Target foil rupture scenario and provision for handling different models of medical cyclotrons used in India

PubMed Central

Shaiju, V. S.; Sharma, S. D.; Kumar, Rajesh; Sarin, B.

2009-01-01

Medical cyclotron is a particle accelerator used in producing short lived radiotracers such as 18F, 11C, 15O, 13N etc. These radiotracers are labeled with suitable pharmaceuticals for use to gather information related to metabolic activity of the cell using Positron Emission Tomography (PET) scan. Target foil rupture is considered one of the major emergency situations during medical cyclotron operations because there is a potential of over exposure to the working personnel. Radiation protection survey of a self-shielded medical cyclotron installation was carried out during normal and emergency conditions. It is found that the induced activity in the target foil increases with its successive usages. As a case study, we have evaluated the emergency handling procedures of GE PETtrace-6 medical cyclotron. Recommendations have also been made to reduce personal exposure while handling the target foil rupture condition such as the use of L-Bench near the target area and participation of experienced personnel. PMID:20098564

[Advance directives in prehospital emergency treatment : prospective questionnaire-based analysis].

PubMed

Brokmann, J C; Grützmann, T; Pidun, A K; Groß, D; Rossaint, R; Beckers, S K; May, A T

2014-01-01

The handling of advance directives (AD) in prehospital emergency treatment in Germany is characterized by instability. In the project "Advance directives in preclinical emergency medical aid" ("Patientenverfügungen in der präklinischen Notfallmedizin") the frequency and quality of ADs in emergency situations was investigated. The aim of this study was to fill the gaps in research and to collate data on how consideration of the self-determination of patients in emergency situations can be optimized. Over a period of 12 months from December 2007 to December 2008 a questionnaire was included in the emergency documentation of the medical emergency service in Aachen. Emergency patients were asked by emergency physicians to provide an AD and the quantitative as well as qualitative features of these ADs were examined. Furthermore, the study recorded what kinds of problems occurred with ADs in emergency situations and what measures were needed to correct this deficiency. The reactions of patients were documented on a numeral rating scale with a score of 1 reflecting a negative and 10 reflecting a positive reaction. In the 12-month period emergency doctors recorded 1,321 missions and after application of the exclusion criteria (e.g. missing signature, incomplete documentation and late delivery) 1,047 documented questionnaires were available for the analysis. A total of 127 out of 1,047 emergency patients provided an AD, 44 had a durable power of attorney and 27 had appointed a legal representative for healthcare. Of the emergency patients 20 had a legal attendant and 43 out of the 127 ADs could be presented to the emergency team during the emergency mission. The emergency team often encountered difficulties regarding the handling of the ADs due to the time factor and unclear wording. The latter included the following problems: misleading formulation (19.1 %), difficulty with the complexity (14.9 %) and contradicting information (4 %). Only 29 (61.7 %) of the durable powers of attorney were signed and legally binding. From the view of the emergency physicians the following information was lacking but would be helpful in emergency situations: emergency plan, hierarchy of those given power of attorney, knowledge of risks regarding ADs and medication requirements. The results show that for an AD to apply in an emergency situation certain standards are necessary that assure the practicability, especially if a patient does not wish to be resuscitated. Most difficulties with ADs occurred with imprecise formulation, text length and inconsistency of statements. The following instructions were usually missing: hierarchy of those given power of attorney and specification on medication, information about the scope of the ADs, statement about resuscitation, extent and limitations of the desired treatment, especially with patients certified as terminally ill and instructions on who should decide about medical treatment in a conflict situation. A so-called emergency instruction which gives on a single page the patient's statement on resuscitation would have been very helpful in individual cases. The results suggest that patients may need more information and education about AD to guarantee patients rights and self-determination.

Enabling heterogenous multi-scale database for emergency service functions through geoinformation technologies

NASA Astrophysics Data System (ADS)

Bhanumurthy, V.; Venugopala Rao, K.; Srinivasa Rao, S.; Ram Mohan Rao, K.; Chandra, P. Satya; Vidhyasagar, J.; Diwakar, P. G.; Dadhwal, V. K.

2014-11-01

Geographical Information Science (GIS) is now graduated from traditional desktop system to Internet system. Internet GIS is emerging as one of the most promising technologies for addressing Emergency Management. Web services with different privileges are playing an important role in dissemination of the emergency services to the decision makers. Spatial database is one of the most important components in the successful implementation of Emergency Management. It contains spatial data in the form of raster, vector, linked with non-spatial information. Comprehensive data is required to handle emergency situation in different phases. These database elements comprise core data, hazard specific data, corresponding attribute data, and live data coming from the remote locations. Core data sets are minimum required data including base, thematic, infrastructure layers to handle disasters. Disaster specific information is required to handle a particular disaster situation like flood, cyclone, forest fire, earth quake, land slide, drought. In addition to this Emergency Management require many types of data with spatial and temporal attributes that should be made available to the key players in the right format at right time. The vector database needs to be complemented with required resolution satellite imagery for visualisation and analysis in disaster management. Therefore, the database is interconnected and comprehensive to meet the requirement of an Emergency Management. This kind of integrated, comprehensive and structured database with appropriate information is required to obtain right information at right time for the right people. However, building spatial database for Emergency Management is a challenging task because of the key issues such as availability of data, sharing policies, compatible geospatial standards, data interoperability etc. Therefore, to facilitate using, sharing, and integrating the spatial data, there is a need to define standards to build emergency database systems. These include aspects such as i) data integration procedures namely standard coding scheme, schema, meta data format, spatial format ii) database organisation mechanism covering data management, catalogues, data models iii) database dissemination through a suitable environment, as a standard service for effective service dissemination. National Database for Emergency Management (NDEM) is such a comprehensive database for addressing disasters in India at the national level. This paper explains standards for integrating, organising the multi-scale and multi-source data with effective emergency response using customized user interfaces for NDEM. It presents standard procedure for building comprehensive emergency information systems for enabling emergency specific functions through geospatial technologies.

Campus Reactions to Mass Notification

ERIC Educational Resources Information Center

Butler, Andrea M.; Lafreniere, Kathryn D.

2010-01-01

On April 16, 2007, a gunman opened fire at Virginia Tech University, killing 32 people before taking his own life. In the aftermath of such a violent campus incident, many universities are looking for ways to improve policies and programs that promote campus safety and allow them to effectively handle emergency situations. Many universities are…

[In-hospital management of victims of chemical weapons of mass destruction].

PubMed

Barelli, Alessandro; Gargano, Flavio; Proietti, Rodolfo

2005-01-01

Emergency situations caused by chemical weapons of mass destruction add a new dimension of risk to those handling and treating casualties. The fundamental difference between a hazardous materials incident and conventional emergencies is the potential for risk from contamination to health care professionals, patients, equipment and facilities of the Emergency Department. Accurate and specific guidance is needed to describe the procedures to be followed by emergency medical personnel to safely care for a patient, as well as to protect equipment and people. This review is designed to familiarize readers with the concepts, terminology and key operational considerations that affect the in-hospital management of incidents by chemical weapons.

Guidelines for catastrophic emergency situations involving asbestos

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

These guidelines are intended to assist regional, state, and local agencies in managing potential asbestos hazards resulting from a catastrophic accident or disaster. The guidelines may be used as a reference for advanced planning or, once the emergency presents itself, to help ensure that, to the extent feasible and compatible with other emergency measures, all appropriate steps are taken to safely handle and dispose of all asbestos, while avoiding unnecessary exposures to asbestos. The guidelines provide information that may be helpful to EPA Regional offices and delegated NESHAP agencies that must respond to emergencies involving asbestos. The guidelines review themore » experiences of EPA Regional and state enforcement agencies in dealing with asbestos during recent emergencies. Information is included on statutes and regulations that may be applicable in emergency situations, including the emergency provisions of the asbestos NESHAP. Lines of communication within EPA and between EPA and emergency management agencies are discussed. A list of contacts responsible at the state level for emergency and disaster activities is provided. Information is provided to help identify potential sources of asbestos releases, and factors are identified that should be considered in planning for the cleanup and disposal of asbestos.« less

Managing emergencies and abnormal situations in air traffic control (part II): teamwork strategies.

PubMed

Malakis, Stathis; Kontogiannis, Tom; Kirwan, Barry

2010-07-01

Team performance has been studied in many safety-critical organizations including aviation, nuclear power plant, offshore oil platforms and health organizations. This study looks into teamwork strategies that air traffic controllers employ to manage emergencies and abnormal situations. Two field studies were carried out in the form of observations of simulator training in emergency and unusual scenarios of novices and experienced controllers. Teamwork strategies covered aspects of team orientation and coordination, information exchange, change management and error handling. Several performance metrics were used to rate the efficiency of teamwork and test the construct validity of a prototype model of teamwork. This is a companion study to an earlier investigation of taskwork strategies in the same field (part I) and contributes to the development of a generic model for Taskwork and Teamwork strategies in Emergencies in Air traffic Management (T(2)EAM). Suggestions are made on how to use T(2)EAM to develop training programs, assess team performance and improve mishap investigations. Copyright 2010 Elsevier Ltd. All rights reserved.

Situation Awareness and Interruption Handling During Medication Administration.

PubMed

Sitterding, Mary Cathryn; Ebright, Patricia; Broome, Marion; Patterson, Emily S; Wuchner, Staci

2014-08-01

Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe SA during medication administration and interruption handling strategies. A cross-sectional, descriptive design was used. Cognitive task analysis (CTA) methods informed analysis of 230 interruptions. Themes were analyzed by SA level. The nature of the stimuli noticed emerged as a Level 1 theme, in contrast to themes of uncertainty, relevance, and expectations (Level 2 themes). Projected or anticipated interventions (Level 3 themes) reflected workload balance between team and patient foregrounds. The prevalence of cognitive time-sharing during the medication administration process was remarkable. Findings substantiated the importance of the concept of SA within nursing as well as the contribution of CTA in understanding the cognitive work of nursing during medication administration. © The Author(s) 2014.

High Level Information Fusion (HLIF) with nested fusion loops

NASA Astrophysics Data System (ADS)

Woodley, Robert; Gosnell, Michael; Fischer, Amber

2013-05-01

Situation modeling and threat prediction require higher levels of data fusion in order to provide actionable information. Beyond the sensor data and sources the analyst has access to, the use of out-sourced and re-sourced data is becoming common. Through the years, some common frameworks have emerged for dealing with information fusion—perhaps the most ubiquitous being the JDL Data Fusion Group and their initial 4-level data fusion model. Since these initial developments, numerous models of information fusion have emerged, hoping to better capture the human-centric process of data analyses within a machine-centric framework. 21st Century Systems, Inc. has developed Fusion with Uncertainty Reasoning using Nested Assessment Characterizer Elements (FURNACE) to address challenges of high level information fusion and handle bias, ambiguity, and uncertainty (BAU) for Situation Modeling, Threat Modeling, and Threat Prediction. It combines JDL fusion levels with nested fusion loops and state-of-the-art data reasoning. Initial research has shown that FURNACE is able to reduce BAU and improve the fusion process by allowing high level information fusion (HLIF) to affect lower levels without the double counting of information or other biasing issues. The initial FURNACE project was focused on the underlying algorithms to produce a fusion system able to handle BAU and repurposed data in a cohesive manner. FURNACE supports analyst's efforts to develop situation models, threat models, and threat predictions to increase situational awareness of the battlespace. FURNACE will not only revolutionize the military intelligence realm, but also benefit the larger homeland defense, law enforcement, and business intelligence markets.

THE ROLE OF THE SPORTS PHYSICAL THERAPIST-MARATHON EVENTS

PubMed Central

Schuemann, Teresa; Hoogenboom, Barbara J.

2013-01-01

The role of the Sports physical therapist (PT) as a part of the sports medical team at marathon-type events varies widely. The PT can assume the role of an emergency medical responder (EMR) whose primary role is the management of the athlete in emergency type situations. The role of the EMR extends beyond the care of the athlete to the care and safety of the spectators. In this role, the PT must be prepared to handle any type of emergency situation, which may occur from medical conditions to acute orthopedic/sports injuries, to medical conditions which may be found in the participants of the race or the spectators. Additional roles of the PT can be in pre-race education, pre-participation screening/physicals, and other concerns by the participant related to injury prevention. Regardless of the role assumed by the PT, prior planning is essential for the safety, security, and maximal performance of the participant and to make the race enjoyable and safe for everyone. Level of Evidence: 5 PMID:24175136

Engineering thinking in emergency situations: A new nuclear safety concept

PubMed Central

Guarnieri, Franck; Travadel, Sébastien

2014-01-01

The lessons learned from the Fukushima Daiichi accident have focused on preventive measures designed to protect nuclear reactors, and crisis management plans. Although there is still no end in sight to the accident that occurred on March 11, 2011, how engineers have handled the aftermath offers new insight into the capacity of organizations to adapt in situations that far exceed the scope of safety standards based on probabilistic risk assessment and on the comprehensive identification of disaster scenarios. Ongoing crises in which conventional resources are lacking, but societal expectations are high, call for “engineering thinking in emergency situations.” This is a new concept that emphasizes adaptability and resilience within organizations—such as the ability to create temporary new organizational structures; to quickly switch from a normal state to an innovative mode; and to integrate a social dimension into engineering activities. In the future, nuclear safety oversight authorities should assess the ability of plant operators to create and implement effective engineering strategies on the fly, and should require that operators demonstrate the capability for resilience in the aftermath of an accident. PMID:25419015

Engineering thinking in emergency situations: A new nuclear safety concept.

PubMed

Guarnieri, Franck; Travadel, Sébastien

2014-11-01

The lessons learned from the Fukushima Daiichi accident have focused on preventive measures designed to protect nuclear reactors, and crisis management plans. Although there is still no end in sight to the accident that occurred on March 11, 2011, how engineers have handled the aftermath offers new insight into the capacity of organizations to adapt in situations that far exceed the scope of safety standards based on probabilistic risk assessment and on the comprehensive identification of disaster scenarios. Ongoing crises in which conventional resources are lacking, but societal expectations are high, call for "engineering thinking in emergency situations." This is a new concept that emphasizes adaptability and resilience within organizations-such as the ability to create temporary new organizational structures; to quickly switch from a normal state to an innovative mode; and to integrate a social dimension into engineering activities. In the future, nuclear safety oversight authorities should assess the ability of plant operators to create and implement effective engineering strategies on the fly, and should require that operators demonstrate the capability for resilience in the aftermath of an accident.

Collaborative Workshop on Handling, Management, and ...

EPA Pesticide Factsheets

Report The Water Environment Research Foundation (WERF), in partnership with the U.S. Environmental Protection Agency (EPA) National Homeland Security Research Center (NHSRC) and the National Science Foundation (NSF), hosted an expert workshop on November 17 and 18, 2015, in Alexandria, Virginia, to engage with subject matter experts and wastewater utility stakeholders on a number of topics surrounding high consequence pathogens in wastewater collection and treatment systems, should such pathogens enter the systems as a result of an emergency situation.

Real-Time Transmission and Storage of Video, Audio, and Health Data in Emergency and Home Care Situations

NASA Astrophysics Data System (ADS)

Barbieri, Ivano; Lambruschini, Paolo; Raggio, Marco; Stagnaro, Riccardo

2007-12-01

The increase in the availability of bandwidth for wireless links, network integration, and the computational power on fixed and mobile platforms at affordable costs allows nowadays for the handling of audio and video data, their quality making them suitable for medical application. These information streams can support both continuous monitoring and emergency situations. According to this scenario, the authors have developed and implemented the mobile communication system which is described in this paper. The system is based on ITU-T H.323 multimedia terminal recommendation, suitable for real-time data/video/audio and telemedical applications. The audio and video codecs, respectively, H.264 and G723.1, were implemented and optimized in order to obtain high performance on the system target processors. Offline media streaming storage and retrieval functionalities were supported by integrating a relational database in the hospital central system. The system is based on low-cost consumer technologies such as general packet radio service (GPRS) and wireless local area network (WLAN or WiFi) for lowband data/video transmission. Implementation and testing were carried out for medical emergency and telemedicine application. In this paper, the emergency case study is described.

Failure to flow: An exploration of learning and teaching in busy, multi-patient environments using an interpretive description method.

PubMed

Chan, Teresa M; Van Dewark, Kenneth; Sherbino, Jonathan; Schwartz, Alan; Norman, Geoff; Lineberry, Matthew

2017-12-01

As patient volumes continue to increase, more attention must be paid to skills that foster efficiency without sacrificing patient safety. The emergency department is a fertile ground for examining leadership and management skills, especially those that concern prioritization in multi-patient environments. We sought to understand the needs of emergency physicians (EPs) and emergency medicine junior trainees with regards to teaching and learning about how best to handle busy, multi-patient environments. A cognitive task analysis was undertaken, using a qualitative approach to elicit knowledge of EPs and residents about handling busy emergency department situations. Ten experienced EPs and 10 junior emergency medicine residents were interviewed about their experiences in busy emergency departments. Transcripts of the interviews were analyzed inductively and iteratively by two independent coders using an interpretive description technique. EP teachers and junior residents differed in their perceptions of what makes an emergency department busy. Moreover, they focused on different aspects of patient care that contributed to their busyness: EP teachers tended to focus on volume of patients, junior residents tended to focus on the complexity of certain cases. The most important barrier to effective teaching and learning of managerial skills was thought to be the lack of faculty development in this skill set. This study presents qualitative data that helps us elucidate how patient volumes affect our learning environments, and how clinical teachers and residents operate within these environments.

An emergency-adaptive routing scheme for wireless sensor networks for building fire hazard monitoring.

PubMed

Zeng, Yuanyuan; Sreenan, Cormac J; Sitanayah, Lanny; Xiong, Naixue; Park, Jong Hyuk; Zheng, Guilin

2011-01-01

Fire hazard monitoring and evacuation for building environments is a novel application area for the deployment of wireless sensor networks. In this context, adaptive routing is essential in order to ensure safe and timely data delivery in building evacuation and fire fighting resource applications. Existing routing mechanisms for wireless sensor networks are not well suited for building fires, especially as they do not consider critical and dynamic network scenarios. In this paper, an emergency-adaptive, real-time and robust routing protocol is presented for emergency situations such as building fire hazard applications. The protocol adapts to handle dynamic emergency scenarios and works well with the routing hole problem. Theoretical analysis and simulation results indicate that our protocol provides a real-time routing mechanism that is well suited for dynamic emergency scenarios in building fires when compared with other related work.

An Emergency-Adaptive Routing Scheme for Wireless Sensor Networks for Building Fire Hazard Monitoring

PubMed Central

Zeng, Yuanyuan; Sreenan, Cormac J.; Sitanayah, Lanny; Xiong, Naixue; Park, Jong Hyuk; Zheng, Guilin

2011-01-01

Fire hazard monitoring and evacuation for building environments is a novel application area for the deployment of wireless sensor networks. In this context, adaptive routing is essential in order to ensure safe and timely data delivery in building evacuation and fire fighting resource applications. Existing routing mechanisms for wireless sensor networks are not well suited for building fires, especially as they do not consider critical and dynamic network scenarios. In this paper, an emergency-adaptive, real-time and robust routing protocol is presented for emergency situations such as building fire hazard applications. The protocol adapts to handle dynamic emergency scenarios and works well with the routing hole problem. Theoretical analysis and simulation results indicate that our protocol provides a real-time routing mechanism that is well suited for dynamic emergency scenarios in building fires when compared with other related work. PMID:22163774

Endoscope and System and Method of Operation Thereof

NASA Technical Reports Server (NTRS)

Manohara, Harish M. (Inventor); Liao, Anna (Inventor); Bae, Youngsam (Inventor); Shahinian, Hrayr Karnig (Inventor)

2017-01-01

An endoscope including a rigid section having opposed first and second ends and an opening situated between the first and second ends, the rigid section defining a longitudinal axis; a handle portion coupled to a first end of the rigid section and having first and second scissor-type handles suitable for grasping by a user; and a base part situated at the second end of the rigid section and coupled to the first handle of the scissor-type handles such that displacement of the first handle causes a rotation of the base part.

Endoscope and System and Method of Operation Thereof

NASA Technical Reports Server (NTRS)

Manohara, Harish M. (Inventor); Liao, Anna (Inventor); Bae, Youngsam (Inventor); Shahinian, Hrayr Karnig (Inventor)

2012-01-01

An endoscope including a rigid section having opposed first and second ends and an opening situated between the first and second ends, the rigid section defining a longitudinal axis; a handle portion coupled to a first end of the rigid section and having first and second scissor-type handles suitable for grasping by a user; and a base part situated at the second end of the rigid section and coupled to the first handle of the scissor-type handles such that displacement of the first handle causes a rotation of the base part.

Two case reports of unexpected tracheal agenesis in the neonate: 3 C's beyond algorithms for difficult airway management.

PubMed

Grass, Beate; Simma, Leopold; Reinehr, Michael; Zimmermann, Urs; Gysin, Claudine; Henze, Georg; Cannizzaro, Vincenzo

2017-02-08

Handling neonates with postnatal respiratory failure due to congenital airway malformations implies knowledge about emergency management of unexpected difficult airway. In these stressful situations both technical and communication skills of the caretakers are essential. Two cases with prenatally unknown tracheal agenesis are reported. In the presented cases, airway malformation and subsequent difficulties upon endotracheal intubation were not adequately communicated between caretakers. We discuss the aspects of culture, communication, and capnography.

A Novel Reference Security Model with the Situation Based Access Policy for Accessing EPHR Data.

PubMed

Gope, Prosanta; Amin, Ruhul

2016-11-01

Electronic Patient Health Record (EPHR) systems may facilitate a patient not only to share his/her health records securely with healthcare professional but also to control his/her health privacy, in a convenient and easy way even in case of emergency. In order to fulfill these requirements, it is greatly desirable to have the access control mechanism which can efficiently handle every circumstance without negotiating security. However, the existing access control mechanisms used in healthcare to regulate and restrict the disclosure of patient data are often bypassed in case of emergencies. In this article, we propose a way to securely share EPHR data under any situation including break-the-glass (BtG) without compromising its security. In this regard, we design a reference security model, which consists of a multi-level data flow hierarchy, and an efficient access control framework based on the conventional Role-Based Access Control (RBAC) and Mandatory Access Control (MAC) policies.

"Yeah, We Serve Alcohol, but … We Are Here to Help": A Qualitative Analysis of Bar Staff's Perceptions of Sexual Violence.

PubMed

Powers, Ráchael A; Leili, Jennifer

2016-01-01

This study is an exploratory analysis of how bar staff perceive their role in preventing sexual harassment and assault. In particular, through qualitative focus group interviews, this study explores bar staff's attitudes surrounding sexual harassment/assault, how they currently handle these situations, and their opinions regarding programs and policies that currently mandate responsibility. Six major themes emerged including their hesitation to discuss sexual violence, their unique position as a service provider, their lack of knowledge (but eagerness to learn), and their reliance on stereotypical scenarios of sexual violence and interventions. These findings are situated in a framework for understanding barriers to bystander intervention and implications for community-based bystander programs are discussed.

Modelling a critical infrastructure-driven spatial database for proactive disaster management: A developing country context

PubMed Central

Baloye, David O.

2016-01-01

The understanding and institutionalisation of the seamless link between urban critical infrastructure and disaster management has greatly helped the developed world to establish effective disaster management processes. However, this link is conspicuously missing in developing countries, where disaster management has been more reactive than proactive. The consequence of this is typified in poor response time and uncoordinated ways in which disasters and emergency situations are handled. As is the case with many Nigerian cities, the challenges of urban development in the city of Abeokuta have limited the effectiveness of disaster and emergency first responders and managers. Using geospatial techniques, the study attempted to design and deploy a spatial database running a web-based information system to track the characteristics and distribution of critical infrastructure for effective use during disaster and emergencies, with the purpose of proactively improving disaster and emergency management processes in Abeokuta.

Emergency vehicle traffic signal preemption system

NASA Technical Reports Server (NTRS)

Foster, Conrad F. (Inventor); Bachelder, Aaron D. (Inventor)

2005-01-01

An emergency vehicle traffic light preemption system for preemption of traffic lights at an intersection to allow safe passage of emergency vehicles. The system includes a real-time status monitor of an intersection which is relayed to a communications controller for transmission to emergency vehicles as well as to a central dispatch office. The system also provides for audio warnings at an intersection to protect pedestrians who may not be in a position to see visual warnings or for various reasons cannot hear the approach of emergency vehicles. A transponder mounted on an emergency vehicle provides autonomous control so the vehicle operator can attend to getting to an emergency and not be concerned with the operation of the system. Activation of a Code 3 situation provides communications with each intersection being approached by an emergency vehicle and indicates whether the intersection is preempted or if there is any conflict with other approaching emergency vehicles. On-board diagnostics handle various information including heading, speed, and acceleration sent to a communications controller which is transmitted to an intersection and which also simultaneously receives information regarding the status of an intersection.

Theory development for situational awareness in multi-casualty incidents.

PubMed

Busby, Steven; Witucki-Brown, Janet

2011-09-01

Nurses and other field-level providers will be increasingly called on to respond to both natural and manmade situations that involve multiple casualties. Situational Awareness (SA) is necessary for managing these complicated incidents. The purpose of the study was to create new knowledge by discovering the process of SA in multi-casualty incidents (MCI) and develop substantive theory with regard to field-level SA for use by emergency response nurses and other providers. A qualitative, grounded theory approach was used to develop the first substantive theory of SA for MCI. The sample included 15 emergency response providers from the Southeastern United States. One pilot interview was conducted to trial and refine the semi-structured interview questions. Following Institutional Review Board approval, data collection and analysis occurred from September 2008 through January 2009. The grounded theory methods of Corbin and Strauss (2008) and Charmaz (2006) informed this study. Transcribed participant interviews constituted the bulk of the data with additional data provided by field notes and extensive memos. Multiple levels of coding, theoretical sampling, and theoretical sensitivity were used to develop and relate concepts resulting in emerging theory. Multiple methods were used for maintaining the rigor of the study. The process of SA in MCI involves emergency responders establishing and maintaining control of dynamic, contextually-based situations. Against the backdrop of experience and other preparatory interval actions, responders handle various types of information and manage resources, roles, relationships and human emotion. The goal is to provide an environment of relative safety in which patient care is provided. SA in MCI is an on-going and iterative process with each piece of information informing new actions. Analysis culminated in the development of the Busby Theory of Situational Awareness in Multi-casualty Incidents. SA in MCI is a growing need at local, national and international levels. The newly developed theory provides a useful model for appreciating SA in the context of MCI thereby improving practice and providing a tool for education. The theory also provides a catalyst for further research refining and testing of the theory and for studying larger-scale incidents. Copyright © 2011 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.

Emergency communications within the limited English proficient Chinese community.

PubMed

Yip, Mei-Po; Calhoun, Rebecca E; Painter, Ian S; Meischke, Hendrika W; Tu, Shin-Ping

2014-08-01

Limited English speaking communities face communication challenges during emergencies. Our objective was to investigate Chinese limited English proficiency individuals' perceptions of and inclination to interact with emergency communication systems. A telephone survey was conducted in Mandarin or Cantonese with 250 ethnic Chinese individuals who spoke little or no English. Respondents who spoke no English were less likely to name 9-1-1 as their first source of help for a medical emergency than those who spoke some English (p < 0.01). Those reporting higher levels of confidence in handling the situation were more likely to name 9-1-1 as their first source of help, as were those who listed 9-1-1 as their most trusted source of help (p < 0.01). For this group, the results indicate that calling 9-1-1 may require a sense of self-efficacy. Not calling 9-1-1 in a medical emergency can have serious health consequences, thus interventions are needed to increase confidence in accessing 9-1-1.

Workplace bullying in emergency nursing: Development of a grounded theory using situational analysis.

PubMed

Wolf, Lisa A; Perhats, Cydne; Clark, Paul R; Moon, Michael D; Zavotsky, Kathleen Evanovich

2017-09-22

The Institute of Medicine recognizes that the workplace environment is a crucial factor in the ability of nurses to provide safe and effective care, and thus interactions that affect the quality and safety of the work environment require exploration. The purpose of this study was to use situational analysis to develop a grounded theory of workplace bullying as it manifests specifically in the emergency care setting. This study used a grounded theory methodology called situational analysis. 44 emergency RNs were recruited to participate in one of 4 focus group sessions, which were transcribed in their entirety, and, along with field notes, served as the dataset. This grounded theory describes the characteristics of human actors and their reactions to conditions in the practice environment that lead to greater or lesser levels of bullying, and the responses to bullying as it occurs in U.S. emergency departments. Workplace bullying is a significant factor in the dynamics of patient care, nursing work culture, and nursing retention. The impact on patient care cannot be overestimated, both in terms of errors, substandard care, and the negative effects of high turnover of experienced RNs who leave, compounded by the inexperience of newly hired RNs. An assessment of hospital work environments should include nurse perceptions of workplace bullying, and interventions should focus on effective managerial processes for handling workplace bullying. Future research should include testing of the theoretical coherence of the model, and the testing of bullying interventions to determine the effect on workplace environment, nursing intent to leave/retention, and patient outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

Stream Lined Emission Particles Handling For Civil Engineering Purposes

NASA Astrophysics Data System (ADS)

Hrabovský, Leopold

2017-10-01

Exploitation of conveyor belts for building purposes has large meaning and order scientific potential, that are competently solve the situation in terms of engineering structure. Pocket conveyer is one of the possible structural solutions of belt conveyer transport, where loose substance is conveyed in closed slot of the belt conveyer. The slot emerges (forms) by mutual bringing (approaching) of edges of the belt conveyer together, which have vulcanized lengthwise parts. The lengthwise parts serve for the leading of the belt conveyer and its hanging on a special construction with a number of supporting discs.

Analysis of Braking Behavior of Train Drivers to Detect Unusual Driving

NASA Astrophysics Data System (ADS)

Marumo, Yoshitaka; Tsunashima, Hitoshi; Kojima, Takashi; Hasegawa, Yasushi

The safety devices for train systems are activated in emergency situations when a risk becomes obvious, and the emergency brake is applied. If such systems are faulty, the drivers' operating errors may cause immediate accidents. So it is necessary to evaluate potential risks by detecting improper driving behavior before overt risks appear. This study analyzes the driving behavior of train drivers using a train-driving simulator. We focus on braking behavior when approaching a station. Two methods for detecting unusual braking operation are examined by giving drivers mental calculation problems as a mental workload. The first is a method monitoring the driver's brake handle operation, and the second is a method measuring vehicle deceleration. These methods make it possible to detect unusual driving.

Turning Bad Press into Prestige.

ERIC Educational Resources Information Center

Wassom, Julie

1995-01-01

Offers guidance to childcare directors on handling public and parent relations during crisis situations (e.g., an outbreak of chicken pox, a child's death, or teacher's dismissal for reasons that cannot be disclosed). Recommends keen observation, risk management, and good planning. Offers suggestions for handling the situation before, during, and…

Emergency intraosseous access in a helicopter emergency medical service: a retrospective study.

PubMed

Sunde, Geir A; Heradstveit, Bård E; Vikenes, Bjarne H; Heltne, Jon K

2010-10-07

Intraosseous access (IO) is a method for providing vascular access in out-of-hospital resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. Different intraosseous techniques have been used by our Helicopter Emergency Medical Services (HEMS) since 2003. Few articles document IO use by HEMS physicians. The aim of this study was to evaluate the use of intraosseous access in pre-hospital emergency situations handled by our HEMS. We reviewed all medical records from the period May 2003 to April 2010, and compared three different techniques: Bone Injection Gun (B.I.G® - Waismed), manual bone marrow aspiration needle (Inter V - Medical Device Technologies) and EZ-IO® (Vidacare), used on both adults and paediatric patients. During this seven-year period, 78 insertion attempts were made on 70 patients. Overall success rates were 50% using the manual needle, 55% using the Bone Injection Gun, and 96% using the EZ-IO®. Rates of success on first attempt were significantly higher using the EZ-IO® compared to the manual needle/Bone Injection Gun (p < 0.01/p < 0.001). Fifteen failures were due to insertion-related problems (19.2%), with four technical problems (5.1%) and three extravasations (3.8%) being the most frequent causes. Intraosseous access was primarily used in connection with 53 patients in cardiac arrest (75.7%), including traumatic arrest, drowning and SIDS. Other diagnoses were seven patients with multi-trauma (10.0%), five with seizures/epilepsy (7.1%), three with respiratory failure (4.3%) and two others (2.9%). Nearly one third of all insertions (n = 22) were made in patients younger than two years. No cases of osteomyelitis or other serious complications were documented on the follow-up. Newer intraosseous techniques may enable faster and more reliable vascular access, and this can lower the threshold for intraosseous access on both adult and paediatric patients in critical situations. We believe that all emergency services that handle critically ill or injured paediatric and adult patients should be familiar with intraosseous techniques.

Emergency intraosseous access in a helicopter emergency medical service: a retrospective study

PubMed Central

2010-01-01

Background Intraosseous access (IO) is a method for providing vascular access in out-of-hospital resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. Different intraosseous techniques have been used by our Helicopter Emergency Medical Services (HEMS) since 2003. Few articles document IO use by HEMS physicians. The aim of this study was to evaluate the use of intraosseous access in pre-hospital emergency situations handled by our HEMS. Methods We reviewed all medical records from the period May 2003 to April 2010, and compared three different techniques: Bone Injection Gun (B.I.G® - Waismed), manual bone marrow aspiration needle (Inter V - Medical Device Technologies) and EZ-IO® (Vidacare), used on both adults and paediatric patients. Results During this seven-year period, 78 insertion attempts were made on 70 patients. Overall success rates were 50% using the manual needle, 55% using the Bone Injection Gun, and 96% using the EZ-IO®. Rates of success on first attempt were significantly higher using the EZ-IO® compared to the manual needle/Bone Injection Gun (p < 0.01/p < 0.001). Fifteen failures were due to insertion-related problems (19.2%), with four technical problems (5.1%) and three extravasations (3.8%) being the most frequent causes. Intraosseous access was primarily used in connection with 53 patients in cardiac arrest (75.7%), including traumatic arrest, drowning and SIDS. Other diagnoses were seven patients with multi-trauma (10.0%), five with seizures/epilepsy (7.1%), three with respiratory failure (4.3%) and two others (2.9%). Nearly one third of all insertions (n = 22) were made in patients younger than two years. No cases of osteomyelitis or other serious complications were documented on the follow-up. Conclusions Newer intraosseous techniques may enable faster and more reliable vascular access, and this can lower the threshold for intraosseous access on both adult and paediatric patients in critical situations. We believe that all emergency services that handle critically ill or injured paediatric and adult patients should be familiar with intraosseous techniques. PMID:20929544

Development of the triage, monitoring and treatment Handbook for Members of the Public Affected by Radiological Terrorism - A European Response

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kruse, P.; Rojas-Palma, C.

2007-07-01

European national emergency response plans have long been focused on accidents at nuclear power plants. Recently, the possible threats by disaffected groups have shifted the focus to being prepared also for malevolent use of radiation that are aimed at creating disruption and panic in the society. The casualties will most likely be members of the public. According to the scenario, the number of affected people can vary from a few to mass casualties. The radiation exposure can range from very low to substantial, possibly combined with conventional injuries. There is a need to develop practicable tools for the adequate responsemore » to such acts and more specifically to address European guidelines for triage, monitoring and treatment of exposed people. Although European countries have developed emergency response plans for nuclear accidents they have not all made plans for handling malevolent use of radioactive material. Indeed, there is a need to develop practical guidance on emergency response and medical treatment of the public affected by malevolent acts. Generic guidance on this topic has been published by international organisations. They are, however, not operational documents to be used in emergency situations. The Triage, Monitoring and Treatment (TMT) Handbook aims to strengthen the European ability to efficiently respond to malevolent acts in terms of protecting and treating exposed people. Part of the Handbook is also devoted to public information and communication issues which would contribute to public reassurance in emergency situations. The Handbook will be drafted by European and international experts before it is circulated to all emergency response institutions in Europe that would be a part of the handling of malevolent acts using radioactive material. The institutions would be given a 6 months consultation time with encouragement to test the draft Handbook in national exercises. A workshop will allow feedback from these end users on the content, structure and usefulness of the Handbook before a final version is produced. In order to achieve the project's objectives a consortium has been drawn together including, Belgian Nuclear Research Centre, the Norwegian Radiation Protection Authority, Radiation and Nuclear Safety Authority of Finland, the UK Health Protection Agency, the Central Laboratory for Radiological Protection of Poland and the World Health Organisation. Enviros Consulting is acting as the technical secretariat for the project. The Handbook will aim to harmonise the approaches to handling malevolent acts across Europe. This harmonisation will have an added value on the public confidence in authorities since differing approaches in neighbouring countries could lead to public confusion and mistrust. (authors)« less

WASTE HANDLING BUILDING ELECTRICAL SYSTEM DESCRIPTION DOCUMENT

DOE Office of Scientific and Technical Information (OSTI.GOV)

S.C. Khamamkar

2000-06-23

The Waste Handling Building Electrical System performs the function of receiving, distributing, transforming, monitoring, and controlling AC and DC power to all waste handling building electrical loads. The system distributes normal electrical power to support all loads that are within the Waste Handling Building (WHB). The system also generates and distributes emergency power to support designated emergency loads within the WHB within specified time limits. The system provides the capability to transfer between normal and emergency power. The system provides emergency power via independent and physically separated distribution feeds from the normal supply. The designated emergency electrical equipment will bemore » designed to operate during and after design basis events (DBEs). The system also provides lighting, grounding, and lightning protection for the Waste Handling Building. The system is located in the Waste Handling Building System. The system consists of a diesel generator, power distribution cables, transformers, switch gear, motor controllers, power panel boards, lighting panel boards, lighting equipment, lightning protection equipment, control cabling, and grounding system. Emergency power is generated with a diesel generator located in a QL-2 structure and connected to the QL-2 bus. The Waste Handling Building Electrical System distributes and controls primary power to acceptable industry standards, and with a dependability compatible with waste handling building reliability objectives for non-safety electrical loads. It also generates and distributes emergency power to the designated emergency loads. The Waste Handling Building Electrical System receives power from the Site Electrical Power System. The primary material handling power interfaces include the Carrier/Cask Handling System, Canister Transfer System, Assembly Transfer System, Waste Package Remediation System, and Disposal Container Handling Systems. The system interfaces with the MGR Operations Monitoring and Control System for supervisory monitoring and control signals. The system interfaces with all facility support loads such as heating, ventilation, and air conditioning, office, fire protection, monitoring and control, safeguards and security, and communications subsystems.« less

Humane killing of animals for disease control purposes.

PubMed

Thornber, P M; Rubira, R J; Styles, D K

2014-04-01

Killing for disease control purposes is an emotional issue for everyone concerned. Large-scale euthanasia or depopulation of animals may be necessary for the emergency control or eradication of animal diseases, to remove animals from a compromised situation (e.g. following flood, storm, fire, drought or a feed contamination event), to effect welfare depopulation when there is an oversupply due to a dysfunctional or closed marketing channel, or to depopulate and dispose of animals with minimal handling to decrease the risk of a zoonotic disease infecting humans. The World Organisation for Animal Health (OIE) developed international standards to provide advice on humane killing for various species and situations. Some fundamental issues are defined, such as competency of animal handling and implementation of humane killing techniques. Some of these methods have been used for many years, but novel approaches for the mass killing of particular species are being explored. Novel vaccines and new diagnostic techniques that differentiate between vaccinated and infected animals will save many animals from being killed as part of biosecurity response measures. Unfortunately, the destruction of affected livestock will still be required to control diseases whilst vaccination programmes are activated or where effective vaccines are not available. This paper reviews the principles of humane destruction and depopulation and explores available techniques with their associated advantages and disadvantages. It also identifies some current issues that merit consideration, such as legislative conflicts (emergency disease legislation versus animal welfare legislation, occupational health and safety), media issues, opinions on the future approaches to killing for disease control, and animal welfare.

Design of a Serious Game for Handling Obstetrical Emergencies.

PubMed

Jean Dit Gautier, Estelle; Bot-Robin, Virginie; Libessart, Aurélien; Doucède, Guillaume; Cosson, Michel; Rubod, Chrystèle

2016-12-21

The emergence of new technologies in the obstetrical field should lead to the development of learning applications, specifically for obstetrical emergencies. Many childbirth simulations have been recently developed. However, to date none of them have been integrated into a serious game. Our objective was to design a new type of immersive serious game, using virtual glasses to facilitate the learning of pregnancy and childbirth pathologies. We have elaborated a new game engine, placing the student in some maternity emergency situations and delivery room simulations. A gynecologist initially wrote a scenario based on a real clinical situation. He also designed, along with an educational engineer, a tree diagram, which served as a guide for dialogues and actions. A game engine, especially developed for this case, enabled us to connect actions to the graphic universe (fully 3D modeled and based on photographic references). We used the Oculus Rift in order to immerse the player in virtual reality. Each action in the game was linked to a certain number of score points, which could either be positive or negative. Different pathological pregnancy situations have been targeted and are as follows: care of spontaneous miscarriage, threat of preterm birth, forceps operative delivery for fetal abnormal heart rate, and reduction of a shoulder dystocia. The first phase immerses the learner into an action scene, as a doctor. The second phase ask the student to make a diagnosis. Once the diagnosis is made, different treatments are suggested. Our serious game offers a new perspective for obstetrical emergency management trainings and provides students with active learning by immersing them into an environment, which recreates all or part of the real obstetrical world of emergency. It is consistent with the latest recommendations, which clarify the importance of simulation in teaching and in ongoing professional development. ©Estelle Jean dit Gautier, Virginie Bot-Robin, Aurélien Libessart, Guillaume Doucède, Michel Cosson, Chrystèle Rubod. Originally published in JMIR Serious Games (http://games.jmir.org), 21.12.2016.

Applying Physics to the Student's World

NASA Astrophysics Data System (ADS)

Blanton, Patricia

2003-03-01

It has been a challenging day. The electricity is off because snow and extreme winds have toppled trees into power lines all across my county. As I've been trying to devise a way to cook dinner, I've been thinking about how equipped we are to handle such emergencies. My husband, who has worked most of the day getting the portable generator going and figuring out how to hook up things to keep us warm and safe, made the comment, "You have to be a MacGyver if you are going to be a homeowner." I began wondering how well we are equipping our students with the ability to figure out how to make things work. We teach the physics principles so they can solve the "book problems," but are we helping them to understand the principles well enough to become real problem solvers? Are they prepared to handle situations when the "usual things" aren't working?

Obesity, heuristic reasoning and the organisation of communicative embarrassment in diagnostic radiography.

PubMed

Miller, P K; Woods, A L; Sloane, C; Booth, L

2017-05-01

This paper, the second of three arising from a broader qualitative study, explores difficulties emerging around radiographer-patient communication regarding obesity in hospital-based encounters, and the situated strategies found by experienced radiographers for handling such situations. Semi-structured interviews with eight clinicians working in plain radiography (mean experience = 21.56 years) were analysed using Interpretative Phenomenological Analysis (IPA), so as to highlight the practical, nuanced and real-world experiences of these individuals regarding obesity communication. Participants generally viewed communicating with obese patients as a potential interpersonal 'minefield'. Most reported having had negative experiences in which patients had acted with denial or outright aggression during examinations but, conversely, all reported cases in which patients had been frank and open about their obesity, and even been happy to joke about it. Equally, all participants were able to document a range of communicative strategies for effectively handling potentially difficult situations. Results further indicate that the documented communicative problems and embarrassment for the patient only generally arose within specific material contexts; i.e. when equipment is inadequate or multiple exposures are necessary. It is concluded that, while participants largely expected any interaction about obesity with a patient to be embarrassing for both parties, their actual experience was much more varied. This indicates a more complex communicative environment than may be expected, and also a potential metacognitive availability heuristic in play - something that might be clarified with future quantitative investigation. Copyright © 2016 The College of Radiographers. All rights reserved.

Flight Simulator Evaluation of Enhanced Propulsion Control Modes for Emergency Operation

NASA Technical Reports Server (NTRS)

Litt, Jonathan, S; Sowers, T.; Owen, A., Karl; Fulton, Christopher, E.; Chicatelli, Amy, K.

2012-01-01

This paper describes piloted evaluation of enhanced propulsion control modes for emergency operation of aircraft. Fast Response and Overthrust modes were implemented to assess their ability to help avoid or mitigate potentially catastrophic situations, both on the ground and in flight. Tests were conducted to determine the reduction in takeoff distance achievable using the Overthrust mode. Also, improvements in Dutch roll damping, enabled by using yaw rate feedback to the engines to replace the function of a stuck rudder, were investigated. Finally, pilot workload and ability to handle the impaired aircraft on approach and landing were studied. The results showed that improvement in all aspects is possible with these enhanced propulsion control modes, but the way in which they are initiated and incorporated is important for pilot comfort and perceived benefit.

The Impact of a Qualitative Research Interview on Workers' Views of Their Situation

ERIC Educational Resources Information Center

Butterfield, Lee D.; Borgen, William A.; Amundson, Norman E.

2009-01-01

The purpose of this research was to explore whether qualitative research interviews impacted participants' views of their situations. Forty-five workers who reported handling well changes that affected their work were interviewed to explore their experiences of change, factors that helped and hindered their ability to handle change, and assess the…

Mixed martial arts: injury patterns and issues for the ringside physician.

PubMed

Seidenberg, Peter H

2011-01-01

Mixed martial arts (MMA) is a fast-growing combat sport. There are limited studies investigating MMA's injury incidence. However, from the data available, closed head injuries and lacerations commonly are experienced by competitors. Sanctioned events require the presence of ringside physicians, who should be well versed in handling these types of injuries. Additionally, sports-medicine providers should have an appropriately equipped medical bag, and before providing coverage, they need to coordinate with emergency medical personnel in order to more efficiently deliver care if urgent situations arise. More research is needed on injury incidence and prevention in MAA.

