more water. Agriculture must find ways to use water more productively while improving the impact of agriculture on the environment. Agri...
Council on Library and Information Resources, Washington, DC.
The American Folklore Society and the American Folklife Center at the Library of Congress collaborated on a conference, "Folk Heritage Collections in Crisis," held on December 1-2, 2000, and gathered experts to formulate recommendations for the preservation and access of America's folk heritage sound collections. To facilitate informed…
American Council of Trustees and Alumni, 2016
There is a crisis in American civic education. Survey after survey shows that recent college graduates are alarmingly ignorant of America's history and heritage. They cannot identify the term lengths of members of Congress, the substance of the First Amendment, or the origin of the separation of powers. They do not know the Father of the…
The numbers speak for themselves in terms of the crisis of hunger among kids in the United States: More than 16 million children--one in five--live in households that struggle to put food on the table. Nearly half of all food stamp recipients are children. But, argues Felling, the battle against childhood hunger can be won; the United States has…
Simmons, Robin; Smyth, John
This paper uses the Habermasian concept of legitimation crisis to critique the relationship between post-compulsory education and training and the chronic levels of youth unemployment and under-employment which now characterise post-industrial Western economies, such as the UK. It draws on data from an ethnographic study of the lives of young…
In this lecture, Professor Michel Foucault makes an in-depth study of the problems currently afflicting medical institutions and the medical practice. He deals with the thesis set forth by Ivan Illich in his book Medical Nemesis--The expropriation of Health, as well as the 1942 Beveridge Plan, but goes even further back in history to discover the origin of the medical crisis common throughout the world--back to the XVIII century roots of the social practice of medicine. He also describes the phases through which medical activity has passed from then until now and deals with what he calls the political economy of medicine. Finally, he reaches the conclusion that what matters is not so much the present crisis of medicine, which he considers to be a false concept, but the discipline's historical model dating from the XVIII century and serving to determine to what extent it can be modified.
Stavrianakos, K; Kontaxakis, V; Moussas, G; Paplos, K; Papaslanis, T; Havaki-Kontaxaki, B; Papadimitriou, Gn
) and 95 in 2011, during the financial crisis (mean age 41.0 years, women 65%). There is an increase of suicide attempts by 35.71%. There were no statistically significant differences between the two periods regarding the gender and age of attempters. There was a statistically significant increase of unemployed (p=0.004), as well as of married/widowed/divorced (p=0.02) suicide attempters during the crisis. There was not statistically significant difference in the severity of suicide attempts before and during the economic crisis or the severity of psychopathology of the attempters. The financial crisis is probably associated with upward trend in attempted suicide of the Athens population. Most affected are those who are unemployed, married, widowed, divorced. Suicide prevention programs are essential for the accurate and timely identification and the immediate and effective management of this special high risk group of attempters during the financial crisis.
...; Comment Request, Crisis Counseling Assistance and Training Program AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: The Federal Emergency Management Agency, as part of its continuing... Counseling Assistance and Training Program which provides funding in response to a State's request for...
Many school systems have started to go beyond programs focused on suicide prevention or drug abuse to encompass all types of school crises. School districts and individual schools across tha nation are formulating crisis management plans and in some states they have become mandatory. Basic procedures drawn from plans adopted by schools include the…
Liao, I Chiu; Chao, Nai-Hsien
Fish farming, now well known as aquaculture, has been well recognized since the ancient era. The first written document on fish culture was published in China in 475 BC, and the first koi pond was constructed at the Japanese Imperial Palace grounds during 71-130 AD. In recent years, aquaculture has progressively played an important role in the provision of: animal protein and gourmet cuisines, job opportunities, and foreign currency for developing countries. Asian countries produce around 91 percent of the world's total aquaculture production. Among the top ten aquaculture-producing countries, nine are from Asia. The current global population consist of more than 6.5 billion individuals; over one billion of which face hunger problem. In the highly populated Asia-Pacific region with moderately high-productivity, 642 million people are still facing hunger. Being a proficient and potential source of animal protein, aquaculture will play an increasing and important role in solving the world food problem in the future. This paper discusses both the opportunities and constraints in the aquaculture industry, specifically in the Asia-Pacific region, and its possible role in solving the current global food crisis. Strategies including promotion and adoption of traceability and HACCP systems for food safety, and marketing management for aquaculture products are also suggested. It is hoped that traditional administration of aquaculture management for survival, profit, as well as food safety will successfully match sustainability management to meet the urgent global need for food.
Lawler, T G; Yount, E H
The nature of our work in health care is such that it lends itself to high levels of ambiguity at best and frequently even to the presence of crisis situations. The ability to manage crisis, therefore, is an increasingly vital skill for nurse executives. Creative and productive possibilities can arise from coping well with such serious and unusual events. This article suggests a model for crisis management.
Dubin, Stephen E.; Ananth, Jambur; Bajwa-Goldsmith, Balbir; Stuller, Sue; Lewis, Cathy; Miller, Milton; Hoel, Noreen; Fernandez, Louise
SUMMARY This paper describes a three day crisis resolution unit within the confines of the psychiatric emergency service of a general hospital. It utilizes a crisis model of acute intervention, time limited psychotherapeutic approach combined with family therapy, and psychotropic medications when indicated. 136 consecutive admissions were reviewed, 49% were discharged within 72 hours, and 51 % required further hospitalization. 77% of the patient's discharged had involved families (significant others) in the treatment process,-in comparison with only 28 % family involvement with those patients who needed further hospitalization. This may be even more significant for psychotic patients who were discharged (14/18 family involvement) versus those who needed long hospitalization (13/50 Family involvement). PMID:21927122
Second strikes are dominated by submarine launched missiles in the absence of defenses, but shift to aircraft at modest levels of defense. Defenses protect some retaliatory missiles, but not enough to retaliate strongly. With defenses, missiles should be vestigial and could be eliminated without penalty. Then aircraft could also be significantly reduced without impacting stability. The combination of parameters that maximizes cost effectiveness also maximizes midcourse effectiveness and crisis stability. 15 refs., 20 figs.
Green, Steven M
Throughout the past quarter century, there have been slow but dramatic changes in the nature and practice of trauma surgery, and this field increasingly faces potent economic, logistic, political, and workforce challenges. Patients and emergency physicians have much to lose by this budding crisis in our partner discipline. This article reviews the specific issues confronting trauma surgery, their historical context, and the potential directions available to this discipline. Implications of these issues for emergency physicians and for trauma care overall are discussed.
Bach, R L; Schraml, L A
The nature of the distinction between the equilibrium and historical-structuralist positions on migration is examined. Theoretical and political differences in the two positions are considered both historically and in the context of the current global economic crisis. The proposal of Wood to focus on households as a strategy for integrating the two perspectives and for achieving a better understanding of migration and social change is discussed.
Chen, Ke; Xie, Yanhong; Zhao, Liling; Mo, Zhaohui
Abstract Rationale: Hyperthyroidism is one of the major clinical causes of hypercalcaemia, however, hyperthyroidism-related hypercalcemic crisis is rare, only 1 case have been reported. The potential mechanisms are still not too clear. It may be related that thyroid hormone stimulate bone turnover, elevate serum calcium, increase urinary and fecal calcium excretion. Patient concerns: A 58-year-old female patient was found to have Graves’ disease, a marked elevated serum calcium level (adjusted serum calcium: 3.74 mmol/L), and reduced parathyroid hormone level. Diagnoses: She was diagnosed as hyperthyroidism-associated hypercalcemic crisis. Interventions: Treatment with methimazole to correct the hyperthyroidism and treatment of the patient's hypercalcaemia was achieved by physiological saline, salmon calcitonin and furosemide. Outcomes: After treatment for hypercalcaemia and hyperthyroidism, her symptoms and serum calcium levels quickly returned to normal. Lessons: hyperthyroid-associated hypercalcaemia crisis is rare, however, the diagnosis should pay attention to screening for other diseases caused by hypercalcemia. Timely treatment of hypercalcaemia is a critical step for rapidly control of symptoms, and treatment of hyperthyroidism is beneficial to relief the symptoms and maintain the blood calcium level. PMID:28121960
Patanè, Salvatore; Marte, Filippo; La Rosa, Felice Carmelo; La Rocca, Roberto
Chili peppers are rich in capsaicin. The potent vasodilator calcitonin gene-related peptide (CGRP) is stored in a population of C-fiber afferents that are sensitive to capsaicin. CGRP and peptides released from cardiac C fibers have a beneficial effect in myocardial ischemia and reperfusion. It has been reported that capsaicin pretreatment can deplete cardiac C-fiber peptide stores. Furthermore, it has also been reported that capsaicin-treated pigs have significantly increased mean arterial blood pressure compared with controls, and that the decrease in CGRP synthesis and release contributes to the elevated blood pressure. A case has also been reported of an arterial hypertensive crisis in a patient with a large ingestion of peppers and chili peppers the day before. We present a case of an arterial hypertensive crisis in a 19-year-old Italian man with an abundant ingestion of peppers and of chili peppers the preceding day. This case describes an unusual pattern of arterial hypertensive crisis due to capsaicin.
