Science.gov

Sample records for humanitarian logistics issues

  1. Humanitarian response: improving logistics to save lives.

    PubMed

    McCoy, Jessica

    2008-01-01

    Each year, millions of people worldwide are affected by disasters, underscoring the importance of effective relief efforts. Many highly visible disaster responses have been inefficient and ineffective. Humanitarian agencies typically play a key role in disaster response (eg, procuring and distributing relief items to an affected population, assisting with evacuation, providing healthcare, assisting in the development of long-term shelter), and thus their efficiency is critical for a successful disaster response. The field of disaster and emergency response modeling is well established, but the application of such techniques to humanitarian logistics is relatively recent. This article surveys models of humanitarian response logistics and identifies promising opportunities for future work. Existing models analyze a variety of preparation and response decisions (eg, warehouse location and the distribution of relief supplies), consider both natural and manmade disasters, and typically seek to minimize cost or unmet demand. Opportunities to enhance the logistics of humanitarian response include the adaptation of models developed for general disaster response; the use of existing models, techniques, and insights from the literature on commercial supply chain management; the development of working partnerships between humanitarian aid organizations and private companies with expertise in logistics; and the consideration of behavioral factors relevant to a response. Implementable, realistic models that support the logistics of humanitarian relief can improve the preparation for and the response to disasters, which in turn can save lives.

  2. Investigating the strategic antecedents of agility in humanitarian logistics.

    PubMed

    L'Hermitte, Cécile; Brooks, Benjamin; Bowles, Marcus; Tatham, Peter H

    2016-12-16

    This study investigates the strategic antecedents of operational agility in humanitarian logistics. It began by identifying the particular actions to be taken at the strategic level of a humanitarian organisation to support field-level agility. Next, quantitative data (n=59) were collected on four strategic-level capabilities (being purposeful, action-focused, collaborative, and learning-oriented) and on operational agility (field responsiveness and flexibility). Using a quantitative analysis, the study tested the relationship between organisational capacity building and operational agility and found that the four strategic-level capabilities are fundamental building blocks of agility. Collectively they account for 52 per cent of the ability of humanitarian logisticians to deal with ongoing changes and disruptions in the field. This study emphasises the need for researchers and practitioners to embrace a broader perspective of agility in humanitarian logistics. In addition, it highlights the inherently strategic nature of agility, the development of which involves focusing simultaneously on multiple drivers.

  3. On the use of evidence in humanitarian logistics research.

    PubMed

    Pedraza-Martinez, Alfonso J; Stapleton, Orla; Van Wassenhove, Luk N

    2013-07-01

    This paper presents the reflections of the authors on the differences between the language and the approach of practitioners and academics to humanitarian logistics problems. Based on a long-term project on fleet management in the humanitarian sector, involving both large international humanitarian organisations and academics, it discusses how differences in language and approach to such problems may create a lacuna that impedes trust. In addition, the paper provides insights into how academic research evidence adapted to practitioner language can be used to bridge the gap. When it is communicated appropriately, evidence strengthens trust between practitioners and academics, which is critical for long-term projects. Once practitioners understand the main trade-offs included in academic research, they can supply valuable feedback to motivate new academic research. Novel research problems promote innovation in the use of traditional academic methods, which should result in a win-win situation: relevant solutions for practice and advances in academic knowledge.

  4. The humanitarian common logistic operating picture: a solution to the inter-agency coordination challenge.

    PubMed

    Tatham, Peter; Spens, Karen; Kovács, Gyöngyi

    2017-01-01

    Although significant progress has been made in developing the practice of humanitarian logistics, further improvements in efficiency and effectiveness have the potential to save lives and reduce suffering. This paper explores how the military/emergency services' concept of a common operating picture (COP) can be adapted to the humanitarian logistics context, and analyses a practical and proven approach to addressing the key challenge of inter-agency coordination and decision-making. Successful adaptation could provide the mechanism through which predicted and actual demands, together with the location and status of material in transit, are captured, evaluated, and presented in real time as the basis for enhanced decision-making between actors in the humanitarian supply network. Through the introduction of a humanitarian logistics COP and its linkages to national disaster management systems, local communities and countries affected by disasters and emergencies will be better placed to oversee and manage their response activities.

  5. Using Contests to Provide Business Students Project-Based Learning in Humanitarian Logistics: PSAid Example

    ERIC Educational Resources Information Center

    Özpolat, Koray; Chen, Yuwen; Hales, Doug; Yu, Degan; Yalcin, Mehmet G.

    2014-01-01

    Business students appreciate working on classroom projects that are both enjoyable and useful in preparing them for future careers. Promoting competition among project teams is also used as a method to motivate students. The Humanitarian Logistics Project (HLP) teaches undergraduate students the logistical implications of unsolicited material…

  6. Cracking the humanitarian logistic coordination challenge: lessons from the urban search and rescue community.

    PubMed

    Tatham, Peter; Spens, Karen

    2016-04-01

    The challenges of achieving successful inter-agency logistic coordination in preparing for and responding to natural disasters and complex emergencies are both well understood and well documented. However, although many of these challenges remain unresolved, the literature reveals that the organisations that form the urban search and rescue (USAR) community have attained a high level of coherence and interoperability that results in a highly efficient and effective response. Therefore, this paper uses the idea of 'borrowing' from other fields as it explores how the processes and procedures used by the USAR community might be applied to improve humanitarian logistic operations. The paper analyses the USAR model and explores how the resultant challenges might be addressed in a humanitarian logistic context. The paper recommends that further research be undertaken in order to develop a modified USAR model that could be operationalised by the international community of humanitarian logisticians.

  7. Best practice guidelines on surgical response in disasters and humanitarian emergencies: report of the 2011 Humanitarian Action Summit Working Group on Surgical Issues within the Humanitarian Space.

    PubMed

    Chackungal, Smita; Nickerson, Jason W; Knowlton, Lisa M; Black, Lynn; Burkle, Frederick M; Casey, Kathleen; Crandell, David; Demey, Didier; Di Giacomo, Lillian; Dohlman, Lena; Goldstein, Joshua; Gosney, James E; Ikeda, Keita; Linden, Allison; Mullaly, Catherine M; O'Connell, Colleen; Redmond, Anthony D; Richards, Adam; Rufsvold, Robert; Santos, Ana L R; Skelton, Terri; McQueen, Kelly

    2011-12-01

    The provision of surgery within humanitarian crises is complex, requiring coordination and cooperation among all stakeholders. During the 2011 Humanitarian Action Summit best practice guidelines were proposed to provide greater accountability and standardization in surgical humanitarian relief efforts. Surgical humanitarian relief planning should occur early and include team selection and preparation, appropriate disaster-specific anticipatory planning, needs assessment, and an awareness of local resources and limitations of cross-cultural project management. Accurate medical record keeping and timely follow-up is important for a transient surgical population. Integration with local health systems is essential and will help facilitate longer term surgical health system strengthening.