Effects of Time of Day and Sleep Deprivation on Motorcycle-Driving Performance

PubMed Central

Bougard, Clément; Espié, Stéphane; Larnaudie, Bruno; Moussay, Sébastien; Davenne, Damien

2012-01-01

The aim of this study was to investigate whether motorcycle handling capabilities – measured by means of the efficiency of emergency manoeuvres – were dependent on prior sleep deprivation and time of day. Twelve male participants voluntarily took part in four test sessions, starting at 6 a.m., 10 a.m., 2 p.m., and 6 p.m., following a night either with or without sleep. Each test session comprised temperature and sleepiness measurements, before three different types of motorcycling tests were initiated: (1) stability in straight ahead riding at low speed (in “slow motion” mode and in “brakes and clutch” mode), (2) emergency braking and (3) crash avoidance tasks performed at 20 kph and 40 kph. The results indicate that motorcycle control at low speed depends on time of day, with an improvement in performance throughout the day. Emergency braking performance is affected at both speeds by time of day, with poorer performance (longer total stopping distance, reaction time and braking distance) in the morning, and also by sleep deprivation, from measurements obtained at 40 kph (incorrect initial speed). Except for a tendency observed after the sleepless night to deviate from the initial speed, it seems that crash avoidance capabilities are quite unaffected by the two disturbance factors. Consequently, some motorcycle handling capabilities (stability at low speed and emergency braking) change in the same way as the diurnal fluctuation observed in body temperature and sleepiness, whereas for others (crash avoidance) the participants were able to maintain their initial performance level despite the high levels of sleepiness recorded after a sleepless night. Motorcycle riders have to be aware that their handling capabilities are limited in the early morning and/or after sleep deprivation. Both these situations can increase the risk of falls and of being involved in a road accident. PMID:22761881

The physician in the face of death in the emergency room

PubMed Central

Aredes, Janaína de Souza; Giacomin, Karla Cristina; Firmo, Josélia Oliveira Araújo

2018-01-01

ABSTRACT OBJECTIVE: To analyze how physicians, as part of a sociocultural group, handle the different types of death, in a metropolitan emergency service. METHODS: This is an ethnography carried out in one of the largest emergency services in Latin America. We have collected the data for nine months with participant observation and interviews with 43 physicians of different specialties – 25 men and 18 women, aged between 28 and 69 years. RESULTS: The analysis, guided by the model of Signs, Meanings, and Actions, shows a vast mosaic of situations and issues that permeate the medical care in an emergency unit. The results indicate that physicians may consider one death more difficult than another, depending on the criteria: age, identification or not with the patient, circumstances of the death, and medical questioning as to their responsibility in the death process. CONCLUSIONS: For physicians, no death is easy. Each death can be more or less difficult, depending on different criteria that permeate the medical care in an emergency unit, and it reveals different social, ethical, and moral issues. PMID:29668815

Fleet Sizing of Automated Material Handling Using Simulation Approach

NASA Astrophysics Data System (ADS)

Wibisono, Radinal; Ai, The Jin; Ratna Yuniartha, Deny

2018-03-01

Automated material handling tends to be chosen rather than using human power in material handling activity for production floor in manufacturing company. One critical issue in implementing automated material handling is designing phase to ensure that material handling activity more efficient in term of cost spending. Fleet sizing become one of the topic in designing phase. In this research, simulation approach is being used to solve fleet sizing problem in flow shop production to ensure optimum situation. Optimum situation in this research means minimum flow time and maximum capacity in production floor. Simulation approach is being used because flow shop can be modelled into queuing network and inter-arrival time is not following exponential distribution. Therefore, contribution of this research is solving fleet sizing problem with multi objectives in flow shop production using simulation approach with ARENA Software

Emergency vehicle traffic signal preemption system

NASA Technical Reports Server (NTRS)

Bachelder, Aaron D. (Inventor); Foster, Conrad F. (Inventor)

2011-01-01

An emergency vehicle traffic light preemption system for preemption of traffic lights at an intersection to allow safe passage of emergency vehicles. The system includes a real-time status monitor of an intersection which is relayed to a control module for transmission to emergency vehicles as well as to a central dispatch office. The system also provides for audio warnings at an intersection to protect pedestrians who may not be in a position to see visual warnings or for various reasons cannot hear the approach of emergency vehicles. A transponder mounted on an emergency vehicle provides autonomous control so the vehicle operator can attend to getting to an emergency and not be concerned with the operation of the system. Activation of a priority-code (i.e. Code-3) situation provides communications with each intersection being approached by an emergency vehicle and indicates whether the intersection is preempted or if there is any conflict with other approaching emergency vehicles. On-board diagnostics handle various information including heading, speed, and acceleration sent to a control module which is transmitted to an intersection and which also simultaneously receives information regarding the status of an intersection. Real-time communications and operations software allow central and remote monitoring, logging, and command of intersections and vehicles.

10 CFR 850.33 - Beryllium emergencies.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Beryllium emergencies. (a) The responsible employer must comply with 29 CFR 1910.120(l) for handling beryllium emergencies related to decontamination and decommissioning operations. (b) The responsible employer must comply with 29 CFR 1910.120(q) for handling beryllium emergencies related to all other...

Action languages: Dimensions, effects

NASA Technical Reports Server (NTRS)

Hayes, Daniel G.; Streeter, Gordon

1989-01-01

Dimensions of action languages are discussed for communication between humans and machines, and the message handling capabilities of object oriented programming systems are examined. Design of action languages is seen to be very contextual. Economical and effective design will depend on features of situations, the tasks intended to be accomplished, and the nature of the devices themselves. Current object oriented systems turn out to have fairly simple and straightforward message handling facilities, which in themselves do little to buffer action or even in some cases to handle competing messages. Even so, it is possible to program a certain amount of discretion about how they react to messages. Such thoughtfulness and perhaps relative autonomy of program modules seems prerequisite to future systems to handle complex interactions in changing situations.

Color on emergency mapping

NASA Astrophysics Data System (ADS)

Jiang, Lili; Qi, Qingwen; Zhang, An

2007-06-01

There are so many emergency issues in our daily life. Such as typhoons, tsunamis, earthquake, fires, floods, epidemics, etc. These emergencies made people lose their lives and their belongings. Every day, every hour, even every minute people probably face the emergency, so how to handle it and how to decrease its hurt are the matters people care most. If we can map it exactly before or after the emergencies; it will be helpful to the emergency researchers and people who live in the emergency place. So , through the emergency map, before emergency is occurring we can predict the situation, such as when and where the emergency will be happen; where people can refuge, etc. After disaster, we can also easily assess the lost, discuss the cause and make the lost less. The primary effect of mapping is offering information to the people who care about the emergency and the researcher who want to study it. Mapping allows the viewers to get a spatial sense of hazard. It can also provide the clues to study the relationship of the phenomenon in emergency. Color, as the basic element of the map, it can simplify and clarify the phenomenon. Color can also affects the general perceptibility of the map, and elicits subjective reactions to the map. It is to say, structure, readability, and the reader's psychological reactions can be affected by the use of color.

[Drug management of agitation in emergency departments: theoretical recommendations and studies of practices].

PubMed

Horn, Mathilde; Vaiva, Guillaume; Dumais, Alexandre

2015-01-01

Management of agitation is a frequent problematic of emergency departments that often leads to feelings of insecurity among clinicians. There are various practices regarding the drugs to be used in the management of agitations. Guidelines have been proposed by different groups of experts concerning the antipsychotic drugs that should be used for agitations in psychiatric conditions. Nevertheless, there is no clear-cut procedure referring to the utilization of intramuscular drugs in this situation. Moreover, there is no comparison available between the commonly used medications and other drugs, both in terms of superiority of efficacy and tolerance. In order to accurately assess these practices, evaluation protocols must minimize the interference with the service organization and the routine care. Further studies are required in order to develop guidelines about medications that have to be used to handle agitations, which must be based on robust evidence and applicable to emergency services. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Laser inactivation of pathogenic viruses in water

NASA Astrophysics Data System (ADS)

Grishkanich, Alexander; Zhevlakov, Alexander; Kascheev, Sergey; Sidorov, Igor; Ruzankina, Julia; Yakovlev, Alexey; Mak, Andrey

2016-03-01

Currently there is a situation that makes it difficult to provide the population with quality drinking water for the sanitary-hygienic requirements. One of the urgent problems is the need for water disinfection. Since the emergence of microorganisms that are pathogens transmitted through water such as typhoid, cholera, etc. requires constant cleansing of waters against pathogenic bacteria. In the water treatment process is destroyed up to 98% of germs, but among the remaining can be pathogenic viruses, the destruction of which requires special handling. As a result, the conducted research the following methods have been proposed for combating harmful microorganisms: sterilization of water by laser radiation and using a UV lamp.

Emergencies in Orthodontics. Part 2: Management of Removable Appliances, Functional Appliances and other Adjuncts to Orthodontic Treatment.

PubMed

Dowsing, Paul; Murray, Alison; Sandler, Jonathan

2015-04-01

In the second of two papers, management of orthodontic emergencies involving appliances other than Fixed appliances will be detailed. Problems relating to removable appliances, as well as other orthodontic adjuncts, will be discussed. Unfortunately, orthodontic appliance breakage does occur, despite the clinicians giving clear and concise instructions to the patients and their parents at fitting. If general dental practitioners have a practical knowledge of how to diagnose problems and to provide appropriate advice or timely 'emergency' treatment, this will significantly reduce the inconvenience for all parties concerned. It should also ensure that treatment progresses in the most efficient and comfortable manner for their patients. In specific situations the early, accurate identification of the problem and instigation of its appropriate management can avoid more serious consequences. Clinical Relevance: Appropriate handling of an orthodontic 'emergency' by the dentist can, on many occasions, provide immediate relief to the patient. This will, in turn, allow treatment to continue in the right direction, thus allowing more efficient and effective use of valuable resources.

Knowledge and Awareness of First Aid of Avulsed Tooth among Physicians and Nurses of Hospital Emergency Department.

PubMed

Iyer, Sudeep Sreepad; Panigrahi, Antarmayee; Sharma, Shalini

2017-01-01

Physicians and nurses of emergency department are often the first line of qualified health-care providers attending the patient in person or parent's query over phone reporting immediately following the dental avulsion. Prompt action by them becomes the decisive factor in survival and prognosis of the tooth. Although a few researchers have evaluated knowledge of emergency room physicians, there is scanty of reports concerning nurses who play a climacteric role. A 10-item questionnaire regarding clinical situation apropos dental injury and tooth avulsion, inquiring knowledge of physicians and nurses was administered to 150 each of nursing professionals and physicians of the emergency department. With 100% response rate, the data obtained was subjected to statistical analysis. Results showed lack of knowledge and confidence in both groups. About 66.7% ( n = 100) nurses and 74.7% ( n = 112) considered reimplantation of avulsed tooth. There was overbalanced confusion regarding storage/transport media and handling of avulsed tooth. The findings from the results suggested a definite inadequacy in knowledge, demanding need for appropriate training for delivering treatment with more predictability and better prognosis.

Construction of a Learning Agent Handling Its Rewards According to Environmental Situations

NASA Astrophysics Data System (ADS)

Moriyama, Koichi; Numao, Masayuki

The authors aim at constructing an agent which learns appropriate actions in a Multi-Agent environment with and without social dilemmas. For this aim, the agent must have nonrationality that makes it give up its own profit when it should do that. Since there are many studies on rational learning that brings more and more profit, it is desirable to utilize them for constructing the agent. Therefore, we use a reward-handling manner that makes internal evaluation from the agent's rewards, and then the agent learns actions by a rational learning method with the internal evaluation. If the agent has only a fixed manner, however, it does not act well in the environment with and without dilemmas. Thus, the authors equip the agent with several reward-handling manners and criteria for selecting an effective one for the environmental situation. In the case of humans, what generates the internal evaluation is usually called emotion. Hence, this study also aims at throwing light on emotional activities of humans from a constructive view. In this paper, we divide a Multi-Agent environment into three situations and construct an agent having the reward-handling manners and the criteria. We observe that the agent acts well in all the three Multi-Agent situations composed of homogeneous agents.

47 CFR 64.706 - Minimum standards for the routing and handling of emergency telephone calls.

Code of Federal Regulations, 2010 CFR

2010-10-01

... of emergency telephone calls. 64.706 Section 64.706 Telecommunication FEDERAL COMMUNICATIONS... Operator Services § 64.706 Minimum standards for the routing and handling of emergency telephone calls. Upon receipt of any emergency telephone call, providers of operator services and aggregators shall...

Teaching Data Handling in Foundation Phase: Teachers' Experiences

ERIC Educational Resources Information Center

Naidoo, Jayaluxmi; Mkhabela, Nokuphiwa

2017-01-01

Data handling plays an important role within mathematics education since it encompasses real-world situations and assists in developing critical thinking skills in learners. However, globally international assessments disclose that learners are not performing well in data handling. This article explores foundation phase South African teachers'…

Hardware-in-the-loop environment facility to address pilot-vehicle-interface issues of a fighter aircraft

NASA Astrophysics Data System (ADS)

Pandurangareddy, Meenige

2002-07-01

The evolution of Pilot-Vehicle-Interface (PVI) of a fighter aircraft is a complex task. The PVI design involves both static and dynamic issues. Static issues involve the study of reach of controls and switches, ejection path clearance, readability of indicators and display symbols, etc. Dynamic issues involve the study of the effect of aircraft motion on display symbols, pilot emergency handling, situation awareness, weapon aiming, etc. This paper describes a method of addressing the above issues by building a facility with cockpit, which is ergonomically similar to the fighter cockpit. The cockpit is also fitted with actual displays, controls and switches. The cockpit is interfaced with various simulation models of aircraft and outside-window-image generators. The architecture of the facility is designed to represent the latencies of the aircraft and facilitates replacement of simulation models with actual units. A parameter injection facility could be used to induce faults in a comprehensive manner. Pilots could use the facility right from familiarising themselves with procedures to start the engine, take-off, navigate, aim the weapons, handling of emergencies and landing. This approach is being followed and further being enhanced on Cockpit-Environment-Facility (CEF) at Aeronautical Development Agency (ADA), Bangalore, India.

An Efficient Soft Set-Based Approach for Conflict Analysis

PubMed Central

Sutoyo, Edi; Mungad, Mungad; Hamid, Suraya; Herawan, Tutut

2016-01-01

Conflict analysis has been used as an important tool in economic, business, governmental and political dispute, games, management negotiations, military operations and etc. There are many mathematical formal models have been proposed to handle conflict situations and one of the most popular is rough set theory. With the ability to handle vagueness from the conflict data set, rough set theory has been successfully used. However, computational time is still an issue when determining the certainty, coverage, and strength of conflict situations. In this paper, we present an alternative approach to handle conflict situations, based on some ideas using soft set theory. The novelty of the proposed approach is that, unlike in rough set theory that uses decision rules, it is based on the concept of co-occurrence of parameters in soft set theory. We illustrate the proposed approach by means of a tutorial example of voting analysis in conflict situations. Furthermore, we elaborate the proposed approach on real world dataset of political conflict in Indonesian Parliament. We show that, the proposed approach achieves lower computational time as compared to rough set theory of up to 3.9%. PMID:26928627

An Efficient Soft Set-Based Approach for Conflict Analysis.

PubMed

Sutoyo, Edi; Mungad, Mungad; Hamid, Suraya; Herawan, Tutut

2016-01-01

Conflict analysis has been used as an important tool in economic, business, governmental and political dispute, games, management negotiations, military operations and etc. There are many mathematical formal models have been proposed to handle conflict situations and one of the most popular is rough set theory. With the ability to handle vagueness from the conflict data set, rough set theory has been successfully used. However, computational time is still an issue when determining the certainty, coverage, and strength of conflict situations. In this paper, we present an alternative approach to handle conflict situations, based on some ideas using soft set theory. The novelty of the proposed approach is that, unlike in rough set theory that uses decision rules, it is based on the concept of co-occurrence of parameters in soft set theory. We illustrate the proposed approach by means of a tutorial example of voting analysis in conflict situations. Furthermore, we elaborate the proposed approach on real world dataset of political conflict in Indonesian Parliament. We show that, the proposed approach achieves lower computational time as compared to rough set theory of up to 3.9%.

33 CFR 127.1205 - Emergency shutdown.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Hazardous Gas Equipment § 127.1205 Emergency shutdown. (a) Each... elements that melt at less than 105 °C (221 °F) and activate the emergency shutdown, or have a sensor that...

33 CFR 127.1205 - Emergency shutdown.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Hazardous Gas Equipment § 127.1205 Emergency shutdown. (a) Each... elements that melt at less than 105 °C (221 °F) and activate the emergency shutdown, or have a sensor that...

Handling of Polyvinylsiloxane Versus Polyether for Implant Impressions.

PubMed

Farhan, Daniel; Lauer, Wiebke; Heydecke, Guido; Aarabi, Ghazal; Reissmann, Daniel R

2016-01-01

This study compared polyvinylsiloxane with polyether in handling dental impressions. Each participant (N = 39) made four impressions, each a combination of pickup and reseating techniques with polyether or polyvinylsiloxane, of one implant cast representing a specific clinical situation (tooth gaps, limited residual dentition, or edentulous jaw). Handling of impressions was subsequently rated by using a 12-item questionnaire with 100-mm visual analog scales. While mean satisfaction scores were higher for polyvinylsiloxane than for polyether (69.5/63.0, P < .001), differences among subgroups were statistically significant only for pickup technique, limited residual dentition, and edentulous jaw. Implant impressions made with polyvinylsiloxane using a pickup technique seem to be the best option for most clinical situations.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Shawver, D.M.; Stansfield, S.

This overview presents current research at Sandia National Laboratories in the Virtual Reality and Intelligent Simulation Lab. Into an existing distributed VR environment which we have been developing, and which provides shared immersion for multiple users, we are adding virtual actor support. The virtual actor support we are adding to this environment is intended to provide semi-autonomous actors, with oversight and high-level guiding control by a director/user, and to allow the overall action to be driven by a scenario. We present an overview of the environment into which our virtual actors will be added in Section 3, and discuss themore » direction of the Virtual Actor research itself in Section 4. We will briefly review related work in Section 2. First however we need to place the research in the context of what motivates it. The motivation for our construction of this environment, and the line of research associated with it, is based on a long-term program of providing support, through simulation, for situational training, by which we mean a type of training in which students learn to handle multiple situations or scenarios. In these situations, the student may encounter events ranging from the routine occurance to the rare emergency. Indeed, the appeal of such training systems is that they could allow the student to experience and develop effective responses for situations they would otherwise have no opportunity to practice, until they happened to encounter an actual occurance. Examples of the type of students for this kind of training would be security forces or emergency response forces. An example of the type of training scenario we would like to support is given in Section 4.2.« less

Web-of-Objects (WoO)-Based Context Aware Emergency Fire Management Systems for the Internet of Things

PubMed Central

Shamszaman, Zia Ush; Ara, Safina Showkat; Chong, Ilyoung; Jeong, Youn Kwae

2014-01-01

Recent advancements in the Internet of Things (IoT) and the Web of Things (WoT) accompany a smart life where real world objects, including sensing devices, are interconnected with each other. The Web representation of smart objects empowers innovative applications and services for various domains. To accelerate this approach, Web of Objects (WoO) focuses on the implementation aspects of bringing the assorted real world objects to the Web applications. In this paper; we propose an emergency fire management system in the WoO infrastructure. Consequently, we integrate the formation and management of Virtual Objects (ViO) which are derived from real world physical objects and are virtually connected with each other into the semantic ontology model. The charm of using the semantic ontology is that it allows information reusability, extensibility and interoperability, which enable ViOs to uphold orchestration, federation, collaboration and harmonization. Our system is context aware, as it receives contextual environmental information from distributed sensors and detects emergency situations. To handle a fire emergency, we present a decision support tool for the emergency fire management team. The previous fire incident log is the basis of the decision support system. A log repository collects all the emergency fire incident logs from ViOs and stores them in a repository. PMID:24531299

Web-of-Objects (WoO)-based context aware emergency fire management systems for the Internet of Things.

PubMed

Shamszaman, Zia Ush; Ara, Safina Showkat; Chong, Ilyoung; Jeong, Youn Kwae

2014-02-13

Recent advancements in the Internet of Things (IoT) and the Web of Things (WoT) accompany a smart life where real world objects, including sensing devices, are interconnected with each other. The Web representation of smart objects empowers innovative applications and services for various domains. To accelerate this approach, Web of Objects (WoO) focuses on the implementation aspects of bringing the assorted real world objects to the Web applications. In this paper; we propose an emergency fire management system in the WoO infrastructure. Consequently, we integrate the formation and management of Virtual Objects (ViO) which are derived from real world physical objects and are virtually connected with each other into the semantic ontology model. The charm of using the semantic ontology is that it allows information reusability, extensibility and interoperability, which enable ViOs to uphold orchestration, federation, collaboration and harmonization. Our system is context aware, as it receives contextual environmental information from distributed sensors and detects emergency situations. To handle a fire emergency, we present a decision support tool for the emergency fire management team. The previous fire incident log is the basis of the decision support system. A log repository collects all the emergency fire incident logs from ViOs and stores them in a repository.

21 CFR 290.10 - Definition of emergency situation.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Definition of emergency situation. 290.10 Section...) DRUGS: GENERAL CONTROLLED DRUGS General Provisions § 290.10 Definition of emergency situation. For the... Controlled Substances Act, the term emergency situation means those situations in which the prescribing...

The effect of a performance-based intra-procedural checklist on a simulated emergency laparoscopic task in novice surgeons.

PubMed

El Boghdady, Michael; Tang, Benjie; Alijani, Afshin

2017-05-01

Surgical checklists are in use as means to reduce errors. Checklists are infrequently applied during emergency situations in surgery. We aimed to study the effect of a simple self-administered performance-based checklist on the laparoscopic task when applied during an emergency-simulated scenario. The aviation checklist for unexpected situations is commonly used for simulated training of pilots to handle emergency during flights. This checklist was adopted for use as a standardised-performance-based checklist during emergency surgical tasks. Thirty consented laparoscopic novices were exposed unexpectedly to a bleeding vessel in a laparoscopic virtual reality simulator as an emergency scenario. The task consisted of using laparoscopic clips to achieve haemostasis. Subjects were randomly allocated into two equal groups; those using the checklist that was applied once every 20 s (checklist group) and those without (control group). The checklist group performed significantly better in 5 out of 7 technical factors when compared to the control group: right instrument path length (m), median (IQR) 1.44 [1.22] versus 2.06 [1.70] (p = 0.029), right instrument angular path (degree) 312.10 (269.44 versus 541.80 [455.16] (p = 0.014), left instrument path length (m) 1.20 [0.60] versus 2.08 [2.02] (p = 0.004), and left instrument angular path (degree) 277.62 [132.11] versus 385.88 [428.42] (p = 0.017). The checklist group committed significantly fewer number of errors in the application of haemostatic clips, 3 versus 28 (p = 0.006). Although statistically not significant, total blood loss (lit) decreased in the checklist group from 0.83 [1.23] to 0.78 [0.28] (p = 0.724) and total time (sec) from 186.51 [145.69] to 125.14 [101.46] (p = 0.165). The performance-based intra-procedural checklist significantly enhanced the surgical task performance of novices in an emergency-simulated scenario.

Prototyping and validating requirements of radiation and nuclear emergency plan simulator

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hamid, AHA., E-mail: amyhamijah@nm.gov.my; Faculty of Computing, Universiti Teknologi Malaysia; Rozan, MZA.

2015-04-29

Organizational incapability in developing unrealistic, impractical, inadequate and ambiguous mechanisms of radiological and nuclear emergency preparedness and response plan (EPR) causing emergency plan disorder and severe disasters. These situations resulting from 65.6% of poor definition and unidentified roles and duties of the disaster coordinator. Those unexpected conditions brought huge aftermath to the first responders, operators, workers, patients and community at large. Hence, in this report, we discuss prototyping and validating of Malaysia radiation and nuclear emergency preparedness and response plan simulation model (EPRM). A prototyping technique was required to formalize the simulation model requirements. Prototyping as systems requirements validation wasmore » carried on to endorse the correctness of the model itself against the stakeholder’s intensions in resolving those organizational incapability. We have made assumptions for the proposed emergency preparedness and response model (EPRM) through the simulation software. Those assumptions provided a twofold of expected mechanisms, planning and handling of the respective emergency plan as well as in bringing off the hazard involved. This model called RANEPF (Radiation and Nuclear Emergency Planning Framework) simulator demonstrated the training emergency response perquisites rather than the intervention principles alone. The demonstrations involved the determination of the casualties’ absorbed dose range screening and the coordination of the capacity planning of the expected trauma triage. Through user-centred design and sociotechnical approach, RANEPF simulator was strategized and simplified, though certainly it is equally complex.« less

Prototyping and validating requirements of radiation and nuclear emergency plan simulator

NASA Astrophysics Data System (ADS)

Hamid, AHA.; Rozan, MZA.; Ibrahim, R.; Deris, S.; Selamat, A.

2015-04-01

Organizational incapability in developing unrealistic, impractical, inadequate and ambiguous mechanisms of radiological and nuclear emergency preparedness and response plan (EPR) causing emergency plan disorder and severe disasters. These situations resulting from 65.6% of poor definition and unidentified roles and duties of the disaster coordinator. Those unexpected conditions brought huge aftermath to the first responders, operators, workers, patients and community at large. Hence, in this report, we discuss prototyping and validating of Malaysia radiation and nuclear emergency preparedness and response plan simulation model (EPRM). A prototyping technique was required to formalize the simulation model requirements. Prototyping as systems requirements validation was carried on to endorse the correctness of the model itself against the stakeholder's intensions in resolving those organizational incapability. We have made assumptions for the proposed emergency preparedness and response model (EPRM) through the simulation software. Those assumptions provided a twofold of expected mechanisms, planning and handling of the respective emergency plan as well as in bringing off the hazard involved. This model called RANEPF (Radiation and Nuclear Emergency Planning Framework) simulator demonstrated the training emergency response perquisites rather than the intervention principles alone. The demonstrations involved the determination of the casualties' absorbed dose range screening and the coordination of the capacity planning of the expected trauma triage. Through user-centred design and sociotechnical approach, RANEPF simulator was strategized and simplified, though certainly it is equally complex.

Optimizing Multiple QoS for Workflow Applications using PSO and Min-Max Strategy

NASA Astrophysics Data System (ADS)

Umar Ambursa, Faruku; Latip, Rohaya; Abdullah, Azizol; Subramaniam, Shamala

2017-08-01

Workflow scheduling under multiple QoS constraints is a complicated optimization problem. Metaheuristic techniques are excellent approaches used in dealing with such problem. Many metaheuristic based algorithms have been proposed, that considers various economic and trustworthy QoS dimensions. However, most of these approaches lead to high violation of user-defined QoS requirements in tight situation. Recently, a new Particle Swarm Optimization (PSO)-based QoS-aware workflow scheduling strategy (LAPSO) is proposed to improve performance in such situations. LAPSO algorithm is designed based on synergy between a violation handling method and a hybrid of PSO and min-max heuristic. Simulation results showed a great potential of LAPSO algorithm to handling user requirements even in tight situations. In this paper, the performance of the algorithm is anlysed further. Specifically, the impact of the min-max strategy on the performance of the algorithm is revealed. This is achieved by removing the violation handling from the operation of the algorithm. The results show that LAPSO based on only the min-max method still outperforms the benchmark, even though the LAPSO with the violation handling performs more significantly better.

Living with uncertainty: a Swedish qualitative interview study of women at home on sick leave due to premature labour.

PubMed

Höglund, Eva; Dykes, Anna-Karin

2013-05-01

to highlight the experiences of pregnant women, experiencing preterm labour, being on sick leave at home and how they handled their daily life. qualitative, descriptive using open interviews. 10 antenatal clinics in the south of Sweden. 15 pregnant women who were on sick leave for premature labour. four categories were identified: how to interpret unpredictable contractions in the uterus? Having concern regarding premature labour of their child, handling the new situation and finding a balance, and from work to sick leave. to be on sick leave for premature contractions can be compared with enduring a situation of inactivity. The woman finds herself in a stressful situation which she must learn to handle this and find a balance. it appears that supportive information offers the women in premature labour the opportunity of increased participation and responsibility which thereby positively affects her well-being. Copyright © 2012 Elsevier Ltd. All rights reserved.

Power law of distribution of emergency situations on main gas pipeline

NASA Astrophysics Data System (ADS)

Voronin, K. S.; Akulov, K. A.

2018-05-01

The article presents the results of the analysis of emergency situations on a main gas pipeline. A power law of distribution of emergency situations is revealed. The possibility of conducting further scientific research to ensure the predictability of emergency situations on pipelines is justified.

10 CFR 835.1302 - Emergency exposure situations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false Emergency exposure situations. 835.1302 Section 835.1302 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Emergency Exposure Situations § 835.1302 Emergency exposure situations. (a) The risk of injury to those individuals involved in rescue and recovery...

10 CFR 835.1302 - Emergency exposure situations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false Emergency exposure situations. 835.1302 Section 835.1302 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Emergency Exposure Situations § 835.1302 Emergency exposure situations. (a) The risk of injury to those individuals involved in rescue and recovery...

10 CFR 835.1302 - Emergency exposure situations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false Emergency exposure situations. 835.1302 Section 835.1302 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Emergency Exposure Situations § 835.1302 Emergency exposure situations. (a) The risk of injury to those individuals involved in rescue and recovery...

10 CFR 835.1302 - Emergency exposure situations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Emergency exposure situations. 835.1302 Section 835.1302 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Emergency Exposure Situations § 835.1302 Emergency exposure situations. (a) The risk of injury to those individuals involved in rescue and recovery...

10 CFR 835.1302 - Emergency exposure situations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false Emergency exposure situations. 835.1302 Section 835.1302 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Emergency Exposure Situations § 835.1302 Emergency exposure situations. (a) The risk of injury to those individuals involved in rescue and recovery...

Management of information within emergencies departments in developing countries: analysis at the National Emergency Department in Benin.

PubMed

Ahanhanzo, Yolaine Glèlè; Kpozehouen, Alphonse; Sopoh, Ghislain; Sossa-Jérôme, Charles; Ouedraogo, Laurent; Wilmet-Dramaix, Michèle

2016-01-01

The management of health information is a key pillar in both emergencies reception and handling facilities, given the strategic position and the potential of these facilities within hospitals, and in the monitoring of public health and epidemiology. With the technological revolution, computerization made the information systems evolve in emergency departments, especially in developed countries, with improved performance in terms of care quality, productivity and patient satisfaction. This study analyses the situation of Benin in this field, through the case of the Academic Clinic of Emergency Department of the National University Teaching Hospital of Cotonou, the national reference hospital. The study is cross-sectional and evaluative. Collection techniques are literature review and structured interviews. The components rated are resources, indicators, data sources, data management and the use-dissemination of the information through a model adapted from Health Metrics Network framework. We used quantitative and qualitative analysis. The absence of a regulatory framework restricts the operation of the system in all components and accounts for the lack and inadequacy of the dedicated resources. Dedication of more resources for this system for crucial needs such as computerization requires sensitization and greater awareness of the administrative authorities about the fact that an effective health information management system is of prime importance in this type of facility.

Uncertainty and Risk Management in Cyber Situational Awareness

NASA Astrophysics Data System (ADS)

Li, Jason; Ou, Xinming; Rajagopalan, Raj

Handling cyber threats unavoidably needs to deal with both uncertain and imprecise information. What we can observe as potential malicious activities can seldom give us 100% confidence on important questions we care about, e.g. what machines are compromised and what damage has been incurred. In security planning, we need information on how likely a vulnerability can lead to a successful compromise to better balance security and functionality, performance, and ease of use. These information are at best qualitative and are often vague and imprecise. In cyber situational awareness, we have to rely on such imperfect information to detect real attacks and to prevent an attack from happening through appropriate risk management. This chapter surveys existing technologies in handling uncertainty and risk management in cyber situational awareness.

Risks in situations that are experienced as unfamiliar and confusing - the perspective of persons with dementia.

PubMed

Sandberg, Linda; Rosenberg, Lena; Sandman, Per-Olof; Borell, Lena

2017-05-01

An increasing number of people with dementia are ageing at home in Sweden and in other countries. In order to meet the safety requirements, knowledge about how persons with dementia experience risks is required. The aim of the study was to explore and better understand how persons with dementia, living at home, experience risks in their daily life and how they handle these situations. Twelve persons with dementia were interviewed using open-ended questions, and the data were analyzed using a content analysis approach. Findings showed that participants experienced situations fraught with risks in their daily life as unfamiliar and confusing. Previously familiar places became unfamiliar to them, and details did not come together. They were uncertain about what actually had happened. How the participants handled these situations in order to reduce the risks are described.

33 CFR 127.205 - Emergency shutdown.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Natural Gas Equipment § 127.205 Emergency shutdown. Each transfer... automatically when the fixed sensors under § 127.201(b) measure LNG concentrations exceeding 40% of the lower...

33 CFR 127.205 - Emergency shutdown.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Natural Gas Equipment § 127.205 Emergency shutdown. Each transfer... automatically when the fixed sensors under § 127.201(b) measure LNG concentrations exceeding 40% of the lower...

49 CFR 176.192 - Cargo handling equipment for freight containers carrying Class 1 (explosive) materials.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 2 2014-10-01 2014-10-01 false Cargo handling equipment for freight containers...) Materials Handling Class 1 (explosive) Materials in Port § 176.192 Cargo handling equipment for freight containers carrying Class 1 (explosive) materials. (a) Except in an emergency, only cargo handling equipment...

49 CFR 176.192 - Cargo handling equipment for freight containers carrying Class 1 (explosive) materials.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 2 2010-10-01 2010-10-01 false Cargo handling equipment for freight containers...) Materials Handling Class 1 (explosive) Materials in Port § 176.192 Cargo handling equipment for freight containers carrying Class 1 (explosive) materials. (a) Except in an emergency, only cargo handling equipment...

49 CFR 176.192 - Cargo handling equipment for freight containers carrying Class 1 (explosive) materials.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 2 2011-10-01 2011-10-01 false Cargo handling equipment for freight containers...) Materials Handling Class 1 (explosive) Materials in Port § 176.192 Cargo handling equipment for freight containers carrying Class 1 (explosive) materials. (a) Except in an emergency, only cargo handling equipment...

49 CFR 176.192 - Cargo handling equipment for freight containers carrying Class 1 (explosive) materials.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 2 2013-10-01 2013-10-01 false Cargo handling equipment for freight containers...) Materials Handling Class 1 (explosive) Materials in Port § 176.192 Cargo handling equipment for freight containers carrying Class 1 (explosive) materials. (a) Except in an emergency, only cargo handling equipment...

49 CFR 176.192 - Cargo handling equipment for freight containers carrying Class 1 (explosive) materials.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 2 2012-10-01 2012-10-01 false Cargo handling equipment for freight containers...) Materials Handling Class 1 (explosive) Materials in Port § 176.192 Cargo handling equipment for freight containers carrying Class 1 (explosive) materials. (a) Except in an emergency, only cargo handling equipment...

Preventing Australian bat lyssavirus: community knowledge and risk perception of bats in South East Queensland.

PubMed

Young, Megan K; El Saadi, Debra; McCall, Bradley J

2014-04-01

Ongoing potential exposure of members of the public to Australian bat lyssavirus (ABLV) in South East Queensland, Australia, prompted investigation of community knowledge, risk perception, and intention to handle bats to inform future prevention efforts. After pilot testing, a computer-assisted telephone survey of a representative sample of 700 adults without previous potential exposure to ABLV was undertaken in the defined geographic region. Twenty-four percent of eligible contacted individuals participated. Basic knowledge of bats and ABLV was generally high, with 65% of participants answering nine or more of 12 knowledge questions correctly. The perceived risk that bats pose to human health was also high, with 93% indicating some degree of risk. Although 88% of participants indicated they would handle bats in one or more of the scripted situations, overall intention to handle bats was low, with 59% indicating they would handle a bat in four or less of the 12 scenarios. Younger males with lower risk perception of bats most frequently indicated intention to handle bats in varying situations. Knowledge score was not associated with intention to handle bats on multivariate modeling. Future public health prevention efforts, both in Australia and overseas, should focus further on conveying the risk to humans and to bats when nontrained, nonvaccinated people attempt to handle bats rather than attempting to purely convey knowledge about bats and ABLV or rabies. Suitable alternative measures to handling should be included. Younger adult males are a particular target group for prevention efforts.

Quantitative assessment of anthrax vaccine immunogenicity using the dried blood spot matrix.

PubMed

Schiffer, Jarad M; Maniatis, Panagiotis; Garza, Ilana; Steward-Clark, Evelene; Korman, Lawrence T; Pittman, Phillip R; Mei, Joanne V; Quinn, Conrad P

2013-03-01

The collection, processing and transportation to a testing laboratory of large numbers of clinical samples during an emergency response situation present significant cost and logistical issues. Blood and serum are common clinical samples for diagnosis of disease. Serum preparation requires significant on-site equipment and facilities for immediate processing and cold storage, and significant costs for cold-chain transport to testing facilities. The dried blood spot (DBS) matrix offers an alternative to serum for rapid and efficient sample collection with fewer on-site equipment requirements and considerably lower storage and transport costs. We have developed and validated assay methods for using DBS in the quantitative anti-protective antigen IgG enzyme-linked immunosorbent assay (ELISA), one of the primary assays for assessing immunogenicity of anthrax vaccine and for confirmatory diagnosis of Bacillus anthracis infection in humans. We have also developed and validated high-throughput data analysis software to facilitate data handling for large clinical trials and emergency response. Published by Elsevier Ltd.

[Anomie in the multigenerational family: children and the care of their elderly parents].

PubMed

Knipscheer, C P

1986-01-01

When one of the older parents starts to require intensive and lasting care, to a certain extent an anomic situation will arise in the older family, between children and parents as well as between the children themselves. There is some kind of ambivalence between the generations within the kinship system, which can also be shown historically. It is possible that this ambivalence may even be enlarged by recent structural and cultural developments within the kinship system. Based on a family crisis model a lack of clarity within the older family is shown as to the expectations and obligations to each other. The spiral of the failing competence of the family to handle the care question mostly has its roots in the anomic situation surrounding the organisation of the care activities. To support our anomy hypothesis some problems in taking care of the older parents are analyzed; how they are looked at and handled by the children and how they are negotiated by the parents. Open interviews and some cases are the basis for this analysis and some conclusions in handling the anomic situation are presented.

Intertextuality for Handling Complex Environmental Issues

ERIC Educational Resources Information Center

Byhring, Anne Kristine; Knain, Erik

2016-01-01

Nowhere is the need for handling complexity more pertinent than in addressing environmental issues. Our study explores students' situated constructs of complexity in unfolding discourses on socio-scientific issues. Students' dialogues in two group-work episodes are analysed in detail, with tools from Systemic Functional Linguistics. We identify…

49 CFR 239.105 - Debriefing and critique.

Code of Federal Regulations, 2013 CFR

2013-10-01

... emergency situation or full-scale simulation to determine the effectiveness of its emergency preparedness... passenger train emergency situation or full-scale simulation. (b) Exceptions. (1) No debriefing and critique...; (2) How much time elapsed between the occurrence of the emergency situation or full-scale simulation...

49 CFR 239.105 - Debriefing and critique.

Code of Federal Regulations, 2011 CFR

2011-10-01

... emergency situation or full-scale simulation to determine the effectiveness of its emergency preparedness... passenger train emergency situation or full-scale simulation. (b) Exceptions. (1) No debriefing and critique...; (2) How much time elapsed between the occurrence of the emergency situation or full-scale simulation...

49 CFR 239.105 - Debriefing and critique.

Code of Federal Regulations, 2010 CFR

2010-10-01

... emergency situation or full-scale simulation to determine the effectiveness of its emergency preparedness... passenger train emergency situation or full-scale simulation. (b) Exceptions. (1) No debriefing and critique...; (2) How much time elapsed between the occurrence of the emergency situation or full-scale simulation...

49 CFR 239.105 - Debriefing and critique.

Code of Federal Regulations, 2012 CFR

2012-10-01

... emergency situation or full-scale simulation to determine the effectiveness of its emergency preparedness... passenger train emergency situation or full-scale simulation. (b) Exceptions. (1) No debriefing and critique...; (2) How much time elapsed between the occurrence of the emergency situation or full-scale simulation...

High acceptance of a home AED programme by survivors of sudden cardiac arrest and their families.

PubMed

Haugk, Moritz; Robak, Oliver; Sterz, Fritz; Uray, Thomas; Kliegel, Andreas; Losert, Heidrun; Holzer, Michael; Herkner, Harald; Laggner, Anton N; Domanovits, Hans

2006-08-01

The feasibility and acceptance of providing sudden cardiac arrest survivors with life supporting first aid training and automated external defibrillators (AEDs) at their homes is unknown. Preliminary experiences are reported here. Trained medical students provided life supporting first aid courses including AED training to cardiac arrest survivors. Patients were asked to invite relatives and friends to such training sessions at their home. Laerdal Little Anne and Heartstart AED Trainer were used. An AED was placed at the patients' disposal. A refresher course took place 1 year later. Questionnaires were used to evaluate the project. Since 1999, 88 families have been trained and provided with an AED. Immediately after the training 90% (66% "agree", 24% "maybe yes") believed they would perform first aid correctly, 1 year later 98% did so (68% "agree", 29% "maybe yes") (p=0.03). Families considered feeling much safer having an AED at home. The handling of an AED was regarded to be easy and AEDs would even be used on strangers. Only on one occasion an AED was used in a real emergency situation. Providing patients and relatives with life support first aid and AED training at their homes is feasible and has raised no major objections by the family members. All have considered handling of an AED much simpler than providing basic life support and therefore none think that it would be a major problem to use it in case of an emergency. This still has to be proven.

What can we learn from simulation-based training to improve skills for end-of-life care? Insights from a national project in Israel.

PubMed

Brezis, Mayer; Lahat, Yael; Frankel, Meir; Rubinov, Alan; Bohm, Davina; Cohen, Matan J; Koslowsky, Meni; Shalomson, Orit; Sprung, Charles L; Perry-Mezare, Henia; Yahalom, Rina; Ziv, Amitai

2017-11-06

Simulation-based training improves residents' skills for end-of-life (EOL) care. In the field, staff providers play a significant role in handling those situations and in shaping practice by role modeling. We initiated an educational intervention to train healthcare providers for improved communication skills at EOL using simulation of sensitive encounters with patients and families. Hospital physicians and nurses (n = 1324) attended simulation-based workshops (n = 100) in a national project to improve EOL care. We analyzed perceptions emerging from group discussions following simulations, from questionnaires before and after each workshop, and from video-recorded simulations using a validated coding system. We used the simulation setting as a novel tool for action research. We used a participatory inquiry paradigm, with repetitive cycles of exploring barriers and challenges with participants in an iterative pattern of observation, discussion and reflection - including a description of our own responses and evolution of thought as well as system effects. The themes transpiring included lack of training, knowledge and time, technology overuse, uncertainty in decision-making, poor skills for communication and teamwork. Specific scenarios demonstrated lack of experience at eliciting preferences for EOL care and at handling conflicts or dilemmas. Content analysis of simulations showed predominance of cognitive utterances - by an order of magnitude more prevalent than emotional expressions. Providers talked more than actors did and episodes of silence were rare. Workshop participants acknowledged needs to improve listening skills, attention to affect and teamwork. They felt that the simulation-based workshop is likely to ameliorate future handling of EOL situations. We observed unanticipated consequences from our project manifested as a field study of preparedness to EOL in nursing homes, followed by a national survey on quality of care, leading to expansion of palliative care services and demand for EOL care education in various frameworks and professional areas. Reflective simulation exercises show barriers and paths to improvement among staff providers. When facing EOL situations, physicians and nurses use cognitive language far more often than emotions related expressions, active listening, or presence in silence. Training a critical mass of staff providers may be valuable to induce a cultural shift in EOL care.

[Polytrauma following a truck accident : How to save lives by guideline-oriented emergency care].

PubMed

Kippnich, M; Jelting, Y; Markus, C; Kredel, M; Wurmb, T; Kranke, P

2017-12-01

Identification and immediate treatment of life-threatening conditions is fundamental in patients with multiple trauma. In this context, the S3 guidelines on polytrauma and the S1 guidelines on emergency anesthesia provide the scientific background on how to handle these situations. This case report deals with a seriously injured driver involved in a truck accident. The inaccessible patient showed a scalping injury of the facial skeleton with massive bleeding and partially blocked airway but with spontaneous breathing as well as centralized cardiovascular circulation conditions and an initial Glasgow coma scale (GCS) of 8. An attempt was made to stop the massive bleeding by using hemostyptic-coated dressings. In addition, the patient was intubated via video laryngoscopy and received a left and right thoracic drainage as well as two entry points for intraosseous infusion. In modern emergency medical services, treatment based on defined algorithms is recommended and also increasingly established in dealing with critical patients. The guideline-oriented emergency care of patients with polytrauma requires invasive measures, such as intubation and thoracic decompression in the preclinical setting. The foundation for this procedure includes training in theory and practice both of the non-medical and medical rescue service personnel.

'Oh my God, I can't handle this!': trainees' emotional responses to complex situations.

PubMed

Helmich, Esther; Diachun, Laura; Joseph, Radha; LaDonna, Kori; Noeverman-Poel, Nelleke; Lingard, Lorelei; Cristancho, Sayra

2018-02-01

Dealing with emotions is critical for medical trainees' professional development. Taking a sociocultural and narrative approach to understanding emotions, we studied complex clinical situations as a specific context in which emotions are evoked and influenced by the social environment. We sought to understand how medical trainees respond to emotions that arise in those situations. In an international constructivist grounded theory study, 29 trainees drew two rich pictures of complex clinical situations, one exciting and one frustrating. Rich pictures are visual representations that capture participants' perceptions about the people, situations and factors that create clinical complexity. These pictures were used to guide semi-structured, individual interviews. We analysed visual materials and interviews in an integrated way, starting with looking at the drawings, doing a 'gallery walk', and using the interviews to inform the aesthetic analysis. Participants' drawings depicted a range of personal emotions in response to complexity, and disclosed unsettling feelings and behaviours that might be considered unprofessional. When trainees felt confident, they were actively participating, engaged in creative problem-solving strategies, and emphasised their personal involvement. When trainees felt the situation was beyond their control, they described how they were running away from the situation, hiding themselves behind others or distancing themselves from patients or families. A sense of control seems to be a key factor influencing trainees' emotional and behavioural responses to complexity. This is problematic, as complex situations are by their nature emergent and dynamic, which limits possibilities for control. Following a social performative approach to emotions, we should help students understand that feeling out of control is an inherent property of participating in complex clinical situations, and, by extension, that it is not something they will 'grow out of' with expertise. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Geoethics and hazard education. A comparison between Calabria (Southern Italy) and Malta

NASA Astrophysics Data System (ADS)

De Pascale, Francesco; Bernardo, Marcello; Muto, Francesco; D'Amico, Sebastiano; Zumbo, Rosarianna

2015-04-01

The occurrence of moderate and large natural disasters has shown the importance of the understanding the psychological damage resulting from such catastrophic events. In this context the relatively new discipline known as Emergency Psychology plays a key role. It deals with the study, prevention and treatment of psychic phenomena, cognitive and behavioral arising in emergency situations, in harmony with geoethical principles. It can work in collaboration with Medical Geography. The name of Medical Geography was first used by doctors of the eighteenth and nineteenth century to denote the complex relationships between the morbid phenomena and the different environments and cultures, according to an intuition of Hippocrates, who placed well in evidence the importance of cultural and environmental factors in the spread of diseases. Emergency Psychology also promotes the management of human defenses in order to prevent a particularly stressful event procure a permanent discomfort in the individual and in the community. It consists of two general areas: Collective Emergency Psychology: deals with the effects of extreme traumatic events that affect entire communities, such as: natural disasters, disasters and serious socio-political situations. In these cases the critical event is collective. The Individual Emergency Psychology is concerned, however, the effects of extreme events that affect the individual directly or to which is to assist or information obtained in relation to loved ones, such as socio-existential events, clinical situations. In all these cases, the critical event threatens the individual's left traumatized. Children who have experienced traumatic stress often require an individual approach in order to help him to revisit the traumatic event and to give proper meaning to the experience. It is recommended, therefore, a specific therapeutic procedure to enable the child to describe in detail the traumatic experience and understand the meaning of their reactions. The design, the game and handling are a key to access the mental representation of the traumatic event that the child has formed. They are also used as indicators of the child experience and how he solves the traumatic elements of the event. The present work aims to collect testimonies and mental maps of drawn by Calabria (Southern Italy) and Malta students. A critical comparison was made on the natural disasters experiences reported by students.