international terrorist incidents within nearly all of the states in this study . Although the correlation scores for most states tend to be somewhat...their structural elements, and ultimately their effectiveness. Although biometric identification is rapidly becoming an international norm...quantitative assessments of biometric identification programs within the larger context of state and international security are non–existent. This thesis
Grievance-based insurgencies are the most familiar type of insurgency because of their frequency during the Cold War. These insurgencies arise due...tumultuous period in Colombian history known as La Violencia . During this period, 1948-1964, the two primary political parties in Colombia, the Liberals...themselves and their property.34 These ’self-defense’ groups were the precursor to the FARC. La Violencia ended with the formation of the National
ideol - ogy—including by engaging in violence regardless of whether such violence is targeted at the United States, its citizens, or its interests...naturally occurring . Our Overarching Goals With our core principles as the foundation of our efforts, the United States aims to achieve eight over...operational direction from al-Qa‘ida or its affiliates . The foundation of our CT efforts in Europe remains our network of strong and enduring partnerships
Concerns have been raised that invertebrate pollinators of crops and wild plants are in decline as a result of modern agricultural practices, habitat degradation, and introduced pests and diseases. This has led to demands for a response by land managers, conservationists and political decision makers to the impending 'global pollinator crisis'. In questioning this crisis, it becomes apparent that perceptions of a pollinator crisis are driven mainly by reported declines of crop-pollinating honeybees in North America, and bumblebees and butterflies in Europe, whereas native pollinator communities elsewhere show mixed responses to environmental change. Additionally, few staple food crops depend on pollinator services, and most crops that do are grown at small scales in diversified agro-ecosystems that are likely to support healthy pollinator communities, or in highly managed systems that are largely independent of wild pollinators. Consequently, justifying conservation action on the basis of deteriorating pollinator services might be misplaced. Nevertheless, existing initiatives to monitor pollinators are well founded, given the uncertainty about the dynamics of pollinator populations.
Salmasi, Vafi; Schiavi, Adam; Binder, Zev A.; Ruzevick, Jacob; Orr, Brent A.; Burger, Peter C.; Ball, Douglas W.; Blitz, Ari M.; Koch, Wayne M.; Ishii, Masaru; Gallia, Gary L.
Background Although uncommon, esthesioneuroblastomas may produce clinically significant amounts of catecholamines. Methods We report a patient with a catecholamine-secreting esthesioneuroblastoma who developed intraoperative hypertensive crisis. Results A patient with history of hypertension was referred to our skull base center for management of a residual esthesioneuroblastoma. A staged endonasal endoscopic approach was planned. At the conclusion of the first stage, a hypertensive crisis occurred. Work-up revealed elevated levels of serum and urinary catecholamines. The patient was treated with alpha adrenoceptor blockade prior to the second stage. Serum catecholamine levels following this second stage were normal. On immunohistochemical analysis, the tumor cells were found to be positive for tyrosine hydroxylase, the rate limiting enzyme in cathecholamine synthesis, and achaete-scute homologue 1, a transcription factor essential in the development of olfactory and sympathetic neurons. Conclusion Catecholamine production should be considered in the differential of unexpected extreme hypertension during surgical resection of esthesioneuroblastoma. PMID:25352487
Wilson, J E; Tobacyk, J J
The lunar hypothesis, that is, the notion that lunar phases can directly affect human behavior, was tested by time-series analysis of 4,575 crisis center telephone calls (all calls recorded for a 6-month interval). As expected, the lunar hypothesis was not supported. The 28-day lunar cycle accounted for less than 1% of the variance of the frequency of crisis center calls. Also, as hypothesized from an attribution theory framework, crisis center workers reported significantly greater belief in lunar effects than a non-crisis-center-worker comparison group.
Kalafat, John; Gould, Madelyn S.; Munfakh, Jimmie Lou Harris; Kleinman, Marjorie
The effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' crisis state from the beginning to the end of their calls to eight centers in the U.S. and intermediate outcomes within 3 weeks of their calls, was evaluated. Between March 2003 and July 2004, 1,617 crisis callers were assessed…
Morrison, Julie; Russo, Charles J.; Ilg, Timothy J.
Crisis in the context of a school has many unique features related to the social structure and sense of community within schools. A school crisis exposes children and staff to threat, loss, and trauma that undermine the safety and stability of the entire school. Crisis intervention has as its explicit aim the goal of providing immediate support to…
Since ancient times man tried to understand the roots of his obviously often irrational behaviour. According to the prevailing "Zeitgeist", hypotheses for it ranged from demonical possession, psychological schools of thought to the role of transmitter substances at the synaptic level. For ages it has been observed and described, that men goes in his development through typical and predictable phases with their typical crises. Poets knew and wrote about it since the dawn of culture but science got interested in it only in this century. Elliot coined the term "midlife crisis" in 1965, turning attention to an age-group which was before practically ignored by psychology. He pointed out that due to a collision between developmental factors and a static identity a crisis occurred in human beings, characterized by a feeling of despair, goallessness, fatigue and consciousness of significant basic anxiety. In response to such pressures a change of comportment takes place which puzzles the people closest to the stricken. Established patterns of behaviour seem to dissipate in favour of unusual, unexpected, adolescent or even crazy actions. Many examples from history, ranging from Dante to Gauguin seem to prove the point. Realizing the presence of the crisis and its origin and interpreting it as a call for change, reorientation and new definition of priorities present a great chance to adjust one's life at this important turn. It is of great importance to recognize, that changes must take place in one's inner values and that trying to escape into frenzied activities leads nowhere.(ABSTRACT TRUNCATED AT 250 WORDS)
Auschra, Carolin; Kielstein, Jan T; Tecklenburg, Andreas; Müller-Seitz, Gordon
The German E. coli crisis in 2011 posed multifaceted challenges to the actors of the German health care system. This paper analyzes the outbreak from a multidisciplinary perspective. It offers best practices and general recommendations for future public health emergencies for hospitals as well as at the federal and local level, addressing medical practitioners as well as health care managers.
Dupre, Madeleine; Echterling, Lennis G.; Meixner, Cara; Anderson, Robin; Kielty, Michele
In this phenomenological study, the authors explored supervision experiences of 13 licensed professional counselors in situations requiring crisis counseling. Five themes concerning crisis and supervision were identified from individual interviews. Findings support intensive, immediate crisis supervision and postlicensure clinical supervision.
Shan, Liran; Regan, Aine; De Brún, Aoife; Barnett, Julie; van der Sanden, Maarten C A; Wall, Patrick; McConnon, Aine
The world of communication has changed significantly in the last decade as a result of the evolution of social media. Food crisis managers and communicators should be cognizant of the messages presented to the public by all media channels during a crisis. Using the 2008 Irish dioxin contamination incident as an example, a quantitative content analysis was carried out to investigate the relationship between social and traditional media. Messages published in printed newspapers (n = 141), blogs and forums (n = 107), and Twitter (n = 68) were analysed to investigate sourcing practice, story topic and use of tone. Results revealed that traditional media relied on diverse offline sources in reporting a wide range of topics. In comparison, social media responded faster and diminished faster, using offline and online media news messages as the primary sources in reporting very limited topics. No significant difference was found in the presence of negative tone across media.
Brenner, Eliot; Harrington, Holly; Schmidt, Rebecca
'Call the AV-Photo folks and get someone in here to shoot b-roll. We'll never be able to accommodate the network cameras and the only way I can get this to the media is to produce it ourselves'. Eliot Brenner, Director NRC Office of Public Affairs, March 12, 2011. For the past four years we have been speaking to audiences at Waste Management about communications issues. Last year, though we were kept from attending because of the federal budget crisis, our surrogates described to you the lessons the nuclear industry should draw from the BP Gulf oil spill crisis. Those remarks were delivered 11 days before the Fukushima Daiichi tragedy became the nuclear landmark of a generation - an industry changing event with worldwide ramifications, both in science and regulation and in communications. Eliot Brenner cut his teeth on crisis communication in the aviation industry where tragedy unfolds rapidly. He has been a speech-writer to three cabinet secretaries, spokesman for the Federal Aviation Administration and now spokesman for the Nuclear Regulatory Commission since 2004. Holly Harrington manages the NRC crisis response program and has 26 years federal public affairs experience, including eight years at the Federal Emergency Management Agency. Her crisis experience includes the 1989 Loma Prieta earthquake, numerous hurricanes and floods, Sept 11, and, now Fukushima Daiichi. Rebecca Schmidt is a veteran government relations professional whose decades in Washington include service with the House Armed Services Committee, the House Budget Committee and the Secretary of Defense. Collectively, the Offices of Public Affairs and Congressional Affairs conducted the largest outreach for the agency since Three Mile Island. We worked with the basic rule, described to Waste Management last year just 11 days before Fukushima - communicate early, often and clearly. The response - while not without its problems and lessons - went as smoothly as a chaotic event like Fukushima could go
Goodwill, Alasdair M; Alison, Laurence; Lehmann, Robert; Francis, Ashley; Eyre, Marie
According to the phenomenon of hindsight bias, once people know the outcome of an event, they tend to have biased estimates of the probability that the event would have occurred. In this study, we investigated whether hindsight bias affected judgements about the legitimacy of lethal force decisions in police shooting incidents for counter-terrorism operations. We also assessed to what extent this hindsight bias was mediated by factors such as role and information quality. Four hundred and eighty participants completed a short questionnaire that manipulated role (as senior police officer, Independent Police Complaints Commissioner, or family member, plus a "no role" control group), information quality (detailed/good or vague/ambiguous), and outcome knowledge (knowledge of outcome/hindsight versus no knowledge of outcome/foresight) in a 4 x 2 x 2 design. Results indicated that outcome knowledge affected the perception of threat and decision quality but not the blameworthiness of the senior police officer. Quality of information had a significant effect on all three dependent variables and role had a significant impact on judgements as to whether the decision to shoot was correct and also the perceived threat, though not on perceived blameworthiness. These findings indicate that people who have to judge the liability of lethal force decisions are not able to ignore outcome information, and are strongly influenced by the quality of information and by the role in which they are receiving the information.