  8. A Simulation to Evaluate Joint Military Logistics in a Humanitarian Assistance Environment

    DTIC Science & Technology

    2012-03-01

    THESIS Presented to the Faculty Department of Operational Science Graduate School of Engineering and Management Air Force...Science in Logistics and Supply Chain Management Ryan S. Fisher, BS Captain, USAF March 2012 DISTRIBUTION STATEMENT A: APPROVED...Group CRN Common Random Numbers DOE Design Of Experiments ETMSC Enhanced Traffic Management System Counts EXPO Exponential FAA Federal Aviation

  9. Use of Informal Networks to Resolve Logistics-related Issues in Humanitarian Assistance Disaster Response

    DTIC Science & Technology

    2011-06-01

    Grounded Theory, was used to discover the categories to be analyzed in Content Analysis . Content Analysis was used to identify patterns and themes in...Coordination, Cooperation or Partnership • Evidence of Informal Coordination, Cooperation or Partnership Content Analysis Content Analysis is a research

  10. Legal issues of humanitarian assistance after the 2007 earthquake in Pisco, Peru.

    PubMed

    Bambarén, Celso

    2010-01-01

    The earthquake that struck the central coast of Peru on 15 August 2007 was a disaster that mobilized international humanitarian assistance to address the needs of the affected people in the regions of Huancavelica, Ica, and Lima. It also was an opportunity to prove the effectiveness of regulations and procedures to facilitate the entry and distribution of donations and medical goods during a major emergency. In the first month after the earthquake, the national government approved new regulations that aimed to reduce waiting time while reducing the number of requisites required by customs. More than 5,500 tons of international donations arrived in Peru in a short period of time. Many donated medicines arrived unsorted, without an international non-proprietary (generic) name on the label, and some medicines did not have any relationship with the diseases that would appear in the aftermath of the event.

  11. Educating the humanitarian engineer.

    PubMed

    Passino, Kevin M

    2009-12-01

    The creation of new technologies that serve humanity holds the potential to help end global poverty. Unfortunately, relatively little is done in engineering education to support engineers' humanitarian efforts. Here, various strategies are introduced to augment the teaching of engineering ethics with the goal of encouraging engineers to serve as effective volunteers for community service. First, codes of ethics, moral frameworks, and comparative analysis of professional service standards lay the foundation for expectations for voluntary service in the engineering profession. Second, standard coverage of global issues in engineering ethics educates humanitarian engineers about aspects of the community that influence technical design constraints encountered in practice. Sample assignments on volunteerism are provided, including a prototypical design problem that integrates community constraints into a technical design problem in a novel way. Third, it is shown how extracurricular engineering organizations can provide a theory-practice approach to education in volunteerism. Sample completed projects are described for both undergraduates and graduate students. The student organization approach is contrasted with the service-learning approach. Finally, long-term goals for establishing better infrastructure are identified for educating the humanitarian engineer in the university, and supporting life-long activities of humanitarian engineers.

  12. Applying simulation and logistics modeling to tansportation issues

    SciTech Connect

    Funkhouser, B.R.; Ballweg, E.L.; Mackoy, R.D.

    1995-08-15

    This paper describes an application where transportation logistics and simulation tools are integrated to create a modeling environment for transportation planning. The Transportation Planning Model (TPM) is a tool developed for the Department of Energy (DOE) to aid in the long-term planning of their transportation resources. The focus of the tool is to aid DOE and Sandia National Laboratory analysts in the planning of future fleet sizes, driver and support personnel sizes, base site locations, and resource balancing among the base sites. The design approach is to develop a rapid modeling environment which integrates graphical user interfaces, logistics optimizing tools, and simulation modeling. Using the TPM an analyst can easily set up a shipment scenario and perform multiple ``What If`` evaluations. The TPM has been developed on personal computers using commercial off-the-shelf software tools under the WINDOW{reg_sign} operating environment.

  13. Comprehensive Australasian multicentre dosimetric intercomparison: issues, logistics and recommendations.

    PubMed

    Ebert, M A; Harrison, K M; Cornes, D; Howlett, S J; Joseph, D J; Kron, T; Hamilton, C S; Denham, J W

    2009-02-01

    The present paper describes the logistics of the 2004-2008 Australasian Level III Dosimetry Intercomparison. Dosimetric intercomparisons (or 'audits') can be used in radiotherapy to evaluate the accuracy and quality of radiation delivery. An intercomparison was undertaken in New Zealand and Australia to evaluate the feasibility and logistics of ongoing dosimetric intercomparisons that evaluate all steps in the radiotherapy treatment process, known as a 'Level III' intercomparison. The study commenced in 2002 with the establishment of a study team, definition of the study protocol, acquisition of appropriate equipment and recruitment of participating radiotherapy centres. Measurements were undertaken between October 2004 and March 2008, and included collation of data on time, costs and logistics of the study. Forty independent Australian and New Zealand radiotherapy centres agreed to participate. Measurement visits were made to 37 of these centres. Data is presented on the costs of the study and the level of support required. The study involved the participation of 16 staff at the study centre who invested over 4000 hours in the study, and of over 200 professionals at participating centres. Recommendations are provided for future phantom-based intercomparisons. It is hoped that the present paper will be of benefit to any centres or groups contemplating similar activities by identifying the processes involved in establishing the study, the potential hazards and pitfalls, and expected resource requirements.

  14. Humanitarian Politics. Headline Series No. 304.

    ERIC Educational Resources Information Center

    Minear, Larry; Weiss, Thomas G.

    This booklet examines the issue of humanitarian aid in times of crises and how the political and military conditions that generate the need for humanitarian action have changed in the post-cold-war era. There are different faces of civil war, changes in international assistance, and complex emergencies that demand new world responses to help those…

  15. Humanitarian Surgical Missions: Planning for Success.

    PubMed

    Boston, Mark; Horlbeck, Drew

    2015-09-01

    Humanitarian surgical missions can provide much needed care for those who are otherwise unable to receive such care because of limited local health care resources and cost. These missions also offer excellent training opportunities and can be life-changing experiences for those who participate in them. A successful humanitarian surgical mission requires careful planning and coordination and can be challenging for those tasked with the responsibilities to organize and lead these missions. This article addresses many of the issues and challenges encountered when planning and leading humanitarian surgical missions and offers a template to be used by those who take on these challenges.