Co-operation and conflict in a hospital: interprofessional differences in perception and management of conflicts.

PubMed

Skjørshammer, M

2001-02-01

This article presents a case study of a Norwegian hospital, analysing how health professionals manage conflicts related to work co-operation. Altogether, 29 health professionals working in the hospital were interviewed, and data was analysed according to a grounded theory approach. When in conflict, health professionals seem to use three major approaches to handling the situation: avoidance, forcing and negotiation, and usually in that order. Avoidance behaviour or suppression is the most common reaction to an emerging conflict. If the use of power does not re-establish a balance between the participants, one negotiates. These conflict styles seem to be determined by two major factors: the perceived interdependence between parties and the perceived urgency of doing something about the situation. Nurses and physicians in particular seem to differ considerably in their perception of what is a conflict and when to do something about it. Such differences in perceptions and the extensive use of avoidance represent important challenges to managers and clinical leaders when it comes to advancing interprofessional co-operation.

Challenges of Managing Animals in Disasters in the U.S.

PubMed Central

Heath, Sebastian E.; Linnabary, Robert D.

2015-01-01

Simple Summary This article describes common challenges to managing animals in disasters in the US, summarizes how some of these challenges are being met and makes recommendations on how to overcome others. Many predictable adverse situations affecting animals and their owners can be prevented when communities develop a comprehensive emergency management strategy that integrates animal care into planning, preparedness, mitigation, and recovery activities, as well as response. Abstract Common to many of the repeated issues surrounding animals in disasters in the U.S. is a pre-existing weak animal health infrastructure that is under constant pressure resulting from pet overpopulation. Unless this root cause is addressed, communities remain vulnerable to similar issues with animals they and others have faced in past disasters. In the US the plight of animals in disasters is frequently viewed primarily as a response issue and frequently handled by groups that are not integrated with the affected community’s emergency management. In contrast, animals, their owners, and communities would greatly benefit from integrating animal issues into an overall emergency management strategy for the community. There is no other factor contributing as much to human evacuation failure in disasters that is under the control of emergency management when a threat is imminent as pet ownership. Emergency managers can take advantage of the bond people have with their animals to instill appropriate behavior amongst pet owners in disasters. PMID:26479228

Evaluation of M-AID, a first aid application for mobile phones.

PubMed

Zanner, Robert; Wilhelm, Dirk; Feussner, Hubertus; Schneider, Gerhard

2007-09-01

When performed effectively, cardiopulmonary resuscitation (CPR) by bystanders reduces mortality due to sudden cardiac arrest. Telemedicine applications offer a means by which bystanders can get specific instructions for handling the emergency situation. M-AID, a first aid application for mobile phones, uses an intelligent algorithm of 'yes' or 'no' questions to judge the ongoing situation and give the user detailed instructions. The aim of this study was to evaluate the benefit of this mobile phone application in a scenario of sudden cardiac arrest. One hundred and nineteen volunteers were assigned at random either to the test or the control group. All participants were confronted with the same scenario of acute coronary syndrome leading to cardiac arrest. The participants were either equipped with a mobile phone running the software (test group) or had to handle the situation without support (control group). The participants received a certain amount of credits for each action taken according to a pre-defined protocol and these credits were added to a score and compared between the groups. Participants were divided into subgroups according to their medical and technical experience. The test group generally achieved a slightly higher average score that was not statistically significant (21.11 versus 19.97; p=0.302). In contrast, the performance of the individuals in the control group was significantly faster (2.41 min versus 4.24 min; p<0.001). Use of the mobile phone software did not enhance the chance of survival. Subgroup analysis showed that experienced mobile phone users performed significantly better than non-experienced individuals, but not as well as participants with advanced first aid knowledge. Experience in the use of mobile phones is a prerequisite for the efficient use of the tested M-AID version. This application cannot replace skills acquisition by practical training. In a subgroup with experience in mobile phone use and basic knowledge in CPR, the device improved performance of CPR.

Coping with Conflict in Educational Circles.

ERIC Educational Resources Information Center

Nebgen, Mary K.

1979-01-01

The author presents ideas on what the school administrator should know in order to successfully manage conflict situations so that the conflict does not impede school functioning, and suggests that proper handling of the inevitable conflict situations that arise can bring about group cohesiveness and unity. (KC)

The Political Tendency in Environmental and Sustainability Education

ERIC Educational Resources Information Center

Håkansson, Michael; Östman, Leif; Van Poeck, Katrien

2018-01-01

This article presents a categorisation of the different situations in which the political dimension of environmental and sustainability education can be handled and experienced in practice: the "political tendency." Using a methodology inspired by Wittgenstein's user perspective on language, we empirically identified situations that…

Hospital design for better infection control

PubMed Central

Lateef, Fatimah

2009-01-01

The physical design and infrastructure of a hospital or institution is an essential component of its infection control measure. Thus is must be a prerequisite to take these into consideration from the initial conception and planning stages of the building. The balance between designing a hospital to be an open, accessible and public place and the control to reduce the spread of infections diseases is a necessity. At Singapore General Hospital, many lessons were learnt during the SARS outbreak pertaining to this. During and subsequent to the SARS outbreak, many changes evolved in the hospital to enable us to handle and face any emerging infectious situation with calm, confidence and the knowledge that staff and patients will be in good stead. This paper will share some of our experiences as well as challenges PMID:20009307

A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance.

PubMed

Doyle, Daniel; Copeland, H Liesel; Bush, Donna; Stein, Linda; Thompson, Scott

2011-01-01

to evaluate the impact of a communication skills course for nurses on how to handle difficult communication situations in their daily work. a 7-h course was developed using a construct of "Awareness, Feelings, Listen, Solve" (AFLS). A pedagogy of experiential, learner-centered learning was adopted. The course evaluation used a randomized controlled design with pre- and post-measures of self-efficacy and performance. forty-one nurses volunteered and thirty-three nurses completed all assigned parts of the study. On self-assessment, there was significant improvement for self-efficacy (F=24.43, p<0.001), but not for emotional awareness. On performance, there was no significant improvement between intervention and control groups (F=3.46, p=0.073). a short course for nurses on handling difficult communication situations achieved significant improvements in self-efficacy but not in performance. teaching communication skills in community-based settings is important for the safety and effectiveness of patient care. Sponsoring organizations should weigh trade-offs between feasibility and achievement of measurable improvements in performance. One possible approach is to focus on specific communication skills rather than a full suite of skills. 2010 Elsevier Ireland Ltd. All rights reserved.

Virological diagnosis of Ebolavirus infection.

PubMed

Smith, D W; Rawlinson, W D; Kok, J; Dwyer, D E; Catton, M

2015-08-01

Ebolaviruses, and the other viral causes of haemorrhagic fevers (VHF) have always posed special problems for diagnostic laboratories. These arise from the rarity of human infections, minimal documented experience with test delivery and interpretation, the paucity of established commercial or in-house assays, the lack of clinical material for test development and validation, the high level containment required for handling live virus, the ongoing evolution of the viruses, and the high personal and public health requirements for accurate diagnosis. This article addresses the current situation and the ongoing challenges associated with delivering timely, high quality and safe testing within Australia for people exposed as part of the current major outbreak of Ebolavirus disease (EVD) in Western Africa. The members of the Public Health Laboratory Network have developed deliverable and reliable nucleic acid detection tests, and also have the laboratory capacity to handle the live viruses if necessary. However delivering and maintaining these services necessitates high levels of experience in developing and applying tests for exotic and emerging infections, strong national and international links and collaborations, ongoing monitoring and reassessment of test design and performance, innovative approaches to generation of positive control material, and a regular quality assurance program.

Virological diagnosis of Ebolavirus infection

PubMed Central

Smith, D. W.; Rawlinson, W. D.; Kok, J.; Dwyer, D. E.; Catton, M.

2015-01-01

Summary Ebolaviruses, and the other viral causes of haemorrhagic fevers (VHF) have always posed special problems for diagnostic laboratories. These arise from the rarity of human infections, minimal documented experience with test delivery and interpretation, the paucity of established commercial or in-house assays, the lack of clinical material for test development and validation, the high level containment required for handling live virus, the ongoing evolution of the viruses, and the high personal and public health requirements for accurate diagnosis. This article addresses the current situation and the ongoing challenges associated with delivering timely, high quality and safe testing within Australia for people exposed as part of the current major outbreak of Ebolavirus disease (EVD) in Western Africa. The members of the Public Health Laboratory Network have developed deliverable and reliable nucleic acid detection tests, and also have the laboratory capacity to handle the live viruses if necessary. However delivering and maintaining these services necessitates high levels of experience in developing and applying tests for exotic and emerging infections, strong national and international links and collaborations, ongoing monitoring and reassessment of test design and performance, innovative approaches to generation of positive control material, and a regular quality assurance program. PMID:26126050

77 FR 5983 - Continuation of the National Emergency With Respect to the Situation in or in Relation to C[ocirc...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-06

...--Continuation of the National Emergency With Respect to the Situation in or in Relation to C[ocirc]te d'Ivoire... February 3, 2012 Continuation of the National Emergency With Respect to the Situation in or in Relation to... emergency, pursuant to the International Emergency Economic Powers Act (50 U.S.C. 1701-1706), to deal with...

Keeping Haines Real - Or Really Changing Haines?

Treesearch

Brian E. Potter; Dan Borsum; Don Haines

2002-01-01

Most incident command teams can handle low- to moderate-intensity fires with few unanticipated problems. However, high-intensity situations, especially the plume-dominated fires that often develop when winds are low and erratic behavior is unexpected, can create dangerous situations even for well-trained, experienced fire crews (Rothermel 1991). Plume-dominated fires...

14 CFR 99.5 - Emergency situations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Emergency situations. 99.5 Section 99.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES SECURITY CONTROL OF AIR TRAFFIC General § 99.5 Emergency situations. In an...

7 CFR 3431.23 - Service to Federal government in emergency situations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... INSTITUTE OF FOOD AND AGRICULTURE VETERINARY MEDICINE LOAN REPAYMENT PROGRAM Administration of the Veterinary Medicine Loan Repayment Program § 3431.23 Service to Federal government in emergency situations... 7 Agriculture 15 2014-01-01 2014-01-01 false Service to Federal government in emergency situations...

7 CFR 3431.23 - Service to Federal government in emergency situations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... INSTITUTE OF FOOD AND AGRICULTURE VETERINARY MEDICINE LOAN REPAYMENT PROGRAM Administration of the Veterinary Medicine Loan Repayment Program § 3431.23 Service to Federal government in emergency situations... 7 Agriculture 15 2013-01-01 2013-01-01 false Service to Federal government in emergency situations...

7 CFR 3431.23 - Service to Federal government in emergency situations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... INSTITUTE OF FOOD AND AGRICULTURE VETERINARY MEDICINE LOAN REPAYMENT PROGRAM Administration of the Veterinary Medicine Loan Repayment Program § 3431.23 Service to Federal government in emergency situations... 7 Agriculture 15 2012-01-01 2012-01-01 false Service to Federal government in emergency situations...

7 CFR 3431.23 - Service to Federal government in emergency situations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... INSTITUTE OF FOOD AND AGRICULTURE VETERINARY MEDICINE LOAN REPAYMENT PROGRAM Administration of the Veterinary Medicine Loan Repayment Program § 3431.23 Service to Federal government in emergency situations... 7 Agriculture 15 2011-01-01 2011-01-01 false Service to Federal government in emergency situations...

49 CFR 211.45 - Petitions for emergency waiver of safety rules.

Code of Federal Regulations, 2010 CFR

2010-10-01

... imminent threat of, an emergency event or an emergency situation. For purposes of this section, the terms “emergency event” and “emergency situation” mean a natural or manmade disaster, such as a hurricane, flood... number. (c) Determining the existence of an emergency event or an emergency situation. If the...

76 FR 5053 - Continuation of the National Emergency With Respect to the Situation in or in Relation to C[ocirc...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-28

... January 26, 2011 Continuation of the National Emergency With Respect to the Situation in or in Relation to... emergency, pursuant to the International Emergency Economic Powers Act (50 U.S.C. 1701-1706), to deal with... constituted by the situation in or in relation to C[ocirc]te d'Ivoire and ordered related measures blocking...

75 FR 5675 - Continuation of the National Emergency With Respect to the Situation in or in Relation to C[ocirc...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-04

... February 2, 2010 Continuation of the National Emergency With Respect to the Situation in or in Relation to... emergency, pursuant to the International Emergency Economic Powers Act (50 U.S.C. 1701-1706), to deal with... constituted by the situation in or in relation to C[ocirc]te d'Ivoire and ordered related measures blocking...

Situational Awareness in Mass Emergency: A Behavioral and Linguistic Analysis of Microblogged Communications

ERIC Educational Resources Information Center

Vieweg, Sarah Elizabeth

2012-01-01

In times of mass emergency, users of Twitter (a popular microblogging service) often communicate information about the event, some of which contributes to situational awareness. Situational awareness refers to a state of understanding the "big picture" in time- and safety-critical situations. The more situational awareness people have,…

40 CFR 355.31 - What types of releases are exempt from the emergency release notification requirements of this...

Code of Federal Regulations, 2012 CFR

2012-07-01

... other than a liquid manure handling system. (12) 30,000 ducks (if the farm uses other than a liquid manure handling system). (13) 5,000 ducks (if the farm uses a liquid manure handling system). (h) Any...

40 CFR 355.31 - What types of releases are exempt from the emergency release notification requirements of this...

Code of Federal Regulations, 2014 CFR

2014-07-01

... other than a liquid manure handling system. (12) 30,000 ducks (if the farm uses other than a liquid manure handling system). (13) 5,000 ducks (if the farm uses a liquid manure handling system). (h) Any...

40 CFR 355.31 - What types of releases are exempt from the emergency release notification requirements of this...

Code of Federal Regulations, 2011 CFR

2011-07-01

... other than a liquid manure handling system. (12) 30,000 ducks (if the farm uses other than a liquid manure handling system). (13) 5,000 ducks (if the farm uses a liquid manure handling system). (h) Any...

40 CFR 355.31 - What types of releases are exempt from the emergency release notification requirements of this...

Code of Federal Regulations, 2013 CFR

2013-07-01

... other than a liquid manure handling system. (12) 30,000 ducks (if the farm uses other than a liquid manure handling system). (13) 5,000 ducks (if the farm uses a liquid manure handling system). (h) Any...

40 CFR 355.31 - What types of releases are exempt from the emergency release notification requirements of this...

Code of Federal Regulations, 2010 CFR

2010-07-01

... other than a liquid manure handling system. (12) 30,000 ducks (if the farm uses other than a liquid manure handling system). (13) 5,000 ducks (if the farm uses a liquid manure handling system). (h) Any...

The “Gray Zone” of Police Work During Mental Health Encounters: Findings from an Observational Study in Chicago

PubMed Central

Wood, Jennifer D; Watson, Amy C; Fulambarker, Anjali J

2016-01-01

Although improving police responses to mental health crises has received significant policy attention, most encounters between police and persons with mental illnesses do not involve major crimes or violence, nor do they rise to the level of requiring emergency apprehension. Here, we report on field observations of police officers handling mental health-related encounters in Chicago. Findings confirm that these encounters often occur in the “gray zone”, where the problems at hand do not call for formal or legalistic interventions including arrest and emergency apprehension. In examining how police resolved such situations, we observed three core features of police work: (1) accepting temporary solutions to chronic vulnerability; (2) using local knowledge to guide decision-making; and (3) negotiating peace with complainants and call subjects. Study findings imply the need to advance field-based studies using systematic social observations of gray zone decision-making within and across distinct geographic and place-based contexts. Policy implications for supporting police interventions, including place-based enhancements of gray zone resources, are also discussed. PMID:28286406

Acoustic manipulation of oscillating spherical bodies: Emergence of axial negative acoustic radiation force

NASA Astrophysics Data System (ADS)

Rajabi, Majid; Mojahed, Alireza

2016-11-01

In this paper, emergence of negative axial acoustic radiation force on a rigid oscillating spherical body is investigated for acoustic manipulation purposes. The problem of plane acoustic wave scattering from an oscillating spherical body submerged in an ideal acoustic fluid medium is solved. For the case of oscillating direction collinear with the wave propagation wave number vector (desired path), it has been shown that the acoustic radiation force, as a result of nonlinear acoustic wave interaction with bodies can be expressed as a linear function of incident wave field and the oscillation properties of the oscillator (i.e., amplitude and phase of oscillation). The negative (i.e., pulling effects) and positive (i.e., pushing effects) radiation force situations are divided in oscillation complex plane with a specific frequency-dependant straight line. This characteristic line defines the radiation force cancellation state. In order to investigate the stability of the mentioned manipulation strategy, the case of misaligned oscillation of sphere with the wave propagation direction is studied. The proposed methodology may suggest a novel concept of single-beam acoustic handling techniques based on smart carriers.

A survey of the practice of nurses' skills in Wenchuan earthquake disaster sites: implications for disaster training.

PubMed

Yin, Huahua; He, Haiyan; Arbon, Paul; Zhu, Jingci

2011-10-01

To determine nursing skills most relevant for nurses participating in disaster response medical teams; make recommendations to enhance training of nurses who will be first responders to a disaster site; to improve the capacity of nurses to prepare and respond to severe natural disasters. Worldwide, nurses play a key role in disaster response teams at disaster sites. They are often not prepared for the challenges of dealing with mass casualties; little research exists into what basic nursing skills are required by nurses who are first responders to a disaster situation. This study assessed the most relevant disaster nursing skills of first responder nurses at the 2008 Wenchuan earthquake disaster site. Data were collected in China in 2008 using a self-designed questionnaire, with 24 participants who had been part of the medical teams that were dispatched to the disaster sites. The top three skills essential for nurses were: intravenous insertion; observation and monitoring; mass casualty triage. The three most frequently used skills were: debridement and dressing; observation and monitoring; intravenous insertion. The three skills performed most proficiently were: intravenous insertion; observation and monitoring; urethral catheterization. The top three ranking skills most important for training were: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling. The core nursing skills for disaster response training are: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling; observation and monitoring; mass casualty triage; controlling specific infection; psychological crisis intervention; cardiopulmonary resuscitation; debridement and dressing; central venous catheter insertion; patient care recording. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

[Teaching basic life support to the general population. Alumni intervention analysis].

PubMed

Díaz-Castellanos, M A; Fernández-Carmona, A; Díaz-Redondo, A; Cárdenas-Cruz, A; García-del Moral, R; Martín-Lopez, J; Díaz-Redondo, T

2014-12-01

The aim of this study was to investigate the rate at which the alumni of basic life support courses witnessed and intervened in out-of-hospital emergency situations, and to identify the variables characterizing those alumni associated with a greater number of witnessing events and interventions. An analysis of the efficiency of the courses was also carried out. A descriptive, cross-sectional study was made. A district in the province of Almería (Spain). Alumni of a mass basic life support training program targeted to the general population «Plan Salvavidas» conducted between 2003-2009. In 2010 the alumni were administered a telephone survey asking whether they had witnessed an emergency situation since attending the program, with the collection of information related to this emergency situation. Rate of out-of-hospital emergencies witnessed by the alumni. Rate of intervention of the alumni in emergency situations. Variables characterizing alumni with a greater likelihood of witnessing an emergency situation. A total of 3,864 trained alumni were contacted by telephone. Of 1,098 respondents, 63.9% were women, and the mean age was 26.61±10.6 years. Of these alumni, 11.75% had witnessed emergency situations, an average of three years after completing the course. Of these emergencies, 23.3% were identified as cardiac arrest. The alumni intervened in 98% of the possible cases. In 63% of the cases, there was no connection between the alumni and the victim. The majority of the emergency situations occurred in the street and in public spaces. A greater likelihood of witnessing an emergency situation was associated with being a healthcare worker and with being over 18 years of age. The rate of out-of-hospital emergencies witnessed by these alumni after the course was 11.75%. The level of intervention among the alumni was high. The most efficient target population consisted of healthcare workers. Copyright © 2013 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Peer Harassment. Hassles for Women on Campus.

ERIC Educational Resources Information Center

Association of American Colleges, Washington, DC. Project on the Status and Education of Women.

The subject of peer harassment for women on college campuses is explored. In order to handle such situations effectively, administrators need to know the parameters of the problem, what they are dealing with, and ways to prevent bad situations. The topic is presented as follows: a definition of peer harassment; the prevalence of peer harassment;…

Got Guilt? Consultant Guilt in the Writing Center Community

ERIC Educational Resources Information Center

Nicklay, Jennifer

2012-01-01

During class discussions, the author's fellow consultants would often lament consultations that could have gone better if they had only known the "rules" of how to handle the situation. They perceived that there were acceptable and unacceptable ways to approach certain situations, rather than a range of flexible choices. The author began to…

Wet 'n' Safe. Water and Boating Safety. Grades 4-6.

ERIC Educational Resources Information Center

California State Dept. of Education, Sacramento.

These lessons contain information that applies to almost every emergency situation involving water. Each lesson has three main components: depiction of an emergency situation, descriptions of actions that will avoid or remedy the emergency situation, and review and discussion questions with suggested answers. Part 1 has lessons on rescuing oneself…

Planning and processing multistage samples with a computer program—MUST.

Treesearch

John W. Hazard; Larry E. Stewart

1974-01-01

A computer program was written to handle multistage sampling designs in insect populations. It is, however, general enough to be used for any population where the number of stages does not exceed three. The program handles three types of sampling situations, all of which assume equal probability sampling. Option 1 takes estimates of sample variances, costs, and either...

A toolbox and a record for scientific model development

NASA Technical Reports Server (NTRS)

Ellman, Thomas

1994-01-01

Scientific computation can benefit from software tools that facilitate construction of computational models, control the application of models, and aid in revising models to handle new situations. Existing environments for scientific programming provide only limited means of handling these tasks. This paper describes a two pronged approach for handling these tasks: (1) designing a 'Model Development Toolbox' that includes a basic set of model constructing operations; and (2) designing a 'Model Development Record' that is automatically generated during model construction. The record is subsequently exploited by tools that control the application of scientific models and revise models to handle new situations. Our two pronged approach is motivated by our belief that the model development toolbox and record should be highly interdependent. In particular, a suitable model development record can be constructed only when models are developed using a well defined set of operations. We expect this research to facilitate rapid development of new scientific computational models, to help ensure appropriate use of such models and to facilitate sharing of such models among working computational scientists. We are testing this approach by extending SIGMA, and existing knowledge-based scientific software design tool.

Registered nurses' experiences of daily work, a balance between strain and stimulation: a qualitative study.

PubMed

Hallin, Karin; Danielson, Ella

2007-09-01

The challenges in the health care have given rise to a highly stressful work situation and a more complicated role for registered nurses (RNs). Qualitative studies about daily work as a whole is limited. It is therefore vital for future development of nursing knowledge and nursing education to recurrently investigate RNs' experiences of their ability to grasp and manage their daily work situation and to promote a high quality of care. The aim of this study was to describe RNs' experiences of their daily work. This follow up study was carried out involving 15 Swedish RNs 6 years after their graduation. Interviews, conducted with conversational strategy, were chosen for the data collection and content analysis was used to handle the interview texts. The analysis resulted in a main theme 'to balance strain and stimulation', two themes and seven sub-themes. The first theme 'a stressful work situation' consisted of the sub-themes: 'to meet all demands', 'to be insufficient', 'to be unsure of oneself', and 'too little contact with patient'. The second theme 'a stimulating work situation' consisted of the sub-themes: 'to encounter patients and health care staff is enriching', 'to have the situation under control', and 'to have the skills necessary to be independent'. A pattern emerged throughout the themes, which showed that due to the increasing number of patients RNs' capacity for management, prioritising and planning out of team work, and performing exacting documentation diminished. The RNs' daily work has been illustrated as a scale of balance that oscillated between strain and stimulation; an oscillation towards strain could lead to a vicious circle. The RNs need support from the start through nursing education and continuously in profession. This is a crucial issue for nursing education and health care sector.

An Interoperable Architecture for Air Pollution Early Warning System Based on Sensor Web

NASA Astrophysics Data System (ADS)

Samadzadegan, F.; Zahmatkesh, H.; Saber, M.; Ghazi khanlou, H. J.

2013-09-01

Environmental monitoring systems deal with time-sensitive issues which require quick responses in emergency situations. Handling the sensor observations in near real-time and obtaining valuable information is challenging issues in these systems from a technical and scientific point of view. The ever-increasing population growth in urban areas has caused certain problems in developing countries, which has direct or indirect impact on human life. One of applicable solution for controlling and managing air quality by considering real time and update air quality information gathered by spatially distributed sensors in mega cities, using sensor web technology for developing monitoring and early warning systems. Urban air quality monitoring systems using functionalities of geospatial information system as a platform for analysing, processing, and visualization of data in combination with Sensor Web for supporting decision support systems in disaster management and emergency situations. This system uses Sensor Web Enablement (SWE) framework of the Open Geospatial Consortium (OGC), which offers a standard framework that allows the integration of sensors and sensor data into spatial data infrastructures. SWE framework introduces standards for services to access sensor data and discover events from sensor data streams as well as definition set of standards for the description of sensors and the encoding of measurements. The presented system provides capabilities to collect, transfer, share, process air quality sensor data and disseminate air quality status in real-time. It is possible to overcome interoperability challenges by using standard framework. In a routine scenario, air quality data measured by in-situ sensors are communicated to central station where data is analysed and processed. The extracted air quality status is processed for discovering emergency situations, and if necessary air quality reports are sent to the authorities. This research proposed an architecture to represent how integrate air quality sensor data stream into geospatial data infrastructure to present an interoperable air quality monitoring system for supporting disaster management systems by real time information. Developed system tested on Tehran air pollution sensors for calculating Air Quality Index (AQI) for CO pollutant and subsequently notifying registered users in emergency cases by sending warning E-mails. Air quality monitoring portal used to retrieving and visualize sensor observation through interoperable framework. This system provides capabilities to retrieve SOS observation using WPS in a cascaded service chaining pattern for monitoring trend of timely sensor observation.

[Environmental and occupational problems in the utilization of industrial and home waste].

PubMed

Rusakov, N V; Rakhmanin, Iu A

2002-01-01

One of the acute hygienic problems of today is handling industrial and consumer wastes stored in Russia in the amount of 30 milliard tons; 30 million of solid garbage and 120 million tons of industrial wastes being formed. There are 4 garbage-handling and 10 garbage disposal plants built in the country. A third of them don't operate now. An absence of the initial selection in garbage collection causes the situation when only 3% of solid garbage is being processed. There is no state unified wastes recycling and utilizing system, no training of personnel to work out special technologies and do this work. Special attention should be given to medical wastes dangerous for the epidemiological situation, since they contain pathogenic microorganisms and helminth eggs; they may as well be contaminated by toxic and radioactive chemicals. A complex solution of the problems of industrial and consumer wastes handling is of vital importance for human health protection and protection of environment.

Occupational health physicians have better work conditions for handling sickness certification compared with general practitioners: results from a nationwide survey in Sweden.

PubMed

Ljungquist, Therese; Alexanderson, Kristina; Kjeldgård, Linnea; Arrelöv, Britt; Nilsson, Gunnar H

2015-02-01

To study whether occupational health physicians (OPs) have a better work situation regarding handling of sickness certification compared with other physicians, in particular general practitioners (GPs), and to analyze associations between OPs' experiences of assessing and providing a long-term prognosis of patients' work capacity and some potentially interrelated factors. Answers to a nationwide survey from physicians who had sickness certification consultations at least once monthly were analyzed. Differences among OPs (n=481), GPs (n=4257) and physicians working in other clinical settings (n=9452) were estimated by chi square tests. Associations between OPs' experiences as above and potentially interrelated factors were estimated using logistic regression analyses. Among OPs, a lower proportion experienced clinical work situations related to sickness certifications as 'very problematic', compared with the other physicians, and especially so compared with GPs. A higher proportion of OPs also had organizational support for handling sickness certifications. For OPs, experience of sickness certification consultations as problematic once a month or less often, not experiencing sickness certification tasks as a work environment problem, and having a well-established workplace policy regarding sickness certification matters were significantly positively associated with finding assessing and providing a long-term prognosis of work capacity as 'not at all/somewhat problematic'. OPs' work situation regarding sickness certifications was favorable compared with that of other physicians, and especially compared with that of GPS. Our results underline the importance of organizational support for ensuring physicians' experience of having professional competence in handling assessments of patients' work capacity. © 2014 the Nordic Societies of Public Health.

Experiences of violence, burnout and job satisfaction in Korean nurses in the emergency medical centre setting.

PubMed

Yoon, Hee Sook; Sok, Sohyune R

2016-12-01

The aim of this study was to examine the experience of violence in relation to burnout and job satisfaction in Korean nurses in the emergency medical centre setting. Participants were 236 nurses in the emergency medical centre setting of three metropolitan areas in Korea. Measures included a general characteristics form, characteristics related to experiences of violence, the Maslach Burnout Inventory and the Minnesota Satisfaction Questionnaire. Data were collected from June 2013 to February 2014. In the prediction model, 33.4% of burnout was explained and 35.7% for job satisfaction. The greatest influence on burnout was handling violence, followed by verbal abuse. The greatest influence on job satisfaction was physical threat, followed by handling violence. The study shows that burnout and job satisfaction of Korean nurses in the emergency medical centre setting are related to experiences of violence such as verbal abuse, physical threat and physical violence, as well as handling violence. © 2016 John Wiley & Sons Australia, Ltd.

Monitoring Outpatient Care

NASA Technical Reports Server (NTRS)

2003-01-01

Each year, health care costs for managing chronically ill patients increase as the life expectancy of Americans continues to grow. To handle this situation, many hospitals, doctors practices, and home care providers are turning to disease management, a system of coordinated health care interventions and communications, to improve outpatient care. By participating in daily monitoring programs, patients with congestive heart failure, chronic obstructive pulmonary disease, diabetes, and other chronic conditions requiring significant self-care are facing fewer emergency situations and hospitalizations. Cybernet Medical, a division of Ann Arbor, Michigan-based Cybernet Systems Corporation, is using the latest communications technology to augment the ways health care professionals monitor and assess patients with chronic diseases, while at the same time simplifying the patients interaction with technology. Cybernet s newest commercial product for this purpose evolved from research funded by NASA, the National Institute of Mental Health, and the Advanced Research Projects Agency. The research focused on the physiological assessment of astronauts and soldiers, human performance evaluation, and human-computer interaction. Cybernet Medical's MedStar Disease Management Data Collection System is an affordable, widely deployable solution for improving in-home-patient chronic disease management. The system's battery-powered and portable interface device collects physiological data from off-the-shelf instruments.

Enhanced Handling and Positioning in Early Infancy Advances Development throughout the First Year

ERIC Educational Resources Information Center

Lobo, Michele A.; Galloway, James C.

2012-01-01

Behaviors emerge, in part, from the interplay of infant abilities and caregiver-infant interactions. Cross-cultural and developmental studies suggest caregiver handling and positioning influence infant development. In this prospective, longitudinal study, the effects of 3 weeks of enhanced handling and positioning experiences provided to 14…

Metam Sodium and Metam Potassium Fumigant Safe Handling Guide

EPA Pesticide Factsheets

Safety training is required for certified pesticide applicators and handlers to handle soil fumigants. Measures to mitigate exposure include personal protective equipment, air monitoring, respiratory protection, and emergency preparedness.

The Challenge of Aviation Emergency and Abnormal Situations

NASA Technical Reports Server (NTRS)

Burian, Barbara K.; Barshi, Immanuel; Dismukes, Key

2005-01-01

Emergency and abnormal situations occur on flights everyday around the world. They range from minor situations readily managed to extremely serious and highly time-critical situations that deeply challenge the skills of even the most effective crews. How well crews respond to these situations is a function of several interacting sets of issues: (1) the design of non-normal procedures and checklists, (2) design of aircraft systems and automation, (3) specific aspects of the non-normal situation, such as time criticality and complexity of the situation, (4) human performance capabilities and cognitive limitations under high workload and stress, (5) design of training for non-normal situations, (6) philosophies, policies and practices within the industry, and (7) economic and regulatory constraints. Researchers and pilots working on NASA's Emergency and Abnormal Situations project are addressing these issues in a long-range study. In this paper we discuss these issues and illustrate them with examples from recent incidents and accidents.

Helping Students with Disabilities Better Address Teasing and Bullying Situations: A MASNRN Study

ERIC Educational Resources Information Center

Vessey, Judith A.; O'Neill, Katherine M.

2011-01-01

Students with disabilities are more likely to be chronically teased or bullied and develop related psychosocial problems. Proactive interventions help these youths develop coping skills and become more resilient in handling such situations. The specific aims of this study were to (a) identify children with disabilities, who are at risk for being…

3 CFR - Continuation of the National Emergency With Respect to the Situation in Zimbabwe

Code of Federal Regulations, 2014 CFR

2014-01-01

... 3 The President 1 2014-01-01 2014-01-01 false Continuation of the National Emergency With Respect to the Situation in Zimbabwe Presidential Documents Other Presidential Documents Notice of March 1, 2013 Continuation of the National Emergency With Respect to the Situation in Zimbabwe On March 6, 2003, by Executive Order 13288, the President...

3 CFR - Continuation of the National Emergency With Respect to the Situation in Zimbabwe

Code of Federal Regulations, 2013 CFR

2013-01-01

... 3 The President 1 2013-01-01 2013-01-01 false Continuation of the National Emergency With Respect to the Situation in Zimbabwe Presidential Documents Other Presidential Documents Notice of March 2, 2012 Continuation of the National Emergency With Respect to the Situation in Zimbabwe On March 6, 2003, by Executive Order 13288, the President...

Detection of braking intention in diverse situations during simulated driving based on EEG feature combination.

PubMed

Kim, Il-Hwa; Kim, Jeong-Woo; Haufe, Stefan; Lee, Seong-Whan

2015-02-01

We developed a simulated driving environment for studying neural correlates of emergency braking in diversified driving situations. We further investigated to what extent these neural correlates can be used to detect a participant's braking intention prior to the behavioral response. We measured electroencephalographic (EEG) and electromyographic signals during simulated driving. Fifteen participants drove a virtual vehicle and were exposed to several kinds of traffic situations in a simulator system, while EEG signals were measured. After that, we extracted characteristic features to categorize whether the driver intended to brake or not. Our system shows excellent detection performance in a broad range of possible emergency situations. In particular, we were able to distinguish three different kinds of emergency situations (sudden stop of a preceding vehicle, sudden cutting-in of a vehicle from the side and unexpected appearance of a pedestrian) from non-emergency (soft) braking situations, as well as from situations in which no braking was required, but the sensory stimulation was similar to stimulations inducing an emergency situation (e.g., the sudden stop of a vehicle on a neighboring lane). We proposed a novel feature combination comprising movement-related potentials such as the readiness potential, event-related desynchronization features besides the event-related potentials (ERP) features used in a previous study. The performance of predicting braking intention based on our proposed feature combination was superior compared to using only ERP features. Our study suggests that emergency situations are characterized by specific neural patterns of sensory perception and processing, as well as motor preparation and execution, which can be utilized by neurotechnology based braking assistance systems.

Evaluation of child maltreatment in the emergency department setting: an overview for behavioral health providers.

PubMed

Leetch, Aaron N; Leipsic, John; Woolridge, Dale P

2015-01-01

Emergency providers are confronted with medical, social, and legal dilemmas with each case of possible child maltreatment. Keeping a high clinical suspicion is key to diagnosing latent abuse. Child abuse, especially sexual abuse, is best handled by a multidisciplinary team including emergency providers, nurses, social workers, and law enforcement trained in caring for victims and handling forensic evidence. The role of the emergency provider in such cases is to identify abuse, facilitate a thorough investigation, treat medical needs, protect the patient, provide an unbiased medical consultation to law enforcement, and provide an ethical testimony if called to court. Copyright © 2015 Elsevier Inc. All rights reserved.

Mobile locally operated detachable end-effector manipulator for endoscopic surgery.

PubMed

Kawai, Toshikazu; Shin, Myongyu; Nishizawa, Yuji; Horise, Yuki; Nishikawa, Atsushi; Nakamura, Tatsuo

2015-02-01

Local surgery is safer than remote surgery because emergencies can be more easily addressed. Although many locally operated surgical robots and devices have been developed, none can safely grasp organs and provide traction. A new manipulator with a detachable commercial forceps was developed that can act as a third arm for a surgeon situated in a sterile area near the patient. This mechanism can be disassembled into compact parts that enable mobile use. A mobile locally operated detachable end-effector manipulator (LODEM) was developed and tested. This device uses crank-slider and cable-rod mechanisms to achieve 5 degrees of freedom and an acting force of more than 5 N. The total mass is less than 15 kg. The positional accuracy and speed of the prototype device were evaluated while performing simulated in vivo surgery. The accuracy of the mobile LODEM was 0.4 mm, sufficient for handling organs. The manipulator could be assembled and disassembled in 8 min, making it highly mobile. The manipulator could successfully handle the target organs with the required level of dexterity during an in vivo laparoscopic surgical procedure. A mobile LODEM was designed that allows minimally invasive robotically assisted endoscopic surgery by a surgeon working near the patient. This device is highly promising for robotic surgery applications.

Emergency medicine: beyond the basics.

PubMed

Malamed, S F

1997-07-01

Medical emergencies can arise in the dental office. Preparedness for these emergencies is predicated on an ability to rapidly recognize a problem and to effectively institute prompt and proper management. In all emergency situations, management is based on implementation of basic life support, as needed. The author describes the appropriate management of two common emergency situations: allergy and chest pain.

Mobile emergency, an emergency support system for hospitals in mobile devices: pilot study.

PubMed

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

2013-05-23

Hospitals are vulnerable to natural disasters, man-made disasters, and mass causalities events. Within a short time, hospitals must provide care to large numbers of casualties in any damaged infrastructure, despite great personnel risk, inadequate communications, and limited resources. Communications are one of the most common challenges and drawbacks during in-hospital emergencies. Emergency difficulties in communicating with personnel and other agencies are mentioned in literature. At the moment of emergency inception and in the earliest emergency phases, the data regarding the true nature of the incidents are often inaccurate. The real needs and conditions are not yet clear, hospital personnel are neither efficiently coordinated nor informed on the real available resources. Information and communication technology solutions in health care turned out to have a great positive impact both on daily working practice and situations. The objective of this paper was to find a solution that addresses the aspects of communicating among medical personnel, formalizing the modalities and protocols and the information to guide the medical personnel during emergency conditions with a support of a Central Station (command center) to cope with emergency management and best practice network to produce and distribute intelligent content made available in the mobile devices of the medical personnel. The aim was to reduce the time needed to react and to cope with emergency organization, while facilitating communications. The solution has been realized by formalizing the scenarios, extracting, and identifying the requirements by using formal methods based on unified modeling language (UML). The system and was developed using mobile programming under iOS Apple and PHP: Hypertext Preprocessor My Structured Query Language (PHP MySQL). Formal questionnaires and time sheets were used for testing and validation, and a control group was used in order to estimate the reduction of time needed to cope with emergency cases. First, we have tested the usability and the functionalities of the solution proposed, then a real trial was performed to assess the reduction in communication time and the efficiency of the solution with respect to a case without Mobile Emergency tools. The solution was based on the development of a mobile emergency application and corresponding server device to cope with emergencies and facilitate all the related activities and communications, such as marking the position, contacting people, and recovering the exits information. The solution has been successfully tested within the Careggi Hospital, the largest medical infrastructure in Florence and Tuscany area in Italy, thus demonstrating the validity of the identified modalities, procedures, and the reduction in the time needed to cope with the emergency conditions. The trial was not registered as the test was conducted in realistic but simulated emergency conditions. By analyzing the requirements for developing a mobile app, and specifically the functionalities, codes, and design of the Mobile Emergency app, we have revealed the real advantages of using mobile emergency solutions compared to other more traditional solutions to effectively handle emergency situations in hospital settings.

44 CFR 4.11 - What are the Administrator's obligations in interstate situations?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false What are the Administrator's obligations in interstate situations? 4.11 Section 4.11 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL INTERGOVERNMENTAL REVIEW OF FEDERAL EMERGENCY...

Emergency Situation Prediction Mechanism: A Novel Approach for Intelligent Transportation System Using Vehicular Ad Hoc Networks

PubMed Central

Gokulakrishnan, P.

2015-01-01

In Indian four-lane express highway, millions of vehicles are travelling every day. Accidents are unfortunate and frequently occurring in these highways causing deaths, increase in death toll, and damage to infrastructure. A mechanism is required to avoid such road accidents at the maximum to reduce the death toll. An Emergency Situation Prediction Mechanism, a novel and proactive approach, is proposed in this paper for achieving the best of Intelligent Transportation System using Vehicular Ad Hoc Network. ESPM intends to predict the possibility of occurrence of an accident in an Indian four-lane express highway. In ESPM, the emergency situation prediction is done by the Road Side Unit based on (i) the Status Report sent by the vehicles in the range of RSU and (ii) the road traffic flow analysis done by the RSU. Once the emergency situation or accident is predicted in advance, an Emergency Warning Message is constructed and disseminated to all vehicles in the area of RSU to alert and prevent the vehicles from accidents. ESPM performs well in emergency situation prediction in advance to the occurrence of an accident. ESPM predicts the emergency situation within 0.20 seconds which is comparatively less than the statistical value. The prediction accuracy of ESPM against vehicle density is found better in different traffic scenarios. PMID:26065014

Bacterial Contamination and Disinfection Status of Laryngoscopes Stored in Emergency Crash Carts

PubMed Central

Lee, Jung Won; Shin, Hee Bong; Lee, In Kyung

2017-01-01

Objectives To identify bacterial contamination rates of laryngoscope blades and handles stored in emergency crash carts by hospital and area according to the frequency of intubation attempts. Methods One hundred forty-eight handles and 71 blades deemed ready for patient use from two tertiary hospitals were sampled with sterile swabs using a standardized rolling technique. Samples were considered negative (not contaminated) if no colonies were present on the blood agar plate after an 18-hour incubation period. Samples were stratified by hospital and according to the frequency of intubation attempts (10 attempts per year) using the χ2-test and Fisher exact test. Results One or more species of bacteria were isolated from 4 (5.6%) handle tops, 20 (28.2%) handles with knurled surfaces, and 27 (18.2%) blades. No significant differences were found in microbial contamination levels on the handle tops and blades between the two hospitals and two areas according to the frequency of intubation attempts. However, significant differences were found between the two hospitals and two areas in the level of microbial contamination on the handles with knurled surfaces (p<0.05). Conclusions Protocols and policies must be reviewed to standardize procedures to clean and disinfect laryngoscope blades and handles; handles should be re-designed to eliminate points of contact with the blade; and single-use, one-piece laryngoscopes should be introduced. PMID:28605891

Effects of competing environmental variables and signage on route-choices in simulated everyday and emergency wayfinding situations.

PubMed

Vilar, Elisângela; Rebelo, Francisco; Noriega, Paulo; Duarte, Emília; Mayhorn, Christopher B

2014-01-01

This study examined the relative influence of environmental variables (corridor width and brightness) and signage (directional and exit signs), when presented in competition, on participants' route-choices in two situational variables (everyday vs. emergency), during indoor wayfinding in virtual environments. A virtual reality-based methodology was used. Thus, participants attempted to find a room (everyday situation) in a virtual hotel, followed by a fire-related emergency egress (emergency situation). Different behaviours were observed. In the everyday situation, for no-signs condition, participants choose mostly the wider and brighter corridors, suggesting a heavy reliance on the environmental affordances. Conversely, for signs condition, participants mostly complied with signage, suggesting a greater reliance on the signs rather than on the environmental cues. During emergency, without signage, reliance on environmental affordances seems to be affected by the intersection type. In the sign condition, the reliance on environmental affordances that started strong decreases along the egress route.

Detection of braking intention in diverse situations during simulated driving based on EEG feature combination

NASA Astrophysics Data System (ADS)

Kim, Il-Hwa; Kim, Jeong-Woo; Haufe, Stefan; Lee, Seong-Whan

2015-02-01

Objective. We developed a simulated driving environment for studying neural correlates of emergency braking in diversified driving situations. We further investigated to what extent these neural correlates can be used to detect a participant's braking intention prior to the behavioral response. Approach. We measured electroencephalographic (EEG) and electromyographic signals during simulated driving. Fifteen participants drove a virtual vehicle and were exposed to several kinds of traffic situations in a simulator system, while EEG signals were measured. After that, we extracted characteristic features to categorize whether the driver intended to brake or not. Main results. Our system shows excellent detection performance in a broad range of possible emergency situations. In particular, we were able to distinguish three different kinds of emergency situations (sudden stop of a preceding vehicle, sudden cutting-in of a vehicle from the side and unexpected appearance of a pedestrian) from non-emergency (soft) braking situations, as well as from situations in which no braking was required, but the sensory stimulation was similar to stimulations inducing an emergency situation (e.g., the sudden stop of a vehicle on a neighboring lane). Significance. We proposed a novel feature combination comprising movement-related potentials such as the readiness potential, event-related desynchronization features besides the event-related potentials (ERP) features used in a previous study. The performance of predicting braking intention based on our proposed feature combination was superior compared to using only ERP features. Our study suggests that emergency situations are characterized by specific neural patterns of sensory perception and processing, as well as motor preparation and execution, which can be utilized by neurotechnology based braking assistance systems.

Qualitative research ethics on the spot: Not only on the desktop.