Ogiso, Satoshi; Inamoto, Susumu; Hata, Hiroaki; Yamaguchi, Takashi; Otani, Tetsushi; Koizumi, Kinya
Patients with thyrotoxic crisis presenting with another emergency are at a considerable risk. We report the successful treatment of a 55-year-old woman having gastric perforation with thyrotoxic crisis; the principle of treatment was delayed surgery after rapid preoperative restoration of thyroid function and cardiovascular status. The patient was admitted for severe abdominal pain and nausea with delirium, exophthalmos, diffuse goiter, tremulousness, diaphoresis, tabescence, pretibial edema, and atrial fibrillation. Computed tomography revealed free air over the liver surface. She had been diagnosed with uncontrolled hyperthyroidism 3 days before admission, with a free liothyronine (T(3)) of 23.2 pg/mL, a free levothyroxine sodium (T(4)) of greater than 7.78 ng/dL, and thyrotropin of less than 0.01 ng/mL. She was diagnosed with gastroduodenal perforation and thyrotoxic crisis, and we planned nonoperative management comprising nasogastric aspiration, cefmetazole sodium, omeprazole, thiamazole, and Lugol's solution. We also used landiolol, an ultrashort-acting beta(1)-adrenoceptor antagonist, and hydrocortisone. On the third day of admission, her thyroid function had improved with a free T(3) of 4.7 pg/mL and a free T(4) of 2.9 ng/dL; however, perforative peritonitis had worsened, and hence, omental patch repair was performed. She recovered uneventfully and was discharged after radioiodine administration. We discuss the management of a thyrotoxic patient with gastric perforation and focus on the importance of changing the management according to the patient's clinical course considering his thyroid function status and comparing the stress of surgery with that of perforative peritonitis in nonoperative management.
Burnhill, M S
This chapter reminds those who provide abortion services that crises are inevitable in the medical, counselling and administrative areas of the facility. After more than 10 years of providing safe, legal abortions, the author notes that the different types of crises that occur are already known and that it is possible to prepare for them. Indeed, it is necessary to prepare for a crisis before it occurs. The essence of crisis management is to: (a) identify each possible crisis and prepare a plan to cope with it, (b) train personnel to avert and/or manage a crisis, and to be sure that this training is carried out at appropriate intervals to provide sufficient trained staff at all times and (c) have on hand an up-to-date, adequate stock of the appropriate supplies and equipment to deal with medical and other emergencies. Four crisis management 'dicta' are given: Prepare yourself, your personnel, and your facility to be able to handle crisis. When a medical crisis, as listed, has occurred, the patient should be rapidly transported to the hospital and observed there for a suitable period of time. A medical crisis must be treated as the life-threatening event that it is, regardless of personal ego damage, social disruptions and/or financial considerations. The more personnel trained in cardiopulmonary resuscitation, the better.
Until the global financial crisis, neo-liberalism had appeared invincible. This article examines the global rise of neo-liberalism and its impact on education, particularly its treatment of the social democratic ideal of equality. Drawing on examples from education and other socio-political factors, it considers whether the financial crisis is…
Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.
Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and…
Auerbach, Stephen M.; Kilmann, Peter R.
Crisis intervention studies conducted in suicide prevention/crisis intervention programs, in psychiatric settings, and with surgical patients are critically evaluated, and the methodological shortcomings of studies in each of these settings are discussed. Available from: Order Department, American Psychological Association, Inc., 1200 Seventeenth…
The author examines the financial crisis in community colleges on a national scale in this first paper in a projected long-range study of this crucial topic. Economic causes contributing to the crisis include inflation, rising enrollments, and such labor-intensive aspects as spiraling labor and security costs, and increasing demands for funds by…
Trump, Kenneth S.
Kenneth Trump, a school safety expert who consults with districts on how to respond to school safety crises, explains how the new prevalence of threats of violence being delivered over digital and social media creates for administrators a "communication crisis" that unfolds alongside the real or perceived crisis of school safety being…
Caskey, John; Kuperberg, Mark
This article describes the budget crisis that the School District of Philadelphia has faced for the past few years. Three specific events triggered the 2012 crisis: an abrupt reduction in federal and state funding, the inability of the district to cut many of its costs, and political pressures on the district to spend available revenues in a given…
There is a human rights crisis in Indian Country. This crisis--one of many--is the result of an almost universal lack of legal representation of Native people when they appear as defendants in tribal courts. The lack of lay advocates and attorneys representing Native defendants creates tremendous problems for tribal members who find themselves in…
Canter, Andrea, Ed.
Crisis intervention is a vital component of any comprehensive approach to maintaining psychological well being. An active school-based crisis intervention team can make a powerful contribution to a school's sense of community and commitment to taking care of each other. This special edition presents promising practices that may be helpful to…
Canter, Andrea, Ed.
During a crisis, parents can do a great deal to help their child deal with grief and anxiety. This special issue provides information and promising practices that might be helpful in dealing with various crisis situations. Provides the following articles: (1) "Children Killing Children" (Kevin Dwyer); (2) "Disaster: Helping Children…
Paine, Cathy Kennedy
"Professional" crisis caregivers (e.g., emergency responders, mental health providers, medical professionals, victim assistance counselors, and faith leaders) are trained to handle exposure to images of destruction and loss and to help victims or survivors cope with the impact of a crisis. They try to help individuals, schools, and communities…
Medland, William J.
Presents a synthesis of the views of participants and counterviews of scholars concerning the Cuban missile crisis of 1962. Reviews historical and analytical accounts of the crisis. Describes critical areas of conflicting interpretations by historians and participants. Includes an annotated bibliography of teaching resources. (NL)
On June 2003, the University of North Carolina at Chapel Hill (UNC) faced a frightening crisis when an employee was diagnosed with Severe Acute Respiratory Syndrome (SARS). In this article, the author looks back and identifies four factors that enabled the university to navigate this crisis. These factors were: (1) leadership at every level; (2)…
Kato, Tsuguhiko; Manning, Maryann
The perceived crisis in reading achievement may be misplaced--the real crisis may be what is ignored in the curriculum. People are alarmed at the lack of emphasis being placed on teaching content knowledge in many of today's classrooms. They laugh when Jay Leno takes to the street, interviewing teenagers and young adults who do not have the…
Hendin, Herbert; Maltsberger, John T.; Lipschitz, Alan; Haas, Ann Pollinger; Kyle, Jennifer
Data from therapists who were treating 26 patients when they committed suicide were utilized to identify warning signs. Problems in communication between patient and therapist were identified as factors interfering with crisis recognition. Evaluation of the identified affects and behaviors may help therapists recognize a suicide crisis. (BF)
Following a brief summary of research relating to midlife crisis, a theory of the midlife crisis is presented that is based on the philosophical insights of Plato and Heidegger: The emotional pain at midlife is associated with a collapse of a person's ontic field (relationships with others, to things, and to institutions) or a stagnation of a…
Pakistan suffers from an extensive education crisis. Millions of Pakistani children do not attend school, and those that do must deal with absent teachers and poor learning environments, among other challenges. While this crisis is frequently discussed in Pakistan and beyond, it is often misunderstood. This new Wilson Center report, based on…
Davison, Steven P
Historically, a newly graduated plastic surgeon in the United States could build a practice from his or her emergency room coverage. The historical cliche was for the surgeon to be affable, able, and available, and from that basis one's practice would grow. Emergency room exposure was an avenue for starting a practice, developing recognition, and, after that, building a referral pattern. Recently, the cross-shifting influence of management care, rising malpractice insurance costs, and risk ratio are changing this cliche to a crisis. An evaluation of a 2 1/2-year exposure to emergency room coverage has revealed a completely different profile. A total of 300 patient visits resulting in 69 surgical operations were evaluated for insurance and remuneration history. The findings indicated a significant remuneration dilemma for emergency room coverage. Interestingly, a remuneration problem exists in a market different from what one would expect. In this study, a sample from a suburban hospital, rather than an inner-city university hospital, is the greater problem.
Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.