  16. Humanitarian Relief Capabilities in the Horn of Africa.

    DTIC Science & Technology

    2014-06-13

    of the largest humanitarian relief-providing countries in the world . Djibouti, a country in the Horn of Africa (HOA), is currently established as one...humanitarian relief-providing countries in the world . Djibouti, a country in the Horn of Africa (HOA), is currently established as one of the key logistics...assumed to be some of the worst in the world . The unpredictable rainy season has a tendency to ruin the road networks and impact aviation visibility for

  17. In defence of humanitarianism.

    PubMed

    Stockton, N

    1998-12-01

    The humanitarian crisis which followed in the wake of the genocidal regime in Rwanda in 1994 generated massive media attention and an unprecedented outpouring of international public and private assistance. In late 1997, the Rwanda refugee population in Zaire was subjected to a disaster of similarly epic proportions as a result of military action. Yet this crisis went relatively under-reported and failed to attract substantial aid funds, particularly from official donors. This paper seeks to document and account for the demise of the humanitarian imperative. It confronts a number of the criticisms of humanitarian action, concluding that, rather than being flawed, traditional humanitarian values remain valid and should be defended wherever there are situations of conflict.

  18. Supply Chain Management in Humanitarian Relief Logistics

    DTIC Science & Technology

    2004-03-01

    Hundreds of millions of people are affected by disasters each year. This thesis explores the use of supply chain management techniques to overcome...academic, organizational, and contemporary literature. Possible solutions to these barriers were selected from available supply chain management...literature. This work is different from others in that it marries supply chain principles from different disciplines (including private, nonprofit, and

  19. The 2016 World Humanitarian Summit Report Card: Both Failing Marks and Substantive Gains for an Increasingly Globalized Humanitarian Landscape

    PubMed Central

    V. Canyon, Deon; Burkle, Frederick M.

    2016-01-01

    Outcomes of the World Humanitarian Summit were mixed with some refreshing new directions being endorsed and a lack of systemic reform. The selective agenda and OCHAs lack of success in engaging pre-meeting political participation not only hampered the Summit’s ability to deal with global issues and institutional reform, but also alienated it from leading aid agencies and governments. The UN’s failure to commit to humanitarian principles and global disarray of the humanitarian system indicates the need for extensive reform or a new global humanitarian body. This agency needs to employ a decentralized model to manage aid funds, assume coordination of international responses, resolve civil-military coordination, cater for people affected by both conflict and disasters, and professionalize the humanitarian career.  PMID:27679738

  20. Lessons on humanitarian assistance.

    PubMed Central

    Gracia Antequera, M.; Morales Suárez-Varela, M.

    1999-01-01

    Conflict almost completely destroyed Rwanda's infrastructure in 1994. Natural disasters, as well as disasters caused by humans, have severely challenged humanitarian aid available within the country. In this study, we have analysed the experiences of nongovernmental organizations since the summer of 1994 to evaluate how these difficulties may be overcome. One of the problems identified has been restrictions on the ability to introduce effective health planning due to the poor quality of available local information. The implementation of effective plans that show due consideration to the environment and society is clearly necessary. Effective monitoring and detailed observation are identified as being essential to the continuity of existing humanitarian assistance. PMID:10444885

  1. Status of women and infants in complex humanitarian emergencies.

    PubMed

    Al Gasseer, Naeema; Dresden, Elissa; Keeney, Gwen Brumbaugh; Warren, Nicole

    2004-01-01

    Women and children bear the greatest burden in the midst of war and long-term disasters. Complex humanitarian emergencies are characterized by social disruption, armed conflict, population displacement, collapse of public health infrastructure, and food shortages. Humanitarian assistance for refugees and internally displaced populations requires particular attention to the common issues affecting morbidity and mortality in women and infants. Gender-based violence and reproductive health concerns are discussed within the context of populations affected by conflict and forced migration. Recommendations for midwives and women's health care providers engaging in care for women and children in complex humanitarian emergencies are discussed.

  2. Air Mobility Issues 2002. Air Force Jounral of Logistics. Volume 26, Number 1, Spring 2002

    DTIC Science & Technology

    2002-01-01

    Dilemma Amelioration Major Timothy S. Reed, USAF DEPARTMENTS 33 Candid Voices Military Logistics and the Warfighter Colonel Fred Gluck, USAF, Retired...either the blended-wing body or the joined-wing design until they have proven themselves in the commercial marketplace.” See Merrill. 54. Craig Hoyle ...notable 33Volume XXVI, Number 1 Military Logistics and the Warfighter Colonel Fred Gluck, USAF, Retired I think we can all agree there is a

  3. Global Cancer Humanitarian Award

    Cancer.gov

    Pat Garcia-Gonzalez of the Max Foundation accepted the first annual NCI Global Cancer Medicine Humanitarian Award for her work in chronic myeloid leukemia at the NCI, Center for Global Health Symposium for Global Cancer Research, held in Boston on March 25, 2015.

  4. Analysis of Historical Materiel Return Program (MRP) Credits at the 1st Marine Logistics Group Reparable Issue Point (RIP)

    DTIC Science & Technology

    2011-12-01

    Logistics Agency DLR Depot-Level Reparables DoD Department of Defense DRMO Defense Reutilization Marketing Office DSSC Direct Support Stock Control... DSSC ,12 Set Assembly System (SAS),13 and SASSY.14 MRP also interfaces with the Standard Accounting, Budgeting and Reporting System (SABRS) financial...source of supply; • Provide output to the SASSY, DSSC , and SAS systems causing the reduction of inventory and generation of issue transactions and

  5. China’s Military Modernization; An Analysis of the PLA Improved Logistic Capability

    DTIC Science & Technology

    2013-02-14

    involvement in any crisis, be it humanitarian , domestic or foreign, allows PLA logisticians to build knowledge, especially in time distance factors ...training support (military exercises, non-military exercises, and humanitarian operations). Although these categories are somewhat board, analysis of... humanitarian operations) is critical for the PLA to learn and develop the requirements for sustainment (logistics) of combat operations. The PLA has not been

  6. [Psychiatry and humanitarianism].

    PubMed

    Heimann, H

    1976-01-01

    Opposing positions on mental disorder in current psychiatry, their origins and therapy are presented through a few extreme viewpoints. Considering the foundations of the 'medical model' of psychiatric disorder (Griesinger), it is evident that this model is not a closed system, but rather an open approach which still has validity today. The humanitarian roots of psychiatry prevented Griesinger from treating various positions in an absolute or ideological manner. Finally, the concept of 'illness' is discussed in relation to psychophysiological activation research. Pathology changes in each different situation and is therefore not a static phenomenon. Mental disturbance is not determined by absolute measures, but rather by a reduction in variability of reactions to the particular situation. This concept of illness can determine somato-, psycho-, and sociotherapeutic measures. Psychiatry can only remain based on humanitarian concepts as long as the sciences upon which it is founded are kept in appropriate relation to one another.

  7. [Humanitarian action threatened by standardization].

    PubMed

    Mamou, J

    2002-01-01

    The author analyses the new international context in which humanitarian action is being undertaken. He raises the problem caused by the diverging objectives of impartial, neutral humanitarianism and politically motivated actions that implement strategies of prevention and conflict resolution. He reviews the criticism that humanitarian has come under in recent years and that has resulted in establishment of codes of conduct. However he points out the threat that the concepts of control and "jurisdiction" over humanitarian action represent and analyzes discrepancies between minimal standards and universal principles. The article concludes with a presentation of an alternative solution based on the "Quality" platform being developed by several French NGOs.