PubMed

Øye, Christine; Sørensen, Nelli Øvre; Glasdam, Stinne

2016-06-01

The increase in medical ethical regulations and bureaucracy handled by institutional review boards and healthcare institutions puts the researchers using qualitative methods in a challenging position. Based on three different cases from three different research studies, the article explores and discusses research ethical dilemmas. First, and especially, the article addresses the challenges for gatekeepers who influence the informant's decisions to participate in research. Second, the article addresses the challenges in following research ethical guidelines related to informed consent and doing no harm. Third, the article argues for the importance of having research ethical guidelines and review boards to question and discuss the possible ethical dilemmas that occur in qualitative research. Research ethics must be understood in qualitative research as relational, situational, and emerging. That is, that focus on ethical issues and dilemmas has to be paid attention on the spot and not only at the desktop. © The Author(s) 2015.

Parents' experiences, reactions and needs regarding a nonviable fetus diagnosed at a second trimester routine ultrasound.

PubMed

Ekelin, Maria; Crang-Svalenius, Elizabeth; Nordström, Berit; Dykes, Anna-Karin

2008-01-01

To conceptualize women's and their partners' experiences and ways of handling the situation before, during, and after second trimester ultrasound examination with the diagnosis of a nonviable fetus. A grounded theory study. A Swedish regional hospital. Nine women and 6 men (n=15) were interviewed within a year of the event. The core category was Unexpected change in life. Four categories that were encompassed by the core category emerged: (a) Deceived by a false sense of security; (b) Confronting reality; (c) Grieving; and (d) Reorientation. These parents were unprepared for the diagnosis of a nonviable fetus. In addition to the crisis reaction, they realized that the sense of security they had experienced was false. As different care givers were involved, the need for a care plan was evident. Support from care givers was a very important factor.

Comparative Analysis of Document level Text Classification Algorithms using R

NASA Astrophysics Data System (ADS)

Syamala, Maganti; Nalini, N. J., Dr; Maguluri, Lakshamanaphaneendra; Ragupathy, R., Dr.

2017-08-01

From the past few decades there has been tremendous volumes of data available in Internet either in structured or unstructured form. Also, there is an exponential growth of information on Internet, so there is an emergent need of text classifiers. Text mining is an interdisciplinary field which draws attention on information retrieval, data mining, machine learning, statistics and computational linguistics. And to handle this situation, a wide range of supervised learning algorithms has been introduced. Among all these K-Nearest Neighbor(KNN) is efficient and simplest classifier in text classification family. But KNN suffers from imbalanced class distribution and noisy term features. So, to cope up with this challenge we use document based centroid dimensionality reduction(CentroidDR) using R Programming. By combining these two text classification techniques, KNN and Centroid classifiers, we propose a scalable and effective flat classifier, called MCenKNN which works well substantially better than CenKNN.

An Attribute Based Access Control Framework for Healthcare System

NASA Astrophysics Data System (ADS)

Afshar, Majid; Samet, Saeed; Hu, Ting

2018-01-01

Nowadays, access control is an indispensable part of the Personal Health Record and supplies for its confidentiality by enforcing policies and rules to ensure that only authorized users gain access to requested resources in the system. In other words, the access control means protecting patient privacy in healthcare systems. Attribute-Based Access Control (ABAC) is a new access control model that can be used instead of other traditional types of access control such as Discretionary Access Control, Mandatory Access Control, and Role-Based Access Control. During last five years ABAC has shown some applications in both recent academic fields and industry purposes. ABAC by using user’s attributes and resources, makes a decision according to an access request. In this paper, we propose an ABAC framework for healthcare system. We use the engine of ABAC for rendering and enforcing healthcare policies. Moreover, we handle emergency situations in this framework.

Community-Based Academic Level I Trauma Center Prepares for the 2016 Republican National Convention.

PubMed

Keefe, Judy; Cern, Kathy; Wiita, Sharon; Raubenolt, Amy; Atkins, Elizabeth

Disaster preparedness has come to the forefront for hospitals since the 9/11 attacks in 2001. Many improvements have been made in emergency management and planning for catastrophic events. Both urban and community hospitals have the same responsibilities and commitments to their patients and communities. When the announcement was made that the 2016 Republican National Convention was going to be held in Cleveland, OH, Cleveland Clinic Akron General (CCAG) had to be confident in its abilities to handle any situation that might arise not just as a community hospital but also as a Level I trauma center. Organizing and preparing for more than a year, CCAG developed a detailed and well-thought-out preparedness program, with senior leadership implementing a clear chain of command. Developing and maintaining a strong and steady defense through detailed preparation, communication, teamwork, and organization are the keys to success.

Does teaching non-technical skills to medical students improve those skills and simulated patient outcome?

PubMed

Hagemann, Vera; Herbstreit, Frank; Kehren, Clemens; Chittamadathil, Jilson; Wolfertz, Sandra; Dirkmann, Daniel; Kluge, Annette; Peters, Jürgen

2017-03-29

The purpose of this study is to evaluate the effects of a tailor-made, non-technical skills seminar on medical student's behaviour, attitudes, and performance during simulated patient treatment. Seventy-seven students were randomized to either a non-technical skills seminar (NTS group, n=43) or a medical seminar (control group, n=34). The human patient simulation was used as an evaluation tool. Before the seminars, all students performed the same simulated emergency scenario to provide baseline measurements. After the seminars, all students were exposed to a second scenario, and behavioural markers for evaluating their non-technical skills were rated. Furthermore, teamwork-relevant attitudes were measured before and after the scenarios, and perceived stress was measured following each simulation. All simulations were also evaluated for various medical endpoints. Non-technical skills concerning situation awareness (p<.01, r=0.5) and teamwork (p<.01, r=0.45) improved from simulation I to II in the NTS group. Decision making improved in both groups (NTS: p<.01, r=0.39; control: p<.01, r=0.46). The attitude 'handling errors' improved significantly in the NTS group (p<.05, r=0.34). Perceived stress decreased from simulation I to II in both groups. Medical endpoints and patients´ outcome did not differ significantly between the groups in simulation II. This study highlights the effectiveness of a single brief seminar on non-technical skills to improve student's non-technical skills. In a next step, to improve student's handling of emergencies and patient outcomes, non-technical skills seminars should be accompanied by exercises and more broadly embedded in the medical school curriculum.

Aircraft Emergencies: Challenge and Response

NASA Technical Reports Server (NTRS)

Burian, Barbara K.

2010-01-01

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

Web-based emergency response exercise management systems and methods thereof

DOEpatents

Goforth, John W.; Mercer, Michael B.; Heath, Zach; Yang, Lynn I.

2014-09-09

According to one embodiment, a method for simulating portions of an emergency response exercise includes generating situational awareness outputs associated with a simulated emergency and sending the situational awareness outputs to a plurality of output devices. Also, the method includes outputting to a user device a plurality of decisions associated with the situational awareness outputs at a decision point, receiving a selection of one of the decisions from the user device, generating new situational awareness outputs based on the selected decision, and repeating the sending, outputting and receiving steps based on the new situational awareness outputs. Other methods, systems, and computer program products are included according to other embodiments of the invention.

Development and evaluation of a simulation exercise to prepare midwifery students for neonatal resuscitation.

PubMed

Carolan-Olah, Mary; Kruger, Gina; Brown, Vera; Lawton, Felicity; Mazzarino, Melissa

2016-01-01

Simulation provides opportunities for midwifery students to enhance their performance in emergency situations. Neonatal resuscitation is one such emergency and its management is a major concern for midwifery students. This project aimed to develop and evaluate a simulation exercise, for neonatal resuscitation, for 3rd year midwifery students. A quantitative survey design was employed using questions from two previously validated questionnaires: (1.) Student Satisfaction and Self-Confidence in Learning and (2.) the Clinical Teamwork Scale (CTS). Australian university. 40 final year midwifery students were invited to participate and 36 agreed to take part in the project. In pre-simulation questionnaires, students reported low levels of confidence in initiating care of an infant requiring resuscitation. Most anticipated that the simulation exercise would be useful to better prepare them respond to a neonatal emergency. Post-simulation questionnaires reported an increase in student confidence, with 30 of 36 students agreeing/ strongly agreeing that their confidence levels had improved. Nonetheless, an unexpected number of students reported a lack of familiarity with the equipment. The single simulation exercise evaluated in this project resulted in improved student confidence and greater knowledge and skills in neonatal resuscitation. However, deficits in handling emergency equipment, and in understanding the role of the student midwife/midwife in neonatal resuscitation, were also noted. For the future, the development and evaluation of a programme of simulation exercises, over a longer period, is warranted. This approach may reduce stress and better address student learning needs. Copyright © 2015. Published by Elsevier Ltd.

Ergonomic assessment methodologies in manual handling of loads--opportunities in organizations.

PubMed

Pires, Claudia

2012-01-01

The present study was developed based on the analysis of workplaces in the engineering industry, particularly in automotive companies. The main objectives of the study were to evaluate the activities present in the workplace concerning manual handling, using assessment methodologies NIOSH Ergonomic Equation [1] and Manual Material Handling [2], present in ISO 11228 [3-4], and to consider the possibility of developing musculoskeletal injuries associated with these activities, an issue of great concern in all industrial sectors. Similarly, it was also shown the suitability of each method to the task concerned. The study was conducted in three steps. The first step was to collect images and information about the target tasks. As a second step proceeded to the analysis, determining the method to use and to evaluate activities. Finally, we found the results obtained and acted on accordingly. With the study observed situations considered urgent action, according to the methodologies used, and proceeded to develop solutions in order to solve the problems identified, eliminating and / or minimizing embarrassing situations and harmful to employees.

Awareness, attitudes and practices of first aid among school teachers in Mangalore, south India.

PubMed

Joseph, Nitin; Narayanan, Thanneermalai; Bin Zakaria, Saifuddin; Nair, Abhishek Venugopal; Belayutham, Lavina; Subramanian, Aathiya Mihiraa; Gopakumar, K G

2015-12-01

Circumstances requiring medical attention are common at schools. Teachers are often the first individuals to witness and handle situations requiring first aid and medical emergencies. To determine awareness, attitudes and practices of school teachers and the facilities available at schools with respect to administration of first aid. Data were obtained from 146 teachers in nine schools in Mangalore, India, using a self-administered questionnaire. The schools were also inspected for first aid equipment and facilities. Only 69 (47%) teachers had received first aid training previously. Poor and moderate knowledge of first aid was observed among 19 (13%) and 127 (87%) teachers, respectively. Only eight teachers knew the correct procedure for cardiopulmonary resuscitation. Most teachers 96 (66%) were willing to administer first aid if provided with the required training. A total of 74 teachers reported having practised first aid in response to a situation arising at their school. Wounds (36%) and syncopal attack (23%) were among the commonly encountered situations requiring first aid management at schools. Teachers' confidence level in administering first aid was significantly associated with prior training in first aid (p=0.001). First aid kits were available in only five of the nine schools surveyed. The current competency level among teachers in Mangalore to administer first aid is inadequate. Measures need to be taken at schools to ensure initiation of first aid training followed by periodic training for teachers in first aid.

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 3 The President 1 2012-01-01 2012-01-01 false Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire Presidential Documents Other Presidential Documents Notice of January 26, 2011 Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire On February 7...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 3 The President 1 2014-01-01 2014-01-01 false Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire Presidential Documents Other Presidential Documents Notice of February 4, 2013 Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire On February 7...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 3 The President 1 2011-01-01 2011-01-01 false Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire Presidential Documents Other Presidential Documents Notice of February 2, 2010 Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire On February 7...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 3 The President 1 2013-01-01 2013-01-01 false Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire Presidential Documents Other Presidential Documents Notice of February 3, 2012 Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire On February 7...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 3 The President 1 2010-01-01 2010-01-01 false Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire Presidential Documents Other Presidential Documents Notice of February 4, 2009 Continuation of the National Emergency With Respect to the Situation in or in Relation to Côte d'Ivoire On February 7...

49 CFR 239.105 - Debriefing and critique.

Code of Federal Regulations, 2014 CFR

2014-10-01

... emergency situation or full-scale simulation to determine the effectiveness of its emergency preparedness... passenger train emergency situation or full-scale simulation. To the extent practicable, all on-board...-scale simulation shall participate in the session either: (1) In person; (2) Offsite via teleconference...

78 FR 71785 - Passenger Train Emergency Systems II

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-29

... in debriefing and critique sessions following emergency situations and full-scale simulations. DATES... Session Following Emergency Situations and Full-Scale Simulations V. Section-by-Section Analysis A... and simulations. As part of these amendments, FRA is incorporating by reference three American Public...

Emergency department workers' perceptions of security officers' effectiveness during violent events.

PubMed

Gillespie, Gordon Lee; Gates, Donna M; Miller, Margaret; Howard, Patricia Kunz

2012-01-01

The emergency department (ED) is among the most at-risk settings for violence by patients and visitors against ED workers. A first response to potential or actual events of workplace violence is often contacting hospital security officers for assistance. The purpose of this study is to describe ED workers' views of security officers' effectiveness during actual events of verbal and/or physical violence. Healthcare workers (n=31) from an urban pediatric ED in the Midwest United States. Participants were interviewed regarding their experiences with workplace violence. Verbatim transcripts were qualitatively analyzed. Six themes were identified: (1) a need for security officers, (2) security officers' availability and response, (3) security officers' presence or involvement, (4) security officers' ability to handle violent situations, (5) security officers' role with restraints, and (6) security officers' role with access. It is important that early communication between security officers and ED workers takes place before violent events occur. A uniform understanding of the roles and responsibilities of security officers should be clearly communicated to ED workers. Future research needs to be conducted with hospital-based security officers to describe their perceptions about their role in the prevention and management of workplace violence.

The application of Firefly algorithm in an Adaptive Emergency Evacuation Centre Management (AEECM) for dynamic relocation of flood victims

NASA Astrophysics Data System (ADS)

ChePa, Noraziah; Hashim, Nor Laily; Yusof, Yuhanis; Hussain, Azham

2016-08-01

Flood evacuation centre is defined as a temporary location or area of people from disaster particularly flood as a rescue or precautionary measure. Gazetted evacuation centres are normally located at secure places which have small chances from being drowned by flood. However, due to extreme flood several evacuation centres in Kelantan were unexpectedly drowned. Currently, there is no study done on proposing a decision support aid to reallocate victims and resources of the evacuation centre when the situation getting worsens. Therefore, this study proposes a decision aid model to be utilized in realizing an adaptive emergency evacuation centre management system. This study undergoes two main phases; development of algorithm and models, and development of a web-based and mobile app. The proposed model operates using Firefly multi-objective optimization algorithm that creates an optimal schedule for the relocation of victims and resources for an evacuation centre. The proposed decision aid model and the adaptive system can be applied in supporting the National Security Council's respond mechanisms for handling disaster management level II (State level) especially in providing better management of the flood evacuating centres.

Predictive Ability of an Emergency Medical Dispatch Stroke Diagnostic Tool in Identifying Hospital-Confirmed Strokes.

PubMed

Clawson, Jeff J; Scott, Greg; Gardett, Isabel; Youngquist, Scott; Taillac, Peter; Fivaz, Conrad; Olola, Christopher

2016-08-01

Early hospital notification of a possible stroke arriving via emergency medical services (EMS) can prepare stroke center personnel for timely treatment, especially timely administration of tissue plasminogen activator. Stroke center notification from the emergency dispatch center-before responders reach the scene-may promote even earlier and faster system activation, meaning that stroke center teams may be ready to receive patients as soon as the ambulance arrives. This study evaluates the use of a Medical Priority Dispatch System (MPDS; Priority Dispatch Corp., Salt Lake City, UT) Stroke Diagnostic Tool (SDxT) to identify possible strokes early by comparing the tools' results to on-scene and hospital findings. The retrospective descriptive study utilized stroke data from 3 sources: emergency medical dispatch, EMS, and emergency department/hospital. A total of 830 cases were collected between June 2012 and December 2013, of which 603 (72.7%) had matching dispatch records. Of the 603 cases, 304 (50.4%) were handled using MPDS Stroke Protocol 28. The SDxT had an 86.4% ability (OR [95% CI]: 2.3 [1.5, 3.5]) to effectively identify strokes among all the hospital-confirmed stroke cases (sensitivity), and a 26.6% ability to effectively identify nonstrokes among all the hospital-confirmed nonstroke cases (specificity). The SDxT demonstrated a very high sensitivity, compared to similar tools used in the field and at dispatch. The specificity was somewhat low, but this was expected-and is intended in the creation of protocols to be used over the phone in emergency situations. The tool is a valuable method for identifying strokes early and may allow early hospital notification. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

Near East/South Asia Report.

DTIC Science & Technology

1985-03-03

particular the oil revenues, as well as consideration of the major financial balances—both internal and external. Greater vigilance is again needed...to allow our development plans to correspond with the actual financial situation and thereby protect the country against all— but specially outside...to improve Algeria’s financial situation vis-a-vis other countries. This relatively cavalier handling of oil revenues helps to explain the minor

Mapping the Strategic Thinking of Public Relations Managers in a Crisis Situation: An Illustrative Example Using Conjoint Analysis.

ERIC Educational Resources Information Center

Bronn, Peggy Simcic; Olson, Erik L.

1999-01-01

Illustrates the operationalization of the conjoint analysis multivariate technique for the study of the public relations function within strategic decision making in a crisis situation. Finds that what the theory describes as the strategic way of handling a crisis is also the way each of the managers who were evaluated would prefer to conduct…

An interplay model for authorities' actions and rumor spreading in emergency event

NASA Astrophysics Data System (ADS)

Huo, Liang-an; Huang, Peiqing; Fang, Xing

2011-10-01

Rumor spreading influences how rational individuals assess risks and evaluate needs, especially, it affects authorities to make decisions in an emergency-affected environments. Conversely, authorities' response to emergency will induct public opinions as well. In this paper, we present a simple model to describe the interplay between rumor spreading and authorities' actions in emergency situation based on utility theory. By drawing from differential equations we found that it is possible to minimize negative social utility of rumor spreading in the control of situation. At the same time, authorities' proactive actions can improve rumor management in emergency situation and yield positive social utility. Finally, we outline strategies for authorities that can contribute to rumor management in an emergency event.

Method and system for conserving power in a telecommunications network during emergency situations

DOEpatents

Conrad, Stephen H [Algodones, NM; O'Reilly, Gerard P [Manalapan, NJ

2011-10-11

Disclosed is a method and apparatus for conserving power in a telecommunications network during emergency situations. A permissible number list of emergency and/or priority numbers is stored in the telecommunications network. In the event of an emergency or power failure, input digits of a call to the telecommunications network are compared to the permissible number list. The call is processed in the telecommunications network and routed to its destination if the input digits match an entry in the permissible number list. The call is dropped without any further processing if the input digits do not match an entry in the permissible number list. Thus, power can be conserved in emergency situations by only allowing emergency and/or priority calls.

View from southwest to northeast of warhead handling building. Note ...

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

View from southwest to northeast of warhead handling building. Note earth embankment. The personnel entrance (left) and equipment entrance can clearly be seen in center of photograph. To the right is the emergency exit tunnel constructed of corrugated metal pipe. This building was salvaged and sealed after site inactivation - Stanley R. Mickelsen Safeguard Complex, Warhead Handling Building, Within Exclusion Area, Nekoma, Cavalier County, ND

40 CFR 166.40 - Authorization.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AND STATE AGENCIES FOR USE OF PESTICIDES UNDER EMERGENCY CONDITIONS Crisis Exemptions § 166.40... issue a crisis exemption in situations involving an unpredictable emergency situation when: (a) An...

42 CFR 460.100 - Emergency care.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Emergency care. 460.100 Section 460.100 Public...) PACE Services § 460.100 Emergency care. (a) Written plan. A PACE organization must establish and maintain a written plan to handle emergency care. The plan must ensure that CMS, the State, and PACE...

42 CFR 460.100 - Emergency care.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Emergency care. 460.100 Section 460.100 Public...) PACE Services § 460.100 Emergency care. (a) Written plan. A PACE organization must establish and maintain a written plan to handle emergency care. The plan must ensure that CMS, the State, and PACE...

42 CFR 460.100 - Emergency care.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Emergency care. 460.100 Section 460.100 Public...) PACE Services § 460.100 Emergency care. (a) Written plan. A PACE organization must establish and maintain a written plan to handle emergency care. The plan must ensure that CMS, the State, and PACE...

Emergency automatic signalling system using time scheduling

NASA Astrophysics Data System (ADS)

Rayavel, P.; Surenderanath, S.; Rathnavel, P.; Prakash, G.

2018-04-01

It is difficult to handle traffic congestion and maintain roads during traffic mainly in India. As the people migrate from rural to urban and sub-urban areas, it becomes still more critical. Presently Roadways is a standout amongst the most vital transportation. At the point when a car crash happens, crisis vehicles, for example, ambulances and fire trucks must rush to the mischance scene. There emerges a situation where a portion of the crisis vehicles may cause another car crash. Therefore it becomes still more difficult for emergency vehicle to reach the destination within a predicted time. To avoid that kind of problem we have come out with an effective idea which can reduce the potential in the traffic system. The traffic system is been modified using a wireless technology and high speed micro controller to provide smooth and clear flow of traffic for ambulance to reach the destination on time. This is achieved by using RFID Tag at the ambulance and RFID Reader at the traffic system i.e., traffic signal. This mainly deals with identifying the emergency vehicle and providing a green signal to traffic signal at time of traffic jam. — By assigning priorities to various traffic movements, we can control the traffic jam. In some moments like ambulance emergency, high delegates arrive people facing lot of trouble. To overcome this problem in this paper we propose a time priority based traffic system achieved by using RFID transmitter at the emergency vehicle and RFID receiver at the traffic system i.e., traffic signal. The signal from the emergency vehicle is sent to traffic system which after detecting it sends it to microcontroller which controls the traffic signal. If any emergency vehicle is detected the system goes to emergency system mode where signal switch to green and if it is not detected normal system mode.

The optimization of nuclear power plants operation modes in emergency situations

NASA Astrophysics Data System (ADS)

Zagrebayev, A. M.; Trifonenkov, A. V.; Ramazanov, R. N.

2018-01-01

An emergency situations resulting in the necessity for temporary reactor trip may occur at the nuclear power plant while normal operating mode. The paper deals with some of the operation c aspects of nuclear power plant operation in emergency situations and during threatened period. The xenon poisoning causes limitations on the variety of statements of the problem of calculating characteristics of a set of optimal reactor power off controls. The article show a possibility and feasibility of new sets of optimization tasks for the operation of nuclear power plants under conditions of xenon poisoning in emergency circumstances.

49 CFR 193.2509 - Emergency procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... plant; (ii) Potential hazards at the plant, including fires; (iii) Communication and emergency control... plant due to operating malfunctions, structural collapse, personnel error, forces of nature, and activities adjacent to the plant. (b) To adequately handle each type of emergency identified under paragraph...

A Cognitive Task Analysis for an Emergency Management Serious Game.

PubMed

Dass, Susan; Barnieu, Joanne; Cummings, Paul; Cid, Victor

2016-01-01

The Bethesda Hospitals' Emergency Preparedness Partnership identified a need to design training systems for hospital emergency management scenarios that included incident command situations. As part of this partnership, the National Library of Medicine (NLM) was challenged to develop an engaging, learner-centered simulation to specifically address hospital procedures for highly infectious diseases (HIDs) for multiple hospital roles. A serious game approach was selected for the simulation because collaborative (multiplayer) immersive, game-based simulations have been proven to generate realistic and engaging learning experiences and, when properly designed, can enhance training while minimizing cost compared to full-scale disaster exercises (Spain et al., 2013). Although substantial research effort has been put into design and evaluation of serious games, less time has been spent on developing sound instructional design methodologies to support serious game development. So how does one collect the appropriate, relevant, contextualized content and then align with serious game design elements? This paper describes how a cognitive task approach supported by a live demonstration with a think-aloud protocol was used to collect the rich psychomotor, procedural, and cognitive data necessary for the design of a serious game for handling HIDs. Furthermore, the paper presents a process to translate the collected data into meaningful content to support rapid prototyping. Recommendations for data collection and translation for a serious game close the paper.

A Cognitive Task Analysis for an Emergency Management Serious Game

PubMed Central

Dass, Susan; Barnieu, Joanne; Cummings, Paul; Cid, Victor

2017-01-01

The Bethesda Hospitals' Emergency Preparedness Partnership identified a need to design training systems for hospital emergency management scenarios that included incident command situations. As part of this partnership, the National Library of Medicine (NLM) was challenged to develop an engaging, learner-centered simulation to specifically address hospital procedures for highly infectious diseases (HIDs) for multiple hospital roles. A serious game approach was selected for the simulation because collaborative (multiplayer) immersive, game-based simulations have been proven to generate realistic and engaging learning experiences and, when properly designed, can enhance training while minimizing cost compared to full-scale disaster exercises (Spain et al., 2013). Although substantial research effort has been put into design and evaluation of serious games, less time has been spent on developing sound instructional design methodologies to support serious game development. So how does one collect the appropriate, relevant, contextualized content and then align with serious game design elements? This paper describes how a cognitive task approach supported by a live demonstration with a think-aloud protocol was used to collect the rich psychomotor, procedural, and cognitive data necessary for the design of a serious game for handling HIDs. Furthermore, the paper presents a process to translate the collected data into meaningful content to support rapid prototyping. Recommendations for data collection and translation for a serious game close the paper. PMID:29629430

The emergence of mind and brain: an evolutionary, computational, and philosophical approach.

PubMed

Mainzer, Klaus

2008-01-01

Modern philosophy of mind cannot be understood without recent developments in computer science, artificial intelligence (AI), robotics, neuroscience, biology, linguistics, and psychology. Classical philosophy of formal languages as well as symbolic AI assume that all kinds of knowledge must explicitly be represented by formal or programming languages. This assumption is limited by recent insights into the biology of evolution and developmental psychology of the human organism. Most of our knowledge is implicit and unconscious. It is not formally represented, but embodied knowledge, which is learnt by doing and understood by bodily interacting with changing environments. That is true not only for low-level skills, but even for high-level domains of categorization, language, and abstract thinking. The embodied mind is considered an emergent capacity of the brain as a self-organizing complex system. Actually, self-organization has been a successful strategy of evolution to handle the increasing complexity of the world. Genetic programs are not sufficient and cannot prepare the organism for all kinds of complex situations in the future. Self-organization and emergence are fundamental concepts in the theory of complex dynamical systems. They are also applied in organic computing as a recent research field of computer science. Therefore, cognitive science, AI, and robotics try to model the embodied mind in an artificial evolution. The paper analyzes these approaches in the interdisciplinary framework of complex dynamical systems and discusses their philosophical impact.

Emergency care of raptors.

PubMed

Graham, Jennifer E; Heatley, J Jill

2007-05-01

Raptors may present with a variety of conditions, such as trauma, debilitation, and disease, that necessitate emergency care. Emergency treatment should prioritize stabilization of the patient. Diagnostic testing should be delayed until feasible based on patient status. This article reviews emergency medicine in raptors, including appropriate handling and restraint, hospitalization, triage and patient assessment, sample collection, supportive care, and common emergency presentations.

[Validation of a triage scale: first step in patient admission and in emergency service models].

PubMed

Legrand, A; Thys, F; Vermeiren, E; Touwaide, M; D'Hoore, W; Hubin, V; Reynaert, M S

2003-03-01

At present, most emergency services handle the multitude of various demands in the same unity of place and by the same team of nurses aides, with direct consequences on the waiting time and in the handling of problems of varying degrees of importance. Our service examines other administrative models based on a triage of time and of orientation. In a prospective study on 679 patients, we have validated a triage tool inspired from the ICEM model (International Cooperation of Emergency Medicine) allowing patients to receive, while they wait, information and training, based on the resources provided, in order to deal with their particular medical problem. The validation of this tool was carried out in terms of its utilization as well as its reliability. It appears that, with the type of triage offered, there is a theoretical reserve of waiting time for the patients in which the urgency is relative, and which could be better used in the handling of more vital cases.

Medical emergencies in the dental surgery. Part 1: Preparation of the office and basic management.

PubMed

Malamed, Stanley F

2015-12-01

Medical emergencies can and do happen in the dental surgery. In the 20- to 30-year practice lifetime of the typical dentist, he/she will encounter between five and seven emergency situations. Being prepared in advance of the emergency increases the likelihood of a successful outcome. PURPOSE OF THE PAPER: To prepare members of the dental office staff to be able to promptly recognize and efficiently manage those medical emergency situations that can occur in the dental office environment. Preparation of the dental office to promptly recognize and efficiently manage medical emergencies is predicated on successful implementation of the following four steps: basic life support for ALL members of the dental office staff; creation of a dental office emergency team; activation of emergency medial services (EMS) when indicated; and basic emergency drugs and equipment. The basic emergency algorithm (P->C->A->B->D) is designed for implementation in all emergency situations. Prompt implementation of the basic emergency management protocol can significantly increase the likelihood of a successful result when medical emergencies occur in the dental office environment.

Modeling operators' emergency response time for chemical processing operations.

PubMed

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

2014-01-01

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

Exploring health navigating design: momentary contentment in a cancer context

PubMed Central

Sandén, Ulrika; Harrysson, Lars; Thulesius, Hans; Nilsson, Fredrik

2017-01-01

ABSTRACT Purpose: The technocratic and medicalized model of healthcare is rarely optimal for patients. By connecting two different studies we explore the possibilities of increasing quality of life in cancer care. Methods: The first study captures survival strategies in a historically isolated Arctic village in Norway resulting in Momentary contentment theory, which emerged from analysing four years of participant observation and interview data. The second study conceptualizes everyday life of cancer patients based on in-depth interviews with 19 cancer patients; this was conceptualized as Navigating a new life situation. Both studies used classic grounded theory methodology. The connection between the studies is based on a health design approach. Results: We found a fit between cancer patients challenging life conditions and harsh everyday life in an Arctic village. Death, treatments and dependence have become natural parts of life where the importance of creating spaces-of-moments and a Sense of Safety is imminent to well-being. While the cancer patients are in a new life situation, the Arctic people show a natural ability to handle uncertainties. Conclusion: By innovation theories connected to design thinking, Momentary contentment theory modified to fit cancer care would eventually be a way to improve cancer patients’ quality of life. PMID:28911272

[Sexual violence: narratives of women with mental disorders in Brazil].

PubMed

Barbosa, Jaqueline Almeida Guimarães; de Souza, Marina Celly Martins Ribeiro; Freitas, Maria Imaculada de Fátima

2015-05-01

To understand the impact of sexual violence suffered by women with mental disorders based on self-reports of these experiences. The reports emerged from open interviews with women receiving care at public mental health services in the states of Minas Gerais and Rio de Janeiro, Brazil. These interviews were part of a larger research project that had the overall objective of investigating how this population group lives and thinks sexuality, in order to contribute to actions to promote sexual health. Data collection took place in 2008. Seventeen women with age between 18 and 68 years were interviewed. Fourteen reported having had stable relationships, but only three were still in these relationships. Most of the stable relationships had not been formalized into marriage. Two participants were widows and 13 had children. All the participants reported difficulties in living with their partners and children and having few friends and little family support. The instability of relationships was attributed to situations of aggression, infidelity, and use of drugs and alcohol. Seven women reported having been victims of physical violence within the family, mostly from partners. Two participants reported never having had sexual relations. Health care professionals must be trained to encourage the report of sexual violence by women and adequately handle the situation. Intersectoral actions to deal with this issue are also essential.

Situation Awareness. Report of Break-Out Group 4.

DTIC Science & Technology

2006-10-01

abstraction of the objects and contents, which are displayed and analysed with a visualisation tool. To get a clear picture of the situation around you do...cities, villages etc.). It is possible for other types of information to be visualised /handled similarly for network and data analysis. A good example...interesting feature of a visualisation tool concerning reliability/uncertainty might be the possibility to show/hide uncertain information. This means that

Effects of Neuropeptide Y on Resilience to PTSD

DTIC Science & Technology

2011-04-01

combat operations. What can we learn from 9/11 that applies to our military forces? In 2008, the Army implemented a program under Brigadier General...and learn from stressful situations so they can deal with similar situations more efficiently in the future. Resilient people may often appear...emotions. Instead, they are better able to learn new skills from life experiences which enable them to be better able to handle future stresses

[Palliative care and end-of-life patients in emergency situations. Recommendations on optimization of out-patient care].

PubMed

Wiese, C H R; Vagts, D A; Kampa, U; Pfeiffer, G; Grom, I-U; Gerth, M A; Graf, B M; Zausig, Y A

2011-02-01

At the end of life acute exacerbations of medical symptoms (e.g. dyspnea) in palliative care patients often result in emergency medical services being alerted. The goals of this study were to discuss cooperation between emergency medical and palliative care structures to optimize the quality of care in emergencies involving palliative care patients. For data collection an open discussion of the main topics by experts in palliative and emergency medical care was employed. Main outcome measures and recommendations included responses regarding current practices related to expert opinions and international literature sources. As the essential points of consensus the following recommendations for optimization of care were named: (1) integration of palliative care in the emergency medicine curricula for pre-hospital emergency physicians and paramedics, (2) development of outpatient palliative care, (3) integration of palliative care teams into emergency medical structures, (4) cooperation between palliative and emergency medical care, (5) integration of crisis intervention into outpatient palliative emergency medical care, (6) provision of emergency plans and emergency medical boxes, (7) provision of palliative crisis cards and do not attempt resuscitation (DNAR) orders, (8) psychosocial aspects concerning palliative emergencies and (9) definition of palliative patients and their special situation by the physician responsible for prior treatment. Prehospital emergency physicians are confronted with emergencies in palliative care patients every day. In the treatment of these emergencies there are potentially serious conflicts due to the different therapeutic concepts of palliative medical care and emergency medical services. This study demonstrates that there is a need for regulated criteria for the therapy of palliative patients and patients at the end of life in emergency situations. Overall, more clinical investigations concerning end-of-life care and unresponsive palliative care patients in emergency medical situations are necessary.

Therapeutic applications of radioactive (131)iodine: Procedures and incidents with capsules.

PubMed

Al Aamri, Marwa; Ravichandran, Ramamoorthy; Binukumar, John Pichy; Al Balushi, Naima

2016-01-01

Treatments for thyrotoxicosis and carcinoma thyroid are carried out by oral administration of radioactive iodine ((131)I) in the form of liquid or capsules. The liquid form of (131)I has higher risk factors such as vapourization, spillage and need for management of higher activity wastes. Use of (131)I in capsule form simplify procedures of handling compared to liquid form of (131)I. The guidelines of safe handling and quality assurance aspects for therapeutic use (131)I are well outlined by International Atomic Energy Agency (IAEA) reports. A few unusual incidents with I-131 capsules encountered in the past need to be highlighted from health physics point of view. In Royal Hospital, Oman, I-131 is imported in capsules, and the total activity handled/year steadily increased over 10 years. Discrete activities range from 185 MBq (5 mCi) up to 7.4 GBq (200 mCi). In four incidents deviations in standard operational procedures were recorded. Nature of incidents is described as follows: (1) After assay of activity, the capsule was directly put in the lead container with missing of inner cap. (2) Patient poured water in the Perspex tube, when the capsule was handed over to her, making an emergency situation. (3) In 3 high activity capsules (2 nos 2.96 GBq, 1 no. 4.26 GBq), observed sticky behavior in capsule holder on the 2(nd) day post receipt, which were in order on the 1(st) day. (4) A capsule could not be swallowed by a patient, which was taken back from the mouth. Monitoring of patient later did not show residual ingested activity. The report documents some of the unusual incidents for information to other centers engaged in such radioactive administrations.

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

PubMed Central

2013-01-01

Background Hospitals are vulnerable to natural disasters, man-made disasters, and mass causalities events. Within a short time, hospitals must provide care to large numbers of casualties in any damaged infrastructure, despite great personnel risk, inadequate communications, and limited resources. Communications are one of the most common challenges and drawbacks during in-hospital emergencies. Emergency difficulties in communicating with personnel and other agencies are mentioned in literature. At the moment of emergency inception and in the earliest emergency phases, the data regarding the true nature of the incidents are often inaccurate. The real needs and conditions are not yet clear, hospital personnel are neither efficiently coordinated nor informed on the real available resources. Information and communication technology solutions in health care turned out to have a great positive impact both on daily working practice and situations. Objective The objective of this paper was to find a solution that addresses the aspects of communicating among medical personnel, formalizing the modalities and protocols and the information to guide the medical personnel during emergency conditions with a support of a Central Station (command center) to cope with emergency management and best practice network to produce and distribute intelligent content made available in the mobile devices of the medical personnel. The aim was to reduce the time needed to react and to cope with emergency organization, while facilitating communications. Methods The solution has been realized by formalizing the scenarios, extracting, and identifying the requirements by using formal methods based on unified modeling language (UML). The system and was developed using mobile programming under iOS Apple and PHP: Hypertext Preprocessor My Structured Query Language (PHP MySQL). Formal questionnaires and time sheets were used for testing and validation, and a control group was used in order to estimate the reduction of time needed to cope with emergency cases. First, we have tested the usability and the functionalities of the solution proposed, then a real trial was performed to assess the reduction in communication time and the efficiency of the solution with respect to a case without Mobile Emergency tools. Results The solution was based on the development of a mobile emergency application and corresponding server device to cope with emergencies and facilitate all the related activities and communications, such as marking the position, contacting people, and recovering the exits information. The solution has been successfully tested within the Careggi Hospital, the largest medical infrastructure in Florence and Tuscany area in Italy, thus demonstrating the validity of the identified modalities, procedures, and the reduction in the time needed to cope with the emergency conditions. The trial was not registered as the test was conducted in realistic but simulated emergency conditions. Conclusions By analyzing the requirements for developing a mobile app, and specifically the functionalities, codes, and design of the Mobile Emergency app, we have revealed the real advantages of using mobile emergency solutions compared to other more traditional solutions to effectively handle emergency situations in hospital settings. PMID:23702566

How physicians have learned to handle sickness-certification cases.

PubMed

Löfgren, Anna; Silén, Charlotte; Alexanderson, Kristina

2011-05-01

Sickness absence is a common ''prescription'' in health care in many Western countries. Despite the significance of sick-listing for the life situation of patients, physicians have limited training in how to handle sickness-certification cases and the research about sickness-certification practices is scarce. Gain knowledge on physicians' learning regarding management of sickness certification of patients in formal, informal, and non-formal learning situations, respectively, and possible changes in this from 2004 to 2008. Data from two comprehensive questionnaires to physicians in Sweden about their sickness-certification practice in 2004 (n = 7665) and 2008 (n = 36,898); response rates: 71% and 61%, respectively. Answers from all the physicians ≤64 years old and who had sickness certification tasks (n = 4019 and n = 14,210) were analysed. ratings of importance of different types of learning situations for their sickness-certification competence. Few physicians stated that formal learning situations had contributed to a large or fairly large extent to their competence in sickness certification, e.g. undergraduate studies had done that for 17%, internship for 37%, and resident training for 46%, respectively. Contacts with colleagues had been helpful for 65%. One-third was helped by training arranged by social insurance offices. There was a significant increase between 2004 and 2008 in all items related to formal and non-formal learning situations, while there were no changes regarding informal learning situations. This study of all physicians in Sweden shows that physicians primarily attain competence in sickness certification in their daily clinical practice; through contacts with colleagues and patients.

[Current Situation and Prospects of Emergency Medical Equipment in Our Country].

PubMed

Qi, Lijing; Cheng, Feng

2016-03-01

This article analyzes the new demand of emergency medical equipment in the current development trend based on the analysis of the development and current situation of emergency medicine in our country. At the same time it introduces the current industrial characteristics of our country. Finally it analyzes the development trend of this kind of equipment in the new emergency medicine field.

Against all odds -- Probabilistic forecasts and decision making

NASA Astrophysics Data System (ADS)

Liechti, Katharina; Zappa, Massimiliano

2015-04-01

In the city of Zurich (Switzerland) the setting is such that the damage potential due to flooding of the river Sihl is estimated to about 5 billion US dollars. The flood forecasting system that is used by the administration for decision making runs continuously since 2007. It has a time horizon of max. five days and operates at hourly time steps. The flood forecasting system includes three different model chains. Two of those are run by the deterministic NWP models COSMO-2 and COSMO-7 and one is driven by the probabilistic NWP COSMO-Leps. The model chains are consistent since February 2010, so five full years are available for the evaluation for the system. The system was evaluated continuously and is a very nice example to present the added value that lies in probabilistic forecasts. The forecasts are available on an online-platform to the decision makers. Several graphical representations of the forecasts and forecast-history are available to support decision making and to rate the current situation. The communication between forecasters and decision-makers is quite close. To put it short, an ideal situation. However, an event or better put a non-event in summer 2014 showed that the knowledge about the general superiority of probabilistic forecasts doesn't necessarily mean that the decisions taken in a specific situation will be based on that probabilistic forecast. Some years of experience allow gaining confidence in the system, both for the forecasters and for the decision-makers. Even if from the theoretical point of view the handling during crisis situation is well designed, a first event demonstrated that the dialog with the decision-makers still lacks of exercise during such situations. We argue, that a false alarm is a needed experience to consolidate real-time emergency procedures relying on ensemble predictions. A missed event would probably also fit, but, in our case, we are very happy not to report about this option.

Determining the appropriate strategies for emergency planning through AHP-SWOT.

PubMed

Kalatpour, Omid

2017-01-01

During an unexpected incident, companies should demonstrate appropriate behaviour based on predetermined and rehearsed emergency strategies. This paper describes how to select the proper strategies for emergency situations via means of the AHP-SWOT tool, where the initial SWOT analysis is conducted for the emergency management system, and the final strategies are selected via the analytic hierarchy process (AHP). Alternative response strategies comprise internal, shared and external responses. Most of the scenarios investigated for this study demanded a shared response. These findings highlight the importance of mutual aid agreements, cooperative exercises and the improvement of communication systems. Organisations can take advantage of integrated approaches to select the best strategies and tactics for normal situations in general and emergency situations in particular.

Developing Online Emergency Room Case Study Role Play for Medical Students.

ERIC Educational Resources Information Center

Doiron, J. A. Gilles; Isaac, John R.

In the face of panic and life-threatening situations in a hospital emergency room (ER), doctors must rely on well-defined procedures to assess the situation and respond appropriately. Because decisions to act must not only be timely, but also ingrained and swift, practice and experience in a wide range of situations is essential. This paper…

SCALING AN URBAN EMERGENCY EVACUATION FRAMEWORK: CHALLENGES AND PRACTICES

DOE Office of Scientific and Technical Information (OSTI.GOV)

Karthik, Rajasekar; Lu, Wei

2014-01-01

Critical infrastructure disruption, caused by severe weather events, natural disasters, terrorist attacks, etc., has significant impacts on urban transportation systems. We built a computational framework to simulate urban transportation systems under critical infrastructure disruption in order to aid real-time emergency evacuation. This framework will use large scale datasets to provide a scalable tool for emergency planning and management. Our framework, World-Wide Emergency Evacuation (WWEE), integrates population distribution and urban infrastructure networks to model travel demand in emergency situations at global level. Also, a computational model of agent-based traffic simulation is used to provide an optimal evacuation plan for traffic operationmore » purpose [1]. In addition, our framework provides a web-based high resolution visualization tool for emergency evacuation modelers and practitioners. We have successfully tested our framework with scenarios in both United States (Alexandria, VA) and Europe (Berlin, Germany) [2]. However, there are still some major drawbacks for scaling this framework to handle big data workloads in real time. On our back-end, lack of proper infrastructure limits us in ability to process large amounts of data, run the simulation efficiently and quickly, and provide fast retrieval and serving of data. On the front-end, the visualization performance of microscopic evacuation results is still not efficient enough due to high volume data communication between server and client. We are addressing these drawbacks by using cloud computing and next-generation web technologies, namely Node.js, NoSQL, WebGL, Open Layers 3 and HTML5 technologies. We will describe briefly about each one and how we are using and leveraging these technologies to provide an efficient tool for emergency management organizations. Our early experimentation demonstrates that using above technologies is a promising approach to build a scalable and high performance urban emergency evacuation framework that can improve traffic mobility and safety under critical infrastructure disruption in today s socially connected world.« less

36 CFR 215.5 - Legal notice of proposed actions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... emergency situation determination or it has been determined that an emergency situation exists for the..., title, telephone number, and addresses (street, postal, facsimile, and e-mail) to whom comments are to...

29 CFR 785.36 - Home to work in emergency situations.

Code of Federal Regulations, 2013 CFR

2013-07-01

... is subsequently called out at night to travel a substantial distance to perform an emergency job for one of his employer's customers all time spent on such travel is working time. The Divisions are... Principles Traveltime § 785.36 Home to work in emergency situations. There may be instances when travel from...

29 CFR 785.36 - Home to work in emergency situations.

Code of Federal Regulations, 2012 CFR

2012-07-01

... is subsequently called out at night to travel a substantial distance to perform an emergency job for one of his employer's customers all time spent on such travel is working time. The Divisions are... Principles Traveltime § 785.36 Home to work in emergency situations. There may be instances when travel from...

29 CFR 785.36 - Home to work in emergency situations.

Code of Federal Regulations, 2011 CFR

2011-07-01

... is subsequently called out at night to travel a substantial distance to perform an emergency job for one of his employer's customers all time spent on such travel is working time. The Divisions are... Principles Traveltime § 785.36 Home to work in emergency situations. There may be instances when travel from...

29 CFR 785.36 - Home to work in emergency situations.

Code of Federal Regulations, 2014 CFR

2014-07-01

... is subsequently called out at night to travel a substantial distance to perform an emergency job for one of his employer's customers all time spent on such travel is working time. The Divisions are... Principles Traveltime § 785.36 Home to work in emergency situations. There may be instances when travel from...

29 CFR 785.36 - Home to work in emergency situations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... is subsequently called out at night to travel a substantial distance to perform an emergency job for one of his employer's customers all time spent on such travel is working time. The Divisions are... Principles Traveltime § 785.36 Home to work in emergency situations. There may be instances when travel from...

When Push Comes to Shove: Strikes in Higher Education.

ERIC Educational Resources Information Center

Magney, John

2002-01-01

To provide a better sense of how academic unions handle a strike situation, examines six unions who, between 1996 and 2000, went through strikes. Discusses the key issues and outcomes of the strikes. (EV)

How to stop smoking: Dealing with a slip up

MedlinePlus

... situations.html . Updated November 21, 2014. Accessed October 13, 2016. Centers for Disease Control and Prevention website. ... www.cdc.gov/tobacco/campaign/tips . Accessed October 13, 2016. National Cancer Institute website. How to handle ...