Oles, P K
Midlife crisis in men is seen as a process of intensive and subjectively difficult transition of the self dealing with a reinterpretation of time perspective, the confrontation with death as a future personal event, the re-evaluation of life values and goals, and planning the second half of life. Midlife crisis arises on the relationships between the changing sociopsychological situation and internal predispositions. This study was conducted in Poland, using a sample of 144 men (aged 35-45 years). Measures were the Midlife Crisis Questionnaire, the Time Orientation Scale, the Adjective Check List, the modified version of the Ways of Coping Checklist, and the Value crisis Questionnaire. The findings indicated that the midlife crisis consists of three relatively independent dimensions, extracted by factor analysis, namely, (i) intensity of symptoms focused on changes in the self-concept, (ii) psychological maturity, and (iii) acceptance of time passing and death. Necessary and sufficient conditions of the crisis appeared to be (1) value crisis, understood as difficulties in hierarchization, integration, and realization of values, (2) emotion-focused coping versus problem-focused coping, (3) past versus future time orientation and lack of goals for the future, (4) sense of time pressure, (5) some conscientiousness, introversion, and openness to experience.
This case study looks at integrating the web governance policies and procedures, migration to a single content management solution, and integrating best-of-breed technology with high-impact, interactive components. In particular, this case study is interesting in the dynamic scalability of this application to meet the needs of an organization on the front lines during a crisis.
Boyle, Marybeth N.
The purpose of this study was to determine the effectiveness of a training program for the faculty of a private elementary school on executing the protocols, roles, and responsibilities defined in the institution's crisis-management plan. A formal training program for the faculty had not been developed, and administrators had no measure by which…
Anderson, Betsy; Swenson, Rebecca; Kinsella, John
This article describes a realistic online crisis unit, in which students practice: (1) responding to fast-paced information on multiple social media channels; (2) coordinating and making team decisions; and (3) creating effective responses. These skills are required for entry-level positions such as digital specialists and community managers,…
Sirat, Morshidi; Ahmad, Abdul Razak; Azman, Norzaini
This paper examines the nature of the leadership crisis in Malaysia's public universities. Our main concern is about the leadership at the top levels of university management, and the administrative hierarchy as perceived by both outsiders and insiders. Critics have lamented that Malaysia lacks people with international stature to lead its public…
Wei, Yifeng; Szumilas, Magdalena; Kutcher, Stan
The purpose of this paper is to provide a summary of evidence for the effectiveness and safety of commonly used crisis interventions in schools, such as critical incident stress debriefing (CISD), critical incident stress management (CISM), and psychological debriefing (PD). Two researchers independently searched relevant databases for reviews and…
... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Duration of crisis exemption. 166.45... EXEMPTION OF FEDERAL AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.45 Duration of crisis exemption. A crisis exemption may be authorized for: (a) Only as long as...
In this article, agrofuels are examined in the context of the world food price crisis and the "food sovereignty" proposal for addressing the crisis. Both short- and long-term causes of the crisis are examined, and while agrofuels are presently not a prime causal factor they are clearly contraindicated by the crisis. Food sovereignty,…
Stevens, Kenneth R.; Pellicer, Leonard O.
The use of the management team approach by school business officials will result in increased operational efficiency, greater accountability, better decisions, less crisis management, reduced stress, and increased job satisfaction. (MLF)
Hirsch, R L
The U.S. oil and gas industry has been dramatically weakened by the recent oil price collapse. Domestic drilling activity reached a new post-World War II low during the summer of 1986. Given a weak, unstable oil price outlook, U.S. capability will continue to deteriorate. In the last year U.S. imports of foreign oil have risen significantly, and if market forces alone dominate, U.S. dependence is expected to rise from 32% in 1983 to the 50 to 70% level in the not-too-distant future. The 1973 oil embargo and the subsequent attempts to improve U.S. energy security vividly demonstrated the huge costs and long periods of time required to change our energy system. These facts, coupled with the nation's generally short-term orientation, suggest a strong likelihood of a new U.S. energy crisis in the early to middle 1990s.
Rosas-Peralta, Martín; Borrayo-Sánchez, Gabriela; Madrid-Miller, Alejandra; Ramírez-Arias, Erick; Pérez-Rodríguez, Gilberto
It is inexorable that a proportion of patients with systemic arterial hypertension will develop a hypertensive crisis at some point in their lives. The hypertensive crises can be divided in hypertensive patients with emergency or hypertensive emergency, according to the presence or absence of acute end-organ damage. In this review, we discuss the cardiovascular hypertensive emergencies, including acute coronary syndrome, congestive heart failure, aortic dissection and sympathomimetic hypertensive crises (those caused by cocaine use included). Each is presented in a unique way, although some patients with hypertensive emergency report non-specific symptoms. Treatment includes multiple medications for quick and effective action with security to reduce blood pressure, protect the function of organs remaining, relieve symptoms, minimize the risk of complications and improve patient outcomes.
Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.
Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and increase consumption of high-calorie foods and beverages that are low in nutritional value. Electronic games, however, may increase children’s physical activity and expose them to healthier foods. We examine the role of electronic games in the pediatric obesity crisis and their contribution to more favorable health outcomes. PMID:23483693
Calvert, Sandra L; Staiano, Amanda E; Bond, Bradley J
Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and increase consumption of high-calorie foods and beverages that are low in nutritional value. Electronic games, however, may increase children's physical activity and expose them to healthier foods. We examine the role of electronic games in the pediatric obesity crisis and their contribution to more favorable health outcomes.
Martínez, Alicia; Pasqualini, Titania; Stivel, Mirta; Heinrich, Juan Jorge
Adrenal insufficiency is defined by impaired secretion of adrenocortical hormones. It is classified upon the etiology in primary and secondary. Rapid recognition and therapy of adrenocortical crisis are critical to survival. Patients often have nonspecific symptoms: anorexia, vomiting, weakness, fatigue and lethargy. They are followed by hypotension, shock, hypoglicemia, hyponatremia and hyperkalemia. All patients with adrenal insufficiency require urgent fluid reposition, correction of hypoglycemia and glucocorticoid replacement, in order to avoid serious consequences of adrenal crisis. After initial crisis treatment, maintenance dose of corticoids should be indicated. Mineralocorticoids replacement, if necessary, should also be initiated.
Trash-to-stem incineration systems were seen in the late 1970s as one solution to the energy crisis. A decade later, they are being viewed as a response to the rapidly growing waste disposal crisis. However, in the interim, public fears of pollution from these systems have stemmed their popularity. Hospitals, which are confronted with the need for efficient and cost-effective methods of trash handling, must determine whether these fears are valid and, if they are not, learn how to combat them to allow trash-to-steam incineration systems a role in overall waste management strategies.
Oldfield, Chrissie; Berg, Mireille van den
The reality of the economic crisis and subsequent cuts in public sector funding in some European countries means that the context for public management education is significantly changing. In a period of economic constraint there is the obvious questioning of the cost of public management education programmes and even more of their relevance and…
Bockris, J. O'M.
Examines the status of the energy crisis in Australia. Outlines energy alternatives for the 1990's and describes the present status of solar energy research and the economics of solar energy systems. (GS)
This week's meeting of the International Monetary Fund at Toronto will avoid an immediate crisis. But more international credit will not allow rich and poor to behave as if they live on different planets.
Chemical and Engineering News, 1973
Discusses legislation recently passed by Congress in response to the energy crisis, and the Nixon Administration's proposal for creating a new Energy Research and Development Administration (ERDA) and a Nuclear Energy Commission (NEC). (JR)
Chiang, Tay Yong
Divides the components of the energy crisis into those which demand immediate, moderate term, and long term research efforts. Delineates specific topics in each category and solicits physicists' efforts in these areas. (CP)
The energy crisis of 1973--1974 was a pivotal event in twentieth-century American history. In the wake of the Vietnam War, it exposed the nation`s economic vulnerability to foreign powers and precipitated an awareness of limits to the exploitation of natural resources. Further, it forced Americans and the American government in particular to think about the future of energy production and consumption in novel ways and made such thinking more imperative than ever. Twenty years later, questions about the energy crisis persist. What were the underlying causes of the crisis. What has been learned from it. How has it affected current energy policies. Will another energy crisis occur in the future. In the book, David Lewis Feldman brings together a wide range of energy policy experts to address these questions and explore the appropriate role of governments and markets in ensuring a stable, economical, and sustainable energy supply.
between interstate and intrastate crises. The final chapter emphasizes the importance of ’crossing’ levels of analysis and attempting to anchor crisis theory within a more general international relations theoretical edifice.
Bridges, Edwin M.
How the administrator might anticipate student-initiated reform is examined by observing present school practices, crisis condition influence on the decision process, and implications of alternative administrative action. (LN)
Cortès-Franch, Imma; González López-Valcárcel, Beatriz
The objectives of the SESPAS 2014 Report are as follows: a) to analyze the impact of the economic crisis on health and health-related behaviors, on health inequalities, and on the determinants of health in Spain; b) to describe the changes in the Spanish health system following measures to address the crisis and assess its potential impact on health; c) to review the evidence on the health impact of economic crises in other countries, as well as policy responses; and d) to suggest policy interventions alternative to those carried out to date with a population health perspective and scientific evidence in order to help mitigate the impact of the economic downturn on health and health inequalities. The report is organized in five sections: 1) the economic, financial and health crisis: causes, consequences, and contexts; 2) the impact on structural determinants of health and health inequalities; 3) the impact on health and health-related behaviors, and indicators for monitoring; 4) the impact on health systems; and 5) the impact on specific populations: children, seniors, and immigrants. There is some evidence on the relationship between the crisis and the health of the Spanish population, health inequalities, some changes in lifestyle, and variations in access to health services. The crisis has impacted many structural determinants of health, particularly among the most vulnerable population groups. Generally, policy responses on how to manage the crisis have not taken the evidence into account. The crisis may contribute to making public policy vulnerable to corporate action, thus jeopardizing the implementation of healthy policies.