  8. 31 CFR 575.330 - Humanitarian activities, humanitarian purposes, and humanitarian support.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Security Council Resolutions on Iraq, humanitarian relief, educational, cultural, recreational, and human rights-related activities, and activities to ameliorate the effects of or to investigate war crimes....

  9. Food and Shelter Standards in Humanitarian Action.

    PubMed

    Pothiawala, Sohil

    2015-10-01

    The number of disasters, both natural as well as man-made, has been increasing in frequency in the recent years. This leads to short as well as long-term effects on food security and shelter, requiring humanitarian assistance. This article aims to identify the principles and standards that are applicable to food and shelter related aid that needs to be provided by the co-operation of the local government as well as the relevant supporting organizations. Also, food and shelter security during a disaster response is achieved through better preparedness. The level of preparedness must include risk assessment, contingency planning, stockpiling of equipment and supplies, emergency services and stand-by arrangements, communications, information management and coordination arrangements between various agencies involved. Discussing these issues would contribute to a better understanding of the implications of the right to adequate food and shelter, which in complex humanitarian emergencies, is one of the key necessities of the affected population.

  10. The development of a gender identity psychosocial clinic: treatment issues, logistical considerations, interdisciplinary cooperation, and future initiatives.

    PubMed

    Leibowitz, Scott F; Spack, Norman P

    2011-10-01

    Few interdisciplinary treatment programs that tend to the needs of youth with gender nonconforming behaviors, expressions, and identities exist in academic medical centers with formal residency training programs. Despite this, the literature provides evidence that these youth have higher rates of poor psychosocial adjustment and suicide attempts. This article explores the logistical considerations involved in developing a specialized interdisciplinary service to these gender minority youth in accordance with the existing treatment guidelines.Demographic data will be presented and treatment issues will be explored. The impact that a specialized interdisciplinary treatment program has on clinical expansion, research development, education and training, and community outreach initiatives is discussed.

  11. Ethics and images of suffering bodies in humanitarian medicine.

    PubMed

    Calain, Philippe

    2013-12-01

    Media representations of suffering bodies from medical humanitarian organisations raise ethical questions, which deserve critical attention for at least three reasons. Firstly, there is a normative vacuum at the intersection of medical ethics, humanitarian ethics and the ethics of photojournalism. Secondly, the perpetuation of stereotypes of illness, famine or disasters, and their political derivations are a source of moral criticism, to which humanitarian medicine is not immune. Thirdly, accidental encounters between members of the health professions and members of the press in the humanitarian arena can result in misunderstandings and moral tension. From an ethics perspective the problem can be specified and better understood through two successive stages of reasoning. Firstly, by applying criteria of medical ethics to the concrete example of an advertising poster from a medical humanitarian organisation, I observe that media representations of suffering bodies would generally not meet ethical standards commonly applied in medical practice. Secondly, I try to identify what overriding humanitarian imperatives could outweigh such reservations. The possibility of action and the expression of moral outrage are two relevant humanitarian values which can further be spelt out through a semantic analysis of 'témoignage' (testimony). While the exact balance between the opposing sets of considerations (medical ethics and humanitarian perspectives) is difficult to appraise, awareness of all values at stake is an important initial standpoint for ethical deliberations of media representations of suffering bodies. Future pragmatic approaches to the issue should include: exploring ethical values endorsed by photojournalism, questioning current social norms about the display of suffering, collecting empirical data from past or potential victims of disasters in diverse cultural settings, and developing new canons with more creative or less problematic representations of

  12. A Case Study Using Modeling and Simulation to Predict Logistics Supply Chain Issues

    NASA Technical Reports Server (NTRS)

    Tucker, David A.

    2007-01-01

    Optimization of critical supply chains to deliver thousands of parts, materials, sub-assemblies, and vehicle structures as needed is vital to the success of the Constellation Program. Thorough analysis needs to be performed on the integrated supply chain processes to plan, source, make, deliver, and return critical items efficiently. Process modeling provides simulation technology-based, predictive solutions for supply chain problems which enable decision makers to reduce costs, accelerate cycle time and improve business performance. For example, United Space Alliance, LLC utilized this approach in late 2006 to build simulation models that recreated shuttle orbiter thruster failures and predicted the potential impact of thruster removals on logistics spare assets. The main objective was the early identification of possible problems in providing thruster spares for the remainder of the Shuttle Flight Manifest. After extensive analysis the model results were used to quantify potential problems and led to improvement actions in the supply chain. Similarly the proper modeling and analysis of Constellation parts, materials, operations, and information flows will help ensure the efficiency of the critical logistics supply chains and the overall success of the program.

  13. An Investigation of Joint Service Acquisition Logistics Issues/Problems and Automated Joint Program Support.

    DTIC Science & Technology

    1984-09-01

    Management Information System (ALMIS) to address them. Literature was surveyed and problems were summarized and developed into a questionnaire. Structured interviews were then conducted with over 100 different Air Force and civilian upper and middle JSAP managers. Many general and specific problems and issues were identified and validated using statistical and qualitative methods. General use of ALMIS to address certain joint service problem areas was confirmed. Potential use and desirable capabilities for ALMIS were also determined. Recommendations for ALMIS

  14. Virtues and humanitarian ethics.

    PubMed

    Löfquist, Lars

    2017-01-01

    This paper analyses the contribution of virtue ethics, the study of good character traits, to the humanitarian context. It argues that a virtue ethics perspective paints a realistic picture of the use of ethical standards in morally complex circumstances. Virtuous relief workers can employ standards in their thinking, but they are also committed to professional excellence that goes beyond any formal code. The concept of virtue ethics places a stress on moral development, which can be facilitated by role models that impart modest and feasible ideals. However, virtue ethics cannot provide simple guidelines on how to resolve difficult situations. It is possible that two virtuous persons can disagree on what should be done in a particular instance. In addition, a virtue ethics perspective emphasises the need for both individuals and organisations to discuss the actual purpose of relief work in order to pinpoint the virtues of a good relief professional.