Measuring situation awareness in emergency settings: a systematic review of tools and outcomes

PubMed Central

Cooper, Simon; Porter, Joanne; Peach, Linda

2014-01-01

Background Nontechnical skills have an impact on health care outcomes and improve patient safety. Situation awareness is core with the view that an understanding of the environment will influence decision-making and performance. This paper reviews and describes indirect and direct measures of situation awareness applicable for emergency settings. Methods Electronic databases and search engines were searched from 1980 to 2010, including CINAHL, Ovid Medline, Pro-Quest, Cochrane, and the search engine, Google Scholar. Access strategies included keyword, author, and journal searches. Publications identified were assessed for relevance, and analyzed and synthesized using Oxford evidence levels and the Critical Appraisal Skills Programme guidelines in order to assess their quality and rigor. Results One hundred and thirteen papers were initially identified, and reduced to 55 following title and abstract review. The final selection included 14 papers drawn from the fields of emergency medicine, intensive care, anesthetics, and surgery. Ten of these discussed four general nontechnical skill measures (including situation awareness) and four incorporated the Situation Awareness Global Assessment Technique. Conclusion A range of direct and indirect techniques for measuring situation awareness is available. In the medical literature, indirect approaches are the most common, with situation awareness measured as part of a nontechnical skills assessment. In simulation-based studies, situation awareness in emergencies tends to be suboptimal, indicating the need for improved training techniques to enhance awareness and improve decision-making. PMID:27147872

[Directions of interdepartmental interaction in case of delivery of health care for injured in emergency situations in stationing sites of navy].

PubMed

Ivchenko, E V; Chernyĭ, V S; Toporkov, M T; Aleksandrov, M V

2012-09-01

In points basing of navy will remain probability of emergence of emergency situations which is connected with existence of the enterprises of the industry and objects of navy. As a result of emergency situations in places of basing of navy discrepancy of prospective sanitary losses to possibilities of forces and means of a health service of fleet that demands interaction with health services of other ministries and departments is probable. Criterion of need of interaction is the ratio of quantity struck and possibilities of a health service of navy. Plans of interaction of a health service of fleet with medical institutions of other departments should provide options of use of available forces and means of medical institutions in garrisons for joint assistance struck in an emergency situation. The questions solved during interaction should become: radiation, chemical, biological survey; allocation of forces and means for rendering of medical care; use of sanitary transport; organization of sanitary processing, etc.

Parenting 911: How To Safeguard and Rescue Your 10- to 15-Year-Old from Substance Abuse, Depression, Sexual Encounters, Violence, Failure in School, Danger on the Internet, and Other Risky Situations.

ERIC Educational Resources Information Center

Giannetti, Charlene C.; Sagarese, Margaret

Drawing on a national survey of parents, teachers, and students, interviews with a wide range of experts, and the latest research, this book brings parents the information and reassurance they need to identify and handle the crises that can erupt with 10- to 15-year-olds. Specific information and advice are presented for handling some of the most…

Co-training Framework of Generative and Disciminative Trackers with Partial Occlusion Handling

DTIC Science & Technology

2011-01-01

ARO W911NF-06-1-0094. The first author was also supported by the Vietnam Education Foundation. We thank Zdenek Kalal for his help with the P-N Tracker...handling challenging situations with cluttered background. Recently, Kalal et al. [11] proposed the P-N Tracker us- ing positive and negative constraints to...Vietnam Education Foundation. We thank Zdenek Kalal for his help with the P-N Tracker [11]. References [1] A. Adam, E. Rivlin, and I. Shimshoni. Robust

Contingency Software in Autonomous Systems

NASA Technical Reports Server (NTRS)

Lutz, Robyn; Patterson-Hine, Ann

2006-01-01

This viewgraph presentation reviews the development of contingency software for autonomous systems. Autonomous vehicles currently have a limited capacity to diagnose and mitigate failures. There is a need to be able to handle a broader range of contingencies. The goals of the project are: 1. Speed up diagnosis and mitigation of anomalous situations.2.Automatically handle contingencies, not just failures.3.Enable projects to select a degree of autonomy consistent with their needs and to incrementally introduce more autonomy.4.Augment on-board fault protection with verified contingency scripts

Factors relating to the perceived management of emergency situations: a survey of former Advanced Life Support course participants' clinical experiences.

PubMed

Rasmussen, Maria B; Tolsgaard, Martin G; Dieckmann, Peter; Issenberg, S Barry; Ostergaard, Doris; Søreide, Eldar; Rosenberg, Jens; Ringsted, Charlotte V

2014-12-01

This study explored individual, team, and setting factors associated with the quality of management of in-hospital emergency situations experienced by former Advanced Life Support (ALS) course participants. This study was a survey of former ALS course participants' long-term experience of management of in-hospital, emergency situations. The survey was carried out in 2012 in Denmark and Norway. A questionnaire was send to 526 potential responders and (281/479 × 100) 58.7% responded. The results demonstrated that 75% of the emergency situations were perceived as "managed well". In general, the responders' confidence in being ALS providers was high, mean 4.3 (SD 0.8), scale 1-5. Significant differences between the perceived "well" and "not well" managed situations were found for all questions, p<0.001. The largest differences related to perception of co-workers' ability to apply ALS principles, the team atmosphere and communication. Responders' ratings of quality of management of emergency situations increased with intensity of setting. However, the 'clinical setting' was rated significantly lower as attributor to ability to apply ALS principles compared to 'co-workers familiarity with ALS principles', 'own confidence as ALS-provider' and 'own social/inter-personal skills'. The results of this survey emphasise that ALS providers' perceived ability to apply ALS skills were substantially affected by teamwork skills and co-workers' skills. Team related factors associated with successful outcome were related to clear role distribution, clear inter-personal communication and attentive listening, as well as respectful behaviour and positive team atmosphere. Although intensity of setting was attributed to ability to apply ALS principles, this did not affect management of emergency situations to the same extent as individual and team factors. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

9 CFR 318.308 - Deviations in processing.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Deviations in processing (or process deviations) must be handled according to: (1)(i) A HACCP plan for canned...) of this section. (c) [Reserved] (d) Procedures for handling process deviations where the HACCP plan... accordance with the following procedures: (a) Emergency stops. (1) When retort jams or breakdowns occur...

9 CFR 381.308 - Deviations in processing.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) must be handled according to: (1)(i) A HACCP plan for canned product that addresses hazards associated... (d) of this section. (c) [Reserved] (d) Procedures for handling process deviations where the HACCP... accordance with the following procedures: (a) Emergency stops. (1) When retort jams or breakdowns occur...

78 FR 4324 - Occupational Exposure to Hazardous Chemicals in Laboratories (Non-Mandatory Appendix); Technical...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-22

... institutions that sponsor chemical laboratories accountable for providing safe working environments. Beyond... current laboratory practices, security, and emergency response, as well as promoting safe handling of.... Safety and training programs have been implemented to promote the safe handling of chemicals from...

Guidance for Catastrophic Emergency Situations Involving Asbestos

EPA Pesticide Factsheets

This document addresses the types of asbestos issues that may arise during catastrophic events and how EPA has addressed such issues. It replaces the Guidelines for Catastrophic Emergency Situations Involving Asbestos which was issued in 1992.

Handling of drug-related emergencies: an evaluation of emergency medical dispatch.

PubMed

Tonje, Lorem; Elisabeth, Saether; Lars, Wik

2009-02-01

Documenting the quality of emergency dispatch centres handling of emergency calls regarding intoxicated unconscious patients. Interview with eight emergency dispatch centre directors and a nationwide survey among 313 dispatchers in Norway were performed. In addition, a customized scoring system was used to evaluate dispatcher log recordings of real cases. The recordings were compared with information from corresponding ambulance records. Ninety-nine percent of the dispatchers stated that they used the Norwegian protocol for medical emergencies and 89% of them found it useful. The interviews, the survey, and the recordings, however, documented frequent deviation from the protocol. This instructs ambulance dispatch for any unconscious patient, but 21% stated that they would not dispatch any resource for an unconscious patient without further survey in alcohol-related cases. This was significantly more often (P<0.05) than for the narcotic, combination and prescription - drug-related cases with 4, 10 and 7%, respectively. The recordings revealed deviation from the protocol with dispatchers only determining the patients' level of consciousness and respiratory status in 64 and 70% of the cases, respectively. For 16% of the cases, the dispatcher did not ask the caller about consciousness at all, even though these patients later were found with reduced consciousness. On the basis of the interviews and the survey, cases were handled according to guidelines. The log recordings, however, disclosed deviation from the protocol. Alcohol intoxication was associated with higher rate of deviation from the protocol compared with other intoxications.

'I still have no idea why this patient was here': An exploration of the difficulties GP trainees experience when gathering information.

PubMed

Giroldi, Esther; Veldhuijzen, Wemke; de Leve, Tijme; van der Weijden, Trudy; Bueving, Herman; van der Vleuten, Cees

2015-07-01

Collecting information during patient encounters is essential for the delivery of patient-centered care. To obtain insight into areas that require more attention in medical communication training, this study explores what difficulties GP trainees encounter when gathering information. In this phenomenological study, we observed a morning clinic of 15 GP trainees. To explore trainees' experiences with information-gathering, we held brief interviews after every consultation and a lengthier interview directly after the morning clinic. The resulting data were analyzed using template analysis. From trainees' reflections, we distilled five difficulties that trainees experience when gathering information: (1) Goal conflicts; (2) Ineffectiveness of trained communication skills in specific situations; (3) Trainees' distress hampers open communication; (4) Untrustworthy information; (5) Tunnel vision. Information-gathering is difficult for GP trainees. Current generic communication skills training does not seem to support trainees sufficiently to handle effectively the challenges they encounter during consultations. Medical communication training needs to support trainees in handling their goal-conflicts and feelings that hamper information-gathering, while also providing them with communication strategies adapted to handling specific challenging situations. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Preparedness for radiological emergency situations in Austria.

PubMed

Ditto, Manfred

2012-02-01

This article presents the Austrian system of emergency preparedness for nuclear and radiological emergency situations. It demonstrates, in particular, the legal basis, the roles and competencies of the competent authorities, international and bilateral conventions on early notification of nuclear accidents, the Austrian emergency plans, the Austrian radiation monitoring system, the operated prognosis and decision support systems and the results of an estimation of possible impacts of nuclear power plant disasters on Austria.

Anytime synthetic projection: Maximizing the probability of goal satisfaction

NASA Technical Reports Server (NTRS)

Drummond, Mark; Bresina, John L.

1990-01-01

A projection algorithm is presented for incremental control rule synthesis. The algorithm synthesizes an initial set of goal achieving control rules using a combination of situation probability and estimated remaining work as a search heuristic. This set of control rules has a certain probability of satisfying the given goal. The probability is incrementally increased by synthesizing additional control rules to handle 'error' situations the execution system is likely to encounter when following the initial control rules. By using situation probabilities, the algorithm achieves a computationally effective balance between the limited robustness of triangle tables and the absolute robustness of universal plans.

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to the...

Code of Federal Regulations, 2011 CFR

2011-01-01

... to the Situation in or in Relation to the Democratic Republic of the Congo Presidential Documents... Respect to the Situation in or in Relation to the Democratic Republic of the Congo On October 27, 2006, by... relation to the Democratic Republic of the Congo and, pursuant to the International Emergency Economic...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to the...

Code of Federal Regulations, 2012 CFR

2012-01-01

... to the Situation in or in Relation to the Democratic Republic of the Congo Presidential Documents... Respect to the Situation in or in Relation to the Democratic Republic of the Congo On October 27, 2006, by... relation to the Democratic Republic of the Congo and, pursuant to the International Emergency Economic...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to the...

Code of Federal Regulations, 2013 CFR

2013-01-01

... to the Situation in or in Relation to the Democratic Republic of the Congo Presidential Documents... Respect to the Situation in or in Relation to the Democratic Republic of the Congo On October 27, 2006, by... relation to the Democratic Republic of the Congo and, pursuant to the International Emergency Economic...

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to the...

Code of Federal Regulations, 2014 CFR

2014-01-01

... to the Situation in or in Relation to the Democratic Republic of the Congo Presidential Documents... Respect to the Situation in or in Relation to the Democratic Republic of the Congo On October 27, 2006, by... relation to the Democratic Republic of the Congo and, pursuant to the International Emergency Economic...

An On-Demand Emergency Packet Transmission Scheme for Wireless Body Area Networks.

PubMed

Al Ameen, Moshaddique; Hong, Choong Seon

2015-12-04

The rapid developments of sensor devices that can actively monitor human activities have given rise to a new field called wireless body area network (BAN). A BAN can manage devices in, on and around the human body. Major requirements of such a network are energy efficiency, long lifetime, low delay, security, etc. Traffic in a BAN can be scheduled (normal) or event-driven (emergency). Traditional media access control (MAC) protocols use duty cycling to improve performance. A sleep-wake up cycle is employed to save energy. However, this mechanism lacks features to handle emergency traffic in a prompt and immediate manner. To deliver an emergency packet, a node has to wait until the receiver is awake. It also suffers from overheads, such as idle listening, overhearing and control packet handshakes. An external radio-triggered wake up mechanism is proposed to handle prompt communication. It can reduce the overheads and improve the performance through an on-demand scheme. In this work, we present a simple-to-implement on-demand packet transmission scheme by taking into considerations the requirements of a BAN. The major concern is handling the event-based emergency traffic. The performance analysis of the proposed scheme is presented. The results showed significant improvements in the overall performance of a BAN compared to state-of-the-art protocols in terms of energy consumption, delay and lifetime.

An On-Demand Emergency Packet Transmission Scheme for Wireless Body Area Networks

PubMed Central

Al Ameen, Moshaddique; Hong, Choong Seon

2015-01-01

The rapid developments of sensor devices that can actively monitor human activities have given rise to a new field called wireless body area network (BAN). A BAN can manage devices in, on and around the human body. Major requirements of such a network are energy efficiency, long lifetime, low delay, security, etc. Traffic in a BAN can be scheduled (normal) or event-driven (emergency). Traditional media access control (MAC) protocols use duty cycling to improve performance. A sleep-wake up cycle is employed to save energy. However, this mechanism lacks features to handle emergency traffic in a prompt and immediate manner. To deliver an emergency packet, a node has to wait until the receiver is awake. It also suffers from overheads, such as idle listening, overhearing and control packet handshakes. An external radio-triggered wake up mechanism is proposed to handle prompt communication. It can reduce the overheads and improve the performance through an on-demand scheme. In this work, we present a simple-to-implement on-demand packet transmission scheme by taking into considerations the requirements of a BAN. The major concern is handling the event-based emergency traffic. The performance analysis of the proposed scheme is presented. The results showed significant improvements in the overall performance of a BAN compared to state-of-the-art protocols in terms of energy consumption, delay and lifetime. PMID:26690161

A preliminary study of the effects of handling type on horses' emotional reactivity and the human-horse relationship.

PubMed

Fureix, Carole; Pagès, Magali; Bon, Richard; Lassalle, Jean-Michel; Kuntz, Philippe; Gonzalez, Georges

2009-10-01

Handling is a crucial component of the human-horse relationship. Here, we report data from an experiment conducted to assess and compare the effect of two training methods. Two groups of six Welsh mares were trained during four sessions of 50 min, one handled with traditional exercises (halter leading, grooming/brushing, lifting feet, lunging and pseudo-saddling (using only girth and saddle pad) and the second group with natural horsemanship exercises (desensitization, yielding to body pressure, lunging and free-lunging). Emotional reactivity (ER) and the human-horse relationship (HHR) were assessed both prior to and following handling. A social isolation test, a neophobia test and a bridge test were used to assess ER. HHR was assessed through test of spontaneous approach to, and forced approach by, an unknown human. Horses' ER decreased after both types of handling as indicated by decreases in the occurrence of whinnying during stressful situations. Head movement (jerk/shake) was the most sensitive variable to handling type. In the spontaneous approach tests, horses in the traditional handling group showed higher latencies to approach a motionless person after handling than did the natural horsemanship group. Our study suggests that natural horsemanship exercises could be more efficient than traditional exercises for improving horses' HHR.

The social environment influences the behavioural responses of beef cattle to handling.

PubMed

Grignard; Boissy; Boivin; Garel; Le Neindre P

2000-05-05

In cattle, a gregarious species, the social group influences individual stress responses to fear-eliciting situations. As handling can be stressful for farm animals, it can be hypothesised that social partners modify individual responses to handling. The present experiment investigated the effect of the presence or absence of social partners on behavioural reactions of beef calves in a handling test. At the age of 10 months, 38 calves from two breeds (Salers and Limousine) were individually subjected to the docility test, once while in visual contact with four familiar peers, and once in the absence of peers, following a crossover design. The docility test procedure included physical separation from peers (30 s; period 1), exposition to a stationary human (30 s; period 2), and handling by human (30 s-2.5 min, according to the success in handling; period 3). In absence of human (period 1), calves in visual contact with their peers spent more time motionless than when peers were totally absent (P<0.001). The social environment also influenced the duration of handling (period 3); the human required more time to successfully handle calves when peers were present (P<0.05). In conclusion, the presence of peers affects individual calves' reactions to the docility test.

49 CFR 172.602 - Emergency response information.

Code of Federal Regulations, 2011 CFR

2011-10-01

...; (3) Risks of fire or explosion; (4) Immediate precautions to be taken in the event of an accident or incident; (5) Immediate methods for handling fires; (6) Initial methods for handling spills or leaks in the absence of fire; and (7) Preliminary first aid measures. (b) Form of information. The information required...

49 CFR 172.602 - Emergency response information.

Code of Federal Regulations, 2014 CFR

2014-10-01

...; (3) Risks of fire or explosion; (4) Immediate precautions to be taken in the event of an accident or incident; (5) Immediate methods for handling fires; (6) Initial methods for handling spills or leaks in the absence of fire; and (7) Preliminary first aid measures. (b) Form of information. The information required...

49 CFR 172.602 - Emergency response information.

Code of Federal Regulations, 2013 CFR

2013-10-01

...; (3) Risks of fire or explosion; (4) Immediate precautions to be taken in the event of an accident or incident; (5) Immediate methods for handling fires; (6) Initial methods for handling spills or leaks in the absence of fire; and (7) Preliminary first aid measures. (b) Form of information. The information required...

49 CFR 172.602 - Emergency response information.

Code of Federal Regulations, 2010 CFR

2010-10-01

...; (3) Risks of fire or explosion; (4) Immediate precautions to be taken in the event of an accident or incident; (5) Immediate methods for handling fires; (6) Initial methods for handling spills or leaks in the absence of fire; and (7) Preliminary first aid measures. (b) Form of information. The information required...

Team talk and team activity in simulated medical emergencies: a discourse analytical approach.

PubMed

Gundrosen, Stine; Andenæs, Ellen; Aadahl, Petter; Thomassen, Gøril

2016-11-14

Communication errors can reduce patient safety, especially in emergency situations that require rapid responses by experts in a number of medical specialties. Talking to each other is crucial for utilizing the collective expertise of the team. Here we explored the functions of "team talk" (talking between team members) with an emphasis on the talk-work relationship in interdisciplinary emergency teams. Five interdisciplinary medical emergency teams were observed and videotaped during in situ simulations at an emergency department at a university hospital in Norway. Team talk and simultaneous actions were transcribed and analysed. We used qualitative discourse analysis to perform structural mapping of the team talk and to analyse the function of online commentaries (real-time observations and assessments of observations based on relevant cues in the clinical situation). Structural mapping revealed recurring and diverse patterns. Team expansion stood out as a critical phase in the teamwork. Online commentaries that occurred during the critical phase served several functions and demonstrated the inextricable interconnections between team talk and actions. Discourse analysis allowed us to capture the dynamics and complexity of team talk during a simulated emergency situation. Even though the team talk did not follow a predefined structure, the team members managed to manoeuvre safely within the complex situation. Our results support that online commentaries contributes to shared team situation awareness. Discourse analysis reveals naturally occurring communication strategies that trigger actions relevant for safe practice and thus provides supplemental insights into what comprises "good" team communication in medical emergencies.

Driver expectancy in highway design and traffic operations

DOT National Transportation Integrated Search

1986-05-01

Expectancy relates to a driver's readiness to respond to situations, events, and information in predictable and successful ways. It influences the speed and accuracy of information handling, and affects all aspects of highway design and operations, a...

Federal Radiological Monitoring and Assessment Center Health and Safety Manual

DOE Office of Scientific and Technical Information (OSTI.GOV)

FRMAC Health and Safety Working Group

2012-03-20

This manual is a tool to provide information to all responders and emergency planners and is suggested as a starting point for all organizations that provide personnel/assets for radiological emergency response. It defines the safety requirements for the protection of all emergency responders. The intent is to comply with appropriate regulations or provide an equal level of protection when the situation makes it necessary to deviate. In the event a situation arises which is not addressed in the manual, an appropriate management-level expert will define alternate requirements based on the specifics of the emergency situation. This manual is not intendedmore » to pertain to the general public.« less

47 CFR 64.605 - Emergency calling requirements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Customer Premises Equipment for Persons With Disabilities § 64.605 Emergency calling requirements. (a..., 2008, the requirements of paragraphs (a)(2)(i) and (a)(2)(iv) of this section shall not apply to...: (i) Accept and handle emergency calls and access, either directly or via a third party, a...

Degree of Anger During Anger-Generating Situations Among Psychiatric Staff Nurses: Association Between Nurses' Attitudes Toward Service Users' Aggression and Confidence in Intervening in Aggressive Situations.

PubMed

Shimosato, Seiji; Kinoshita, Aimi

2018-04-17

Some situations require psychiatric staff nurses to respond to service users' negativity or aggression. As a result, psychiatric staff nurses may experience anger. The current study examined how anger levels of psychiatric staff nurses triggered by anger-generating situations by service users affected nurses' confidence and attitudes. A questionnaire survey was administered among 386 psychiatric staff nurses. The questionnaire surveyed anger levels in anger-generating situations, aggressiveness, nurses' attitudes toward aggression, and self-efficacy of intervening in aggressive situations. Path analysis revealed differences between male and female nurses. Male nurses' anger in response to physical aggression was mild when they were confident in handling aggression. Furthermore, female nurses who had high confidence in intervening in an aggressive situation had low anger levels. Confidence in intervening in aggressive situations appeared to dissipate anger and ease nurses during aggressive interactions. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.]. Copyright 2018, SLACK Incorporated.

75 FR 65933 - Continuation of the National Emergency With Respect to the Situation in or in Relation to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-26

... Respect to the Situation in or in Relation to the Democratic Republic of the Congo #0; #0; #0... Republic of the Congo On October 27, 2006, by Executive Order 13413, the President declared a national emergency with respect to the situation in or in relation to the Democratic Republic of the Congo and...

Ethics rounds do not improve the handling of ethical issues by psychiatric staff.

PubMed

Silén, Marit; Haglund, Kristina; Hansson, Mats G; Ramklint, Mia

2015-08-01

One way to support healthcare staff in handling ethically difficult situations is through ethics rounds that consist of discussions based on clinical cases and are moderated by an ethicist. Previous research indicates that the handling of ethically difficult situations in the workplace might have changed after ethics rounds. This, in turn, would mean that the "ethical climate", i.e. perceptions of how ethical issues are handled, would have changed. To investigate whether ethics rounds could improve the ethical climate perceived by staff working in psychiatry outpatient clinics. In this quasi-experimental study, six inter-professional ethics rounds led by a philosopher/ethicist were conducted at two psychiatry outpatient clinics. Changes in ethical climate were measured at these clinics as well as at two control clinics at baseline and after the intervention period using the instrument Hospital Ethical Climate Survey. Within-groups comparisons of median sum scores of ethical climate showed that no statistically significant differences were found in the intervention group before or after the intervention period. The median sum scores for ethical climate were significantly higher, both at baseline and after the intervention period (P ≤ 0.001; P = 0.046), in the intervention group. Ethics rounds in psychiatric outpatient clinics did not result in significant changes in ethical climate. Outcomes of ethics rounds might, to a higher degree, be directed towards patient-related outcomes rather than towards the staff's working environment, as the questions brought up for discussion during the ethics rounds concerned patient-related issues.

Conflict-handling mode scores of three crews before and after a 264-day spaceflight simulation.

PubMed

Kass, Rachel; Kass, James; Binder, Heidi; Kraft, Norbert

2010-05-01

In both the Russian and U.S. space programs, crew safety and mission success have at times been jeopardized by critical incidents related to psychological, behavioral, and interpersonal aspects of crew performance. The modes used for handling interpersonal conflict may play a key role in such situations. This study analyzed conflict-handling modes of three crews of four people each before and after a 264-d spaceflight simulation that was conducted in Russia in 1999-2000. Conflict was defined as a situation in which the concerns of two or more individuals appeared to be incompatible. Participants were assessed using the Thomas-Kilmann Conflict Mode Instrument, which uses 30 forced-choice items to produce scores for five modes of conflict handling. Results were compared to norms developed using managers at middle and upper levels of business and government. Both before and after isolation, average scores for all crews were above 75% for Accommodating, below 25% for Collaborating, and within the middle 50% for Competing, Avoiding, and Compromising. Statistical analyses showed no significant difference between the crews and no statistically significant shift from pre- to post-isolation. A crew predisposition to use Accommodating most and Collaborating least may be practical in experimental settings, but is less likely to be useful in resolving conflicts within or between crews on actual flights. Given that interpersonal conflicts exist in any environment, crews in future space missions might benefit from training in conflict management skills.

Evaluation of a Decision-Making Curriculum for Teaching Adolescents with Disabilities to Resist Negative Peer Pressure.

PubMed

Khemka, Ishita; Hickson, Linda; Mallory, Sarah B

2016-07-01

This study was designed to assess the impact of a decision-making curriculum (PEER-DM) on the social peer relationship knowledge and self-protective decision-making skills of adolescents with disabilities in hypothetical situations involving negative peer pressure. A randomized design was used to assign students with disabilities from self-contained special education classes to an intervention group (n = 22) or a wait-list control group (n = 20). ANCOVA analyses, using pretest scores as covariates, indicated that students who were trained on PEER-DM had significantly higher effective decision-making action and correct risk perception scores, relative to participants in the control group. This study provides supporting evidence that PEER-DM is a promising intervention for students with disabilities, including those with identified autism spectrum disorders, during transition years to help them develop a better understanding of positive and negative peer relationships and learn systematic decision-making skills for improved handling of social situations in the school and community, especially situations involving negative peer pressure. The study adds credence to using systematic, strategy-based decision making interventions designed to address the cognitive, emotional and motivational processes underlying adolescent decision making in sensitive interpersonal situations involving peer pressure. The study points to the lack of preparedness to handle situations of negative peer pressure as a serious social and health risk for adolescents with disabilities that deserves urgent and concerted attention in transition services programming. Implications for future curriculum-development efforts and replication of treatment findings are discussed. Future research examining disability-specific patterns of decision-making in peer situations and comparisons with typically developing populations is recommended.

The Heroes' Problems: Exploring the Potentials of Google Glass for Biohazard Handling Professionals

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chang, Jack Shen-Kuen; Henry, Michael J.; Burtner, Edwin R.

2015-06-23

In “white powder incidents” or other suspicious and risky situations relating to deadly diseases or chemicals (e.g., Ebola investigation), those who handle the potentially hazardous materials are the heroes who spearhead the first responder’s operations. Although well trained, these heroes need to manage complex problems and make life-or-death decisions while handling the unknown and dangerous. We are motivated to explore how Google Glass can facilitate those heroes’ missions. To this end, we conducted contextual inquiry on six biohazard-handling, Personal Protective Equipment (PPE)-wearing professionals. With an inductive thematic analysis, we summarized the heroes’ workflow and four groups of “Heroes’ Problems”. Amore » unique “A3 Model” (Awareness, Analysis, Action) was generated to encapsulate our qualitative findings and proposed Glass features. The findings serve as the groundwork for our future development.« less

Easy-To-Use Connector-Assembly Tool

NASA Technical Reports Server (NTRS)

Redmon, John W., Jr.; Jankowski, Fred

1988-01-01

Tool compensates for user's loss of dexterity under awkward conditions. Has jaws that swivel over 180 degree so angle adjusts with respect to handles. Oriented and held in position most comfortable and effective for user in given situation. Jaws lined with rubber pads so they conform to irregularly shaped parts and grips firmly but gently. Once tool engages part, it locks on it so user can release handles without losing part. Ratchet mechanism in tool allows user to work handles back and forth in confined space to connect or disconnect part. Quickly positioned, locked, and released. Gives user feel of its grip on part. Frees grasping muscles from work during part of task, giving user greater freedom to move hand. Operates with only one hand, leaving user's other hand free to manipulate wiring or other parts. Also adapts to handling and positioning extremely-hot or extremely-cold fluid lines, contaminated objects, abrasive or sharp objects, fragile items, and soft objects.

Human-animal interactions and safety during dairy cattle handling--Comparing moving cows to milking and hoof trimming.

PubMed

Lindahl, C; Pinzke, S; Herlin, A; Keeling, L J

2016-03-01

Cattle handling is a dangerous activity on dairy farms, and cows are a major cause of injuries to livestock handlers. Even if dairy cows are generally tranquil and docile, when situations occur that they perceive or remember as aversive, they may become agitated and hazardous to handle. This study aimed to compare human-animal interactions, cow behavior, and handler safety when moving cows to daily milking and moving cows to more rarely occurring and possibly aversive hoof trimming. These processes were observed on 12 Swedish commercial dairy farms. The study included behavioral observations of handler and cows and cow heart rate recordings, as well as recording frequencies of situations and incidents related to an increased injury risk to the handler. At milking, cows were quite easily moved using few interactions. As expected, the cows showed no behavioral signs of stress, fear, or resistance and their heart rate only rose slightly from the baseline (i.e., the average heart rate during an undisturbed period before handling). Moving cows to hoof trimming involved more forceful and gentle interactions compared with moving cows to milking. Furthermore, the cows showed much higher frequencies of behaviors indicative of aversion and fear (e.g., freezing, balking, and resistance), as well as a higher increase in heart rate. The risk of injury to which handlers were exposed also increased when moving cows to hoof trimming rather than to routine milking. Some interactions (such as forceful tactile interactions with an object and pulling a neck strap or halter) appeared to be related to potentially dangerous incidents where the handler was being kicked, head-butted, or run over by a cow. In conclusion, moving cows to hoof trimming resulted in higher frequencies of behaviors indicating fear, more forceful interactions, and increased injury risks to the handler than moving cows to milking. Improving potentially stressful handling procedures (e.g., by better animal handling practices and preparation of cows to cope with such procedures) can increase handler safety, animal welfare, ease of handling, and efficiency. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Confounding Problems in Multifactor AOV When Using Several Organismic Variables of Limited Reliability

ERIC Educational Resources Information Center

Games, Paul A.

1975-01-01

A brief introduction is presented on how multiple regression and linear model techniques can handle data analysis situations that most educators and psychologists think of as appropriate for analysis of variance. (Author/BJG)

3 CFR - Continuation of the National Emergency With Respect to the Situation in or in Relation to the...

Code of Federal Regulations, 2010 CFR

2010-01-01

... relation to the Democratic Republic of the Congo and, pursuant to the International Emergency Economic... that continue to threaten regional stability. Because this situation continues to pose an unusual and...

28 CFR 65.22 - Exclusions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Purpose of Emergency Federal Law Enforcement Assistance § 65.22 Exclusions. Excluded from the situations for which this... for general public safety projects; and, (b) A situation requiring the enforcement of laws associated...

28 CFR 65.22 - Exclusions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Purpose of Emergency Federal Law Enforcement Assistance § 65.22 Exclusions. Excluded from the situations for which this... for general public safety projects; and, (b) A situation requiring the enforcement of laws associated...

28 CFR 65.22 - Exclusions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Purpose of Emergency Federal Law Enforcement Assistance § 65.22 Exclusions. Excluded from the situations for which this... for general public safety projects; and, (b) A situation requiring the enforcement of laws associated...

28 CFR 65.22 - Exclusions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Purpose of Emergency Federal Law Enforcement Assistance § 65.22 Exclusions. Excluded from the situations for which this... for general public safety projects; and, (b) A situation requiring the enforcement of laws associated...

28 CFR 65.22 - Exclusions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Purpose of Emergency Federal Law Enforcement Assistance § 65.22 Exclusions. Excluded from the situations for which this... for general public safety projects; and, (b) A situation requiring the enforcement of laws associated...

Real-time emergency forecasting technique for situation management systems

NASA Astrophysics Data System (ADS)

Kopytov, V. V.; Kharechkin, P. V.; Naumenko, V. V.; Tretyak, R. S.; Tebueva, F. B.

2018-05-01

The article describes the real-time emergency forecasting technique that allows increasing accuracy and reliability of forecasting results of any emergency computational model applied for decision making in situation management systems. Computational models are improved by the Improved Brown’s method applying fractal dimension to forecast short time series data being received from sensors and control systems. Reliability of emergency forecasting results is ensured by the invalid sensed data filtering according to the methods of correlation analysis.

Implementing Liberia's poverty reduction strategy: An assessment of emergency and essential surgical care.

PubMed

Sherman, Lawrence; Clement, Peter T; Cherian, Meena N; Ndayimirije, Nestor; Noel, Luc; Dahn, Bernice; Gwenigale, Walter T; Kushner, Adam L

2011-01-01

To document infrastructure, personnel, procedures performed, and supplies and equipment available at all county hospitals in Liberia using the World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care. Survey of county hospitals using the World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care. Sixteen county hospitals in Liberia. Infrastructure, personnel, procedures performed, and supplies and equipment available. Uniformly, gross deficiencies in infrastructure, personnel, and supplies and equipment were identified. The World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care was useful in identifying baseline emergency and surgical conditions for evidenced-based planning. To achieve the Poverty Reduction Strategy and delivery of the Basic Package of Health and Social Welfare Services, additional resources and manpower are needed to improve surgical and anesthetic care.

Long-Term Tracking of a Specific Vehicle Using Airborne Optical Camera Systems

NASA Astrophysics Data System (ADS)

Kurz, F.; Rosenbaum, D.; Runge, H.; Cerra, D.; Mattyus, G.; Reinartz, P.

2016-06-01

In this paper we present two low cost, airborne sensor systems capable of long-term vehicle tracking. Based on the properties of the sensors, a method for automatic real-time, long-term tracking of individual vehicles is presented. This combines the detection and tracking of the vehicle in low frame rate image sequences and applies the lagged Cell Transmission Model (CTM) to handle longer tracking outages occurring in complex traffic situations, e.g. tunnels. The CTM model uses the traffic conditions in the proximities of the target vehicle and estimates its motion to predict the position where it reappears. The method is validated on an airborne image sequence acquired from a helicopter. Several reference vehicles are tracked within a range of 500m in a complex urban traffic situation. An artificial tracking outage of 240m is simulated, which is handled by the CTM. For this, all the vehicles in the close proximity are automatically detected and tracked to estimate the basic density-flow relations of the CTM model. Finally, the real and simulated trajectories of the reference vehicles in the outage are compared showing good correspondence also in congested traffic situations.

Evaluating a Health Educational First aid Program with the Implementation of Synchronous Distance Learning.

PubMed

Ponirou, Paraskevi; Diomidous, Marianna; Mantas, John; Kalokairinou, Athena; Kalouri, Ourania; Kapadochos, Theodoros; Tzavara, Chara

2014-01-01

The education in First Aid through health education programs can help in promoting the health of the population. Meanwhile, the development of alternative forms of education with emphasis on distance learning implemented with e-learning creates an innovative system of knowledge and skills in different population groups. The main purpose of this research proposal is to investigate the effectiveness of the educational program to candidates educators about knowledge and emergency preparedness at school. The study used the Solomon four group design (2 intervention groups and 2 control groups). Statistical analysis showed significant difference within the four groups. Intervention groups had improved significantly their knowledge showing that the program was effective and that they would eventually deal with a threatening situation with right handlings. There were no statistical significant findings regarding other independent variables (p>0,05).The health education program with the implementation of synchronous distance learning succeeded to enhance the knowledge of candidates educators.

Con Edison power failure of July 13 and 14, 1977. Final staff report

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

1978-06-01

On July 13, 1977 the entire electric load of the Con Edison system was lost, plunging New York City and Westchester County into darkness. The collapse resulted from a combination of natural events, equipment malfunctions, questionable system-design features, and operating errors. An attempt is made in this report to answer the following: what were the specific causes of the failure; if equipment malfunctions and operator errors contributed, could they have been prevented; to what extent was Con Edison prepared to handle such an emergency; and did Con Edison plan prudently reserve generation, for reserve transmission capability, for automatic equipment tomore » protect its system, and for proper operator response to a critical situation. Following the introductory and summary section, additional sections include: the Consolidated Edison system; prevention of bulk power-supply interruptions; the sequence of failure and restoration; analysis of the July 1977 power failure; restoration sequence and equipment damage assessment; and other investigations of the blackout. (MCW)« less

Terrain discovery and navigation of a multi-articulated linear robot using map-seeking circuits

NASA Astrophysics Data System (ADS)

Snider, Ross K.; Arathorn, David W.

2006-05-01

A significant challenge in robotics is providing a robot with the ability to sense its environment and then autonomously move while accommodating obstacles. The DARPA Grand Challenge, one of the most visible examples, set the goal of driving a vehicle autonomously for over a hundred miles avoiding obstacles along a predetermined path. Map-Seeking Circuits have shown their biomimetic capability in both vision and inverse kinematics and here we demonstrate their potential usefulness for intelligent exploration of unknown terrain using a multi-articulated linear robot. A robot that could handle any degree of terrain complexity would be useful for exploring inaccessible crowded spaces such as rubble piles in emergency situations, patrolling/intelligence gathering in tough terrain, tunnel exploration, and possibly even planetary exploration. Here we simulate autonomous exploratory navigation by an interaction of terrain discovery using the multi-articulated linear robot to build a local terrain map and exploitation of that growing terrain map to solve the propulsion problem of the robot.

Vehicle States Observer Using Adaptive Tire-Road Friction Estimator

NASA Astrophysics Data System (ADS)

Kwak, Byunghak; Park, Youngjin

Vehicle stability control system is a new idea which can enhance the vehicle stability and handling in the emergency situation. This system requires the information of the yaw rate, sideslip angle and road friction in order to control the traction and braking forces at the individual wheels. This paper proposes an observer for the vehicle stability control system. This observer consisted of the state observer for vehicle motion estimation and the road condition estimator for the identification of the coefficient of the road friction. The state observer uses 2 degrees-of-freedom bicycle model and estimates the system variables based on the Kalman filter. The road condition estimator uses the same vehicle model and identifies the coefficient of the tire-road friction based on the recursive least square method. Both estimators make use of each other information. We show the effectiveness and feasibility of the proposed scheme under various road conditions through computer simulations of a fifteen degree-of-freedom non-linear vehicle model.

46 CFR 35.35-75 - Emergencies-TB/ALL.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 1 2011-10-01 2011-10-01 false Emergencies-TB/ALL. 35.35-75 Section 35.35-75 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Cargo Handling § 35.35-75 Emergencies—TB/ALL. In case of emergencies nothing in the regulations in this subchapter shall be construed as...

46 CFR 35.35-75 - Emergencies-TB/ALL.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 1 2014-10-01 2014-10-01 false Emergencies-TB/ALL. 35.35-75 Section 35.35-75 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Cargo Handling § 35.35-75 Emergencies—TB/ALL. In case of emergencies nothing in the regulations in this subchapter shall be construed as...

46 CFR 35.35-75 - Emergencies-TB/ALL.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Emergencies-TB/ALL. 35.35-75 Section 35.35-75 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Cargo Handling § 35.35-75 Emergencies—TB/ALL. In case of emergencies nothing in the regulations in this subchapter shall be construed as...

46 CFR 35.35-75 - Emergencies-TB/ALL.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 1 2013-10-01 2013-10-01 false Emergencies-TB/ALL. 35.35-75 Section 35.35-75 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Cargo Handling § 35.35-75 Emergencies—TB/ALL. In case of emergencies nothing in the regulations in this subchapter shall be construed as...

46 CFR 35.35-75 - Emergencies-TB/ALL.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 1 2012-10-01 2012-10-01 false Emergencies-TB/ALL. 35.35-75 Section 35.35-75 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Cargo Handling § 35.35-75 Emergencies—TB/ALL. In case of emergencies nothing in the regulations in this subchapter shall be construed as...

Accidental Release of Chlorine from a Storage Facility and an On-Site Emergency Mock Drill: A Case Study

PubMed Central

Soman, Ambalathumpara Raman; Sundararaj, Gopalswamy

2015-01-01

In the current industrial scenario there is a serious need for formulating strategies to handle hazardous substances in the safest way. Manufacture, storage, and use of hazardous substances pose a serious risk to industry, people, and the environment. Accidental release of toxic chemicals can lead to emergencies. An emergency response plan (ERP) is inevitable to minimize the adverse effects of such releases. The on-site emergency plan is an integral component of any process safety and risk management system. This paper deals with an on-site emergency response plan for a chlorine manufacturing industry. It was developed on the basis of a previous study on chlorine release and a full scale mock drill has been conducted for testing the plan. Results indicated that properly trained personnel can effectively handle each level of incidents occurring in the process plant. As an extensive guideline to the district level government authorities for off-site emergency planning, risk zone has also been estimated with reference to a chlorine exposure threshold of 3 ppm. PMID:26171416

Responding To and Recovering From an Active Shooter Incident That Turns Into a Hostage Situation. Lessons Learned From School Crises and Emergencies, Volume 2, Issue 6, 2007

ERIC Educational Resources Information Center

US Department of Education, 2007

2007-01-01

"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue focuses on an active shooter situation that escalated to a hostage situation that required multiple law enforcement agencies and other first responders and agencies to coordinate response and recovery…

Chemical Advisory - Solid Ammonium Nitrate (AN) Storage, Handling and Management

EPA Pesticide Factsheets

Advisory contains information on recent and past accidents involving AMMONIUM NITRATE (commonly referred to as AN), on the hazards of AN, how to manage these hazards, and appropriate steps for community emergency planning and proper emergency response.

78 FR 8955 - Continuation of the National Emergency With Respect to the Situation in or in Relation to C[ocirc...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-06

... the National Emergency With Respect to the Situation in or in Relation to C[ocirc]te d'Ivoire On... International Emergency Economic Powers Act (50 U.S.C. 1701-1706), to deal with the unusual and extraordinary... or in relation to C[ocirc]te d'Ivoire and ordered related measures blocking the property of certain...

Guidelines for handling radioactively contaminated decedents.

PubMed

Wood, Charles M; DePaolo, Frank; Whitaker, Doggett

2008-05-01

The Centers for Disease Control and Prevention recently issued guidelines for medical examiners, coroners, and morticians in dealing with decedents after detonation of an improvised nuclear device (IND) or radiological dispersal device (RDD) (). Partners in this effort included the New York City Office of Chief Medical Examiner and the National Funeral Directors' Association. This paper describes the handling techniques required for loose surface contamination, radioactive shrapnel, and internal contamination caused by inhaling or ingesting radioactive materials from an IND or RDD, and provides suggested guidelines for medical examiners, coroners, and morticians to deal with these situations.

UnKushioned Fall: Anticipated Difficult Airway in Acutely Intoxicated Patient with Severe Facial Injuries

DTIC Science & Technology

2017-10-21

A known difficult airway is an opportunity to utilize an anesthesiologist’s full skill set and oftentimes with thorough planning and careful execution even the most difficult of situations can be handled relatively smoothly.

How Farm Animals React and Perceive Stressful Situations Such As Handling, Restraint, and Transport

PubMed Central

Grandin, Temple; Shivley, Chelsey

2015-01-01

Simple Summary A common animal welfare question is: how stressful is handling and restraining farm animals for veterinary procedures even when no surgical or invasive procedures are done? It depends on how a particular animal perceives it. For one animal, restraint for an injection may be a positive experience associated with food treats and a different animal may be highly fearful and actively resist being restrained. The animal’s response is highly dependent on both its previous experiences and inherited traits such as temperament. Abstract An animal that has been carefully acclimated to handling may willingly re-enter a restrainer. Another animal may have an intense agitated behavioral reaction or refuse to re-enter the handling facility. Physiological measures of stress such as cortisol may be very low in the animal that re-enters willingly and higher in animals that actively resist restraint. Carefully acclimating young animals to handling and restraint can help improve both productivity and welfare by reducing fear stress. Some of the topics covered in this review are: How an animal perceives handling and restraint, the detrimental effects of a sudden novel event, descriptions of temperament and aversion tests and the importance of good stockmanship. PMID:26633523

[Training of medical practitioners of Russian Federation for dealing with dangerous infections in Stavropol Institute for plague control and for working under the conditions of the emergency situation].

PubMed

Efremenko, V I; Kal'noĭ, S M; Shvetsova, N M; Bogdanov, I K; Grizhebovskiĭ, G M; Briukhanova, G D; Onatskaia, T G

2001-01-01

There are no doubts at present concerning the necessity of training medical practitioners in Russia for dealing with specially dangerous infections and for work under the conditions of emergency situations. From the day this institute was founded the training of the corresponding personnel was started: first physicians, then biologists and other specialists, including medical assistants and technicians. Additional programs for training specialists were developed, the State License for conducting the course of special post-diploma training was obtained. Research works on improving the methods of the indication and rapid diagnostics of the causative agents of dangerous infections, reflected in training programs for specialists and practically used in the process of the realization of antiepidemic measures in the zones of emergency situations, were carried out. In training the students the experience of the work of the institute on ensuring the epidemiological safety of the population under the conditions of different emergency situations was taken into consideration.

Cooperative Monitoring Center Occasional Paper/8: Cooperative Border Security for Jordan: Assessment and Options

DOE Office of Scientific and Technical Information (OSTI.GOV)

Qojas, M.

1999-03-01

This document is an analysis of options for unilateral and cooperative action to improve the security of Jordan's borders. Sections describe the current political, economic, and social interactions along Jordan's borders. Next, the document discusses border security strategy for cooperation among neighboring countries and the adoption of confidence-building measures. A practical cooperative monitoring system would consist of hardware for early warning, command and control, communications, and transportation. Technical solutions can expand opportunities for the detection and identification of intruders. Sensors (such as seismic, break-wire, pressure-sensing, etc.) can warn border security forces of intrusion and contribute to the identification of themore » intrusion and help formulate the response. This document describes conceptual options for cooperation, offering three scenarios that relate to three hypothetical levels (low, medium, and high) of cooperation. Potential cooperative efforts under a low cooperation scenario could include information exchanges on military equipment and schedules to prevent misunderstandings and the establishment of protocols for handling emergency situations or unusual circumstances. Measures under a medium cooperation scenario could include establishing joint monitoring groups for better communications, with hot lines and scheduled meetings. The high cooperation scenario describes coordinated responses, joint border patrols, and sharing border intrusion information. Finally, the document lists recommendations for organizational, technical, and operational initiatives that could be applicable to the current situation.« less

New regulations for radiation protection for work involving radioactive fallout emitted by the TEPCO Fukushima Daiichi APP accident: application expansion to recovery and reconstruction work.