Kumar, Sunil; Deo, Nivedita
We apply the Random Matrix Theory and complex network techniques to 20 global financial indices and study the correlation and network properties before and during the financial crisis of 2008 respectively. We find that the largest eigenvalue deviate significantly from the upper bound which shows a strong correlation between financial indices. By using a sliding window of 25 days we find that largest eigenvalue represent the collective information about the correlation between global financial indices and its trend indicate the market conditions. It is confirmed that eigenvectors corresponding to second largest eigenvalue gives useful information about the sector formation in the global financial indices. We find that these clusters are formed on the basis of the geographical location. The correlation network is constructed using threshold method for different values of threshold θ in the range 0 to 0.9, at θ=0.2 the network is fully connected. At θ=0.6, the Americas, Europe and Asia/Pacific form different clusters before the crisis but during the crisis Americas and Europe are strongly linked. If we further increase the threshold to 0.9 we find that European countries France, Germany and UK consistently constitute the most tightly linked markets before and during the crisis. We find that the structure of Minimum Spanning Tree before the crisis is more star like whereas during the crisis it changes to be more chain like. Using the multifractal analysis, we find that Hurst exponents of financial indices increases during the period of crisis as compared to the period before the crisis. The empirical results verify the validity of measures, and this has led to a better understanding of complex financial markets.
Wu, Yiping; Liu, Shu-Guang; Ji, Chen
Socioeconomic development in China has resulted in rapid urbanization, which includes a large amount of people making the transition from rural areas to cities. Many have speculated that this mass migration may have worsened the water crisis in many parts of the country. However, this study shows that the water crisis would be more severe if the rural-to-urban migration did not occur.
FINAL 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE Screaming Trees: The Nigerian Deforestation Crisis (U) 5a...Department of the Navy. 14. ABSTRACT Nigeria has the highest rate of deforestation in the world and the Government of Nigeria (GON) has failed to...implement an effective response to this worsening crisis. Deforestation degrades land quality and agricultural output, resulting in forced migration
Wei, Jiuchang; Zhao, Dingtao; Yang, Feng; Du, Shaofu; Marinova, Dora
When and how often to release information on television are important issues in crisis and emergency risk communication. There is a lot of crisis information, including warnings and news, to which people should have access, but most of it is not significantly urgent to interrupt the broadcasting of television programmes. Hence, the right timing for the release of crisis information should be selected based on the importance of the crisis and any associated communication requirements. Using recursive methods, this paper builds an audience coverage model of crisis information release. Based on 2007 Household Using TV (HUT) data for Hefei City, China, the optimal combination of broadcasting sequence (with frequencies between one and eight times) is obtained using the implicit enumeration method. The developed model is applicable to effective transmission of crisis information, with the aim of reducing interference with the normal television transmission process and decreasing the psychological effect on audiences. The same model can be employed for other purposes, such as news coverage and weather and road information.
Kawakami, K; Kiyosaki, M; Amaya, H; Nakamaki, T; Hino, K; Tomoyasu, S
A 54-year-old female, who had been treated for 4 years in the chronic phase of chronic myelogenous leukemia (CML) was admitted for management of a CML blastic crisis. Blast cells showed strong positive expression of CD7 and HLA-DR, and weakly expressed CD2, CD5 and CD10, as well. The cells were peroxidase negative in peripheral blood and bone marrow. An undifferentiated blastic crisis was diagnosed and she was treated with Interferon-alpha and VP(vincristine 2 mg/week; prednisolone 30 mg/day). A 5-7 mm in diameter tumor in the skin of the anterior right chest appeared one week after VP therapy. The tumor consisted of blasts which were CD13, CD33 and peroxidase positive, unlike the peripheral undifferentiated blasts. This is a rare case of mixed blast crisis with an increase in undifferentiated blasts in peripheral blood and bone marrow, and myeloblastic tumor formation in the skin.
Hutter, Bridget M; Lloyd-Bostock, Sally
This paper considers a key aspect of the 'risk society' thesis: the belief that we should be able to manage risks and control the world around us. In particular it focuses on the interface between risk and risk events as socially constructed and the insights that 'critical situations' give us into 'the routine and mundane', the otherwise taken for granted assumptions underlying risk regulation. It does this with reference to the events precipitated by the April 2010 volcanic eruption in the Eyjafjallajökull area of Iceland. The resulting cloud of volcanic ash spread across Europe and much of Europe's airspace was closed to civil aviation for six days, with far reaching consequences including huge financial losses for airlines. The social processes of defining and reacting to risk and crisis both reveal and generate dilemmas and challenges in regulation. This paper examines the role of different interest groups in defining risk expectations and thereby redefining the ash crisis as a regulatory crisis.
Rimpau, C.; Nickel, C. H.; Baier, P.
The endocrinological emergency of a fully blown myxedema crisis can present as a multicolored clinical picture. This can obscure the underlying pathology and easily lead to mistakes in clinical diagnosis, work-up, and treatment. We present a case of an unconscious 39-year-old patient with a medical history of weakness, lethargy, and findings of hyponatremia, intracerebral bleeding, and massive pericardial effusion. Finally, myxedema crisis was diagnosed as underlying cause. Replacement therapy of thyroid hormone and conservative management of the intracerebral bleeding resulted in patient's survival without significant neurological impairment. However, diagnostic pericardiocentesis resulted in life-threatening pericardial tamponade. It is of tremendous importance to diagnose myxoedema crisis early to avoid adverse health outcomes. PMID:28255471
High-reliability organisations are those, such as within the aviation industry, which operate in complex, hazardous environments and yet despite this are able to balance safety and effectiveness. Crew resource management (CRM) training is used to improve the non-technical skills of aviation crews and other high-reliability teams. To date, CRM within the health sector has been restricted to use with "crisis teams" and "crisis events". The purpose of this discussion paper is to examine the application of CRM to acute, ward-based multidisciplinary health care teams and more broadly to argue for the repositioning of health-based CRM to address effective everyday function, of which "crisis events" form just one part. It is argued that CRM methodology could be applied to evaluate ward-based health care teams and design non-technical skills training to increase their efficacy, promote better patient outcomes, and facilitate a range of positive personal and organisational level outcomes.
This article summarizes the main issues revealed at a women's roundtable discussion on the Economic, Social, and Political Impacts of the Southeast Asian Financial Crisis. The discussion was organized by the Development Alternatives of Women for the New Era (DAWN) and was held during April 12-14, 1998, in Manila, the Philippines. The aim was to explore the effects of the financial crisis and its management by states and multilateral agencies on women's political, economic, cultural, and social status; and to reach regional understanding of new issues for the women's movement in Asia and to identify areas of advocacy. Participants included women scholars and activists from Southeast, East, and South Asia; Africa; the Caribbean; Latin America; and the Pacific. Participants came from a wide variety of backgrounds. Nine issues were emphasized. For example, some predicted the currency devaluation before July 1997. The financial crisis is linked with globalization. The International Monetary Fund (IMF) is the primary institution for addressing the financial crisis. IMF conditions on inflation rates and budget surpluses are recessionary and government budget oriented. The crisis has exposed cronyism and corruption within capitalism. Patriarchal values have reemerged as Asian values. Women have lost jobs and income, while the cost of living continues to increase. Prostitution has become more acceptable as legitimate work. Women's human rights are not legally protected. State ideology assumes domestic and sex roles. Issues in each region are identified. 14 key issues pertain to all regions.
terrorism studies, defense planning, arms control, peacekeeping, crisis management, regional and cooperative security. The Marshall Center...and with our partners and allies, to harmonize international efforts in the global war on terror within a grand strategy ( Opheim & Bowen 2008). This...Perceptions and the Future Perspectives of Strategic Information Management. The Development of Crisis Communication from the Kosovo Operation “Allied
Hluchy, Ladislav; Bartok, Juraj; Tran, Viet; Lucny, Andrej; Gazak, Martin
We present several applications from domain of meteorology and crisis management we developed and/or plan to develop. Particularly, we present IMS Model Suite - a complex software system designed to address the needs of accurate forecast of weather and hazardous weather phenomena, environmental pollution assessment, prediction of consequences of nuclear accident and radiological emergency. We discuss requirements on computational means and our experiences how to meet them by grid computing. The process of a pollution assessment and prediction of the consequences in case of radiological emergence results in complex data-flows and work-flows among databases, models and simulation tools (geographical databases, meteorological and dispersion models, etc.). A pollution assessment and prediction requires running of 3D meteorological model (4 nests with resolution from 50 km to 1.8 km centered on nuclear power plant site, 38 vertical levels) as well as running of the dispersion model performing the simulation of the release transport and deposition of the pollutant with respect to the numeric weather prediction data, released material description, topography, land use description and user defined simulation scenario. Several post-processing options can be selected according to particular situation (e.g. doses calculation). Another example is a forecasting of fog as one of the meteorological phenomena hazardous to the aviation as well as road traffic. It requires complicated physical model and high resolution meteorological modeling due to its dependence on local conditions (precise topography, shorelines and land use classes). An installed fog modeling system requires a 4 time nested parallelized 3D meteorological model with 1.8 km horizontal resolution and 42 levels vertically (approx. 1 million points in 3D space) to be run four times daily. The 3D model outputs and multitude of local measurements are utilized by SPMD-parallelized 1D fog model run every hour. The fog
Seeger, Matthew W.