  15. A Research Agenda for Humanitarian Health Ethics

    PubMed Central

    Hunt, Matthew; Schwartz, Lisa; Pringle, John; Boulanger, Renaud; Nouvet, Elysée; O'Mathúna, Dónal; Arya, Neil; Bernard, Carrie; Beukeboom, Carolyn; Calain, Philippe; de Laat, Sonya; Eckenwiler, Lisa; Elit, Laurie; Fraser, Veronique; Gillespie, Leigh-Anne; Johnson, Kirsten; Meagher, Rachel; Nixon, Stephanie; Olivier, Catherine; Pakes, Barry; Redwood-Campbell, Lynda; Reis, Andreas; Renaldi, Teuku; Singh, Jerome; Smith, Maxwell; Von Schreeb, Johan

    2014-01-01

    This paper maps key research questions for humanitarian health ethics: the ethical dimensions of healthcare provision and public health activities during international responses to situations of humanitarian crisis. Development of this research agenda was initiated at the Humanitarian Health Ethics Forum (HHE Forum) convened in Hamilton, Canada in November 2012. The HHE Forum identified priority avenues for advancing policy and practice for ethics in humanitarian health action. The main topic areas examined were: experiences and perceptions of humanitarian health ethics; training and professional development initiatives for humanitarian health ethics; ethics support for humanitarian health workers; impact of policies and project structures on humanitarian health ethics; and theoretical frameworks and ethics lenses. Key research questions for each topic area are presented, as well as proposed strategies for advancing this research agenda. Pursuing the research agenda will help strengthen the ethical foundations of humanitarian health action. PMID:25687273

  16. Introduction (to Special Issue on Refugees: Issues and Directions).

    ERIC Educational Resources Information Center

    Gallagher, Dennis

    1986-01-01

    Examines current trends in mass international immigration and refugee resettlement and discusses related legal and humanitarian concerns. Briefly reviews the articles which follow in this special issue. (GC)

  17. 31 CFR 515.575 - Humanitarian projects.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Humanitarian projects. 515.575..., Authorizations, and Statements of Licensing Policy § 515.575 Humanitarian projects. Specific licenses may be... such additional transactions as are directly incident to certain humanitarian projects in or related...

  18. 31 CFR 515.575 - Humanitarian projects.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Humanitarian projects. 515.575 Section..., Authorizations, and Statements of Licensing Policy § 515.575 Humanitarian projects. Specific licenses may be... such additional transactions as are directly incident to certain humanitarian projects in or related...

  19. 31 CFR 515.575 - Humanitarian projects.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Humanitarian projects. 515.575 Section..., Authorizations, and Statements of Licensing Policy § 515.575 Humanitarian projects. Specific licenses may be... such additional transactions as are directly incident to certain humanitarian projects in or related...

  20. 31 CFR 515.575 - Humanitarian projects.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Humanitarian projects. 515.575 Section..., Authorizations, and Statements of Licensing Policy § 515.575 Humanitarian projects. Specific licenses may be... such additional transactions as are directly incident to certain humanitarian projects in or related...

  1. 31 CFR 515.575 - Humanitarian projects.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Humanitarian projects. 515.575 Section..., Authorizations, and Statements of Licensing Policy § 515.575 Humanitarian projects. Specific licenses may be... such additional transactions as are directly incident to certain humanitarian projects in or related...

  2. Humanitarian Assistance in Syria Analysis Technical Review

    DTIC Science & Technology

    2014-12-01

    TRAC-M-TM-15-012 December 2014 Humanitarian Assistance in Syria Analysis Technical Review TRADOC Analysis...INTENTIONALLY LEFT BLANK TRAC-M-TM-14- December 2014 Humanitarian Assistance in Syria Analysis Technical Review Author Mr...2014 3. REPORT TYPE AND DATES COVERED Technical Memorandum, July 2014 to October 2014 4. TITLE AND SUBTITLE Humanitarian Assistance in Syria Analysis

  3. Norm Emergence and Humanitarian Intervention

    DTIC Science & Technology

    2008-12-01

    unwarranted.425 He quotes Maria Soledad Alvear of Chile during the ICISS Round Table in Santiago in May 2001 stating, “For Chile, the United Nations...425 Thakur, The United Nations, Peace and Security, 273. 426 Maria Soledad Alvear, “Humanitarian Intervention: How to Deal

  4. When Disaster Strikes Is Logistics and Contracting Support Ready?

    DTIC Science & Technology

    2011-09-27

    When Disaster Strikes Is Logistics and Contracting Support Ready? 27 September 2011 by Dr. Aruna Apte, Assistant Professor, and CDR (Ret...the Authors Dr. Aruna Apte has successfully completed various research projects, involving application of mathematical models and optimization...She has recently published a monograph on Humanitarian Logistics. Aruna received her PhD in Operations Research from Southern Methodist University

  5. Syria: Overview of the Humanitarian Response

    DTIC Science & Technology

    2013-09-04

    law , no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control...all sides to fully comply with international humanitarian law . On August 2, 2013, Valerie Amos, U.N. Under Secretary General for Humanitarian Affairs...violence, allow access for aid organizations, and “respect their obligations under international human rights and humanitarian law .”5 The United

  6. Data collection tools for maternal and child health in humanitarian emergencies: a systematic review

    PubMed Central

    Dickinson, Fiona; Kerr, Robbie; Boschi-Pinto, Cynthia; Mathai, Matthews; van den Broek, Nynke

    2015-01-01

    Abstract Objective To describe tools used for the assessment of maternal and child health issues in humanitarian emergency settings. Methods We systematically searched MEDLINE, Web of Knowledge and POPLINE databases for studies published between January 2000 and June 2014. We also searched the websites of organizations active in humanitarian emergencies. We included studies reporting the development or use of data collection tools concerning the health of women and children in humanitarian emergencies. We used narrative synthesis to summarize the studies. Findings We identified 100 studies: 80 reported on conflict situations and 20 followed natural disasters. Most studies (76/100) focused on the health status of the affected population while 24 focused on the availability and coverage of health services. Of 17 different data collection tools identified, 14 focused on sexual and reproductive health, nine concerned maternal, newborn and child health and four were used to collect information on sexual or gender-based violence. Sixty-nine studies were done for monitoring and evaluation purposes, 18 for advocacy, seven for operational research and six for needs assessment. Conclusion Practical and effective means of data collection are needed to inform life-saving actions in humanitarian emergencies. There are a wide variety of tools available, not all of which have been used in the field. A simplified, standardized tool should be developed for assessment of health issues in the early stages of humanitarian emergencies. A cluster approach is recommended, in partnership with operational researchers and humanitarian agencies, coordinated by the World Health Organization. PMID:26478629

  7. Humanitarian engineering in the engineering curriculum

    NASA Astrophysics Data System (ADS)