PubMed

Yasui, Shojiro

2014-01-01

The accident at the Fukushima Daiichi Atomic Power Plant that accompanied the Great East Japan Earthquake on March 11, 2011 released a large amount of radioactive material. To rehabilitate the contaminated areas, the government of Japan decided to carry out decontamination work. In April 2012, the Nuclear Emergency Response Headquarters (NERH) started dividing the restricted areas into three sub-areas based on the ambient dose rate. In accordance with the rearrangement of the restricted area, NERH decided to allow resumption of business activities, including manufacturing and farming, as well as operation of hospitals, welfare facilities, and shops and related subordinate tasks, such as maintenance, repair, and transportation. As a result, the government needed regulations for radiation protection for workers engaged in those activities. The issues that arose in the deliberation of the regulations were distilled into two points: 1) whether radiation protection systems established for a planned exposure situation should apply to construction and agricultural work activities in an existing exposure situation, and 2) how to simplify the regulation in accordance with the nature of the work activities. Further research and development concerning the following issues are warranted: a) the relationship between the radioactive concentrations of materials handled and the risk of internal exposure, and b) the relationship between the radioactive concentration of the soil and the surface contamination level.

Leveling the Playing Field for New Principals: In NAESP's Mentoring Program, Experienced and Specially Trained Principals Help New Colleagues Learn How to Deal with the Unexpected

ERIC Educational Resources Information Center

Brown, Fred

2005-01-01

Regardless of how well we plan, we can always expect the unexpected and we need to be prepared to handle the situation appropriately. But while being able to put out fires should be part of a principal?s repertoire of skills, it should not be one?s modus operandi. The true strength of a principal is the ability to deal with all situations in a…

Multidisciplinary approach to increasing Resilience in communities versus the hydrogeological and volcanic risk

NASA Astrophysics Data System (ADS)

Avvisati, Gala; Colucci, Orazio; Marotta, Enrica; Masucci, Armando; Nave, Rosella; Peluso, Rosario; Tomasone, Mario

2017-04-01

A given area may be exposed to different natural hazards, such as landslides, floods, earthquakes, volcanic events etc. which could affect usual human activities at many levels. The goal of our work is to increase the resilience level in communities exposed to natural hazards through an innovative and multidisciplinary research approach integrating engineering, geological, medical and sociological skills. We are going to use an analytical approach to consider simultaneously the Natural Environment and their dwellers, taking into account the sanitary protocols. We'll start by studying the hazards to which the Natural Environment could be exposed evaluating the deriving risks level trough technical studies. For each scenario it's vital to assess the defining aspects such as magnitude and frequency, through a statistical analysis of the specific data-bases in possession of relevant Authorities in charge. Regarding the Inhabitants, it's also vital to analyse the dwellers Risk Perception and their Historical Resilience through a sociological and psychological approach, in order to define the specific information and education program on natural risks. This study is of particular relevance, as even the most advanced risk management plan could fail if locals are not aware and informed about it. A correct disaster management policy must consider the medics role as paramount. Emergency first aid and emergency medicine are to be considered specific field of partitioning, and to be seen as the most appropriate way to deal with a dire situation, especially when the resources vs. magnitude of event ratio is low. The study of best practices helping to improve the resilience and reaction of areas exposed to different natural hazards with different socio-cultural layers is hence crucial. A possible model is to directly involve the residents into controlling the environment and improving/detailing the risks' and emergency areas mapping. These make the population more aware of both risks and reaction measures, with a correspondent increase in resilience. Some municipalities in Campania Region (Italy) have already undergone the phase of assessment of risks perception and historical resilience trough questionnaires submitted to residents. In some District of Campania Region (Italy), apps for mobile devices have been developed, in order to activate a bi-directional flow of information between local authorities and single citizens. Another level of participated monitoring could be issuing to residents low-cost, specifically designed devices, such as seismic micro-sensor and/or CO2 gauges to be positioned in schools. With advantage both information/education and monitoring. Local authorities have recently started to consider medical emergency assistance in disaster-affected areas as a specific tool to activate and use to handle such situations as best as possible. The results of these studies will result in: the development of an early warning network specifically targeted on each area and run by specifically trained operators; specific skills for medical personnel to be mastered to handle civilian casualties and/or shocked people in huge numbers; the locals in a condition of improved knowledge and preparedness, to the point to be involved actively in the program in a community-based monitoring procedure (participated monitoring).

'We didn't know anything, it was a mess!' Emergent structures and the effectiveness of a rescue operation multi-team system.

PubMed

Fleştea, Alina Maria; Fodor, Oana Cătălina; Curşeu, Petru Lucian; Miclea, Mircea

2017-01-01

Multi-team systems (MTS) are used to tackle unpredictable events and to respond effectively to fast-changing environmental contingencies. Their effectiveness is influenced by within as well as between team processes (i.e. communication, coordination) and emergent phenomena (i.e. situational awareness). The present case study explores the way in which the emergent structures and the involvement of bystanders intertwine with the dynamics of processes and emergent states both within and between the component teams. Our findings show that inefficient transition process and the ambiguous leadership generated poor coordination and hindered the development of emergent phenomena within the whole system. Emergent structures and bystanders substituted leadership functions and provided a pool of critical resources for the MTS. Their involvement fostered the emergence of situational awareness and facilitated contingency planning processes. However, bystander involvement impaired the emergence of cross-understandings and interfered with coordination processes between the component teams. Practitioner Summary: Based on a real emergency situation, the present research provides important theoretical and practical insights about the role of bystander involvement in the dynamics of multi-team systems composed to tackle complex tasks and respond to fast changing and unpredictable environmental contingencies.

40 CFR 170.260 - Emergency assistance.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 24 2014-07-01 2014-07-01 false Emergency assistance. 170.260 Section 170.260 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS... from handling tasks or from application, splash, spill, drift, or pesticide residues, the handler...

40 CFR 170.260 - Emergency assistance.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 25 2013-07-01 2013-07-01 false Emergency assistance. 170.260 Section 170.260 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS... from handling tasks or from application, splash, spill, drift, or pesticide residues, the handler...

40 CFR 170.260 - Emergency assistance.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 25 2012-07-01 2012-07-01 false Emergency assistance. 170.260 Section 170.260 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS... from handling tasks or from application, splash, spill, drift, or pesticide residues, the handler...

40 CFR 170.260 - Emergency assistance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Emergency assistance. 170.260 Section 170.260 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS... from handling tasks or from application, splash, spill, drift, or pesticide residues, the handler...

40 CFR 170.260 - Emergency assistance.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Emergency assistance. 170.260 Section 170.260 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS... from handling tasks or from application, splash, spill, drift, or pesticide residues, the handler...

46 CFR 153.297 - Emergency actuators at the point of cargo control.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 5 2010-10-01 2010-10-01 false Emergency actuators at the point of cargo control. 153... and Equipment Piping Systems and Cargo Handling Equipment § 153.297 Emergency actuators at the point of cargo control. (a) The point from which cargo transfer is controlled must have the same actuators...

7 CFR 3431.23 - Service to Federal Government in emergency situations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 15 2010-01-01 2010-01-01 false Service to Federal Government in emergency situations...) COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE, DEPARTMENT OF AGRICULTURE VETERINARY MEDICINE LOAN REPAYMENT PROGRAM Administration of the Veterinary Medicine Loan Repayment Program § 3431.23...

Perspectives on Bullying Among Children Who Present to the Emergency Department With Behavioral Misconduct

PubMed Central

Waseem, Muhammad; Boutin-Foster, Carla; Robbins, Laura; Gonzalez, Rita; Vargas, Steven; Peterson, Janey C.

2015-01-01

The problem of bullying is an increasing public health threat encountered by emergency physicians especially in inner city emergency departments (EDs). Bullying may result in emotional disturbances and psychological trauma in children. Many children sent to the ED because of behavioral misconduct require immediate stabilization and treatment. The emergency physician performs an initial assessment and stabilization. Emergency departments are increasingly on the frontline of the bullying problem. Objectives Our objective was to explore children's perspective of bullying and their views of potential solutions. Methods A qualitative study was conducted in a cohort of 50 children (age, 8–17 years),who were referred to the ED from school because of their behavioral misconduct. An interview survey tool about bullying was administered. It focused on what bullying meant to them and what advice they have for a child who is bullied. They were also asked what advice they would have for adults who try to help. We used grounded theory to analyze the data. Similar concepts were grouped, and the categories with similar properties and dimensions were defined. Common themes were then identified. Results We interviewed 50 children, of whom 27 were boys and 23 were girls. Their mean (SD) age was 12.5 (2.12) years (range, 8–17 years). Bullying was identified by children as including physical, verbal, and emotional actions. Several themes emerged. First, a power imbalance between a bully and victim may render an individual vulnerable to bullying. Being different and weak also increases the risk of being bullied. Second, bullying is wrong, and the bully should be punished. Third, children should learn how to handle bullying situations and develop resilience against bullying. Finally, adults need to be more proactive to prevent or stop bullying. Conclusions Our results provide insights into the perceptions of children regarding bullying. We have garnered a better understanding of what these children feel adults should do to prevent bullying. PMID:25343737

Perspectives on bullying among children who present to the emergency department with behavioral misconduct: a qualitative study.

PubMed

Waseem, Muhammad; Boutin-Foster, Carla; Robbins, Laura; Gonzalez, Rita; Vargas, Steven; Peterson, Janey C

2014-11-01

The problem of bullying is an increasing public health threat encountered by emergency physicians especially in inner city emergency departments (EDs). Bullying may result in emotional disturbances and psychological trauma in children. Many children sent to the ED because of behavioral misconduct require immediate stabilization and treatment. The emergency physician performs an initial assessment and stabilization. Emergency departments are increasingly on the frontline of the bullying problem. Our objective was to explore children's perspective of bullying and their views of potential solutions. A qualitative study was conducted in a cohort of 50 children (age, 8-17 years), who were referred to the ED from school because of their behavioral misconduct. An interview survey tool about bullying was administered. It focused on what bullying meant to them and what advice they have for a child who is bullied. They were also asked what advice they would have for adults who try to help. We used grounded theory to analyze the data. Similar concepts were grouped, and the categories with similar properties and dimensions were defined. Common themes were then identified. We interviewed 50 children, of whom 27 were boys and 23 were girls. Their mean (SD) age was 12.5 (2.12) years (range, 8-17 years). Bullying was identified by children as including physical, verbal, and emotional actions. Several themes emerged. First, a power imbalance between a bully and victim may render an individual vulnerable to bullying. Being different and weak also increases the risk of being bullied. Second, bullying is wrong, and the bully should be punished. Third, children should learn how to handle bullying situations and develop resilience against bullying. Finally, adults need to be more proactive to prevent or stop bullying. Our results provide insights into the perceptions of children regarding bullying. We have garnered a better understanding of what these children feel adults should do to prevent bullying.

Medical Information Management System

NASA Technical Reports Server (NTRS)

Alterescu, S.; Hipkins, K. R.; Friedman, C. A.

1979-01-01

On-line interactive information processing system easily and rapidly handles all aspects of data management related to patient care. General purpose system is flexible enough to be applied to other data management situations found in areas such as occupational safety data, judicial information, or personnel records.

[Personal emergency call system based on human vital and system technical parameters in a Smart Home environment].

PubMed

Hampicke, M; Schadow, B; Rossdeutscher, W; Fellbaum, K; Boenick, U

2002-11-01

Progress in microtechnology and radio transmission technology has enabled the development of highly reliable emergency-call systems. The present article describes systems that have been specially designed to improve the safety and independence of handicapped and elderly persons living at home. For such persons immediate help in an emergency situation is of crucial importance. The technical state of the art of emergency-call systems specially developed for use by the elderly, is briefly discussed, in particular the well-known radio emergency-call button, with the aid of which an alarm can be activated manually. This system, however, does not offer adequate safety in all emergency situations. Alternative or complementary systems designed to automatically trigger an alarm on the basis of the recording and evaluation of so-called vital parameters, are therefore proposed. In addition, in a smart-home environment with networked devices, further parameters--so-called environment parameters can be used. It is found that the identification of an emergency situation becomes more reliable as the number of parameters employed increases.

Influence on grip of knife handle surface characteristics and wearing protective gloves.

PubMed

Claudon, Laurent

2006-11-01

Ten subjects were asked to apply maximum torques on knife handles with either their bare hand or their hand wearing a Kevlar fibre protective glove. Four knife handles (2 roughnesses, 2 hardnesses) were tested. Surface electromyograms of 6 upper limb and shoulder muscles were recorded and subject opinions on both knife handle hardness and friction in the hand were also assessed. The results revealed the significant influence of wearing gloves (p<0.0001), knife type (p<0.0005) and handle hardness (p<0.005) on the applied torque. Wearing Kevlar fibre gloves greatly increased the torque independently of the other two parameters. Under the bare hand condition, a 90 degrees ShA slightly rough handle provided the greatest torque. Subject opinion agreed with the observed effects on recorded torque values except for the hardness factor, for which a preference for the 70 degrees ShA value over the 90 degrees ShA value emerged.

[Simulation as possible training for palliative emergencies: prospective initial data analysis of participants from two simulation training sessions].

PubMed

Wiese, C H R; Bosse, G; Schröder, T; Lassen, C L; Bundscherer, A C; Graf, B M; Zausig, Y A

2015-01-01

Palliative emergencies describe an acute situation in patients with a life-limiting illness. At present defined curricula for prehospital emergency physician training for palliative emergencies are limited. Simulation-based training (SBT) for such palliative emergency situations is an exception both nationally and internationally. This article presents the preparation of recommendations in the training and development of palliative care emergency situations. A selected literature search was performed using PubMed, EMBASE, Medline and the Cochrane database (1990-2013). Reference lists of included articles were checked by two reviewers. Data of the included articles were extracted, evaluated und summarized. In the second phase the participants of two simulated scenarios of palliative emergencies were asked to complete an anonymous 15-item questionnaire. The results of the literature search and the questionnaire-based investigation were compared and recommendations were formulated based on the results. Altogether 30 eligible national and international articles were included. Overall, training curricula in palliative emergencies are currently being developed nationally and internationally but are not yet widely integrated into emergency medical training and education. In the second part of the investigation, 25 participants (9 male, 16 female, 20 physicians and 5 nurses) were included in 4 multiprofessional emergency medical simulation training sessions. The most important interests of the participants were the problems for training and further education concerning palliative emergencies described in the national and international literature. The literature review and the expectations of the participants underlined that the development and characteristics of palliative emergencies will become increasingly more important in outpatient emergency medicine. All participants considered palliative care to be very important concerning the competency for end-of-life decisions in palliative patients. For this reason, special curricula and simulation for dealing with palliative care patients and special treatment decisions in emergency situations seem to be necessary.

Performance of experienced versus less experienced paramedics in managing challenging scenarios: a cognitive task analysis study.

PubMed

Smith, Michael W; Bentley, Melissa A; Fernandez, Antonio R; Gibson, Gregory; Schweikhart, Sharon B; Woods, David D

2013-10-01

Out-of-hospital care is becoming more complex, thus placing greater reliance on the cognitive abilities of paramedics to manage difficult situations. In adapting to the challenges in their work, paramedics develop expertise. We study the cognitive strategies used by expert paramedics to contribute to understanding how paramedics and the EMS system can adapt to new challenges. We conducted a "staged-world" cognitive task analysis to explore paramedics' handling of cognitive challenges related to sense-making and to resource and task management. A mixed-fidelity simulation was used to present paramedics with 2 challenging scenarios: a pulmonary embolism initially presenting as a myocardial infarction and a 2-person shooting with limited resources available. Participants were 10 paramedics, 6 more experienced and 4 less experienced. Analysis involved comparing the performance of the 2 groups to identify strategies associated with expertise. The more experienced paramedics made more assessments, explored a wider variety of presumptive diagnoses, and identified the pulmonary embolism earlier. They switched attention between the 2 shooting victims more, used their emergency medical technician-basic level partners more, and provided more advanced level care for both patients. Their patients arrived at the emergency department more prepared for specialized emergency care. Our findings correspond to general cognitive attributes of expertise: greater cue gathering and inferential reasoning, and more functional and strategic thinking. These results suggest potential areas and methods to facilitate development of expertise, as well as ways to better support use of expertise. Future studies should expand on these findings through larger sample sizes and more complex scenarios. Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

Identification and analysis of unsatisfactory psychosocial work situations: a participatory approach employing video-computer interaction.

PubMed

Hanse, J J; Forsman, M

2001-02-01

A method for psychosocial evaluation of potentially stressful or unsatisfactory situations in manual work was developed. It focuses on subjective responses regarding specific situations and is based on interactive worker assessment when viewing video recordings of oneself. The worker is first video-recorded during work. The video is then displayed on the computer terminal, and the filmed worker clicks on virtual controls on the screen whenever an unsatisfactory psychosocial situation appears; a window of questions regarding psychological demands, mental strain and job control is then opened. A library with pictorial information and comments on the selected situations is formed in the computer. The evaluation system, called PSIDAR, was applied in two case studies, one of manual materials handling in an automotive workshop and one of a group of workers producing and testing instrument panels. The findings indicate that PSIDAR can provide data that are useful in a participatory ergonomic process of change.

Pediatric advanced life support and sedation of pediatric dental patients.

PubMed

Kim, Jongbin

2016-03-01

Programs provided by the Korea Association of Cardiopulmonary Resuscitation include Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Korean Advanced Life Support (KALS). However, programs pertinent to dental care are lacking. Since 2015, related organizations have been attempting to develop a Dental Advanced Life Support (DALS) program, which can meet the needs of the dental environment. Generally, for initial management of emergency situations, basic life support is most important. However, emergencies in young children mostly involve breathing. Therefore, physicians who treat pediatric dental patients should learn PALS. It is necessary for the physician to regularly renew training every two years to be able to immediately implement professional skills in emergency situations. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is absolutely necessary to be able to immediately implement professional skills in emergency situations.

49 CFR 177.823 - Movement of motor vehicles in emergency situations.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 2 2012-10-01 2012-10-01 false Movement of motor vehicles in emergency situations. 177.823 Section 177.823 Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION HAZARDOUS MATERIALS REGULATIONS CARRIAGE BY PUBLIC HIGHWAY General Information...

Handling Emergency Management in [an] Object Oriented Modeling Environment

NASA Technical Reports Server (NTRS)

Tokgoz, Berna Eren; Cakir, Volkan; Gheorghe, Adrian V.

2010-01-01

It has been understood that protection of a nation from extreme disasters is a challenging task. Impacts of extreme disasters on a nation's critical infrastructures, economy and society could be devastating. A protection plan itself would not be sufficient when a disaster strikes. Hence, there is a need for a holistic approach to establish more resilient infrastructures to withstand extreme disasters. A resilient infrastructure can be defined as a system or facility that is able to withstand damage, but if affected, can be readily and cost-effectively restored. The key issue to establish resilient infrastructures is to incorporate existing protection plans with comprehensive preparedness actions to respond, recover and restore as quickly as possible, and to minimize extreme disaster impacts. Although national organizations will respond to a disaster, extreme disasters need to be handled mostly by local emergency management departments. Since emergency management departments have to deal with complex systems, they have to have a manageable plan and efficient organizational structures to coordinate all these systems. A strong organizational structure is the key in responding fast before and during disasters, and recovering quickly after disasters. In this study, the entire emergency management is viewed as an enterprise and modelled through enterprise management approach. Managing an enterprise or a large complex system is a very challenging task. It is critical for an enterprise to respond to challenges in a timely manner with quick decision making. This study addresses the problem of handling emergency management at regional level in an object oriented modelling environment developed by use of TopEase software. Emergency Operation Plan of the City of Hampton, Virginia, has been incorporated into TopEase for analysis. The methodology used in this study has been supported by a case study on critical infrastructure resiliency in Hampton Roads.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

The Drawdown and Distribution Management Manual (DDMM) provides a comprehensive guide to the planning, preparation, and operational processes associated with an SPR system response to an energy emergency. Although parts of the process may be unique to a particular situation, the manual describes the end-to-end continuity of the response by including those activities that would be common to most situations. This manual follows DOE policy contained in DOE Office of Energy Emergencies (OEE) documents that define comprehensive DOE energy emergency response procedures, currently known as the Energy Emergency Response Management System (EERMS). 6 refs.

Abnormal/Emergency Situations. Impact of Unmanned Aircraft Systems Emergency and Abnormal Events on the National Airspace System

NASA Technical Reports Server (NTRS)

2006-01-01

Access 5 analyzed the differences between UAS and manned aircraft operations under five categories of abnormal or emergency situations: Link Failure, Lost Communications, Onboard System Failures, Control Station Failures and Abnormal Weather. These analyses were made from the vantage point of the impact that these operations have on the US air traffic control system, with recommendations for new policies and procedures included where appropriate.

Close Call: Magic.

ERIC Educational Resources Information Center

Journal of Adventure Education and Outdoor Leadership, 1993

1993-01-01

Staff at a residential camp for high-risk youth dealt with campers eating potentially lethal hallucinogenic mushrooms by eliminating the mushrooms instead of confronting the group and thereby jeopardizing the relationship between staff and campers. Analyzes the situation and provides suggestions for handling similar incidents in the future. (LP)

40 CFR 171.4 - Standards for certification of commercial applicators.

Code of Federal Regulations, 2011 CFR

2011-07-01

... (CONTINUED) PESTICIDE PROGRAMS CERTIFICATION OF PESTICIDE APPLICATORS § 171.4 Standards for certification of commercial applicators. (a) Determination of competency. Competence in the use and handling of pesticides... pesticides. Testing shall be based on examples of problems and situations appropriate to the particular...

40 CFR 171.4 - Standards for certification of commercial applicators.

Code of Federal Regulations, 2013 CFR

2013-07-01

... (CONTINUED) PESTICIDE PROGRAMS CERTIFICATION OF PESTICIDE APPLICATORS § 171.4 Standards for certification of commercial applicators. (a) Determination of competency. Competence in the use and handling of pesticides... pesticides. Testing shall be based on examples of problems and situations appropriate to the particular...

40 CFR 171.4 - Standards for certification of commercial applicators.

Code of Federal Regulations, 2012 CFR

2012-07-01

... (CONTINUED) PESTICIDE PROGRAMS CERTIFICATION OF PESTICIDE APPLICATORS § 171.4 Standards for certification of commercial applicators. (a) Determination of competency. Competence in the use and handling of pesticides... pesticides. Testing shall be based on examples of problems and situations appropriate to the particular...

40 CFR 171.4 - Standards for certification of commercial applicators.

Code of Federal Regulations, 2014 CFR

2014-07-01

... (CONTINUED) PESTICIDE PROGRAMS CERTIFICATION OF PESTICIDE APPLICATORS § 171.4 Standards for certification of commercial applicators. (a) Determination of competency. Competence in the use and handling of pesticides... pesticides. Testing shall be based on examples of problems and situations appropriate to the particular...

40 CFR 171.4 - Standards for certification of commercial applicators.

Code of Federal Regulations, 2010 CFR

2010-07-01

... (CONTINUED) PESTICIDE PROGRAMS CERTIFICATION OF PESTICIDE APPLICATORS § 171.4 Standards for certification of commercial applicators. (a) Determination of competency. Competence in the use and handling of pesticides... pesticides. Testing shall be based on examples of problems and situations appropriate to the particular...

Problem Patron Manual.

ERIC Educational Resources Information Center

Brown, Marion, Comp.; And Others

This document presents guidelines for handling disruptive behavior in the Schenectady County Public Library (New York). Specific responses are listed for dealing with questions about library selection policy and sudden patron illness or injury. Also listed are responses to problem situations involving angry or irate patrons, assault or physically…

Encouraging Civility as a Community College Leader

ERIC Educational Resources Information Center

Elsner, Paul A., Ed.; Boggs, George R., Ed.

2006-01-01

The contributors relate examples of situations in which leaders encountered unexpected and sometimes unprecedented incivility in their role as community college leaders. The chapters present their experiences, observations, lessons, and recommendations for handling crises that may befall leaders in an academic setting. This book contains the…

A generalized concept of power helped to choose optimal endpoints in clinical trials.

PubMed

Borm, George F; van der Wilt, Gert J; Kremer, Jan A M; Zielhuis, Gerhard A

2007-04-01

A clinical trial may have multiple objectives. Sometimes the results for several parameters may need to be significant or meet certain other criteria. In such cases, it is important to evaluate the probability that all these objectives will be met, rather than the probability that each will be met. The purpose of this article is to introduce a definition of power that is tailored to handle this situation and that is helpful for the design of such trials. We introduce a generalized concept of power. It can handle complex situations, for example, in which there is a logical combination of partial objectives. These may be formulated not only in terms of statistical tests and of confidence intervals, but also in nonstatistical terms, such as "selecting the optimal by dose." The power of a trial was calculated for various objectives and combinations of objectives. The generalized concept of power may lead to power calculations that closely match the objectives of the trial and contribute to choosing more efficient endpoints and designs.

Multi-platform experiment to cross a boundary between laboratory and real situational studies: experimental discussion of cross-situational consistency of driving behaviors.

PubMed

Terai, H; Miwa, K; Okuda, H; Tazaki, Y; Suzuki, T; Kojima, K; Morita, J; Maehigashi, A; Takeda, K

2012-01-01

We constructed an innovative experimental platform to study cross-situational consistency in driving behavior, conducted behavioral experiments, and reported the data obtained in the experiment. To discuss cross-situational consistency, we separated situations in which people use some systems to conduct tasks into three independent conceptual factors: environment, context, and system. We report the experimental results with the following systems: a laboratory system with a gaming controller and steering/pedal controllers and a real system, COMS an instrumented vehicle. The results are summarized as follows. 1) The individual behaviors in each system were stable, and consistency was retained. 2) The consistency of the behaviors was also confirmed when the participants drove using different interfaces in identical systems. 3) However, only slight correlation was observed across different systems in a specific situation where a strong high-order cognitive constraint (i.e., rapid driving) and a weak low-order cognitive constraint (driving with easy handling toward a straight-line course) were given.

The Impact of Emerging Technologies on Future Air Capabilities

DTIC Science & Technology

1999-12-01

ferroelectric FPAs (60). More advanced FPA technologies include quantum well IR photodetectors ( QWIPS ) and strained layer superlattices. Significant...microspacecraft. Expected benefits include enhanced handling qualities, vibration suppression, alleviation of noise and vibration and monitoring of vehicle...of fatigue loads, cabin vibration and both internal and external noise , as well as contributing to enhanced handling. This would result in better

Developing protocols for obstetric emergencies.

PubMed

Roth, Cheryl K; Parfitt, Sheryl E; Hering, Sandra L; Dent, Sarah A

2014-01-01

There is potential for important steps to be missed in emergency situations, even in the presence of many health care team members. Developing a clear plan of response for common emergencies can ensure that no tasks are redundant or omitted, and can create a more controlled environment that promotes positive health outcomes. A multidisciplinary team was assembled in a large community hospital to create protocols that would help ensure optimum care and continuity of practice in cases of postpartum hemorrhage, shoulder dystocia, emergency cesarean surgical birth, eclamptic seizure and maternal code. Assignment of team roles and responsibilities led to the evolution of standardized protocols for each emergency situation. © 2014 AWHONN.

Orion Entry Handling Qualities Assessments

NASA Technical Reports Server (NTRS)

Bihari, B.; Tiggers, M.; Strahan, A.; Gonzalez, R.; Sullivan, K.; Stephens, J. P.; Hart, J.; Law, H., III; Bilimoria, K.; Bailey, R.

2011-01-01

The Orion Command Module (CM) is a capsule designed to bring crew back from the International Space Station (ISS), the moon and beyond. The atmospheric entry portion of the flight is deigned to be flown in autopilot mode for nominal situations. However, there exists the possibility for the crew to take over manual control in off-nominal situations. In these instances, the spacecraft must meet specific handling qualities criteria. To address these criteria two separate assessments of the Orion CM s entry Handling Qualities (HQ) were conducted at NASA s Johnson Space Center (JSC) using the Cooper-Harper scale (Cooper & Harper, 1969). These assessments were conducted in the summers of 2008 and 2010 using the Advanced NASA Technology Architecture for Exploration Studies (ANTARES) six degree of freedom, high fidelity Guidance, Navigation, and Control (GN&C) simulation. This paper will address the specifics of the handling qualities criteria, the vehicle configuration, the scenarios flown, the simulation background and setup, crew interfaces and displays, piloting techniques, ratings and crew comments, pre- and post-fight briefings, lessons learned and changes made to improve the overall system performance. The data collection tools, methods, data reduction and output reports will also be discussed. The objective of the 2008 entry HQ assessment was to evaluate the handling qualities of the CM during a lunar skip return. A lunar skip entry case was selected because it was considered the most demanding of all bank control scenarios. Even though skip entry is not planned to be flown manually, it was hypothesized that if a pilot could fly the harder skip entry case, then they could also fly a simpler loads managed or ballistic (constant bank rate command) entry scenario. In addition, with the evaluation set-up of multiple tasks within the entry case, handling qualities ratings collected in the evaluation could be used to assess other scenarios such as the constant bank angle maintenance case. The 2008 entry assessment was divided into two sections (see Figure 1). Entry I was the first, high speed portion of a lunar return and Entry II was the second, lower speed portion of a lunar return, which is similar (but not identical) to a typical ISS return.

Principles and methods for ensuring safe operation of high-rise buildings

NASA Astrophysics Data System (ADS)

Korol, Oleg; Kustikova, Yuliya

2018-03-01

The purpose of monitoring the technical condition of high-rise buildings is to prevent possible negative situations leading to significant socio-economic losses by timely warning of the emergence of such situations. To achieve this goal, it is necessary to solve the following main tasks, such as: identifying the time and place of origin and development of negative processes that lead to the emergence of an emergency situation; analysis of the possible development of the situation in time; development of management decisions; formation and submission of warning signals; obtaining new knowledge about the operation of the object, the factors of influence on this object, the speed of development of destructive processes. When solving the above problems, an important role is played by constructing an adequate mathematical model of the object, the parameters of which should be calibrated according to the current monitoring results.

Modelling emergency decisions: recognition-primed decision making. The literature in relation to an ophthalmic critical incident.

PubMed

Bond, Susan; Cooper, Simon

2006-08-01

To review and reflect on the literature on recognition-primed decision (RPD) making and influences on emergency decisions with particular reference to an ophthalmic critical incident involving the sub-arachnoid spread of local anaesthesia following the peribulbar injection. This paper critics the literature on recognition-primed decision making, with particular reference to emergency situations. It illustrates the findings by focussing on an ophthalmic critical incident. Systematic literature review with critical incident reflection. Medline, CINAHL and PsychINFO databases were searched for papers on recognition-primed decision making (1996-2004) followed by the 'snowball method'. Studies were selected in accordance with preset criteria. A total of 12 papers were included identifying the recognition-primed decision making as a good theoretical description of acute emergency decisions. In addition, cognitive resources, situational awareness, stress, team support and task complexity were identified as influences on the decision process. Recognition-primed decision-making theory describes the decision processes of experts in time-bound emergency situations and is the foundation for a model of emergency decision making (Fig. 2). Decision theory and models, in this case related to emergency situations, inform practice and enhance clinical effectiveness. The critical incident described highlights the need for nurses to have a comprehensive and in-depth understanding of anaesthetic techniques as well as an ability to manage and resuscitate patients autonomously. In addition, it illustrates how the critical incidents should influence the audit cycle with improvements in patient safety.

43 CFR 423.12 - How will Reclamation notify the public of additional closed areas?

Code of Federal Regulations, 2011 CFR

2011-10-01

... additional closed areas? 423.12 Section 423.12 Public Lands: Interior Regulations Relating to Public Lands..., LANDS, AND WATERBODIES Areas Open and Closed to Public Use § 423.12 How will Reclamation notify the public of additional closed areas? (a) Non-emergency situations. In non-emergency situations, an...

43 CFR 423.12 - How will Reclamation notify the public of additional closed areas?

Code of Federal Regulations, 2010 CFR

2010-10-01

... additional closed areas? 423.12 Section 423.12 Public Lands: Interior Regulations Relating to Public Lands..., LANDS, AND WATERBODIES Areas Open and Closed to Public Use § 423.12 How will Reclamation notify the public of additional closed areas? (a) Non-emergency situations. In non-emergency situations, an...

40 CFR 1054.660 - What are the provisions for exempting emergency rescue equipment?

Code of Federal Regulations, 2010 CFR

2010-07-01

... certified to current emission standards under the following conditions if the equipment will be used solely in emergency rescue situations: (1) You must determine annually that no engines certified to current... situations” means firefighting or other situations in which a person is retrieved from imminent danger. (c...

76 FR 27697 - Self-Regulatory Organizations; Options Clearing Corporation; Notice of Filing of Proposed Rule...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-12

... the Options Clearing Corporation With Respect to Its Obligations To Pay Settlement Amounts to Clearing... pay settlement amounts to clearing members generally as well as in emergency situations. II. Self... to pay settlement amounts to clearing members generally as well as in emergency situations. The...

A seamless ubiquitous emergency medical service for crisis situations.

PubMed

Lin, Bor-Shing

2016-04-01

In crisis situations, a seamless ubiquitous communication is necessary to provide emergency medical service to save people's lives. An excellent prehospital emergency medicine provides immediate medical care to increase the survival rate of patients. On their way to the hospital, ambulance personnel must transmit real-time and uninterrupted patient information to the hospital to apprise the physician of the situation and provide options to the ambulance personnel. In emergency and crisis situations, many communication channels can be unserviceable because of damage to equipment or loss of power. Thus, data transmission over wireless communication to achieve uninterrupted network services is a major obstacle. This study proposes a mobile middleware for cognitive radio (CR) for improving the wireless communication link. CRs can sense their operating environment and optimize the spectrum usage so that the mobile middleware can integrate the existing wireless communication systems with a seamless communication service in heterogeneous network environments. Eventually, the proposed seamless mobile communication middleware was ported into an embedded system, which is compatible with the actual network environment without the need for changing the original system architecture. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Environmental liability and life-cycle management of used lubricating oils.

PubMed

Guerin, Turlough F

2008-12-30

Used oil handling, as a business, requires an extensive understanding by management that environmental liabilities exist through its supply chain. Findings from a review of the legal requirements of operating a used oil handling business were: understanding the transfer of ownership of used petroleum hydrocarbons is critical to any such business and how this is documented; used oil handlers are responsible for providing training to their staff, including site personnel and any third party waste contractors, and for communicating best practice procedures relating to the management of used petroleum hydrocarbons to all those individuals and organisations involved in business relationships that the used oil handling companies have; used oil handlers should audit the performance of any third party contractors that it engages to conduct work on behalf of its customers. Hypothetical situations of a company planning to enter the used oil handling market are described in relation to petroleum hydrocarbon wastes it handles to illustrate the range of potential liabilities. Companies proposing to establish a used oil handling business should ensure that they provide accurate advice to its employees, its customer's employees and to its third party contractors, all of which may be responsible for handling used petroleum hydrocarbons as part of the service it intends to provide, and that it has a well documented system addressing how environmental issues are managed.

Trauma Induced Pain and Wound Management in Emergency Environment by Low Energy Photonic Therapy

DTIC Science & Technology

2004-09-01

Technology and Emergency Medical Procedures”, held in St. Pete Beach, USA, 16-18 August 2004, and published in RTO-MP-HFM-109. Report Documentation Page...Casualty Care in Ground-Based Tactical Situations: Trauma Technology and Emergency Medical Procedures (Soins aux blessés au combat dans des situations...tactiques : technologies des traumas et procédures médicales durgence)., The original document contains color images. 14. ABSTRACT 15. SUBJECT TERMS 16

Publication and Stagnation in the Liberal Arts College

ERIC Educational Resources Information Center

Showalter, Dennis E.

1978-01-01

Because of the declining job market, the increased number of job seekers, and the decreased professional mobility in higher education, competition among professors for institutional rewards and recognition is growing. Suggestions for handling this situation are offered and pitfalls in the present system are noted. (Author/LBH)

7 CFR 1755.3 - Field trials.

Code of Federal Regulations, 2011 CFR

2011-01-01

... installations of the materials or equipment in closely monitored situations designed to determine, to RUS's... concepts untried within the telephone industry is defined as “an experiment” and shall be handled as a special case using procedures considered appropriate by RUS to meet the individual experiment. (b) To...

Evaluating Library Security Problems and Solutions.

ERIC Educational Resources Information Center

Nicely, Chris

1993-01-01

Discusses different types of security systems for libraries and explains the differences between electromagnetic, radio-frequency, and microwave technologies. A list of questions to assist in system evaluation is provided; and preventive measures used to curtail theft and protocol for handling situations that trigger security alarms are included.…

Handling an Emergency: A Defining Moment.

ERIC Educational Resources Information Center

Polansky, Harvey B.; Montague, Richard

2001-01-01

Following a fire and a costly PCB cleanup at a Connecticut high school, the administrative staff learned valuable lessons. Districts must have an emergency management plan, provide accurate information, pursue alliances with media and agencies, issue daily press releases, develop a phone chain, and share the spotlight. (MLH)

Intolerance and Violence Against Doctors.

PubMed

Singh, Meharban

2017-10-01

Intolerance and grouse against doctors is a global phenomenon but India seems to lead the world in violence against doctors. According to World Health Organization, about 8-38% healthcare workers suffer physical violence at some point in their careers. Many more are verbally abused or threatened. Public is almost behaving like health sector terrorists. The spate of increasing attacks on doctors by damaging their property and causing physical injury is not acceptable by any civilized society. The public is becoming increasingly intolerant to a large number of social issues because of poor governance and vote bank politics. There is a need to arrest the development of further distrust between doctors and their patients/relatives, otherwise it will compromise all achievements of medical science and adversely affect healing capabilities of doctors. Rude and aggressive behavior of the patients or their family members, and arrogant and lackadaisical approach of the doctor, adversely affects the doctor-patient relationship and the outcome of the patient. The doctors, hospital administration and government must exercise "zero tolerance" with respect to acts of violence against healthcare professionals. It is possible to reduce the incidence of intolerance against doctors but difficult to eliminate it completely. The healthcare providers should demonstrate greater compassion and empathy with improved communication skills. The hospitals must have adequate infrastructure, facilities and staff to handle emergencies without delay and with due confidence and skills. The security of healthcare providers, especially in sensitive areas, should be improved by having adequate number of security guards, frisking facilities, extensive CCTV network and availability of "Quick response team" to handle unruly mob. In case of any grievances for alleged mismanagement, the public should handle the situation in a civilized manner and seek redressal through Medical Protection Act and legal avenues. Laws to prevent violence against doctors do exist but they need to be made more stringent and implemented properly.

Factors affecting compliance with moving and handling policy: Student nurses' views and experiences.

PubMed

Cornish, Jocelyn; Jones, Anne

2010-03-01

The limited literature available suggests that there continues to be poor compliance by nurses with moving and handling regulations [Swain, J., Pufahl, E., Williamson, G., 2003. Do they practise what we teach? A survey of manual handling practice amongst student nurses. Journal of Clinical Nursing 12(2), 297-306; Jootun, D., MacInnes, A., 2005. Examining how well students use correct handling procedures. Nursing Times 101(4), 38-40; Smallwood, J., 2006. Patient handling: student nurses' views. Learning in Health and Social Care 5(4), 208-219; Cornish, J., Jones, A., 2007. Evaluation of moving and handling training for pre-registration nurses and its application to practice. Nurse Education in Practice 7(3), 128-134]. This paper presents the final phase of a study in which student nurses' reports of their experience in practice are drawn upon to identify possible reasons for a lack of compliance with moving and handling policy. Focus groups were conducted using a topic guide comprising themes generated from the previous two phases of this study; a questionnaire survey and unstructured interviews [Cornish, J., Jones, A., 2007. Evaluation of moving and handling training for pre-registration nurses and its application to practice. Nurse Education in Practice 7(3), 128-134]. Seventeen pre-registration students participated, representing adult, child and mental health branches from both Degree and Diploma programmes Examples of poor practice set the context for the students' experiences. Factors affecting both compliance with poor practice or compliance with moving and handling regulations leading to good practice, are identified. Methods for the management of difficult moving and handling situations are also revealed. The study informs future developments in training and support mechanisms for students in practice. Copyright 2009 Elsevier Ltd. All rights reserved.

Real-life experience with the specific reversal agent idarucizumab for the management of emergency situations in dabigatran-treated patients: a series of 11 cases.

PubMed

Vosko, Milan R; Bocksrucker, Christof; Drwiła, Rafał; Dulíček, Petr; Hauer, Tomas; Mutzenbach, Johannes; Schlimp, Christoph J; Špinler, David; Wolf, Thomas; Zugwitz, Daša

2017-04-01

Non-vitamin K antagonist oral anticoagulants (NOACs) have a favorable benefit-risk profile compared with vitamin K antagonists. However, the lack of specific reversal agents has made the management of some patients receiving long-term treatment with NOACs problematic in emergency situations such as major bleeding events or urgent procedures. Idarucizumab, a fully humanized Fab antibody fragment that binds specifically and with high affinity to dabigatran, was recently approved for use in adult patients treated with dabigatran when rapid reversal of its anticoagulant effect is required. Clinical experience with idarucizumab is currently limited. We report 11 real-life clinical cases in which idarucizumab was used after multidisciplinary consultation in a variety of emergency situations including severe postoperative bleeding, emergency high-bleeding-risk surgery (hip/spine surgery and neurosurgery), invasive diagnostic testing (lumbar puncture), intracranial bleeding (pre-pontine subarachnoid hemorrhage and lobar intracerebral hemorrhage) and thrombolysis with recombinant tissue plasminogen activator for acute ischemic stroke. This case series illustrates the role of idarucizumab in improving patient safety in rare emergency situations requiring rapid reversal of the anticoagulant effect of dabigatran, while highlighting the importance of information and education about the availability and appropriate use of this recently approved specific reversal agent.

Drilling Rig Operation Mode Recognition by an Artificial Neuronet

NASA Astrophysics Data System (ADS)

Abu-Abed, Fares; Borisov, Nikolay

2017-11-01

The article proposes a way to develop a drilling rig operation mode classifier specialized to recognize pre-emergency situations appearable in commercial oil-and-gas well drilling. The classifier is based on the theory of image recognition and artificial neuronet taught on real geological and technological information obtained while drilling. To teach the neuronet, a modified backpropagation algorithm that can teach to reach the global extremum of a target function has been proposed. The target function was a relative recognition error to minimize in the teaching. Two approaches to form the drilling rig pre-emergency situation classifier based on a taught neuronet have been considered. The first one involves forming an output classifier of N different signals, each of which corresponds to a single recognizable situation and, and can be formed on the basis of the analysis of M indications, that is using a uniform indication vocabulary for all recognized situations. The second way implements a universal classifier comprising N specialized ones, each of which can recognize a single pre-emergency situation and having a single output.

The Role of Online Learning in the Emergency Plans of Flagship Institutions

ERIC Educational Resources Information Center

Meyer, Katrina A.; Wilson, Jeffery L.

2011-01-01

The study researched the websites of the 50 state flagship higher education institutions to investigate whether and how online or distance learning were included in the institutions' emergency plans as solutions to emergencies such as H1N1. All 50 institutions had identical directions to students and staff on how to handle the H1N1 flu, but…

L4-L5 compression and anterior/posterior joint shear forces in cabin attendants during the initial push/pull actions of airplane meal carts.

PubMed

Sandfeld, Jesper; Rosgaard, Christian; Jensen, Bente Rona

2014-07-01

The aim of the present study was to assess the acute low back load of cabin attendants during cart handling and to identify working situations which present the highest strain on the worker. In a setup, 17 cabin attendants (ten females and seven males) pushed, pulled and turned a 20 kg standard meal cart (L: 0.5m × W: 0.3 m × H: 0.92 m) loaded with extra 20 kg and 40 kg, respectively on two different surfaces (carpet and linoleum) and at three floor inclinations (-2°, 0° and +2°). Two force transducers were mounted as handles. Two-dimensional movement analysis was performed and a 4D WATBAK modelling tool was used to calculate the acute L4-L5 load. No working situations created loads greater than the accepted values for single exertions, however compression and anterior/posterior shear forces during pulling and turning were much higher when compared with pushing. There were significant effects of handling the cart on different floor types, at the varying inclinations and with different cart weights. Additionally, when external forces were reduced, the cabin attendants did not decrease push/pull force proportionally and thus the L4-L5 load did not decrease as much as expected. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Acute stress in residents during emergency care: a study of personal and situational factors.

PubMed

Dias, Roger Daglius; Scalabrini Neto, Augusto

2017-05-01

Providing care for simulated emergency patients may induce considerable acute stress in physicians. However, the acute stress provoked in a real-life emergency room (ER) is not well known. Our aim was to assess acute stress responses in residents during real emergency care and investigate the related personal and situational factors. A cross-sectional observational study was carried out at an emergency department of a tertiary teaching hospital. All second-year internal medicine residents were invited to voluntarily participate in this study. Acute stress markers were assessed at baseline (T1), before residents started their ER shift, and immediately after an emergency situation (T2), using heart rate, systolic, and diastolic blood pressure, salivary α-amylase activity, salivary interleukin-1 β, and the State-Trait Anxiety Inventory (STAI-s and STAI-t). Twenty-four residents were assessed during 40 emergency situations. All stress markers presented a statistically significant increase between T1 and T2. IL-1 β presented the highest percent increase (141.0%, p < .001), followed by AA (99.0%, p = .002), HR (81.0%, p < .001), DBP (8.0%, p < .001), and SBP (3.0%, p < .001). In the multivariable analysis, time of residency had a negative correlation with HR during the emergency (adjusted R-square = .168; F = 8.69; p = .006), SBP response (adjusted R-square = .210; F = 6.19; p = .005) and DBP response (adjusted R-square = .293; F = 9.09; p = .001). Trait anxiety (STAI-t) was positively correlated with STAI-s (adjusted R-square = .326; F = 19.9; p < .001), and number of procedures performed during emergency care had a positive association with HR response (adjusted R-square = .241; F = 5.02; p = .005). In the present study, emergency care provoked substantial acute stress in residents. Resident experience, trait anxiety, and number of emergency procedures were independently associated with acute stress response.

A Twist of Fate: Tornado Strikes Four ACA Camps.