Presents key concepts of chaos theory (CT) as a general framework for describing organizational crisis and crisis communication. Discusses principles of predictability, sensitive dependence on initial conditions, bifurcation as system breakdown, emergent self-organization, and fractals and strange attractors as principles of organization. Explores…
Morris, Carrie A. Wachter; Minton, Casey A. Barrio
Professional counselors are responsible for providing crisis assessment, referral, and intervention (Council for Accreditation of Counseling and Related Educational Programs, 2009); however, little is known about their preparation and experiences in these areas. This study examined new professional counselors' (N= 193) crisis intervention…
Nilsson, I; Jansson, L; Norberg, A
The study gains a deeper understanding of crisis phenomena emerging after stroke and focuses on these phenomena viewed in an existential perspective. Ten stroke victims narrated their experiences of their new life situation in open-ended interviews, conducted during the first few months after discharge. The participants were analyzed using a phenomenological-hermeneutic approach. This analysis disclosed an extremely distressing situation related to the individuals' struggle to manage in various dimensions of life. The phenomena were intertwined in a complex way and the critical interpretation involved a transcendence to the existential dimension of life. The situation was metaphorically depicted as "a struggle in the darkness" in a "boundary situation," where the issues ultimately touched on life and death, fate and future, meaning and meaninglessness. The study indicates the significance of existential issues pervading the seemingly concrete struggle to manage life after stroke.
Multiscale approaches to crowd dynamics and the reliability of data from experiments. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.
In this interesting essay, focused on mathematical models for crowd dynamics specifically for the purpose of management of extreme events such as evacuation from complex environment, Bellomo et al.  provide a critical analysis and argue that kinetic models may provide well-suited tools to support decision making.
Calvo, Juan; Nieto, Juanjo
The management of human crowds in extreme situations is a complex subject which requires to take into account a variety of factors. To name a few, the understanding of human behaviour, the psychological and behavioural features of individuals, the quality of the venue and the stress level of the pedestrian need to be addressed in order to select the most appropriate action during an evacuation process on a complex venue. In this sense, the mathematical modeling of such complex phenomena can be regarded as a very useful tool to understand and predict these situations. As presented in , mathematical models can provide guidance to the personnel in charge of managing evacuation processes, by means of helping to design a set of protocols, among which the most appropriate during a given critical situation is then chosen.
The Commonwealth of Puerto Rico is an organized nonincorporated territory of the United States with a population of more than 3.5 million U.S. citizens. The island has been the focus of much recent attention due to the recent default on its debt (estimated at more than $70 billion), high poverty rates, and increasing unemployment. Less attention, however, has been given to the island's healthcare system, which many believe is on the verge of collapsing. Healthcare makes up 20% of the Puerto Rican economy, and this crisis affects reimbursement rates for physicians while promoting the disintegration of the island's healthcare infrastructure. A major contributor relates to a disparity in federal funding provided to support the island's healthcare system when compared with that provided to the states in the mainland and Hawaii. Puerto Rico receives less federal funding for healthcare than the other 50 states and the District of Columbia even though it pays its share of social security and Medicare taxes. To make matters worse, the U.S. Center for Medicaid and Medicare Services is planning soon to implement another 11% cut in Medical Advantage reimbursements. This disparity in support for healthcare is considered responsible for ∼$25 billion of Puerto Rico's total debt. The impact of these events on the health of Puerto Ricans in the island cannot be entirely predicted, but the loss of healthcare providers and diminished access to care are a certainty, and quality care will suffer, leading to serious implications for those with chronic medical disorders including respiratory disease.
Karanikolos, Marina; Mladovsky, Philipa; Cylus, Jonathan; Thomson, Sarah; Basu, Sanjay; Stuckler, David; Mackenbach, Johan P; McKee, Martin
The financial crisis in Europe has posed major threats and opportunities to health. We trace the origins of the economic crisis in Europe and the responses of governments, examine the effect on health systems, and review the effects of previous economic downturns on health to predict the likely consequences for the present. We then compare our predictions with available evidence for the effects of the crisis on health. Whereas immediate rises in suicides and falls in road traffic deaths were anticipated, other consequences, such as HIV outbreaks, were not, and are better understood as products of state retrenchment. Greece, Spain, and Portugal adopted strict fiscal austerity; their economies continue to recede and strain on their health-care systems is growing. Suicides and outbreaks of infectious diseases are becoming more common in these countries, and budget cuts have restricted access to health care. By contrast, Iceland rejected austerity through a popular vote, and the financial crisis seems to have had few or no discernible effects on health. Although there are many potentially confounding differences between countries, our analysis suggests that, although recessions pose risks to health, the interaction of fiscal austerity with economic shocks and weak social protection is what ultimately seems to escalate health and social crises in Europe. Policy decisions about how to respond to economic crises have pronounced and unintended effects on public health, yet public health voices have remained largely silent during the economic crisis.
Nelson, Teresa; Ornstein, Suzyn
A canceled study trip to China is used as an example of the application of crisis management planning for international programs. The following elements are discussed: crisis management team, scenario brainstorming, policy definition, moral accountability, alternative scheduling, stakeholder management, future planning, and course redesign.…
Bellwood, D. R.; Hughes, T. P.; Folke, C.; Nyström, M.
The worldwide decline of coral reefs calls for an urgent reassessment of current management practices. Confronting large-scale crises requires a major scaling-up of management efforts based on an improved understanding of the ecological processes that underlie reef resilience. Managing for improved resilience, incorporating the role of human activity in shaping ecosystems, provides a basis for coping with uncertainty, future changes and ecological surprises. Here we review the ecological roles of critical functional groups (for both corals and reef fishes) that are fundamental to understanding resilience and avoiding phase shifts from coral dominance to less desirable, degraded ecosystems. We identify striking biogeographic differences in the species richness and composition of functional groups, which highlight the vulnerability of Caribbean reef ecosystems. These findings have profound implications for restoration of degraded reefs, management of fisheries, and the focus on marine protected areas and biodiversity hotspots as priorities for conservation.
Kalafat, John; Gould, Madelyn S; Munfakh, Jimmie Lou Harris; Kleinman, Marjorie
The effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' crisis state from the beginning to the end of their calls to eight centers in the U.S. and intermediate outcomes within 3 weeks of their calls, was evaluated. Between March 2003 and July 2004, 1,617 crisis callers were assessed during their calls and 801 (49.5%) participated in the followup assessment. Significant decreases in callers' crisis states and hopelessness were found during the course of the telephone session, with continuing decreases in crisis states and hopelessness in the following weeks. A majority of callers were provided with referrals and/or plans of actions for their concerns and approximately one third of those provided with mental health referrals had followed up with the referral by the time of the follow-up assessment. While crisis service staff coded these callers as nonsuicidal, at follow-up nearly 12% of them reported having suicidal thoughts either during or since their call to the center. The need to conduct suicide risk assessments with crisis callers and to identify strategies to improve referral follow-up is highlighted.
Vielhaber, Mary E.
Uses the 1979 Three Mile Island nuclear plant accident to illustrate the communication problems embedded in a crisis. Describes the reactions created by the stress related to crisis. Suggests business communication strategies for improving communication to the public. (SR)
... Involved Crisis Centers About Be There Show You Care Find Resources Graphic Generator Toolkit Signs of Crisis ... out for help. Bittersweet More Videos from Veterans Health Administration Watch additional videos about getting help. Be ...
Houts, P.S.; Hu, T.W.; Henderson, R.A.; Cleary, P.D.; Tokuhata, G.
Four studies are reported on how utilization of primary health care was affected by the Three Mile Island (TMI) crisis and subsequent distress experienced by persons living in the vicinity of the plant. The studies concerned: Blue Cross-Blue Shield records of claims by primary care physicians in the vicinity of TMI; utilization rates in a family practice located near the facility; interviews with persons living within five miles of TMI following the crisis; and responses to a questionnaire by primary care physicians practicing within 25 miles of TMI. All four studies indicated only slight increases in utilization rates during the year following the crisis. One study found that persons who were upset during the crisis tended to be high practice utilizers both before and after the crisis. These results suggest that, while patterns of physician utilization prior to the TMI crisis predicted emotional response during the crisis, the impact of the TMI crisis on subsequent physician utilization was small.