    Vandersteen, Jonathan Daniel James

    There are many opportunities to use engineering skills to improve the conditions for marginalized communities, but our current engineering education praxis does not instruct on how engineering can be a force for human development. In a time of great inequality and exploitation, the desire to work with the impoverished is prevalent, and it has been proposed to adjust the engineering curriculum to include a larger focus on human needs. This proposed curriculum philosophy is called humanitarian engineering. Professional engineers have played an important role in the modern history of power, wealth, economic development, war, and industrialization; they have also contributed to infrastructure, sanitation, and energy sources necessary to meet human need. Engineers are currently at an important point in time when they must look back on their history in order to be more clear about how to move forward. The changing role of the engineer in history puts into context the call for a more balanced, community-centred engineering curriculum. Qualitative, phenomenographic research was conducted in order to understand the need, opportunity, benefits, and limitations of a proposed humanitarian engineering curriculum. The potential role of the engineer in marginalized communities and details regarding what a humanitarian engineering program could look like were also investigated. Thirty-two semi-structured research interviews were conducted in Canada and Ghana in order to collect a pool of understanding before a phenomenographic analysis resulted in five distinct outcome spaces. The data suggests that an effective curriculum design will include teaching technical skills in conjunction with instructing about issues of social justice, social location, cultural awareness, root causes of marginalization, a broader understanding of technology, and unlearning many elements about the role of the engineer and the dominant economic/political ideology. Cross-cultural engineering development

  8. Investigating the Naval Logistics Role in Humanitarian Assistance Activities

    DTIC Science & Technology

    2015-03-01

    2014). ......................................................................................................7 Figure 3. QR code for video of Matternet...7 Figure 4. DHL paketkopter (from DHL Trend Research, 2014). ......................................8 Figure 5. QR code for a video of the DHL...9 Figure 7. QR code for video of Lockheed Martin Skunk Works DARPA ARES VTOL simulation (from

  9. Logistics and Engineering Requirements for Humanitarian Assistance Operations.

    DTIC Science & Technology

    1996-04-01

    Vigil, Eastern Exit, the Los Angeles Riots, the San Francisco Earthquake, and the Hurricane Andrew relief effort. In addition, we incorporated lessons...significant pre- deployment planning and training. Maps and imagery products need to be collected, coordination with local sources and other human...the U.S. Army Corps of Engi- neers, Engineer Topographic Center, the Marine Corps has a limited capability for identifying alternative water-supply

  10. Space Station fluid management logistics

    NASA Technical Reports Server (NTRS)

    Dominick, Sam M.

    1990-01-01

    Viewgraphs and discussion on space station fluid management logistics are presented. Topics covered include: fluid management logistics - issues for Space Station Freedom evolution; current fluid logistics approach; evolution of Space Station Freedom fluid resupply; launch vehicle evolution; ELV logistics system approach; logistics carrier configuration; expendable fluid/propellant carrier description; fluid carrier design concept; logistics carrier orbital operations; carrier operations at space station; summary/status of orbital fluid transfer techniques; Soviet progress tanker system; and Soviet propellant resupply system observations.

  11. Country logistics performance and disaster impact.

    PubMed

    Vaillancourt, Alain; Haavisto, Ira

    2016-04-01

    The aim of this paper is to deepen the understanding of the relationship between country logistics performance and disaster impact. The relationship is analysed through correlation analysis and regression models for 117 countries for the years 2007 to 2012 with disaster impact variables from the International Disaster Database (EM-DAT) and logistics performance indicators from the World Bank. The results show a significant relationship between country logistics performance and disaster impact overall and for five out of six specific logistic performance indicators. These specific indicators were further used to explore the relationship between country logistic performance and disaster impact for three specific disaster types (epidemic, flood and storm). The findings enhance the understanding of the role of logistics in a humanitarian context with empirical evidence of the importance of country logistics performance in disaster response operations.

  12. Ethical considerations for vaccination programmes in acute humanitarian emergencies.

    PubMed

    Moodley, Keymanthri; Hardie, Kate; Selgelid, Michael J; Waldman, Ronald J; Strebel, Peter; Rees, Helen; Durrheim, David N

    2013-04-01

    Humanitarian emergencies result in a breakdown of critical health-care services and often make vulnerable communities dependent on external agencies for care. In resource-constrained settings, this may occur against a backdrop of extreme poverty, malnutrition, insecurity, low literacy and poor infrastructure. Under these circumstances, providing food, water and shelter and limiting communicable disease outbreaks become primary concerns. Where effective and safe vaccines are available to mitigate the risk of disease outbreaks, their potential deployment is a key consideration in meeting emergency health needs. Ethical considerations are crucial when deciding on vaccine deployment. Allocation of vaccines in short supply, target groups, delivery strategies, surveillance and research during acute humanitarian emergencies all involve ethical considerations that often arise from the tension between individual and common good. The authors lay out the ethical issues that policy-makers need to bear in mind when considering the deployment of mass vaccination during humanitarian emergencies, including beneficence (duty of care and the rule of rescue), non-maleficence, autonomy and consent, and distributive and procedural justice.

  13. Emergency Response and Humanitarian Assistance Operations

    DTIC Science & Technology

    2010-12-01

    Humanitarian Assistance Operations Op Food DSTr I Support food distribution with U.S. ARMY / WFP - 03 to 18Fev2010 15 Dias 637,5 Ton de alimentos ...distribution by WFP – 10 a 18Mar2010 – 21 a 28Mar2010 1.723 Ton de Alimentos em 30 Dias Humanitarian Assistance Operations Op Food DSTr II Supporting food...distribution by WFP – 10 a 18Mar2010 8 Dias 420 Ton de alimentos Humanitarian Assistance Operations Op Food DSTr III Supporting food distribution by

  14. Tackling the Global Challenge: Humanitarian Catastrophes

    PubMed Central

    Iserson, Kenneth V.

    2014-01-01

    Humanitarian catastrophes,” conflicts and calamities generating both widespread human suffering and destructive events, require a wide range of emergency resources. This paper answers a number of questions that humanitarian catastrophes generate: Why and how do the most-developed countries—those with the resources, capabilities, and willingness to help—intervene in specific types of disasters? What ethical and legal guidelines shape our interventions? How well do we achieve our goals? It then suggests a number of changes to improve humanitarian responses, including better NGO-government cooperation, increased research on the best disaster response methods, clarification of the criteria and roles for humanitarian (military) interventions, and development of post-2015 Millennium Development Goals with more accurate progress measures. PMID:24672618

  15. Humanitarian Assistance: An Opportunity Is Lost

    DTIC Science & Technology

    2009-10-23

    1 Ibid., 2. 2 Eugene Bonventre, ― Monitoring and Evaluation of the Department of Defense: Humanitarian Assistance Programs,‖ Military Review... and Evaluation of the Department of Defense: Humanitarian Assistance Programs.‖ Military Review 88, no 1 (January/February 2008): 66-73. Garcia...Blechman, Barry M et al. ―Grading Theater Engagement Planning.‖ Joint Forces Quarterly, Spring 2000, 98-103. Bonventre, Eugene V. ― Monitoring

  16. Training Humanitarian Professionals at a Distance: Testing the Feasibility of Distance Learning with Humanitarian Professionals

    ERIC Educational Resources Information Center

    Bollettino, Vincenzo; Bruderlein, Claude

    2008-01-01

    Training is an essential part of the professional development of staff working for international humanitarian organizations. While humanitarian workers are being deployed around the world to provide life-saving relief assistance in often-hazardous missions, it is imperative for organizations to ensure that staff members understand the mission and…