ERIC Educational Resources Information Center

Brokaw, Christine O'Connor

1989-01-01

Describes the reactions of four Connecticut camps to a July 1989 tornado. Discusses damages incurred, the importance of emergency plans, reactions of campers and staff, the use of a crisis management team, budgeting for emergencies, communications with campers' families, rebuilding, and reopening. Suggests disasters, handled properly, can be…

49 CFR 213.352 - Torch cut rail.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false Torch cut rail. 213.352 Section 213.352... Torch cut rail. (a) Except as a temporary repair in emergency situations no rail having a torch cut end shall be used. When a rail end with a torch cut is used in emergency situations, train speed over that...

49 CFR 213.352 - Torch cut rail.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Torch cut rail. 213.352 Section 213.352... Torch cut rail. (a) Except as a temporary repair in emergency situations no rail having a torch cut end shall be used. When a rail end with a torch cut is used in emergency situations, train speed over that...

Situated Environmental Learning in Southern Africa at the Start of the UN Decade of Education for Sustainable Development

ERIC Educational Resources Information Center

O'Donoghue, Rob; Lotz-Sisitka, Heila

2006-01-01

Within the globalising trajectory of modernism, conservation, then environmental (EE) and now sustainability education (ESD) have each emerged as developing responses to risk produced by and in the modern state. Through adopting a long term process perspective, this paper narrates the emergence of situated learning perspectives and a developing…

Triage Decision Trees and Triage Protocols: Changing Strategies for Medical Rescue in Civilian Mass Casualty Situations.

DTIC Science & Technology

1984-02-06

MASS CASUALTY SITUATIONS FINAL REPORT for 0O FEDERAL EMERGENCY MANAGEMENT AGENCY WASHINGTON, D.C. 20472 FEMA CONTRACT NUMBER EMW-C-1202 e FEMA WORK UNIT...20006 FINAL REPORT for FEDERAL EMERGENCY MANAGEMENT AGENCY WASHINGTON, D.C. 20472 FEMA CONTRACT NUMBER EMW-C-1202 FEMA WORK UNIT NUMBER 2412G...February 1984 This repnrt has been reviewed in the Federal Emergency Management Agency and approved for publication. Approval does not signify that the

Estimating adult sex ratios in nature.

PubMed

Ancona, Sergio; Dénes, Francisco V; Krüger, Oliver; Székely, Tamás; Beissinger, Steven R

2017-09-19

Adult sex ratio (ASR, the proportion of males in the adult population) is a central concept in population and evolutionary biology, and is also emerging as a major factor influencing mate choice, pair bonding and parental cooperation in both human and non-human societies. However, estimating ASR is fraught with difficulties stemming from the effects of spatial and temporal variation in the numbers of males and females, and detection/capture probabilities that differ between the sexes. Here, we critically evaluate methods for estimating ASR in wild animal populations, reviewing how recent statistical advances can be applied to handle some of these challenges. We review methods that directly account for detection differences between the sexes using counts of unmarked individuals (observed, trapped or killed) and counts of marked individuals using mark-recapture models. We review a third class of methods that do not directly sample the number of males and females, but instead estimate the sex ratio indirectly using relationships that emerge from demographic measures, such as survival, age structure, reproduction and assumed dynamics. We recommend that detection-based methods be used for estimating ASR in most situations, and point out that studies are needed that compare different ASR estimation methods and control for sex differences in dispersal.This article is part of the themed issue 'Adult sex ratios and reproductive decisions: a critical re-examination of sex differences in human and animal societies'. © 2017 The Author(s).

[Prehospital medical care organization during the 2003 G8 summit: a new concept of Mobile Medical Squadrons (MMS)].

PubMed

Carron, P-N; Yersin, B; Fishman, D; Ribordy, V

2005-06-01

The occurrence of the 2003 G8 summit in Evian and the threat of major civil riots or even terrorist attacks in the Swiss neighbourhood forced us to imagine a new system of rescue and medical care in case of numerous victims. Previous occurrences of the G8 in Europe or America have demonstrated the need of flexible and mobile structures, able to respond quickly to crowd movements, unlike the usual static structure of rescue systems designed for major accidents. We developed a new concept of Mobile Medical Squadrons (MMS) consisting of several vehicles and medical care and rescue human resources. In our concept, each MMS consisted of 3 emergency doctors, 5 paramedics and 9 first-aid workers. They were designed to handle 15 patients, with a large autonomy in terms of rescue, medical care, evacuation and medical authority. The equipment included medical, resuscitation, simple decontamination, evacuation and communication materials. The MMS were dispatched four times during the G8 summit following civil riots. They took care of 12 injured patients. The concept of MMS as a reinforcement of the existing rescue and health care resources appears as a new flexible, a modular and useful concept for the medical management of collective prehospital emergency situations. Its use is suggested instead of the traditional static concept of rescue systems designed for major accidents.

How Top PR Professionals Handle Hearsay: Corporate Rumors, Their Effects, and Strategies to Manage Them.

ERIC Educational Resources Information Center

DiFonzo, Nicholas; Bordia, Prashant

2000-01-01

Investigates types of organizational rumors, their prevalence and effects, effectiveness of rumor management strategies, and associated psychological and situational variables. Finds 3 distinct dimensions of rumor effects: external ramifications (bad press), internal attitudes (lowered morale), and internal behaviors (increased absenteeism). (NH)

Effects of Defensive Vehicle Handling Training on Novice Driver Safety : Phase 2. Advanced Driving Training

DOT National Transportation Integrated Search

2006-04-01

New teenaged drivers have the highest accident rates of any group of drivers. Research is needed to determine how to safely equip novice drivers with the important elements of experience before they encounter a need for it in an actual driving situat...

Employee Retention at ABC & Co. Northwest Arkansas. Research Findings.

ERIC Educational Resources Information Center

Hatcher, Timothy; And Others

A 7-month research project was conducted by graduate students at a garment manufacturing plant in Fayetteville, Arkansas, to gain information about high employee turnover. Information also was gathered about the employment situation in northwest Arkansas in general, union-labor relationships, and how other companies handled turnover. Data were…

14 CFR § 1260.76 - Termination and enforcement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... situations that cannot be handled any other way (see § 1260.160). (b) The Director, Contract Management..., suspensions, determinations of ineligibility, and voluntary exclusions of persons in accordance with 2 CFR 180...-responsive organizations. Special condition at § 1260.56 allows NASA to suspend or terminate advance payments...

Teamwork on the Line Can Pay Off down the Line

ERIC Educational Resources Information Center

Lantz, Annika

2011-01-01

Purpose: Employees' work in innovation processes generates ideas, but more often it serves to create conditions so that new products or services can be effectively produced or delivered. Self-organizational activities involve proactively handling new possibilities, unexpected situations, problems or tasks. The aim of this paper is to provide…

Non-Suicidal Self-Injury in Adolescents

ERIC Educational Resources Information Center

Lloyd-Richardson, Elizabeth E.

2010-01-01

While awareness of non-suicidal self-injury (NSSI) appears to be increasing among school counselors, social workers, nurses, and others who work with youth, it remains one of the most difficult behaviors to encounter, with few professionals feeling well equipped to handle these situations. This introductory article aims to define NSSI, describe…

Managing Difficult, Frustrating, and Hostile Conversations: Strategies for Savvy Administrators. Second Edition

ERIC Educational Resources Information Center

Kosmoski, Georgia J.; Pollack, Dennis R.

2005-01-01

The second edition of this best-selling resource provides new and updated content influenced by the feedback of over 250 school administrators. "Managing Difficult, Frustrating, and Hostile Conversations" uncovers safe and effective strategies for dispelling common sensitive situations such as handling legitimate complaints, controlling those…

Positive Discipline. ERIC Digest.

ERIC Educational Resources Information Center

ERIC Clearinghouse on Elementary and Early Childhood Education, Urbana, IL.

This ERIC Digest suggests methods and language that can be used in handling difficult, but common, situations involving young children. Discussion focuses on: (1) 12 methods of discipline that promote self-worth; (2) the process of creating a positive climate that promotes self-discipline; (3) harmful and negative disciplinary methods; and (4)…

La Disciplina Positiva (Positive Discipline). ERIC Digest.

ERIC Educational Resources Information Center

ERIC Clearinghouse on Elementary and Early Childhood Education, Urbana, IL.

This ERIC Digest suggests methods and language that can be used in handling difficult, but common, situations involving young children. The digest explains 12 methods of disciplining children that promote children's self-worth. These methods are: (1) showing children that the reasons for their actions are understood; (2) stating reasons; (3)…

Plasma cortisol stress response in channel catfish, Ictalurus punctatus influences susceptibility to Edwardeseilla ictaluri

USDA-ARS?s Scientific Manuscript database

Cortisol is a primary stress hormone in fish as its plasma variations correlate with the occurrence of various stressful situations. Past studies have demonstrated that fish subjected to handling stress or poor water quality had a reduced ability to resist pathogens. Channel catfish fingerlings th...

The Student Assistance Program: Meeting the Needs of Students in Crisis.

ERIC Educational Resources Information Center

DeJong, William; DeRicco, Beth

2003-01-01

Examines the ethical questions involved in intervening when a student has emotional difficulties. Particularly asks how adjunct faculty can be prepared to handle these situations, given their busy schedules and minimal institutional involvement. Describes the student assistance program (SAP), a committee that offers guidance to faculty and…

Knowledge and Vision in Teaching

ERIC Educational Resources Information Center

Kennedy, Mary M.

2006-01-01

The author challenges the role of knowledge in teaching by pointing out the variety of issues and concerns teachers must simultaneously address. Teachers use two strategies to manage their multidimensional space: They develop integrated habits and rules of thumb for handling situations as they arise, and they plan their lessons by envisioning them…

Parenting Teenagers in the 1990s.

ERIC Educational Resources Information Center

Myers, Bob

Parents who are having difficulty coping with their child's behavior need to understand the reasons for their child's behavior and to feel confident in their way of handling the situation. This book explains how to make, maintain, repair and strengthen relationships with teenagers. It encourages parents to take control of the parenting situation…

Why Focusing on Control Backfires: A Systems Perspective

ERIC Educational Resources Information Center

VanderVen, Karen

2009-01-01

This article attempts to replicate how Fritz Redl and David Wineman might have handled an "unmade bed" situation with the youngsters at Pioneer House, the treatment program in Detroit that was the subject of their classic work, "The Aggressive Child" (1957) which encompassed two books, "Children Who Hate" and…

A Latent Transition Model with Logistic Regression

ERIC Educational Resources Information Center

Chung, Hwan; Walls, Theodore A.; Park, Yousung

2007-01-01

Latent transition models increasingly include covariates that predict prevalence of latent classes at a given time or transition rates among classes over time. In many situations, the covariate of interest may be latent. This paper describes an approach for handling both manifest and latent covariates in a latent transition model. A Bayesian…

Managing Diversity-Based Conflicts among Children. Fastback 414.

ERIC Educational Resources Information Center

Scott, Charles C.; And Others

This guide is designed to provide assistance in handling complex situational conflicts involving diversity through appropriate conflict management strategies for diverse classrooms at the elementary and middle school levels. Diversity-based conflict is not new in the United States. The classroom is, as it has been historically, one of the major…

Fill in the Blanks: A Tale of Data Gone Missing.

PubMed

Jupiter, Daniel C

2016-01-01

In studies, we often encounter patients for whom data is missing. More than a nuisance, such missing data can seriously impact our analyses. I discuss here some methods to handle these situations. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Experiences of counselling in the emergency department during the waiting period: importance of family participation.

PubMed

Paavilainen, Eija; Salminen-Tuomaala, Mari; Kurikka, Sirpa; Paussu, Paula

2009-08-01

To describe patients' experiences of counselling, defined as information giving and advice by nursing staff, in the emergency department. A particular focus was on the waiting period and on the importance of family participation in counselling. Counselling is a widely studied topic in nursing. Too little is known about counselling in emergency departments and especially about participation of family members and suitability of counselling for the patient's life situation. Descriptive quantitative study. Data were collected by questionnaires from patients (n = 107) visiting a hospital emergency department. The data were subjected to statistical analysis. Forty-two per cent of patients arrived at the emergency department with a family member: spouse or cohabiting partner, mother, father or daughter. Patients were fairly satisfied with the counselling. The presence of a family member was important to the majority of patients (75%). About half of the patients wanted information concerning their illness, condition and treatment to be given to their family members. Those visiting the department with a family member were more satisfied with counselling and felt that it promoted their participation in care. It is to encourage patients' family members to participate in counselling situations in emergency departments. However, the type of information passed on to family members should be carefully discussed and prepared. Patients' family members seem to be important partners in counselling situations. The presence of family members supports patients in the emergency department during the waiting period and helps them orientate in their situation. When family members are present, issues which patients wish to discuss should be carefully planned. Family presence should be encouraged in emergency departments.

Semiotic transformations in psychoanalysis with infants and adults.

PubMed

Salomonsson, Björn

2007-10-01

The author addresses issues that emerge when we compare psychoanalytic experiences with adults and with infants. Two analyses-one with a 35 year-old woman and one with a 2 week-old boy and his mother-illustrate that infant psychoanalytic experiences help us understand and handle adult transference. However, we cannot extrapolate infant experiences to adult work. Truly, witnessing the baby's communication widens our sensitivity to non-verbal layers of the adult's communication. Infant work also offers a direct encounter with the container and the contained personified by a mother with her baby. But we need to conceptualize carefully the links between clinical experiences with babies and adults. When we call an adult transference pattern 'infantile', we imply that primeval experience has been transformed into present behaviour. However, if we view the analytical situation as one in which infantile invariants have transformed into adult symptoms, we face the impossible task of indicating the roots of the present symptoms. The author rather suggests that what is transformed is not an invariant infantile essence but signs denoting the patient's inner reality. He proposes we define transformation as a semiotic process instead of building it on an essentialist grounding. If we view the analytic situation as a map of signs that we translate during our psychoanalytic work, we can proceed into defining containment as a semiotic process. This idea will be linked with a conceptualization of the mother-infant relation in semiotic terms.

Inappropriate drug donations: what has happened since the 1999 WHO guidelines?

PubMed

van Dijk, D P; Dinant, G; Jacobs, J A

2011-08-01

Drug donations to developing countries may be part of medical relief operations in acute emergencies, development aid in non-emergency situations, or a corporate donations programme. After a number of documented inappropriate drug donations, the World Health Organization developed the 'Guidelines for Drug Donations', with the second and final version published in 1999. We reviewed the medical literature on drug donations since the Guidelines publication in 1999. Literature was retrieved from PubMed and other on-line databases as well as from relevant websites providing medical literature for use in developing countries. We considered the following donations to be inappropriate: (i) essential drugs in excessive quantities; (ii) mixed unused drugs (unsorted medicines and free samples); and (iii) drug dumping (large quantities of useless medicines). We retrieved 25 publications dated after 1999, including 20 and 5 from the scientific literature and 'grey' literature (technical reports, working papers), respectively. New information concerned emergencies in East Timor, Mozambique, El Salvador, Gujarat State (India), Aceh (Indonesia) and Sri Lanka. Except for East Timor and Gujarat, inappropriate donations still occurred, accounting for 85%, 37%, 70% and 80% of donations in Mozambique, El Salvador, Aceh and Sri Lanka, respectively. Very little information was found on drug donations in non-emergency situations. There are few recent reports on the compliance of drug donations with the World Health Organization guidelines. For emergency situations, there is still room for improvement. Drug donations in non-emergency situations need to be evaluated. A reform of drug donations policy is needed.

[Managment of the suicidal patient in the out-patient practice].

PubMed

Lazic, Slavica; Gaudlitz, Katharina; Hättenschwiler, Josef; Modestin, Jiri

2015-10-01

Appropriate handling of suicidal tendencies is for certain one of the most important duties within ambulant treatment. As various examples show, occurrence of a suicidal tendency can be chronical as well as acute. Well-known risk factors including current psychopathology and psychodynamics help to identify and assess a suicidal tendency and to take necessary therapeutic options. Some of these can be applied in general, others have to be tailored specifically with respect to the mental disorder in question. Suicide often occurs in an interpersonal context. This fact underlines on one hand the importance and the therapeutic potential of the relationship between the patient and the therapist, on the other hand it results in many cases in a highly stressful situation for the therapist. Significant attention has to be paid to counter transference and its control. Development of an emergency plan and challenges of a „non-suicidal-contract“ are discussed. We recommend an agreement with the patient to contact the therapist in case of not feeling able to control his/her own actions. This agreement includes our guarantee of permanent reachability.

Image Analysis via Soft Computing: Prototype Applications at NASA KSC and Product Commercialization

NASA Technical Reports Server (NTRS)

Dominguez, Jesus A.; Klinko, Steve

2011-01-01

This slide presentation reviews the use of "soft computing" which differs from "hard computing" in that it is more tolerant of imprecision, partial truth, uncertainty, and approximation and its use in image analysis. Soft computing provides flexible information processing to handle real life ambiguous situations and achieve tractability, robustness low solution cost, and a closer resemblance to human decision making. Several systems are or have been developed: Fuzzy Reasoning Edge Detection (FRED), Fuzzy Reasoning Adaptive Thresholding (FRAT), Image enhancement techniques, and visual/pattern recognition. These systems are compared with examples that show the effectiveness of each. NASA applications that are reviewed are: Real-Time (RT) Anomaly Detection, Real-Time (RT) Moving Debris Detection and the Columbia Investigation. The RT anomaly detection reviewed the case of a damaged cable for the emergency egress system. The use of these techniques is further illustrated in the Columbia investigation with the location and detection of Foam debris. There are several applications in commercial usage: image enhancement, human screening and privacy protection, visual inspection, 3D heart visualization, tumor detections and x ray image enhancement.

The emergence of spatial cyberinfrastructure.

PubMed

Wright, Dawn J; Wang, Shaowen

2011-04-05

Cyberinfrastructure integrates advanced computer, information, and communication technologies to empower computation-based and data-driven scientific practice and improve the synthesis and analysis of scientific data in a collaborative and shared fashion. As such, it now represents a paradigm shift in scientific research that has facilitated easy access to computational utilities and streamlined collaboration across distance and disciplines, thereby enabling scientific breakthroughs to be reached more quickly and efficiently. Spatial cyberinfrastructure seeks to resolve longstanding complex problems of handling and analyzing massive and heterogeneous spatial datasets as well as the necessity and benefits of sharing spatial data flexibly and securely. This article provides an overview and potential future directions of spatial cyberinfrastructure. The remaining four articles of the special feature are introduced and situated in the context of providing empirical examples of how spatial cyberinfrastructure is extending and enhancing scientific practice for improved synthesis and analysis of both physical and social science data. The primary focus of the articles is spatial analyses using distributed and high-performance computing, sensor networks, and other advanced information technology capabilities to transform massive spatial datasets into insights and knowledge.

The emergence of spatial cyberinfrastructure

PubMed Central

Wright, Dawn J.; Wang, Shaowen

2011-01-01

Cyberinfrastructure integrates advanced computer, information, and communication technologies to empower computation-based and data-driven scientific practice and improve the synthesis and analysis of scientific data in a collaborative and shared fashion. As such, it now represents a paradigm shift in scientific research that has facilitated easy access to computational utilities and streamlined collaboration across distance and disciplines, thereby enabling scientific breakthroughs to be reached more quickly and efficiently. Spatial cyberinfrastructure seeks to resolve longstanding complex problems of handling and analyzing massive and heterogeneous spatial datasets as well as the necessity and benefits of sharing spatial data flexibly and securely. This article provides an overview and potential future directions of spatial cyberinfrastructure. The remaining four articles of the special feature are introduced and situated in the context of providing empirical examples of how spatial cyberinfrastructure is extending and enhancing scientific practice for improved synthesis and analysis of both physical and social science data. The primary focus of the articles is spatial analyses using distributed and high-performance computing, sensor networks, and other advanced information technology capabilities to transform massive spatial datasets into insights and knowledge. PMID:21467227

An Examination of the Social Influence Hypothesis of Bystander Intervention in Emergencies.

ERIC Educational Resources Information Center

Teger, Allan I.; Henderson James E.

Data is brought to bear on the social influence hypothesis, according to which the behavior of one bystander influences other bystanders by providing information leading to a definition of the situation. The study placed a subject in an emergency situation in which one of 3 confederates served as a model: (1) male peer; (2) female peer; or (3)…

Leveraging Emerging Technology to Maintain Corporate Situational Awareness

DTIC Science & Technology

2008-06-01

Abstract and Outline for 13th ICCRTS For the paper entitled: Leveraging Emerging Technology to Maintain Corporate ...Situational Awareness Topics: Topic 5. Organizational Issues Topic 4. Cognitive and Social Issues Topic: 2 Networks and Networking Mr. José...for the collection of information is estimated to average 1 hour per response , including the time for reviewing instructions, searching existing data

Simultaneous Visualization of Different Utility Networks for Disaster Management

NASA Astrophysics Data System (ADS)

Semm, S.; Becker, T.; Kolbe, T. H.

2012-07-01

Cartographic visualizations of crises are used to create a Common Operational Picture (COP) and enforce Situational Awareness by presenting and representing relevant information. As nearly all crises affect geospatial entities, geo-data representations have to support location-specific decision-making throughout the crises. Since, Operator's attention span and their working memory are limiting factors for the process of getting and interpreting information; the cartographic presentation has to support individuals in coordinating their activities and with handling highly dynamic situations. The Situational Awareness of operators in conjunction with a COP are key aspects of the decision making process and essential for coming to appropriate decisions. Utility networks are one of the most complex and most needed systems within a city. The visualization of utility infrastructure in crisis situations is addressed in this paper. The paper will provide 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.

Potential exposure to Australian bat lyssavirus is unlikely to prevent future bat handling among adults in South East Queensland.

PubMed

Young, M K; Banu, S; McCall, B J; Vlack, S; Carroll, H; Bennett, S; Davison, R; Francis, D

2018-02-01

Despite ongoing public health messages about the risks associated with bat contact, the number of potential exposures to Australian bat lyssavirus (ABLV) due to intentional handling by members of the general public in Queensland has remained high. We sought to better understand the reasons for intentional handling among these members of the public who reported their potential exposure to inform future public health messages. We interviewed adults who resided in a defined geographic area in South East Queensland and notified potential exposure to ABLV due to intentional handling of bats by telephone between 1 January 2012 and 31 December 2013. The participation rate was 54%. Adults who reported they had intentionally handled bats in South East Queensland indicated high levels of knowledge and perception of a moderately high risk associated with bats with overall low intentions to handle bats in the future. However, substantial proportions of people would attempt to handle bats again in some circumstances, particularly to protect their children or pets. Fifty-two percent indicated that they would handle a bat if a child was about to pick up or touch a live bat, and 49% would intervene if a pet was interacting with a bat. Future public health communications should recognize the situations in which even people with highrisk perceptions of bats will attempt to handle them. Public health messages currently focus on avoidance of bats in all circumstances and recommend calling in a trained vaccinated handler, but messaging directed at adults for circumstances where children or pets may be potentially exposed should provide safe immediate management options. © 2017 Blackwell Verlag GmbH.

Complaint handling in healthcare: expectation gaps between physicians and the public; results of a survey study.

PubMed

Friele, R D; Reitsma, P M; de Jong, J D

2015-10-01

Patients who submit complaints about the healthcare they have received are often dissatisfied with the response to their complaints. This is usually attributed to the failure of physicians to respond adequately to what complainants want, e.g. an apology or an explanation. However, expectations of complaint handling among the public may colour how they evaluate the way their own complaint is handled. This descriptive study assesses expectations of complaint handling in healthcare among the public and physicians. Negative public expectations and the gap between these expectations and those of physicians may explain patients' dissatisfaction with complaints procedures. We held two surveys; one among physicians, using a panel of 3366 physicians (response rate 57 %, containing all kinds of physicians like GP's, medical specialist and physicians working in a nursing home) and one among the public, using the Dutch Healthcare Consumer Panel (n = 1422, response rate 68 %). We asked both panels identical questions about their expectations of how complaints are handled in healthcare. Differences in expectation scores between the public and the physicians were tested using non-parametric tests. The public have negative expectations about how complaints are handled. Physician's expectations are far more positive, demonstrating large expectation gaps between physicians and the public. The large expectation gap between the public and physicians means that when they meet because of complaint, they are likely to start off with opposite expectations of the situation. This is no favourable condition for a positive outcome of a complaints procedure. The negative public preconceptions about the way their complaint will be handled will prove hard to change during the process of complaints handling. People tend to see what they thought would happen, almost inevitably leading to a negative judgement about how their complaint was handled.

Exploring bi-directional and SMS messaging for communications between Public Health Agencies and their stakeholders: a qualitative study.

PubMed

Revere, Debra; Calhoun, Rebecca; Baseman, Janet; Oberle, Mark

2015-07-08

Communication technologies that enable bi-directional/two-way communications and cell phone texting (SMS) between public health agencies and their stakeholders may improve public health surveillance, ensure targeted distribution of alerts to hard-to-reach populations, reduce mortality and morbidity in an emergency, and enable a crucial feedback loop between public health agencies and the communities they serve. Building on prior work regarding health care provider preferences for receiving one-way public health communications by email, fax or SMS, we conducted a formative, exploratory study to understand how a bi-directional system and the incorporation of SMS in that system might be used as a strategy to send and receive messages between public health agencies and community-based organizations which serve vulnerable populations, health care providers, and public health workers. Our research question: Under what conditions and/or situations might public health agencies utilize bi-directional and/or SMS messaging for disseminating time-sensitive public health information (alerts, advisories, updates, etc.) to their stakeholders? A mixed methods (qualitative and quantitative) study was conducted between April and July 2014. Data collection included a survey distributed to health care providers and semi-structured interviews with providers, community- and government-based organization leaders and directors, and public health agency internal workforce staff. Survey respondents and interviewees were asked about their exposure to public health messages, how these messages are received and how the information in these messages are handled, and in what situations (for example, a local vs. a national event, a pandemic or emergency vs. a health update) a bi-directional and/or SMS messaging system might improve communications between public health agencies and their stakeholder group. Interview and survey data were qualitatively analyzed. Thematic codes were quantitized into dichotomous variables of 0 or 1 on a per respondent basis to enumerate the presence or absence of each thematic code, enable quantitative analysis, and inform interpretation of findings. Five major themes emerged from synthesizing survey and interview results: 1) Regardless of situational context (emergency vs. non-urgent) and message recipient (stakeholder group), e-mail is a favored modality for receiving public health messages; 2) The decision to use bi-directional, SMS or multiple communication strategies is complex and public health agencies' need to manage messaging concerns/barriers and benefits for all parties; 3) Both public health agencies and their stakeholders share similar values/uses and concerns regarding two-way public health messaging and SMS; 4) Public health is highly trusted, thus thoughtful, effective messaging will ensure continuation of this goodwill; and 5) Information reciprocity between public health agencies and stakeholders who share their information is essential. Multiple communication strategies might be utilized but the choice of a specific strategy needs to balance message content (emergency vs. routine communications), delivery (one- vs. two-way), channel (SMS, email, etc.), and public health agency burden with stakeholder preferences and technical capabilities, all while mitigating the risk of message overload and disregard of important communications by recipients.

Access Control for Cooperation Systems Based on Group Situation

NASA Astrophysics Data System (ADS)

Kim, Minsoo; Joshi, James B. D.; Kim, Minkoo

Cooperation systems characterize many emerging environments such as ubiquitous and pervasive systems. Agent based cooperation systems have been proposed in the literature to address challenges of such emerging application environments. A key aspect of such agent based cooperation system is the group situation that changes dynamically and governs the requirements of the cooperation. While individual agent context is important, the overall cooperation behavior is more driven by the group context because of relationships and interactions between agents. Dynamic access control based on group situation is a crucial challenge in such cooperation systems. In this paper we propose a dynamic role based access control model for cooperation systems based on group situation. The model emphasizes capability based agent to role mapping and group situation based permission assignment to allow capturing dynamic access policies that evolve continuously.

Disaster preparedness in biocontainment animal research facilities: developing and implementing an incident response plan (IRP).

PubMed

Swearengen, James R; Vargas, Karen J; Tate, Mallory K; Linde, N S

2010-01-01

Preparing for the wide variety of disasters that can occur is challenging for any animal research facility, but the level of concern for human and animal health rises significantly when infectious agents and toxins are part of the scenario. Federal regulations provide detailed requirements for the development of an incident response plan (IRP) when select agents and toxins (SATs) are used. In addition to the usual issues associated with disaster planning, the IRP must address concerns associated with the potential theft, loss, or release of SATs that may affect both institutional personnel and the surrounding community. The level of detail in the IRP and the intensity of training should be appropriate for the level of risk involved. Regulations describe certain basic requirements but do not address the risks of SAT-exposed animals, which have been the subject of additional guidance to help implement regulatory requirements. A 2008 joint publication of the Centers for Disease Control and Prevention and the Animal and Plant Health Inspection Service describes scenarios in which SAT-exposed animals are handled in the same manner as the agent or toxin itself for the purpose of reporting a SAT theft, loss, or release. Events that resulted from the impact of Hurricane Ike at the University of Texas Medical Branch in Galveston provide a valuable opportunity to evaluate the effectiveness of the federal regulations and to build on lessons learned from this disaster. These lessons can help to supplement the regulatory requirements and improve the safety and security of handling both SATs and animals exposed to them during and after an emergency situation.

[Experience of mismatched blood transfusion for an rh negative patient and reconsideration of emergency blood transfusion manual in the hospital].

PubMed

Yoshimatsu, Aya; Hoshi, Takuo; Nishikawa, Masashi; Aya, Daisuke; Ueda, Hiroshi; Yokouchi, Takako; Tanaka, Makoto

2013-08-01

We report a B Rh negative patient undergoing total pelvic exenteration, who received both ABO and Rh incompatible packed red blood cells in an emergency situation. After this experience, we revised the manual of emergency blood transfusion. We defined level of severity to share information with surgeon, nurses, anesthesiologists and the member of the blood center. We changed anesthesia information management system for showing blood type including Duffy blood group system and checking out whether we can transfuse Rh positive blood to Rh negative patient in an emergency situation at the timeout of surgery.

EEG-Based Detection of Braking Intention Under Different Car Driving Conditions

PubMed Central

Hernández, Luis G.; Mozos, Oscar Martinez; Ferrández, José M.; Antelis, Javier M.

2018-01-01

The anticipatory recognition of braking is essential to prevent traffic accidents. For instance, driving assistance systems can be useful to properly respond to emergency braking situations. Moreover, the response time to emergency braking situations can be affected and even increased by different driver's cognitive states caused by stress, fatigue, and extra workload. This work investigates the detection of emergency braking from driver's electroencephalographic (EEG) signals that precede the brake pedal actuation. Bioelectrical signals were recorded while participants were driving in a car simulator while avoiding potential collisions by performing emergency braking. In addition, participants were subjected to stress, workload, and fatigue. EEG signals were classified using support vector machines (SVM) and convolutional neural networks (CNN) in order to discriminate between braking intention and normal driving. Results showed significant recognition of emergency braking intention which was on average 71.1% for SVM and 71.8% CNN. In addition, the classification accuracy for the best participant was 80.1 and 88.1% for SVM and CNN, respectively. These results show the feasibility of incorporating recognizable driver's bioelectrical responses into advanced driver-assistance systems to carry out early detection of emergency braking situations which could be useful to reduce car accidents. PMID:29910722

A Sigh of Relief: The First-Aid Handbook for Childhood Emergencies.

ERIC Educational Resources Information Center

Green, Martin I.

This manual contains tips on preventing childhood accidents and instructions for handling those accidents which do occur. Part One outlines ways of preventing accidents involving the home, infant equipment, toys, school, cars, bicycles, playgrounds, sports, hiking, camping, and water; it also provides blank forms for a family's emergency medical…

Best Practices for Core Facilities: Handling External Customers

PubMed Central

Hockberger, Philip; Meyn, Susan; Nicklin, Connie; Tabarini, Diane; Turpen, Paula; Auger, Julie

2013-01-01

This article addresses the growing interest among U.S. scientific organizations and federal funding agencies in strengthening research partnerships between American universities and the private sector. It outlines how core facilities at universities can contribute to this partnership by offering services and access to high-end instrumentation to both nonprofit organizations and commercial organizations. We describe institutional policies (best practices) and procedures (terms and conditions) that are essential for facilitating and enabling such partnerships. In addition, we provide an overview of the relevant federal regulations that apply to external use of academic core facilities and offer a set of guidelines for handling them. We conclude by encouraging directors and managers of core facilities to work with the relevant organizational offices to promote and nurture such partnerships. If handled appropriately, we believe such partnerships can be a win-win situation for both organizations that will support research and bolster the American economy. PMID:23814500

[Blast injuries of the hands in precarious health situation].

PubMed

Allah, K C; Kossoko, H; Assi Djè Bi Djè, V; Yéo, S; Bonny, R; Richard Kadio, M

2014-06-01

The hands of "blast" resulting from the handling of unstable explosives. Their repercussion is functional and vital in trauma patients. The authors report their experience of care from the hands of blast in precarious health situation. Between 2001 and 2012, 33 hand blasts were supported in 30 injured civilians and military, received emergency, during and after armed conflict. Two women (6.7%) and 28 men (93.3%) were received, including four teenagers (13.3%) and 26 adults (86.7%). During the war, 15 officers weapon (50%) and three civilians (10%) underwent surgery, or 60% of hand injuries. In peacetime, civilians were mostly operated in 33.3% of cases, against 6.7% of cases of agents' weapon. Nineteen hands blast (57.6%) were observed during the war and 14 in peacetime, or 42.4% of cases. The average age was 25.2 years, with extremes of 12 and 50 years. Thirteen left hands (39.4%) and 20 right hands (60.6%) were operated. The lesion concerned all the anatomical structures of the hand. It was unilateral in 27 cases (81.9%) and bilateral in three cases (9.1%). Three types of hand trauma were observed and were as follows: trauma patients with injuries of the hand (18.2%), trauma of severe and isolated proximal hand or finger amputations (75.7%), and trauma of the hand without apparent seriousness (6.1%). The associated lesion was eye (one case), chest (one case), abdominal (five cases). Debridement was performed immediate emergency (93.9%) and delayed (6.1%). The treatment was surgical hemostasis, made mainly of amputations (69.7%) and regularization of digital stumps (12.1%). The repair was performed in 18.2% of cases. One death has been reported in a polytrauma patient with chest blast. Blast injuries of the hand are common in times of war in armed agents. The young people, manual workers and children are paying a heavy price in peacetime. As land mines which affect feet, instable hand grenades are left exposed in nature. In precarious health situation, instead of a functional salvage surgery of the hand, it is a hemostasis surgery that makes many mutilated hand. The psycho-social aspect and vocational rehabilitation are additional difficulties supported. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

Handling Office Politics. [Second Edition.

ERIC Educational Resources Information Center

Stevens, Paul

This book is designed to help people develop an action plan to enhance their situation at work. Part 1 focuses on political behavior at work as a key to advancement. It discusses assessing career setbacks and recovery from them. Subsequent sections focus on the following areas of self-study that are necessary to enable the individual to manage…

Cultural Intelligence: Ability to Adapt to New Cultural Settings

ERIC Educational Resources Information Center

Villagran, Michele A. L.

2018-01-01

Schools and school libraries are becoming more diverse. What cultural barriers do you face in your position? Have you come across challenges in how you handle cultural situations with students, teachers, or administrators? If so, have you considered skills that can help you facilitate conversations more effectively? How would you rate your…

Liking for Evaluators as a Function of Self-Esteem.

ERIC Educational Resources Information Center

Harper, Wesley E.

The effect of self-esteem on liking for evaluators was tested by first measuring the self-esteem of 64 junior college students; then giving them positive, ambiguous, or negative feedback in an interview concerning how they would handle group situations; and finally assessing their liking for the interviewer. Because subjects anticipated…

Bullying Prevention in the Elementary Classroom Using Social Skills

ERIC Educational Resources Information Center

Anderson, Stacie; Swiatowy, Colleen

2008-01-01

Our action research project report provided students with social skills training to effectively handle bullying situations in the fourth grade. Our study involved 70 fourth-grade students and began Monday, January 14, 2008 and concluded Friday, May 2, 2008. The behaviors documented from the fourth grade students were name calling, exclusion,…

Preventing Sexual Harassment On-Campus: Policies and Practices for Higher Education.

ERIC Educational Resources Information Center

Allen, Ben T.

This booklet on sexual harassment on college campuses covers sexual harassment law, harassment prevention, protection from liability, and handling allegations. Chapter 1, "What Is Sexual Harassment?" defines the term and gives an overview of sexual harassment law. Chapter 2, "How Does Sexual Harassment Law Apply in Actual Situations?" illustrates…

Knowledge Transfer and Information Skills for Student-Centered Learning in Spain

ERIC Educational Resources Information Center

Molina, Maria Pinto; Sales, Dora

2008-01-01

Knowing how to select, organize, and use information in order to solve problems, handle new situations, and continue learning are key issues in the teaching and learning scenario in contemporary society. Teaching these skills is particularly critical for European universities and is currently recognized as vital in the context of the European…

Coordinated Cybersecurity Incident Handling: Roles, Processes, and Coordination Networks for Crosscutting Incidents

DTIC Science & Technology

2011-06-01

ICCRTS 2011), Qu ?c City, Qu ?c, Canada, June 21-23, 2011. U.S. Government or Federal Rights License. 14. ABSTRACT To aid in the practice of...phases might be similarly difficult to identify or standardize. By far the most common situational awareness paradigm cited in our review was Mica

Communication in Law Enforcement.

ERIC Educational Resources Information Center

Moore, Meredith

This paper is a report of a training session conducted for a Special Weapons and Tactics Squad (SWAT Squad). SWAT Squad is a unit of police officers who are specially trained to handle situations involving armed and barricaded suspects. The goal was to better prepare the officers to talk with the suspects. The SWAT commander argued that ninety…

Practical Advice for Teachers and Coaches: Handling Acute Athletic Injuries

ERIC Educational Resources Information Center

Hunt, Kevin; Ormond, Tom; Griffin, Lisa; Maina, Michael; Jones, Christopher; Goldman, Alexander Steven; McMichael, Callaway

2016-01-01

Safety concerns are among the first considerations in the design and implementation of any curriculum. However, in the dynamic worlds of physical education and coaching, athletic injuries will inevitably arise, regardless of the proactive strategies in place. These situations will vary in nature, and the student's or athlete's risk of further…

Making It Real: Using a Collaborative Simulation to Teach Crisis Communications

ERIC Educational Resources Information Center

Olson, K. S.

2012-01-01

Even seasoned public relations (PR) practitioners can find it difficult to handle communications during a crisis situation when the consequences of making poor decisions may seem overwhelming. This article shares results from using a collaborative simulation to teach college students about crisis communications in an advanced-level PR course.…

Creating Affording Situations: Coaching through Animate Objects.

PubMed

Baber, Chris; Khattab, Ahmad; Russell, Martin; Hermsdörfer, Joachim; Wing, Alan

2017-10-11

We explore the ways in which animate objects can be used to cue actions as part of coaching in Activities of Daily Living (ADL). In this case, changing the appearance or behavior of a physical object is intended to cue actions which are appropriate for a given context. The context is defined by the intention of the users, the state of the objects and the tasks for which these objects can be used. We present initial design prototypes and simple user trials which explore the impact of different cues on activity. It is shown that raising the handle of a jug, for example, not only cues the act of picking up the jug but also encourages use of the hand adjacent to the handle; that combinations of lights (on the objects) and auditory cues influence activity through reducing uncertainty; and that cueing can challenge pre-learned action sequences. We interpret these results in terms of the idea that the animate objects can be used to create affording situations, and discuss implications of this work to support relearning of ADL following brain damage or injury, such as might arise following a stroke.

Methodology on Investigating the Influences of Automated Material Handling System in Automotive Assembly Process

NASA Astrophysics Data System (ADS)

Saffar, Seha; Azni Jafar, Fairul; Jamaludin, Zamberi

2016-02-01

A case study was selected as a method to collect data in actual industry situation. The study aimed to assess the influences of automated material handling system in automotive industry by proposing a new design of integration system through simulation, and analyze the significant effect and influence of the system. The method approach tool will be CAD Software (Delmia & Quest). The process of preliminary data gathering in phase 1 will collect all data related from actual industry situation. It is expected to produce a guideline and limitation in designing a new integration system later. In phase 2, an idea or concept of design will be done by using 10 principles of design consideration for manufacturing. A full factorial design will be used as design of experiment in order to analyze the performance measured of the integration system with the current system in case study. From the result of the experiment, an ANOVA analysis will be done to study the performance measured. Thus, it is expected that influences can be seen from the improvement made in the system.

Investigation of the Bystander Effect in School Bullying: Comparison of Experiential, Psychological and Situational Factors

ERIC Educational Resources Information Center

Song, Jiyeon; Oh, Insoo

2017-01-01

The purpose of this study was to investigate whether the "bystander effect" known to occur in emergency situations is effective in bullying situations through examination of the individual experiences of 467 middle- and high-school students. While the bystander effect was not found to be valid in bullying situations, there were…

Resource Management in Constrained Dynamic Situations

NASA Astrophysics Data System (ADS)

Seok, Jinwoo

Resource management is considered in this dissertation for systems with limited resources, possibly combined with other system constraints, in unpredictably dynamic environments. Resources may represent fuel, power, capabilities, energy, and so on. Resource management is important for many practical systems; usually, resources are limited, and their use must be optimized. Furthermore, systems are often constrained, and constraints must be satisfied for safe operation. Simplistic resource management can result in poor use of resources and failure of the system. Furthermore, many real-world situations involve dynamic environments. Many traditional problems are formulated based on the assumptions of given probabilities or perfect knowledge of future events. However, in many cases, the future is completely unknown, and information on or probabilities about future events are not available. In other words, we operate in unpredictably dynamic situations. Thus, a method is needed to handle dynamic situations without knowledge of the future, but few formal methods have been developed to address them. Thus, the goal is to design resource management methods for constrained systems, with limited resources, in unpredictably dynamic environments. To this end, resource management is organized hierarchically into two levels: 1) planning, and 2) control. In the planning level, the set of tasks to be performed is scheduled based on limited resources to maximize resource usage in unpredictably dynamic environments. In the control level, the system controller is designed to follow the schedule by considering all the system constraints for safe and efficient operation. Consequently, this dissertation is mainly divided into two parts: 1) planning level design, based on finite state machines, and 2) control level methods, based on model predictive control. We define a recomposable restricted finite state machine to handle limited resource situations and unpredictably dynamic environments for the planning level. To obtain a policy, dynamic programing is applied, and to obtain a solution, limited breadth-first search is applied to the recomposable restricted finite state machine. A multi-function phased array radar resource management problem and an unmanned aerial vehicle patrolling problem are treated using recomposable restricted finite state machines. Then, we use model predictive control for the control level, because it allows constraint handling and setpoint tracking for the schedule. An aircraft power system management problem is treated that aims to develop an integrated control system for an aircraft gas turbine engine and electrical power system using rate-based model predictive control. Our results indicate that at the planning level, limited breadth-first search for recomposable restricted finite state machines generates good scheduling solutions in limited resource situations and unpredictably dynamic environments. The importance of cooperation in the planning level is also verified. At the control level, a rate-based model predictive controller allows good schedule tracking and safe operations. The importance of considering the system constraints and interactions between the subsystems is indicated. For the best resource management in constrained dynamic situations, the planning level and the control level need to be considered together.

Policy understanding of science, public trust and the BSE-CJD crisis.

PubMed

Jacob, M; Hellström, T

2000-11-03

The article investigates how institutional factors can produce risk using the Bovine Spongiform Encephalopathy (BSE)-Creutzfeldt-Jakob Disease (CJD) crisis in Britain as a case example. The paper focuses on the way policymakers understand science, and the role of precaution in issues of high uncertainty. It is argued that the failure to fully appreciate the complexity of the BSE-CJD situation resided in institutional arrangements that predisposed decision makers to adopt a counter productive approach in handling situations of high scientific uncertainty on the policy level. The article will demonstrate how these factors played out in the BSE-CJD crisis.

45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

Code of Federal Regulations, 2012 CFR

2012-10-01

... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

Code of Federal Regulations, 2010 CFR

2010-10-01

... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

Code of Federal Regulations, 2011 CFR

2011-10-01

... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

Code of Federal Regulations, 2013 CFR

2013-10-01

... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

Code of Federal Regulations, 2014 CFR

2014-10-01

... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

Speeding response -- saving lives : automatic vehicle location capabilities for emergency vehicles

DOT National Transportation Integrated Search

1999-01-01

This brochure focuses on the application of automatic vehicle location systems to emergency services. It discusses how AVL works with emergency vehicles. how it accommodates a wide range of emergency situations, and the benefits of its use.

[Organization of medical equipment and stock supply of military medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry in emergency situations].

PubMed

Korniushko, I G; Iakovlev, S V; Krasavin, K D; Lemeshkin, R N

2011-10-01

The article outlined the modern concept of medical equipment and stock supply of medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry involved into the remedial of the medical actions of emergency situations. The structure of the units of medical supplies in these conditions is presented.

Industrial Hardening: 1982 Technical Status Report.

DTIC Science & Technology

1983-05-01

for nuclear disaster ; establish additional contacts with industry to foster development of emergency preparedness, in general, and nuclear disaster preparedness...versatility for the situation following a nuclear disaster ). Recent governmat installations of such units have been made on an experimental basis...that industry could use to carry on vital functions now, in an emergency situation, and in event of a nuclear disaster . At its simplest, the

Distributed control systems with incomplete and uncertain information

NASA Astrophysics Data System (ADS)

Tang, Jingpeng

Scientific and engineering advances in wireless communication, sensors, propulsion, and other areas are rapidly making it possible to develop unmanned air vehicles (UAVs) with sophisticated capabilities. UAVs have come to the forefront as tools for airborne reconnaissance to search for, detect, and destroy enemy targets in relatively complex environments. They potentially reduce risk to human life, are cost effective, and are superior to manned aircraft for certain types of missions. It is desirable for UAVs to have a high level of intelligent autonomy to carry out mission tasks with little external supervision and control. This raises important issues involving tradeoffs between centralized control and the associated potential to optimize mission plans, and decentralized control with great robustness and the potential to adapt to changing conditions. UAV capabilities have been extended several ways through armament (e.g., Hellfire missiles on Predator UAVs), increased endurance and altitude (e.g., Global Hawk), and greater autonomy. Some known barriers to full-scale implementation of UAVs are increased communication and control requirements as well as increased platform and system complexity. One of the key problems is how UAV systems can handle incomplete and uncertain information in dynamic environments. Especially when the system is composed of heterogeneous and distributed UAVs, the overall system complexity is increased under such conditions. Presented through the use of published papers, this dissertation lays the groundwork for the study of methodologies for handling incomplete and uncertain information for distributed control systems. An agent-based simulation framework is built to investigate mathematical approaches (optimization) and emergent intelligence approaches. The first paper provides a mathematical approach for systems of UAVs to handle incomplete and uncertain information. The second paper describes an emergent intelligence approach for UAVs, again in handling incomplete and uncertain information. The third paper combines mathematical and emergent intelligence approaches.