Dougherty, Edward R
There is an epistemological crisis in genomics. At issue is what constitutes scientific knowledge in genomic science, or systems biology in general. Does this crisis require a new perspective on knowledge heretofore absent from science or is it merely a matter of interpreting new scientific developments in an existing epistemological framework? This paper discusses the manner in which the experimental method, as developed and understood over recent centuries, leads naturally to a scientific epistemology grounded in an experimental-mathematical duality. It places genomics into this epistemological framework and examines the current situation in genomics. Meaning and the constitution of scientific knowledge are key concerns for genomics, and the nature of the epistemological crisis in genomics depends on how these are understood. PMID:19440447
Zammert, Stefan; Eckhardt, Bruno
Many shear flows follow a route to turbulence that has striking similarities to bifurcation scenarios in low-dimensional dynamical systems. Among the bifurcations that appear, crisis bifurcations are important because they cause global transitions between open and closed attractors, or indicate drastic increases in the range of the state space that is covered by the dynamics. We here study exterior and interior crisis bifurcations in direct numerical simulations of transitional plane Poiseuille flow in a mirror-symmetric subspace. We trace the state space dynamics from the appearance of the first three-dimensional exact coherent structures to the transition from an attractor to a chaotic saddle in an exterior crisis. For intermediate Reynolds numbers, the attractor undergoes several interior crises, in which new states appear and intermittent behavior can be observed. The bifurcations contribute to increasing the complexity of the dynamics and to a more dense coverage of state space.
Hootz, Terra; Mykota, David B; Fauchoux, Laurissa
In this study, a utilization-focused process evaluation framework was used to explore client and service providers' experiences of Crisis Management Services (CMS), their perceptions of the services provided, and the process of client engagement CMS offers. CMS is a strength-based program that targets individuals who experience crises every day. The Community-University Institute for Social Research facilitated the evaluation by engaging academic expertise in a coordinated collaborative approach to community-university partnerships. Semi-structured interviews were conducted with the clients and service providers. The general inductive approach was used for transcript analysis with seven themes emerging. A conceptual model of service delivery is presented, which integrates the interviews conducted with clients and service providers. Results affirm that the establishment of a close personal strength-based relationship is key to client engagement. Collaborative goal setting with informal and formal community resources viewed as potential assets, characterizes the process that enables clients to live at their optimal level of independence. This study is unique as it provides valuable insight on the perspectives of vulnerable individuals in crisis situations. Through the establishment of community-university partnerships the gap between scholarly research and its applicability to community organizations is narrowed with opportunities for improving the quality of life enhanced.
Gilbert, Kathryn E
Recent attempts to regulate Crisis Pregnancy Centers, pseudoclinics that surreptitiously aim to dissuade pregnant women from choosing abortion, have confronted the thorny problem of how to define commercial speech. The Supreme Court has offered three potential answers to this definitional quandary. This Note uses the Crisis Pregnancy Center cases to demonstrate that courts should use one of these solutions, the factor-based approach of Bolger v. Youngs Drugs Products Corp., to define commercial speech in the Crisis Pregnancy Center cases and elsewhere. In principle and in application, the Bolger factor-based approach succeeds in structuring commercial speech analysis at the margins of the doctrine.
Vakarelski, Ivan; Berry, Joseph; Chan, Derek; Thoroddsen, Sigurdur
The drag of a solid sphere moving in fluid is known to be only a function of the Reynolds number, Re and diminishes rapidly at the drag crisis around Re 3 ×105. A Leidenfrost vapor layer on a hot sphere surface can trigger the onset of the drag crisis at lower Re. By using a range of high viscosity perfluorocarbon liquids, we show that the drag reduction effect, can occur over a wide range of Re, from as low as 600. The Navier slip model with a viscosity dependent slip length captures the observed drag reduction and wake shape.
Nurses are likely to see adolescents and their families in a variety of practice settings. Recognizing the youth and family at risk is significant in helping them resolve a stressful situation by mobilizing resources and strengthening coping and problem-solving skills. This article has focused on several areas, including suicide and depression, sex-related issues, substance abuse, and poor academic performance. Helping the youth and family in crisis challenges the nurse to use astute assessment skills that support a patient-centered crisis intervention model. During a time when cost-effective mental health care is a necessity, this model offers nurses an opportunity to provide quality health care.
Kentikelenis, Alexander; Karanikolos, Marina; Reeves, Aaron; McKee, Martin; Stuckler, David
Greece's economic crisis has deepened since it was bailed out by the international community in 2010. The country underwent the sixth consecutive year of economic contraction in 2013, with its economy shrinking by 20% between 2008 and 2012, and anaemic or no growth projected for 2014. Unemployment has more than tripled, from 7·7% in 2008 to 24·3% in 2012, and long-term unemployment reached 14·4%. We review the background to the crisis, assess how austerity measures have affected the health of the Greek population and their access to public health services, and examine the political response to the mounting evidence of a Greek public health tragedy.
Singh, Ajit; Tabatabai, Hamid
Examines how developing nations' agrarian economy fared in the 1980s in the wake of the world economic crisis. Discusses how the economic crisis affected agricultural development and whether the performance of the agrarian economy was responsible for the economic crisis. (JOW)
Cowan, Katherine C.; Rossen, Eric
The mental health implications of crisis exposure have emerged as a critical and challenging facet of school safety and crisis response, expanding our focus to encompass both psychological and physical safety, as well as prevention and recovery. Best practice reflects this evolution in our understanding and encompasses the continuum of crisis and…
Nihira, Kazuo; And Others
Parents' behavior as perceived by an adolescent population admitted to the adolescent crisis Ward at USC Medical Center is analyzed. The sample consisted of 86 patients who were admitted to the adolescent crisis ward during 1969 and 1970. The population could be divided according to four distinct crisis groups: (1) the suicidal group; (2) the…
Outlines the development process and essential elements of a crisis communication strategy. Key steps include: (1) selecting a spokesperson; (2) publicizing the spokesperson's identity; (3) preparing a crisis notebook; (4) providing cell phones; (5) choosing a news conference location; (6) rehearsing crisis scenarios; and (7) obtaining interview…
Hancock, Kathy; Malvey, Michelle; Rastatter, Dennis
The Thompson School District recognized after the Columbine incident in the spring of 1999 that it was lacking an adequate plan for crisis response. Colorado legislation led to a mandate for having a crisis response plan so the district purchased a "canned" crisis response plan that served the needs of response in a very immediate but…
Nesbitt, William A.
The Alpha Crisis Game, a simulation for secondary students about the outbreak of World War I, is intended as an introduction to a case study of the July 1917 crisis. Playing in teams while deciding among the action choices to solve the crisis situation, students act as heads of state and ministers of five mythical European countries, when an…
Shiller, Robert J.
Student dissatisfaction with teaching of economics--particularly with macroeconomics--during the current financial crisis mirrors dissatisfaction that was expressed during the last big crisis, the Great Depression. Then and now, a good number of students have felt that their lectures bear little relation to the economic crisis raging outside the…
Within all organisations, business continuity disruptions present a set of dilemmas that managers may not have dealt with before in their normal daily duties. The disruption management model provides a simple but effective management tool to enable crisis management teams to stay focused on recovery in the midst of a business continuity incident. The model has four chronological primary headlines, which steer the team through a quick-time crisis decision-making process. The procedure facilitates timely, systematic, rationalised and justified decisions, which can withstand post-event scrutiny. The disruption management model has been thoroughly tested within an emergency services environment and is proven to significantly support clear and concise decision making in a business continuity context.
Posner, Richard A.
An article in the October 11 "New York Times" attributed the almost universal failure to anticipate the current economic crisis to "insanity"--more precisely, to a psychological inability to give proper weight to past events, so that if there is prosperity today people assume that it will last forever, even though they know that in the past booms…
Western Interstate Commission for Higher Education, 2010
Public higher education has faced a crisis of massive proportions in the first decade of this millennium. Nevertheless, for higher education, this year represents a turning point and, yes, an opportunity. The opportunity, then, for the West is one that generations of Americans are familiar with: to do more with less. Dealing with scarcity--whether…
Will, Barbara H.
Discusses the role of public libraries in helping their communities deal with crisis situations, especially after the September 11 terrorist attacks. Highlights include the need to be proactive and not wait to be asked to participate in planning; status of emergency planning; providing reliable information; and asking users about their information…
The state of water resources is discussed from a historical and policy perspective. The author presents the different views of water conditions in the nation and the changes in institutional arrangements that are in progress now. In addition, she evaluates the fundamental qualities of water that make the notion of a crisis a hard sell in the US.