  17. Gnawing Pains, Festering Ulcers, and Nightmare Suffering: Selling Leprosy as a Humanitarian Cause in the British Empire, c. 1890-1960

    PubMed Central

    Vongsathorn, Kathleen

    2014-01-01

    When British attention was drawn to the issue of leprosy in the Empire, humanitarian organisations rose to take on responsibility for the ‘fight against leprosy’. In an effort to fundraise for a distant cause at a time when hundreds of charities competed for the financial support of British citizens, fundraisers developed propaganda to set leprosy apart from all other humanitarian causes. They drew on leprosy’s relationship with Christianity, its debilitating symptoms, and the supposed vulnerability of leprosy sufferers in order to mobilise Britain’s sense of humanitarian, Christian, and patriotic duty. This article traces the emergence of leprosy as a popular imperial humanitarian cause in modern Britain and analyses the narratives of religion, suffering, and disease that they created and employed in order to fuel their growth and sell leprosy as a British humanitarian cause. PMID:24932060

  18. Health information systems in humanitarian emergencies.

    PubMed

    Thieren, Michel

    2005-08-01

    Health information systems (HIS) in emergencies face a double dilemma: the information necessary to understand and respond to humanitarian crises must be timely and detailed, whereas the circumstances of these crises makes it challenging to collect it. Building on the technical work of the Health Metrics Network on HIS and starting with a systemic definition of HIS in emergencies, this paper reviews the various data-collection platforms in these contexts, looking at their respective contributions to providing what humanitarian actors need to know to target their intervention to where the needs really are. Although reporting or sampling errors are unavoidable, it is important to identify them and acknowledge the limitations inherent in generalizing data that were collected in highly heterogeneous environments. To perform well in emergencies, HIS require integration and participation. In spite of notable efforts to coordinate data collection and dissemination practices among humanitarian agencies, it is noted that coordination on the ground depends on the strengths and presence of a lead agency, often WHO, and on the commitment of humanitarian agencies to investing resources in data production. Poorly integrated HIS generate fragmented, incomplete and often contradictory statistics, a situation that leads to a misuse of numbers with negative consequences on humanitarian interventions. As a means to avoid confusion regarding humanitarian health statistics, this paper stresses the importance of submitting statistics to a rigorous and coordinated auditing process prior to their publication. The audit trail should describe the various steps of the data production chains both technically and operationally, and indicate the limits and assumptions under which each number can be used. Finally emphasis is placed on the ethical obligation for humanitarian agencies to ensure that the necessary safeguards on data are in place to protect the confidentiality of victims and

  19. Health information systems in humanitarian emergencies.

    PubMed Central

    Thieren, Michel

    2005-01-01

    Health information systems (HIS) in emergencies face a double dilemma: the information necessary to understand and respond to humanitarian crises must be timely and detailed, whereas the circumstances of these crises makes it challenging to collect it. Building on the technical work of the Health Metrics Network on HIS and starting with a systemic definition of HIS in emergencies, this paper reviews the various data-collection platforms in these contexts, looking at their respective contributions to providing what humanitarian actors need to know to target their intervention to where the needs really are. Although reporting or sampling errors are unavoidable, it is important to identify them and acknowledge the limitations inherent in generalizing data that were collected in highly heterogeneous environments. To perform well in emergencies, HIS require integration and participation. In spite of notable efforts to coordinate data collection and dissemination practices among humanitarian agencies, it is noted that coordination on the ground depends on the strengths and presence of a lead agency, often WHO, and on the commitment of humanitarian agencies to investing resources in data production. Poorly integrated HIS generate fragmented, incomplete and often contradictory statistics, a situation that leads to a misuse of numbers with negative consequences on humanitarian interventions. As a means to avoid confusion regarding humanitarian health statistics, this paper stresses the importance of submitting statistics to a rigorous and coordinated auditing process prior to their publication. The audit trail should describe the various steps of the data production chains both technically and operationally, and indicate the limits and assumptions under which each number can be used. Finally emphasis is placed on the ethical obligation for humanitarian agencies to ensure that the necessary safeguards on data are in place to protect the confidentiality of victims and

  20. 77 FR 14766 - Patents for Humanity Program (Formerly Humanitarian Program)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... Humanitarian Technologies and Licensing Through the Intellectual Property System'' published September 20, 2010... United States Patent and Trademark Office Patents for Humanity Program (Formerly Humanitarian Program) ACTION: Proposed collection; comment request. SUMMARY: The United States Patent and Trademark...

  1. Three legacies of humanitarianism in China.

    PubMed

    Hirono, Miwa

    2013-10-01

    The rise of China has altered the context of the international humanitarian community of donors and aid agencies. China is becoming one of the key actors in this grouping, undertaking infrastructure projects in areas in which paramount humanitarian challenges exist. The literature discusses how the Chinese approach differs from that of Western donors, but it does not pay much attention to why China concentrates on its state-centric and infrastructure-based approach. This paper seeks to shed some light on this subject by examining the historical evolution of the concept of humanitarianism in China. This evolution has produced three legacies: (i) the ideal of a well-ordered state; (ii) anti-Western sentiment; and (iii) the notion of comprehensive development based on a human-oriented approach. China's policies and discourses on assistance in humanitarian crises today rest on these three legacies. Traditional donors would be well advised to consider carefully the implications of the Chinese understanding of humanitarianism when engaging with the country.

  2. The impact of digital technology on health of populations affected by humanitarian crises: Recent innovations and current gaps.

    PubMed

    Mesmar, Sandra; Talhouk, Reem; Akik, Chaza; Olivier, Patrick; Elhajj, Imad H; Elbassuoni, Shady; Armoush, Sarah; Kalot, Joumana; Balaam, Madeline; Germani, Aline; Ghattas, Hala

    2016-11-01

    Digital technology is increasingly used in humanitarian action and promises to improve the health and social well-being of populations affected by both acute and protracted crises. We set out to (1) review the current landscape of digital technologies used by humanitarian actors and affected populations, (2) examine their impact on health and well-being of affected populations, and (3) consider the opportunities for and challenges faced by users of these technologies. Through a systematic search of academic databases and reports, we identified 50 digital technologies used by humanitarian actors, and/or populations affected by crises. We organized them according to the stage of the humanitarian cycle that they were used in, and the health outcomes or determinants of health they affected. Digital technologies were found to facilitate communication, coordination, and collection and analysis of data, enabling timely responses in humanitarian contexts. A lack of evaluation of these technologies, a paternalistic approach to their development, and issues of privacy and equity constituted major challenges. We highlight the need to create a space for dialogue between technology designers and populations affected by humanitarian crises.

  3. [The law, an indispensable instrument for humanitarian action].