Objective Situation Awareness Measurement Based on Performance Self-Evaluation

NASA Technical Reports Server (NTRS)

DeMaio, Joe

1998-01-01

The research was conducted in support of the NASA Safe All-Weather Flight Operations for Rotorcraft (SAFOR) program. The purpose of the work was to investigate the utility of two measurement tools developed by the British Defense Evaluation Research Agency. These tools were a subjective workload assessment scale, the DRA Workload Scale and a situation awareness measurement tool. The situation awareness tool uses a comparison of the crew's self-evaluation of performance against actual performance in order to determine what information the crew attended to during the performance. These two measurement tools were evaluated in the context of a test of innovative approach to alerting the crew by way of a helmet mounted display. The situation assessment data are reported here. The performance self-evaluation metric of situation awareness was found to be highly effective. It was used to evaluate situation awareness on a tank reconnaissance task, a tactical navigation task, and a stylized task used to evaluated handling qualities. Using the self-evaluation metric, it was possible to evaluate situation awareness, without exact knowledge the relevant information in some cases and to identify information to which the crew attended or failed to attend in others.

Digital map and situation surface: a team-oriented multidisplay workspace for network enabled situation analysis

NASA Astrophysics Data System (ADS)

Peinsipp-Byma, E.; Geisler, Jürgen; Bader, Thomas

2009-05-01

System concepts for network enabled image-based ISR (intelligence, surveillance, reconnaissance) is the major mission of Fraunhofer IITB's applied research in the area of defence and security solutions. For the TechDemo08 as part of the NATO CNAD POW Defence against terrorism Fraunhofer IITB advanced a new multi display concept to handle the shear amount and high complexity of ISR data acquired by networked, distributed surveillance systems with the objective to support the generation of a common situation picture. Amount and Complexity of ISR data demands an innovative man-machine interface concept for humans to deal with it. The IITB's concept is the Digital Map & Situation Surface. This concept offers to the user a coherent multi display environment combining a horizontal surface for the situation overview from the bird's eye view, an attached vertical display for collateral information and so-called foveatablets as personalized magic lenses in order to obtain high resolved and role-specific information about a focused areaof- interest and to interact with it. In the context of TechDemo08 the Digital Map & Situation Surface served as workspace for team-based situation visualization and analysis. Multiple sea- and landside surveillance components were connected to the system.

Pesticide Emergency Exemptions

EPA Pesticide Factsheets

A state or federal agency can request an emergency exemptions when a serious pest problem jeopardizes production of agricultural goods or public health but no pesticides are currently registered for that situation. Learn how to request emergency exemption.

Implications of Good Samaritan laws for physicians.

PubMed

Paterick, Timothy J; Paterick, Barbara B; Paterick, Timothy E

2008-01-01

Good Samaritan laws are designed to encourage individuals, including physicians, to gratuitously render medical care in emergency situations. Through these laws, immunity from civil liability is provided to physicians who act in good faith to provide emergency care gratis. Historically, emergency care involved medical assistance given to persons in motor vehicle crashes or other emergency situations in which bystanders were present. Protection of physicians from allegations of negligence was a tactic of the legislative and judicial systems to encourage active clinical participation, rather than cautious nonparticipation, in emergency care. In some states and under defined circumstances, the immunity may apply in the hospital setting, as well as in the physician's office. Legislatures have continued to amend the statutes to expand the protection provided to physicians who offer emergency care. Judicial construction of the nature and scope of physician immunity has similarly expanded.

Getting "Ready" for an Emergency: Emergency Preparedness Series--Part 3

ERIC Educational Resources Information Center

Apel, Laura

2009-01-01

This article presents part 3 of a series of articles giving timely information about potential emergency situations and offering suggestions and new technology that exceptional families can use to prepare for emergencies--everything from localized to large scale emergencies, everything from natural disasters to terrorist attacks. In 2003 the…

Does revealing contextual knowledge of the patient's intention help nurses' handling of nurse calls?

PubMed

Klemets, Joakim; Toussaint, Pieter

2016-02-01

An inherent part of nurses' work is to handle nurse calls that often cause challenging interruptions to ongoing activities. In situations when nurses are interrupted by a nurse call, they need to decide whether to continue focusing on the task at hand or to abort and respond to the nurse call. The difficult decision is often influenced by a number of factors and can have implications for patient safety and quality of care. The study investigates how technology could be designed to support nurses' handling of nurse calls by allowing patients to communicate a more contextualised message revealing their intention to the nurse when issuing a nurse call. Through a qualitative methodology employing a scenario-based design approach, three different nurse call system concepts are evaluated by nurses from different departments of a Norwegian university hospital. Nurses find the uncertainty of not knowing the reason behind a nurse call stressful in situations where they are required to prioritise either the calling patient or a patient they are currently nursing. Providing information about a patient's intention behind a nurse call influences the nurse's decision to various degrees depending on the situation in which they find themselves and the information that is communicated. The nurses' reflections suggested that the message communicated should be designed to contain neither too little nor too much information about the patient's needs. A nurse call system that allows nurses to discern the reason behind a nurse call allows them to make a more accurate decision and relieves stress. In particular, the information communicated would reduce uncertainty and lessen nurses' dependence on other factors in their decision. The design of such a system should, however, carefully consider the needs of the department in which it is deployed. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Speeding response, saving lives : automatic vehicle location capabilities for emergency services

DOT National Transportation Integrated Search

1999-01-01

This brochure focuses on the application of automatic vehicle location systems to emergency services. It discusses how AVL works with emergency vehicles and how it accommodates a wide range of emergency situations, and the benefits of ITS use. (3 p.)

33 CFR 337.7 - Emergency actions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... measures to modify the emergency operation to reduce, avoid, or minimize adverse environmental impacts. If... DEFENSE PRACTICE AND PROCEDURE § 337.7 Emergency actions. After obtaining approval from the division..., as necessary, an environmental assessment, if this is practicable in view of the emergency situation...

33 CFR 337.7 - Emergency actions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... measures to modify the emergency operation to reduce, avoid, or minimize adverse environmental impacts. If... DEFENSE PRACTICE AND PROCEDURE § 337.7 Emergency actions. After obtaining approval from the division..., as necessary, an environmental assessment, if this is practicable in view of the emergency situation...

33 CFR 337.7 - Emergency actions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... measures to modify the emergency operation to reduce, avoid, or minimize adverse environmental impacts. If... DEFENSE PRACTICE AND PROCEDURE § 337.7 Emergency actions. After obtaining approval from the division..., as necessary, an environmental assessment, if this is practicable in view of the emergency situation...

33 CFR 337.7 - Emergency actions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... measures to modify the emergency operation to reduce, avoid, or minimize adverse environmental impacts. If... DEFENSE PRACTICE AND PROCEDURE § 337.7 Emergency actions. After obtaining approval from the division..., as necessary, an environmental assessment, if this is practicable in view of the emergency situation...

[How deaf people cope in routine and emergency situations - suggested paths for thought and action].

PubMed

Tannenbaum-Baruchi, Carolina; Feder-Bubis, Paula; Adini-Weisel, Bruria; Aharonson-Daniel, Limor

2014-09-01

Deaf people have unique characteristics and needs. There is a limited amount of research regarding the needs of deaf people, and no studies were found concerning deaf people in emergency situations. The absence of the sense of hearing in deaf people is only one component of the complexity of their world. Many factors contribute to this complexity, but the most striking is the means of communication between the deaf and the hearing person and vice versa. Changes during emergency situations present a challenge for hearing individuals, and even more so, for deaf people. Deaf individuals experience difficulty in obtaining and transmitting information, accessing care and more. These difficulties often result in the dependency of the deaf person on others. The State of Israel enacted laws targeted to facilitate the access of individuals with disabilities in general, and deaf people in particular, to public services. In emergencies, the Home Front Command and the Ministry of Social Welfare distribute pagers to the deaf population, as a device to communicate warning alerts. However, these devices do not fulfil the need for accessible care, bi-directional flow of information, and additional needs that arise during times of emergency. The deaf population is a cultural minority, whose needs in emergency situations are unknown. Familiarity with the deaf population is the first step towards improving treatment and communication that are apt for this population. This paper reviews what is known in the literature about this topic and presents an attempt to bridge the gap of knowledge and barriers to communication between the deaf population and

Management of emergent conditions in palliative care.

PubMed

Wrede-Seaman, L D

2001-06-01

Emergent conditions arising in patients with advanced terminal disease are inevitable and create stressful situations for patients, caregivers, and health care personnel. Discussions regarding appropriate levels of intervention based on parameters such as patient wishes, proper access to documentation of those wishes, location of care, cognitive status and extent of clinical decline are important to have before crisis situations. Common emergencies to be addressed include those that may or may not be associated with advanced malignancies, including compression syndromes, superior vena cava syndrome, hypercalcemia, acute dyspnea, seizures, acute urinary and bowel obstructions, massive hemorrhage, cardiac tamponade, acute embolic phenomenon, and psychiatric emergencies. Although not all clinical scenarios will be addressed in this article, the more common ones will be discussed.

Preparing for the unexpected: violence in the home care environment, one agency's story.

PubMed

Browning, Sarah Via; Clark, Rebecca Culver; Glick, Roger E

2013-06-01

Home care and hospice agencies, bound by regulations, prepare for emergencies and disasters by creating policies and protocols for management of emergency situations, perhaps conducting table top or other types of drills, and discussing hazards likely to impact home care. Is this preparation merely an exercise to meet a requirement, or is it life-saving preparation? For one home care agency, the emergency exercise saved the day as the scenario enacted in the drill was actually lived out a few weeks after the exercise-a scenario the agency leaders hoped they would never face. This account explores how the agency prepared to meet the emergent situation and details lessons learned in the aftermath.

Epidemic classification of phytosanitary situations on cereal crops using mathematical modeling

USDA-ARS?s Scientific Manuscript database

Most plant protection researchers and experts divide emerging phytosanitary situations into three classes: epidemic, moderate development of disease, and yield depression. The known principles and methods for estimating these situations (Van der Plank J.E., Kranz J. et al.) do not fully describe th...

[Mass maritime casualty incidents in German waters: structures and resources].

PubMed

Castan, J; Paschen, H-R; Wirtz, S; Dörges, V; Wenderoth, S; Peters, J; Blunk, Y; Bielstein, A; Kerner, T

2012-07-01

The Central Command for Maritime Emergencies was founded in Germany in 2003 triggered by the fire on board of the cargo ship "Pallas" in 1998. Its mission is to coordinate and direct measures at or above state level in maritime emergency situations in the North Sea and the Baltic Sea. A special task in this case is to provide firefighting and medical care. To face these challenges at sea emergency doctors and firemen have been specially trained. This form of organization provides a concept to counter mass casualty incidents and peril situations at sea. Since the foundation of the Central Command for Maritime Emergencies there have been 5 operations for firefighting units and 4 for medical response teams. Assignments and structure of the Central Command for Maritime Emergencies are unique in Europe.

[Nursing workers' perceptions regarding the handling of hazardous chemical waste].

PubMed

Costa, Taiza Florêncio; Felli, Vanda Elisa Andres; Baptista, Patrícia Campos Pavan

2012-12-01

The objectives of this study were to identify the perceptions of nursing workers regarding the handling of hazardous chemical waste at the University of São Paulo University Hospital (HU-USP), and develop a proposal to improve safety measures. This study used a qualitative approach and a convenience sample consisting of eighteen nursing workers. Data collection was performed through focal groups. Thematic analysis revealed four categories that gave evidence of training deficiencies in terms of the stages of handling waste. Difficulties that emerged included a lack of knowledge regarding exposure and its impact, the utilization of personal protective equipment versus collective protection, and suggestions regarding measures to be taken by the institution and workers for the safe handling of hazardous chemical waste. The present data allowed for recommending proposals regarding the safe management of hazardous chemical waste by the nursing staff.

Market Imitation and Win-Stay Lose-Shift Strategies Emerge as Unintended Patterns in Market Direction Guesses.

PubMed

Gutiérrez-Roig, Mario; Segura, Carlota; Duch, Jordi; Perelló, Josep

2016-01-01

Decisions made in our everyday lives are based on a wide variety of information so it is generally very difficult to assess what are the strategies that guide us. Stock market provides a rich environment to study how people make decisions since responding to market uncertainty needs a constant update of these strategies. For this purpose, we run a lab-in-the-field experiment where volunteers are given a controlled set of financial information -based on real data from worldwide financial indices- and they are required to guess whether the market price would go "up" or "down" in each situation. From the data collected we explore basic statistical traits, behavioural biases and emerging strategies. In particular, we detect unintended patterns of behavior through consistent actions, which can be interpreted as Market Imitation and Win-Stay Lose-Shift emerging strategies, with Market Imitation being the most dominant. We also observe that these strategies are affected by external factors: the expert advice, the lack of information or an information overload reinforce the use of these intuitive strategies, while the probability to follow them significantly decreases when subjects spends more time to make a decision. The cohort analysis shows that women and children are more prone to use such strategies although their performance is not undermined. Our results are of interest for better handling clients expectations of trading companies, to avoid behavioural anomalies in financial analysts decisions and to improve not only the design of markets but also the trading digital interfaces where information is set down. Strategies and behavioural biases observed can also be translated into new agent based modelling or stochastic price dynamics to better understand financial bubbles or the effects of asymmetric risk perception to price drops.

Market Imitation and Win-Stay Lose-Shift Strategies Emerge as Unintended Patterns in Market Direction Guesses

PubMed Central

Segura, Carlota; Duch, Jordi; Perelló, Josep

2016-01-01

Decisions made in our everyday lives are based on a wide variety of information so it is generally very difficult to assess what are the strategies that guide us. Stock market provides a rich environment to study how people make decisions since responding to market uncertainty needs a constant update of these strategies. For this purpose, we run a lab-in-the-field experiment where volunteers are given a controlled set of financial information -based on real data from worldwide financial indices- and they are required to guess whether the market price would go “up” or “down” in each situation. From the data collected we explore basic statistical traits, behavioural biases and emerging strategies. In particular, we detect unintended patterns of behavior through consistent actions, which can be interpreted as Market Imitation and Win-Stay Lose-Shift emerging strategies, with Market Imitation being the most dominant. We also observe that these strategies are affected by external factors: the expert advice, the lack of information or an information overload reinforce the use of these intuitive strategies, while the probability to follow them significantly decreases when subjects spends more time to make a decision. The cohort analysis shows that women and children are more prone to use such strategies although their performance is not undermined. Our results are of interest for better handling clients expectations of trading companies, to avoid behavioural anomalies in financial analysts decisions and to improve not only the design of markets but also the trading digital interfaces where information is set down. Strategies and behavioural biases observed can also be translated into new agent based modelling or stochastic price dynamics to better understand financial bubbles or the effects of asymmetric risk perception to price drops. PMID:27532219

Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial.

PubMed

Joffe, Erel; Turley, James P; Hwang, Kevin O; Johnson, Todd R; Johnson, Craig W; Bernstam, Elmer V

2013-11-01

After-hours telephone communications are common in patient management. Patterns of communication of key information during after-hours phone calls were evaluated, and the utility of problem-specific Situation, Background, Assessment, Recommendation (SBAR) forms in improving this communication was assessed. In a randomized trial using a simulated on-call setting, 20 nurses called physicians regarding six cases adapted from inpatient records and based on the six most common reasons for after-hours nurse-physician communication. Three of the cases were handled without the SBAR forms (control cases), and three cases were handled with the forms (SBAR cases). Two cue types of communication were evaluated: situation cues, which conveyed the patient's situation (for example, a patient is confused), and background cues, which conveyed problem-specific data indicated on the SBAR forms (for example, the patient has a low sodium level). Ninety-two phone calls were analyzed (43 SBAR/49 controls). Most of the nurses reported the situation cues (SBAR 88%, control 84%, p = .60) but not the background cues. There was a trend toward fewer background cues communicated in the SBAR cases (14% versus 31%, p = .08). In 14% of the cases, on average, nurses omitted information or reported wrong information regarding the background cue. Physicians asked questions that resulted in the communication of the cues in a minority of the cases when the background cues were not originally provided by the nurses (SBAR 6%, control 16%, p = .39). In after-hours phone communication between physicians and nurses, significant information was often not communicated and physicians did not elicit the necessary information. Simply providing an SBAR-based form did not ensure complete communication of key information.

Situational Awareness Geospatial Application (iSAGA)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sher, Benjamin

Situational Awareness Geospatial Application (iSAGA) is a geospatial situational awareness software tool that uses an algorithm to extract location data from nearly any internet-based, or custom data source and display it geospatially; allows user-friendly conduct of spatial analysis using custom-developed tools; searches complex Geographic Information System (GIS) databases and accesses high resolution imagery. iSAGA has application at the federal, state and local levels of emergency response, consequence management, law enforcement, emergency operations and other decision makers as a tool to provide complete, visual, situational awareness using data feeds and tools selected by the individual agency or organization. Feeds may bemore » layered and custom tools developed to uniquely suit each subscribing agency or organization. iSAGA may similarly be applied to international agencies and organizations.« less

Emergency motorcycle: has it a place in a medical emergency system?

PubMed

Soares-Oliveira, Miguel; Egipto, Paula; Costa, Isabel; Cunha-Ribeiro, Luis Manuel

2007-07-01

In an emergency medical service system, response time is an important factor in determining the prognosis of a victim. There are well-documented increases in response time in urban areas, mainly during rush hour. Because prehospital emergency care is required to be efficient and swift, alternative measures to achieve this goal should be addressed. We report our experience with a medical emergency motorcycle (MEM) and propose major criteria for dispatching it. This work presents a prospective analysis of the data relating to MEM calls from July 2004 to December 2005. The analyzed parameters were age, sex, reason for call, action, and need for subsequent transport. A comparison was made of the need to activate more means and, if so, whether the MEM was the first to arrive. There were 1972 calls. The average time of arrival at destination was 4.4 +/- 2.5 minutes. The main action consisted of administration of oxygen (n = 626), immobilization (n = 118), and control of hemorrhage (n = 101). In 63% of cases, MEM arrived before other emergency vehicles. In 355 cases (18%), there was no need for transport. The MEM can intervene in a wide variety of clinical situations and a quick response is guaranteed. Moreover, in specific situations, MEM safely and efficiently permits better management of emergency vehicles. We propose that it should be dispatched mainly in the following situations: true life-threatening cases and uncertain need for an ambulance.

Earthquake!

ERIC Educational Resources Information Center

Hernandez, Hildo

2000-01-01

Examines the types of damage experienced by California State University at Northridge during the 1994 earthquake and what lessons were learned in handling this emergency are discussed. The problem of loose asbestos is addressed. (GR)

A Few Easy Steps.

ERIC Educational Resources Information Center

Ellis, Tom

2000-01-01

Examines tested techniques that can keep a school's carpeting in good condition. Cleaning with hot water extraction, removing spills and spots, handling emergency cleanups, and cleaning soft surface flooring are addressed. (GR)

Boundaries as Mechanisms for Learning in Emergency Exercises with Students from Emergency Service Organisations

ERIC Educational Resources Information Center

Andersson, Annika

2016-01-01

To prepare emergency response organisations for collaborative work in unpredictable and dynamic situations, various types of exercises are widely used. Still, our knowledge of collaboration exercises with emergency response students is limited. This study aimed to contribute to this field by exploring boundaries that emerged between collaborating…

Integrating remote sensing, geographic information systems and global positioning system techniques with hydrological modeling

NASA Astrophysics Data System (ADS)

Thakur, Jay Krishna; Singh, Sudhir Kumar; Ekanthalu, Vicky Shettigondahalli

2017-07-01

Integration of remote sensing (RS), geographic information systems (GIS) and global positioning system (GPS) are emerging research areas in the field of groundwater hydrology, resource management, environmental monitoring and during emergency response. Recent advancements in the fields of RS, GIS, GPS and higher level of computation will help in providing and handling a range of data simultaneously in a time- and cost-efficient manner. This review paper deals with hydrological modeling, uses of remote sensing and GIS in hydrological modeling, models of integrations and their need and in last the conclusion. After dealing with these issues conceptually and technically, we can develop better methods and novel approaches to handle large data sets and in a better way to communicate information related with rapidly decreasing societal resources, i.e. groundwater.

The Support Group Approach in the Dutch Kiva Anti-Bullying Programme: Effects on Victimisation, Defending and Well-Being at School

ERIC Educational Resources Information Center

van der Ploeg, Rozemarijn; Steglich, Christian; Veenstra, René

2016-01-01

Background: School bullying is a wide-spread problem with severe consequences for victims, bullies and bystanders. Schools are strongly encouraged to implement both schoolwide, preventive interventions and reactive measures to handle existing bullying situations. In the Dutch implementation of the KiVa anti-bullying programme, pervasive-bullying…

Eco-Driven Chemical Research in the Boundary between Academia and Industry

ERIC Educational Resources Information Center

Sjöström, Jesper

2013-01-01

This paper examines and discusses the views on science and society held among PhD students working in two different industrially and environmentally driven research programmes in the broad area of green chemistry. It is based on thirteen in-depth interviews. The analysis shows three main ways of handling the situation as "post-academic"…

Getting into Teams in Physical Education and Exclusion Processes among Students

ERIC Educational Resources Information Center

Grimminger, Elke

2014-01-01

Although splitting up a class into teams is a consistent didactical element in physical education (PE), it is under-investigated in terms of how students handle the social dynamics in these situations. Therefore, the present study examines the strategies of exclusion as markers for non-recognition when students are split up into teams/pairs. The…

Missing Not at Random Models for Latent Growth Curve Analyses

ERIC Educational Resources Information Center

Enders, Craig K.

2011-01-01

The past decade has seen a noticeable shift in missing data handling techniques that assume a missing at random (MAR) mechanism, where the propensity for missing data on an outcome is related to other analysis variables. Although MAR is often reasonable, there are situations where this assumption is unlikely to hold, leading to biased parameter…

Effective Lifestyle Habits and Coping Strategies for Stress Tolerance among College Students

ERIC Educational Resources Information Center

Welle, Paul D.; Graf, Helen M.

2011-01-01

Background: Stress among college students is a major problem, impacting their overall health. Students, especially freshmen, are expected to handle difficult academic workloads at a faster pace while adapting to new social situations. In addition, findings from new stress data purport that stress responses might vary by gender and race. Purpose:…

We Help Ourselves (WHO): An Antivictimization Program for Children in Houston.

ERIC Educational Resources Information Center

Culler, Ralph E., III

The WHO Program (We Help Ourselves) was developed to help children take responsibility for their own safety and learn to handle potentially dangerous situations that may lead to abuse. This cooperaive effort by the Mental Health Association and the Houston Independent School District involves students in three age groups: grades K-3, 4-6, and…

Lecturing: Case Studies, Experience and Practice. Case Studies of Teaching in Higher Education.

ERIC Educational Resources Information Center

Edwards, Helen, Ed.; Smith, Brenda, Ed.; Webb, Graham, Ed.

The essays in this collection explore how different lecturing situations can be handled and how lecturing confidence and techniques can be improved. The book covers a wide range of scenarios in these chapters: (1) "Learning from Objectives" (Stanley Yeo); (2) "New at This" (Sally Brown); (3) "The Smart Student" (Marilyn Baird); (4) "The Mobile…

Schools with Special Needs Students Connect with Parents in a Crisis

ERIC Educational Resources Information Center

Cancro, Lorraine

2009-01-01

Long gone are the days of parent phone chains. Today, faster communications and instant alerts for any situation can empower school administrators to handle difficult events and put parent concerns at ease with better prepared school safety management. Keeping students safe and families informed in an increasingly uncertain world is a top priority…

Constrained Maximum Likelihood Estimation for Two-Level Mean and Covariance Structure Models

ERIC Educational Resources Information Center

Bentler, Peter M.; Liang, Jiajuan; Tang, Man-Lai; Yuan, Ke-Hai

2011-01-01

Maximum likelihood is commonly used for the estimation of model parameters in the analysis of two-level structural equation models. Constraints on model parameters could be encountered in some situations such as equal factor loadings for different factors. Linear constraints are the most common ones and they are relatively easy to handle in…

What Teachers and Coaches MUST Know about Blood To Prevent Transmission of Disease.

ERIC Educational Resources Information Center

Colvin, A. Vonnie; Cole, Kathy

2000-01-01

Provides teachers and coaches with basic safety information they must know when dealing with blood, focusing on: the likelihood of disease transmission; use of universal precautions when blood is involved (e.g., washing hands and wearing protective equipment); wearing gloves; cleaning up blood spills; and handling special situations (e.g., loss of…

It Comes with the Territory: Handling Problem Situations in Libraries.

ERIC Educational Resources Information Center

Turner, Anne M.

Written from the perspective of a working director, this book is a guide to setting fair and appropriate behavior rules and training staff in how to implement them. Policies for exhibit and meeting room use; issues surrounding street people, the mentally ill, and substance abusers; sexual deviancy and parental child abuse in the library;…

JiJi De GuanJiao FangFa (Positive Discipline). ERIC Digest.

ERIC Educational Resources Information Center

ERIC Clearinghouse on Elementary and Early Childhood Education, Champaign, IL.

This ERIC Digest suggests methods and language that can be used in handling difficult, but common, situations involving young children. Discussion focuses on: (1) 12 methods of discipline that promote self-worth; (2) the process of creating a positive climate that promotes self-discipline; (3) harmful and negative disciplinary methods; and (4)…

Effective Management of Special Education Programs. A Handbook for School Administrators.

ERIC Educational Resources Information Center

Osborne, Allan G., Jr.; And Others

This book is intended to guide school administrators through the day-to-day supervision of the special education program and to serve as a resource for handling problem situations that may arise. The first of the book's six chapters provides basic information on program management, including standards of compliance with state and federal…

Moving the Focus to Children: Four Female Superintendents Look at Their First Three Years.

ERIC Educational Resources Information Center

Pavan, Barbara Nelson; And Others

A review of literature indicates that relations between entry-level, female superintendents and school boards have been problematic. This paper presents findings of a study that identified the major issues faced by four female entry-level superintendents, how they handled these situations, and the strategies they used during their first year as…

29 CFR 2580.412-14 - Determining the amount of funds “handled” during the preceding reporting year.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., safekeeping, physical handling and investment of a plan's assets and the basic function of the executive... fiscal controls and practical realities of the situation are such that these persons cannot gain access...”, regardless of what functions are performed by a bank or corporate trustee, since the “administrator” by...

29 CFR 2580.412-14 - Determining the amount of funds “handled” during the preceding reporting year.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., safekeeping, physical handling and investment of a plan's assets and the basic function of the executive... fiscal controls and practical realities of the situation are such that these persons cannot gain access...”, regardless of what functions are performed by a bank or corporate trustee, since the “administrator” by...

29 CFR 2580.412-14 - Determining the amount of funds “handled” during the preceding reporting year.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., safekeeping, physical handling and investment of a plan's assets and the basic function of the executive... fiscal controls and practical realities of the situation are such that these persons cannot gain access...”, regardless of what functions are performed by a bank or corporate trustee, since the “administrator” by...

29 CFR 2580.412-14 - Determining the amount of funds “handled” during the preceding reporting year.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., safekeeping, physical handling and investment of a plan's assets and the basic function of the executive... fiscal controls and practical realities of the situation are such that these persons cannot gain access...”, regardless of what functions are performed by a bank or corporate trustee, since the “administrator” by...

Simulator: A Pilot Interactive Simulation Program for Use in Teaching Public Relations.

ERIC Educational Resources Information Center

Pavlik, John V.

An interactive simulation program was developed for use in teaching students how to handle public relations problems. The program user is placed in the role of assistant newsletter editor, facing a series of decision-making situations. Each choice the user makes affects the subsequent reality created by the program, which is designed to provide…

78 FR 51804 - Access to Aircraft Situation Display to Industry (ASDI) and National Airspace System Status...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-21

... their legally authorized agent and not from associations acting on their behalf. The FAA will adhere to... data feed.\\12\\ By contrast, the responsibilities of ASDI subscribers with respect to handling ASDI and... request on their own behalf, or they may do so through a legally authorized agent, including an attorney...

When Honesty is the Expected Policy: Utilizing Peer Relations in Classroom Management

ERIC Educational Resources Information Center

Rudebock, Richard D.

2005-01-01

In this article, a teacher shares his experience at handling student cheating in his small business management class at a private Christian liberal arts university and recommends the steps he had taken to other teachers who encountered similar situations. Shocked by the failing scores from two students who had done well on previous quizzes, the…

The Impact of a Course on Bullying within the Pre-Service Teacher Training Curriculum

ERIC Educational Resources Information Center

Benitez, Juan Luis; Garcia-Berben, Ana; Fernandez-Cabezas, Maria

2009-01-01

Introduction: Although bullying is a phenomenon which directly affects teachers, they receive little preparation in how to handle it. One way to correct this situation is to include specific content about bullying within their initial university curriculum. We present a study that shows how a specific course on bullying affects trainee teachers'…

[Simulation in obstetrics and gynecology - a new method to improve the management of acute obstetric emergencies].

PubMed

Blum, Ronja; Gairing Bürglin, Anja; Gisin, Stefan

2008-11-01

In medical specialties, such as anaesthesia, the use of simulation has increased over the past 15 years. Medical simulation attempts to reproduce important clinical situations to practise team training or individual skills in a risk free environment. For a long time simulators have only been used by the airline industry and the military. Simulation as a training tool for practicing critical situations in obstetrics is not very common yet. Experience and routine are crucial to evaluate a medical emergency correctly and to take the appropriate measures. Nowadays the obstetrician requires a combination of manual and communication skills, fast emergency management and decision-making skills. Therefore simulation may help to attain these skills. This may not only satisfy the high expectations and demands of the patients towards doctors and midwives but would also help to keep calm in difficult situations and avoid mistakes. The goal is a risk free delivery for mother and child. Therefore we developed a simulation- based curricular unit for hands-on training of four different obstetric emergency scenarios. In this paper we describe our results about the feedback of doctors and midwives on their personal experiences due to this simulation-based curricular unit. The results indicate that simulation seems to be an accepted method for team training in emergency situations in obstetrics. Whether patient security increases after the regularly use of drill training needs to be investigated in further studies.

[Laryngeal mask].

PubMed

Villaverde Rozados, María José; Mos Reguera, M Esther; González Argibay, M Concepción; Sixto Gato, Sandra; Radío, Beatriz Alfonso; Fernández Díaz, María José

2003-11-01

A laryngeal mask is a very useful instrument to use both in easy as well as difficult handling situations related to the air tract. This mask is placed in the pharynx and it permits a patient to breathe in different modes, either spontaneously or mechanically. Different models are available; some even facilitate the tracheal intubation through the mask. The authors highlight that this type of mask does not protect nor isolate the air tract. As advantages, the authors point out its easy installation; thus, it is an alternative when an air tract presents difficulties; therefore, it is necessary that all personnel who have to deal with the air tract be aware of this mask and know how to handle it.

Mobile Emergency Response Water Treatment Technology Results

EPA Science Inventory

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

Load index model: An advanced tool to support decision making during mass-casualty incidents.

PubMed

Adini, Bruria; Aharonson-Daniel, Limor; Israeli, Avi

2015-03-01

In mass-casualty events, accessing information concerning hospital congestion levels is crucial to improving patient distribution and optimizing care. The study aimed to develop a decision support tool for distributing casualties to hospitals in an emergency scenario involving multiple casualties. A comprehensive literature review and structured interviews with 20 content experts produced a shortlist of relevant criteria for inclusion in the model. A "load index model" was prepared, incorporating results of a modified Delphi survey of 100 emergency response experts. The model was tested in three simulation exercises in which an emergency scenario was presented to six groups of senior emergency managers. Information was provided regarding capacities of 11 simulated admitting hospitals in the region, and evacuation destinations were requested for 600 simulated casualties. Of the three simulation rounds, two were performed without the model and one after its presentation. Following simulation experiments and implementation during a real-life security threat, the efficacy of the model was assessed. Variability between experts concerning casualties' evacuation destinations decreased significantly following the model's introduction. Most responders (92%) supported the need for standardized data, and 85% found that the model improved policy setting regarding casualty evacuation in an emergency situation. These findings were reaffirmed in a real-life emergency scenario. The proposed model improved capacity to ensure evacuation of patients to less congested medical facilities in emergency situations, thereby enhancing lifesaving medical services. The model supported decision-making processes in both simulation exercises and an actual emergency situation.

Assessment of Innovative Emergency Department Information Displays in a Clinical Simulation Center

PubMed Central

McGeorge, Nicolette; Hegde, Sudeep; Berg, Rebecca L.; Guarrera-Schick, Theresa K.; LaVergne, David T.; Casucci, Sabrina N.; Hettinger, A. Zachary; Clark, Lindsey N.; Lin, Li; Fairbanks, Rollin J.; Benda, Natalie C.; Sun, Longsheng; Wears, Robert L.; Perry, Shawna; Bisantz, Ann

2016-01-01

The objective of this work was to assess the functional utility of new display concepts for an emergency department information system created using cognitive systems engineering methods, by comparing them to similar displays currently in use. The display concepts were compared to standard displays in a clinical simulation study during which nurse-physician teams performed simulated emergency department tasks. Questionnaires were used to assess the cognitive support provided by the displays, participants’ level of situation awareness, and participants’ workload during the simulated tasks. Participants rated the new displays significantly higher than the control displays in terms of cognitive support. There was no significant difference in workload scores between the display conditions. There was no main effect of display type on situation awareness, but there was a significant interaction; participants using the new displays showed improved situation awareness from the middle to the end of the session. This study demonstrates that cognitive systems engineering methods can be used to create innovative displays that better support emergency medicine tasks, without increasing workload, compared to more standard displays. These methods provide a means to develop emergency department information systems—and more broadly, health information technology—that better support the cognitive needs of healthcare providers. PMID:27974881

Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities.

PubMed

Ebrahimian, Abbasali; Seyedin, Hesam; Jamshidi-Orak, Roohangiz; Masoumi, Gholamreza

2014-01-01

Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs' decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: "degree of perceived risk in EMS staffs and their patients." This theme consisted of two main categories: (1) patient's condition' and (2) the context of the EMS mission'. The patent's condition category emerged from "physical health statuses," "socioeconomic statuses," and "cultural background" subcategories. The context of the EMS mission also emerged from two subcategories of "characteristics of the mission" and EMS staffs characteristics'. EMS system managers can consider adequate technical, informational, financial, educational, and emotional supports to facilitate the decision making of their staffs. Also, development of an effective and user-friendly checklist and scoring system was recommended for quick and easy recognition of patients' needs for transportation in a prehospital situation.

School Emergencies--Preparation Not Panic.

ERIC Educational Resources Information Center

Sousa, Barbara

1982-01-01

A three-phase emergency recognition course was designed to train 26 faculty and staff members to recognize and respond to emergency school medical situations. Phase I included comprehensive first aid, cardiopulmonary resuscitation (CPR), and injections. Phase II dealt with recognition of medical emergencies, and Phase III recertified those who had…

Planning for School Emergencies.

ERIC Educational Resources Information Center

Della-Giustina, Daniel E.

This document is designed to provide civil leaders and school administrators with a resource that will enable them to develop comprehensive contingency plans for specific emergency situations. A discussion of disaster and emergency management planning includes an outline of the objectives of emergency planning that were established for this guide.…

ERCMExpress. Volume 2, Issue 3

ERIC Educational Resources Information Center

US Department of Education, 2006

2006-01-01

This issue of the Emergency Response and Crisis Management (ERCM) Technical Assistance Center's "ERCMExpress" promotes emergency exercises as an effective way to validate school safety plans. Simulations of emergency situations, or emergency exercises, are integral to a sound school safety plan. They offer opportunities for district and schools to…

Guidebook for Planning Education in Emergencies and Reconstruction

ERIC Educational Resources Information Center

International Institute for Educational Planning (IIEP) UNESCO, 2006

2006-01-01

This comprehensive guidebook will help educational planners during emergencies and reconstruction. The "Guidebook for Planning Education in Emergencies and Reconstruction" presents examples of the problems faced in emergencies, and suggests policy options and strategies that have been found useful in such situations. It is organized in six…

Chemical Accident Prevention: Site Security

EPA Pesticide Factsheets

This chemical safety alert assists facilities that routinely handle extremely hazardous substances, along with SERCs, LEPCs, and emergency responders, in their efforts to reduce criminally caused releases and vulnerability to terrorist activity.

The Venetian lazarettos of Candia and the Great Plague (1592 - 1595).

PubMed

Tsiamis, Costas; Thalassinou, Eleni; Poulakou-Rebelakou, Effie; Tsakris, Athanasios; Hatzakis, Angelos

2014-03-01

The present study highlights the history of lazarettos in Candia (modern Heraklion, Crete, Greece), which was the most important Venetian possession in the Mediterranean at the time, while at the same time it recounts the terrible plague which went down in history as the Great Plague of Candia (1592-1595). The study will also attempt to give a satisfactory answer to the epidemiological questions raised by the worst epidemic that Crete had experienced since the era of the Black Death in the 14th century. The city was about to lose more than a half of its population (51.3%), although it was saved from complete annihilation by the composure, courage and inventiveness of its Venetian commander, Filippo Pasqualigo, whose report to the Venetian Senate makes an invaluable source of information regarding the events of this dramatic period. Candia would also witness the emergence of typical human reactions in cases of epidemics and mass deaths, such as running away along with the feeling of self-preservation, dissolute life and ephemeral pleasures, as well as lawlessness and criminality. The lazaretto proved inefficient in the face of a disaster of such scale, whereas the epidemic functioned as a "crash-test" for the Venetian health system. Eventually, in an era when the microbial nature of the disease was unknown, it seems that it was practically impossible to handle emergency situations of large-scale epidemics successfully, despite strict laws and well-organized precautionary health systems.

Emerging Adults in Sweden: Identity Formation in the Light of Love, Work, and Family

ERIC Educational Resources Information Center

Frisen, Ann; Wangqvist, Maria

2011-01-01

In this study, the identity formation of emerging adults in Sweden was investigated in order to discover how identity issues concerning love, work and family are handled. The study group comprised 136 24- to 26-year-olds. The results revealed differences between men and women with regard to their position in the identity formation process. While…

Conflict Resolution Automation and Pilot Situation Awareness

NASA Technical Reports Server (NTRS)

Dao, Arik-Quang V.; Brandt, Summer L.; Bacon, Paige; Kraut, Josh; Nguyen, Jimmy; Minakata, Katsumi; Raza, Hamzah; Rozovski, David; Johnson, Walter W.

2010-01-01

This study compared pilot situation awareness across three traffic management concepts. The Concepts varied in terms of the allocation of traffic avoidance responsibility between the pilot on the flight deck, the air traffic controllers, and a conflict resolution automation system. In Concept 1, the flight deck was equipped with conflict resolution tools that enable them to fully handle the responsibility of weather avoidance and maintaining separation between ownship and surrounding traffic. In Concept 2, pilots were not responsible for traffic separation, but were provided tools for weather and traffic avoidance. In Concept 3, flight deck tools allowed pilots to deviate for weather, but conflict detection tools were disabled. In this concept pilots were dependent on ground based automation for conflict detection and resolution. Situation awareness of the pilots was measured using online probes. Results showed that individual situation awareness was highest in Concept 1, where the pilots were most engaged, and lowest in Concept 3, where automation was heavily used. These findings suggest that for conflict resolution tasks, situation awareness is improved when pilots remain in the decision-making loop.

33 CFR 230.8 - Emergency actions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... major in scope with potentially significant environmental impacts shall be referred through the division... DEFENSE PROCEDURES FOR IMPLEMENTING NEPA § 230.8 Emergency actions. In responding to emergency situations... this regulation. District commanders shall consider the probable environmental consequences in...

33 CFR 230.8 - Emergency actions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... major in scope with potentially significant environmental impacts shall be referred through the division... DEFENSE PROCEDURES FOR IMPLEMENTING NEPA § 230.8 Emergency actions. In responding to emergency situations... this regulation. District commanders shall consider the probable environmental consequences in...

33 CFR 230.8 - Emergency actions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... major in scope with potentially significant environmental impacts shall be referred through the division... DEFENSE PROCEDURES FOR IMPLEMENTING NEPA § 230.8 Emergency actions. In responding to emergency situations... this regulation. District commanders shall consider the probable environmental consequences in...

33 CFR 230.8 - Emergency actions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... major in scope with potentially significant environmental impacts shall be referred through the division... DEFENSE PROCEDURES FOR IMPLEMENTING NEPA § 230.8 Emergency actions. In responding to emergency situations... this regulation. District commanders shall consider the probable environmental consequences in...

78 FR 14110 - Emergency Issuance of Endangered Species Permit

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-04

... issued an endangered species permit to address emergency veterinary care for an injured green sea turtle...] Emergency Issuance of Endangered Species Permit AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... notice in an emergency situation where the life or health of an endangered animal is threatened and no...

15 CFR 705.9 - Emergency action.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 15 Commerce and Foreign Trade 2 2011-01-01 2011-01-01 false Emergency action. 705.9 Section 705.9 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF... IMPORTED ARTICLES ON THE NATIONAL SECURITY § 705.9 Emergency action. In emergency situations, or when in...

15 CFR 705.9 - Emergency action.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Emergency action. 705.9 Section 705.9 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF... IMPORTED ARTICLES ON THE NATIONAL SECURITY § 705.9 Emergency action. In emergency situations, or when in...

Global trends in satellite-based emergency mapping

USGS Publications Warehouse

Voigt, Stefan; Giulio-Tonolo, Fabio; Lyons, Josh; Kučera, Jan; Jones, Brenda; Schneiderhan, Tobias; Platzeck, Gabriel; Kaku, Kazuya; Hazarika, Manzul Kumar; Czaran, Lorant; Li, Suju; Pedersen, Wendi; James, Godstime Kadiri; Proy, Catherine; Muthike, Denis Macharia; Bequignon, Jerome; Guha-Sapir, Debarati

2016-01-01

Over the past 15 years, scientists and disaster responders have increasingly used satellite-based Earth observations for global rapid assessment of disaster situations. We review global trends in satellite rapid response and emergency mapping from 2000 to 2014, analyzing more than 1000 incidents in which satellite monitoring was used for assessing major disaster situations. We provide a synthesis of spatial patterns and temporal trends in global satellite emergency mapping efforts and show that satellite-based emergency mapping is most intensively deployed in Asia and Europe and follows well the geographic, physical, and temporal distributions of global natural disasters. We present an outlook on the future use of Earth observation technology for disaster response and mitigation by putting past and current developments into context and perspective.

Is there one optimal medical treatment and evacuation chain for all situations: "scoop-and-run" or "stay-and-play".

PubMed

Hoejenbos, Maarten J J; McManus, John; Hodgetts, Timothy

2008-01-01

In 2006, the Ministry of Defense of the Netherlands initiated a targeted agenda program for the World Congress on Disaster and Emergency Medicine in Amsterdam in 2007 (15WCDEM). The issue to be discussed was if there is one "golden" treatment and evacuation system that is applicable for different military and civilian situations. And, if there is not such a system, which parameters are important to construct the most optimal system for each different situation. This issue is related to the applicability and evidence base of the standards of the North Atlantic Treaty Organization. A group of experts started a website discussion on the issue during December 2006. During the 15WCDEM, several other participants were active in the discussion. Using the different experiences and the outcome of the discussions, it was concluded that there is not one "golden" medical emergency system, there are no "golden" timelines, and no "golden" skills. A medical system should be flexible and be able to adjust on each specific, local situation. First responder and non-medical people with medical skills (first responders) are essential in the front line of the emergency medical systems. More research is needed on the medical techniques and skills that are most effective early in the treatment and evacuation systems. Lessons learned from the military system are relevant for the civilian emergency medical services and vice-versa. The World Association for Disaster and Emergency Medicine can be an important platform to share and exchange information between these two systems. The target of the platform should be to obtain a generic picture of the important elements in prehospital emergency medical care.

[Treatment of emergencies in the hospital--problems and management].

PubMed

Sablotzki, A; Schubert, S; Kuhn, C; Radke, J; Czeslick, E

2003-01-01

Due to the growing number of high-risk patients, the increasing proportion of geriatric patients and the expansion of surgical and invasive-diagnostic procedures, medical stuff in hospitals are confronted with a rising number of emergency situations. Nearly 50% are of cardio-circulatory origin and occur during surgical interventions or immediately afterwards. Another cause of life-threatening complications are side-effects of orally or intravenously administered agents, especially after treatment with antibiotics, anaesthetics, analgetics and sedatives. Due to a lack of emergency training and management in most hospitals, the survival rate after cardiopulmonary resuscitation in general wards lies between just two and 35%. Thus it seems necessary to perform special training in CPR procedures and emergency management at regular intervals for the entire medical stuff. In addition, a special infrastructure for giving sufficient treatment in emergencies has to be established (emergency team, emergency telephone number, intra-hospital emergency car). The second part of this review presents current diagnostic and therapeutic strategies for the most common emergency situations, e.g. anaphylaxis, myocardial infarction, pulmonary embolism, gastrointestinal bleeding, and heparin-induced thrombocytopenia (HIT).

Treatment of palliative care emergencies by prehospital emergency physicians in Germany: an interview based investigation.

PubMed

Wiese, C H R; Bartels, U E; Ruppert, D; Marung, H; Luiz, T; Graf, B M; Hanekop, G G

2009-06-01

Palliative care medical emergencies as a consequence of advanced cancer account for approximately 3% of all prehospital emergency cases. Therefore, prehospital emergency physicians (EP) are confronted with 'end of life decisions'. No educational content exists concerning palliative medicine in emergency medicine curricula. Over the course of 6 months, we interviewed 150 EPs about their experiences in 'end of life decisions' using a specific questionnaire. The total response rate was 69% (n = 104). Most of the interviewed EPs (89%, n = 93) had been confronted with palliative care medical emergencies and expressed uncertainties in dealing with these difficult situations, especially in the area of psychosocial care of the patients (50%). The emergency treatment of palliative care patients can become a particular challenge for any EP. A large percentage of interviewed EPs felt uncertain about aspects of social care and in the assessment of decisions at the end of life. Further information and training are necessary to amenable EPs to provide adequate patient-oriented care to palliative care patients and their relatives in emergency situations.