Maciejowski, John; Li, Yilong; Bosco, Nazario; Campbell, Peter J.; de Lange, Titia
Telomere crisis occurs during tumorigenesis when depletion of the telomere reserve leads to frequent telomere fusions. The resulting dicentric chromosomes have been proposed to drive genome instability. Here we examine the fate of dicentric human chromosomes in telomere crisis. We observed that dicentric chromosomes invariably persisted through mitosis and developed into 50-200 μm chromatin bridges connecting the daughter cells. Before their resolution at 3-20 h after anaphase, the chromatin bridges induced nuclear envelope rupture in interphase, accumulated the cytoplasmic 3' nuclease TREX1, and developed RPA-coated single stranded (ss) DNA. CRISPR knockouts showed that TREX1 contributed to the generation of the ssDNA and the resolution of the chromatin bridges. Post-crisis clones showed chromothripsis and kataegis, presumably resulting from DNA repair and APOBEC editing of the fragmented chromatin bridge DNA. We propose that chromothripsis in human cancer may arise through TREX1-mediated fragmentation of dicentric chromosomes formed in telomere crisis. PMID:26687355
Houle, Jason N
Current evidence suggests that the rise in home foreclosures that began in 2007 created feelings of stress, vulnerability, and sapped communities of social and economic resources. Minority and low SES communities were more likely to be exposed to predatory lending and hold subprime mortgages, and were the hardest hit by the foreclosure crisis. Little research has examined whether and how the foreclosure crisis has undermined population mental health. I use data from 2245 counties in 50 U.S. states to examine whether living in high foreclosure areas is associated with residents' mental health and whether the foreclosure crisis has the potential to exacerbate existing disparities in mental health during the recessionary period. I use county-level data from RealtyTrac and other data sources, and individual-level data from the Behavioral Risk Factor Surveillance Survey from 2006 to 2011. I find that - net of time invariant unobserved between-county differences, national time trends, and observed confounders - a rise in a county's foreclosure rate is associated with a decline in residents' mental health. This association is especially pronounced in counties with a high concentration of low SES and minority residents, which supports the perspective that the foreclosure crisis has the potential to exacerbate existing social disparities in mental health.
Gudmundsdottir, Dora Gudrun
There is a common belief that economic crisis will lead to a decrease in subjective wellbeing. Previous studies indicate that income is correlated with happiness and unemployment with unhappiness. The relationship between increased income and happiness is well documented while the impact of decreased income has been less explored. The aim of this…
Missouri Univ., St. Louis. Extension Div.
A cooperative presentation of the University of Missouri, St. Louis, Extension Division and the Missouri Department of Community Affairs, this project was designed as a reference for discussion groups of all types, to give perspective and direction in the search for an understanding of the complex situations which contribute to the crisis in…
Noor Al-Deen, Hana S.
A study examined the sentiment and impact of different types, channels, and forms of aggression against the Arab-American community during the Gulf Crisis. Data were selected from entries in the 1990 Anti-Arab Discrimination and Hate Crimes Log of the American-Arab Anti-Discrimination (ADC) National Office. Results show that there were 129 acts of…
Western Interstate Commission for Higher Education, 2011
If there's one quality that WICHE's home region, the West, is famous for, it's endurance in the face of crisis. And if there's another, it's the ability to find--and make--opportunities even in tough times. Over the last fiscal year, WICHE has done just that. The organization has been highly successful in terms of developing new projects and…
Increasingly, dropping out of high school is a one-way ticket to prison for Black men. Recent research conducted by sociologists Becky Pettit and Bruce Western indicates that 3 percent of Whites and 20 percent of Blacks born between 1965 and 1969 had served time in prison by their early thirties. The crisis among Black and Hispanic men mobilized…
Prager, Karen J.; Bailey, John M.
The present study examined the relationship of psychological androgyny with ego development in the context of Loevinger's theory, and with psychosocial crisis resolution from the perspective of Erikson's theory. A sample of 30 male and 30 female adults completed the Bem Sex Role Inventory, the Washington University Sentence Completion Test and the…
Roby, Jini L.; Shaw, Stacey A.
The plight of Africa's AIDS orphans has reached crisis proportions, and the international community is beginning to mobilize at the family, community, national, and international levels. Despite these encouraging efforts, the response is inadequate, and increased attention and action are needed. The authors suggest that international adoption,…
THE OPINIONS OF SEVERAL EXISTENTIAL THINKERS AND OTHER PHILOSOPHERS PROVIDE A FRAMEWORK FOR THIS DISCUSSION OF THE CRISIS OF MODERN CIVILIZATION. IT IS FELT THAT EDUCATION BOTH REFLECTS AND IS A FORCE IN THE STANDARDIZATION, MECHANIZATION, AND DEHUMANIZATION OF CONTEMPORARY LIFE. HOWEVER, EDUCATION CAN PLAY A CONSTRUCTIVE ROLE AS AN INSTRUMENT OF…
In this article, the author discusses the creation of a threat-assessment team to be utilized in order to analyze each threat and the usage of threat-assessment protocols for the purpose of guiding school administrators through a crisis. These are actually developed with the advice from the US Department of Education and the Secret Service. When a…
Moeller, Dade W.
Three studies conducted by the National Air Pollution Manpower Development Advisory Committee concluded there is a crisis in air pollution manpower development within the United States today. The studies investigated the existing federal manpower program, air pollution educational requirements and the quality of graduate level university programs.…
Branson, Margaret S.
As a means of helping students build map skills, the article presents information on how the energy crisis affects poor people in developing nations (lack of firewood, disappearing forests, erosion due to removal of ground cover). Presents a global map showing the extension of desert conditions and includes questions to help students analyze the…
Cook, Ellen Piel
Presents a framework for understanding the crisis of infertility which is characterized by extensive anxiety, damaged self-esteem, grief, uncertainty about the future, and estranged relationships with each other and with family and friends. Proposes some interventions appropriate to helpers from a variety of disciplines. (ABB)
Butler, Robert R.; Koraleski, Stephanie
Discusses helpful ways for mental health counselors to work with infertile clients, explaining nature of infertility, psychological crisis it provokes, common reactions of infertile clients, and strategies to help clients cope. Discusses specific strategies for assessing clients' potential for suicide or self-destructive acts and improving their…
Forrest, Linda; Gilbert, Mary S.
Reviews literature on infertility with a focus on myths and misunderstandings about the causes of infertility; a description of the crisis of infertility including common psychological responses; the additional psychological complexity introduced by medical procedures and reproductive technology; and suggestions for mental health counselors.…
Hutchison, Theresa D.; Scherman, Avraham
This document presents a program for training volunteers to assist individuals and families who are going through a crisis related to terminal illness and death. The training is described as being both didactic and experiential. A discussion of the didactic portion of the program includes descriptions of: (1) the stages of preparatory grief as…
Bendle, Mervyn F
The concept of 'identity' is central to much contemporary sociology, reflecting a crisis that manifests itself in two ways. Firstly, there is a view that identity is both vital and problematic in this period of high modernity. Secondly, while this awareness is reflected in sociology, its accounts of identity are inconsistent, under-theorized and incapable of bearing the analytical load required. As a result, there is an inherent contradiction between a valuing of identity as so fundamental as to be crucial to personal well-being, and a theorization of 'identity' that sees it as something constructed, fluid, multiple, impermanent and fragmentary. The contemporary crisis of identity thus expresses itself as both a crisis of society, and a crisis of theory. This paper explores the diverse ways in which 'identity' is deployed before turning to case-studies of its use by Anthony Giddens and Manuel Castells. This strategy demonstrates the widespread and diverse concern with identity before exploring how problematic it has become, even in the work of two of the world's leading sociologists.
Koplik, Stanley Z.; And Others
In a campus crisis, while administrators address immediate needs, trustees must find a balance between involvement and oversight. Trustees should respond by developing a worst-case strategy; establishing early warning systems; defining "due diligence"; emphasizing candor and honesty; picking one spokesperson; protecting institutional privacy;…
Describes how Los Rios Community College District (LRCCD), California, the major provider of nursing graduates to the Sacramento area, addressed the issue of the nursing shortage crisis. LRCCD faced the dual issues of student/faculty ratio restrictions of 10/1 and funding that accommodated a 40/1 ratio. Describes LRCCD's new off-campus,…
Maciejowski, John; Li, Yilong; Bosco, Nazario; Campbell, Peter J; de Lange, Titia
Telomere crisis occurs during tumorigenesis when depletion of the telomere reserve leads to frequent telomere fusions. The resulting dicentric chromosomes have been proposed to drive genome instability. Here, we examine the fate of dicentric human chromosomes in telomere crisis. We observed that dicentric chromosomes invariably persisted through mitosis and developed into 50-200 μm chromatin bridges connecting the daughter cells. Before their resolution at 3-20 hr after anaphase, the chromatin bridges induced nuclear envelope rupture in interphase, accumulated the cytoplasmic 3' nuclease TREX1, and developed RPA-coated single stranded (ss) DNA. CRISPR knockouts showed that TREX1 contributed to the generation of the ssDNA and the resolution of the chromatin bridges. Post-crisis clones showed chromothripsis and kataegis, presumably resulting from DNA repair and APOBEC editing of the fragmented chromatin bridge DNA. We propose that chromothripsis in human cancer may arise through TREX1-mediated fragmentation of dicentric chromosomes formed in telomere crisis.
Altbach, Philip G., Ed.; Lomotey, Kofi, Ed.
This collection of essays addresses the need for continued research in race-related issues on college campuses. The book examines the causes and the impact of campus racial tensions by studying some key university case studies and by investigating some of the underlying elements of the crisis. Essays and their authors are as follows: "The Racial…
Atlantic Information Centre for Teachers, London (England).
This paper is thirty-eighth in a series which expands the analysis of the crisis under discussion to provide a multinational view by quoting comment from a selection of newspapers of several countries. The issue presented here is the problem of world food shortages, which is briefly introduced in relation to the attemps at the Rome Conference to…