    PubMed

    Domestici-Met, M J

    2002-01-01

    In this article, the author describes, in layman's terms, the legal framework for international humanitarian operations. He explains a number of complex and intricate principles used in these situations. He acknowledges the burden that legal considerations place on humanitarian organizations but also demonstrates that legal expertise is an indispensable tool in the provision of humanitarian services.

  4. Humanitarian aid is never a crime”: humanitarianism and illegality in migrant advocacy.

    PubMed

    Cook, Maria Lorena

    2011-01-01

    I analyze the case of humanitarian pro-migrant activists in southern Arizona between 2000 and 2010 to explore how contending groups wield law and legality claims in a dynamic policy environment. Humanitarian activists both evade and engage the law. They appeal to a higher law to elude charges that they are acting illegally, while seeking assurances that their actions are within the law. Law enforcement agents rely on the authority and technical neutrality of the law in redefining humanitarian aid as illegal, while expanding their own claims to carry out humanitarian work. This case study of advocacy on behalf of “illegal” migrants highlights how both activists and those who enforce the law redefine legality in strategic ways.

  5. The United States Humanitarian Demining Program: Civil-Military Relations in Humanitarian Demining

    DTIC Science & Technology

    2015-05-23

    allow a critical analysis of the Humanitarian Demining Program in cases in Afghanistan and Kosovo. Perceptions from the people, government, and...military add greater depth to the understanding of tensions in civil-military relations. This understanding leads to the conclusion that focusing on civil...Figure 3. Perceptions of the Humanitarian Demining Program…………………………..………23 Figure 4. Civil-military Relations in the HDP in Afghanistan

  6. Erosion of trust in humanitarian agencies: what strategies might help?

    PubMed Central

    Jayasinghe, Saroj

    2011-01-01

    Aid agencies (AAs) provide a range of humanitarian and health related assistance globally. However, the trust placed on them is eroding. Evidence for this includes accusations of a decline in their humanitarianism, and the increasing number of conflicts with host states. An analysis of the concerns expressed yields two possible reasons: a relative lack of transparency of their work and weak accountability mechanisms. This is further supported by the existing milieu: an absence of internationally accepted instrument or mechanism to check the credentials of INGOs and an opaque system of close links between some of the INGOs and their donors. The article suggests two global strategies to tackle these issues: (a) Increase transparency by establishing a global register of aid agencies. This should have basic information: their main goals and activities, countries they are active in, number of employees, annual turnover of funds (updated regularly), principal financing sources and nature of links with donors. This could also be available as printed manual that should be freely available to client countries. (b) Ensure accountability by developing templates of fair legal instruments (to facilitate and regulate work), and a set of generic rules and procedures of engagement for the interactions between agencies and client states. These should be institutionalized within the regulatory frameworks of countries and included in the Codes of Conduct of NGOs. PMID:22110413

  7. Erosion of trust in humanitarian agencies: what strategies might help?

    PubMed

    Jayasinghe, Saroj

    2011-01-01

    Aid agencies (AAs) provide a range of humanitarian and health related assistance globally. However, the trust placed on them is eroding. Evidence for this includes accusations of a decline in their humanitarianism, and the increasing number of conflicts with host states. An analysis of the concerns expressed yields two possible reasons: a relative lack of transparency of their work and weak accountability mechanisms. This is further supported by the existing milieu: an absence of internationally accepted instrument or mechanism to check the credentials of INGOs and an opaque system of close links between some of the INGOs and their donors. The article suggests two global strategies to tackle these issues: (a) Increase transparency by establishing a global register of aid agencies. This should have basic information: their main goals and activities, countries they are active in, number of employees, annual turnover of funds (updated regularly), principal financing sources and nature of links with donors. This could also be available as printed manual that should be freely available to client countries. (b) Ensure accountability by developing templates of fair legal instruments (to facilitate and regulate work), and a set of generic rules and procedures of engagement for the interactions between agencies and client states. These should be institutionalized within the regulatory frameworks of countries and included in the Codes of Conduct of NGOs.

  8. John W. Thoburn: International Humanitarian Award

    ERIC Educational Resources Information Center

    American Psychologist, 2012

    2012-01-01

    Presents a short biography of the winner of the American Psychological Association's International Humanitarian Award. The 2012 winner, John W. Thoburn, is an extraordinary psychologist who devotes himself consistently to service to underserved populations, especially in the aftermath of natural or human-induced disasters. He exemplifies a genuine…

  9. Humanism and Humanitarianism before the Renaissance.

    ERIC Educational Resources Information Center

    Weller, Allen S.

    1983-01-01

    The characteristics of the humanism and humanitarianism of the developed Renaissance are revival of classicism, delight in life, experimentalism, individualism, realism, love of beauty, increased secularism, and versatility of gifted individuals. An examination of artistic works created from 1260 to 1310 suggests that these qualities were evident…

  10. The Development and Maturation of Humanitarian Psychology

    ERIC Educational Resources Information Center

    Jacobs, Gerard A.

    2007-01-01

    Humanitarian psychological support as an organized field is relatively young. Pioneers in the field were involved primarily in providing psychological support to refugees and internally displaced persons in conflict and nonconflict situations. This article describes basic principles for the design of psychological support programs and…

  11. International Humanitarian Award: Michael G. Wessells

    ERIC Educational Resources Information Center

    American Psychologist, 2009

    2009-01-01

    Michael G. Wessells, recipient of the International Humanitarian Award, is cited for his pioneering and sustained contributions to the protection of children affected by armed conflict and to the development of international guidelines for the provision of community-based, culturally responsive psychosocial support in emergencies. Wessells has…

  12. Management of complex pediatric burn scars in a humanitarian collaboration.

    PubMed

    Bassetto, F; Staffieri, A; Reho, F; Facchin, F; Shehata, J; Maged, D; Tiengo, C

    2015-03-31

    Burn scars still represent a challenge to the reconstructive surgeon. Their management requires a specific expertise and set up involving the possibility of long term rehabilitation and follow up. Cases encountered in humanitarian missions present additional issues. Often the local environment is not suitable for an appropriate treatment plan, requiring the case to be transferred to a foreign country for surgical care as part of an integrated international and multidisciplinary management. We present the case of a three year-old patient injured in a bomb explosion during the Arab Spring and suffering from severe scar contracture limiting thoracic and upper limb movement. After initial consultation at distance, transfer to our country was organized and an intensive surgical and rehabilitative program was carried out over three months. After five months, the patient returned to his home country where a supportive network had been set up for continued rehabilitation, ensuring follow up for over a year and ultimate success.

  13. Management of complex pediatric burn scars in a humanitarian collaboration

    PubMed Central

    Bassetto, F.; Staffieri, A.; Reho, F.; Facchin, F.; Shehata, J.; Maged, D.; Tiengo, C.

    2015-01-01

    Summary Burn scars still represent a challenge to the reconstructive surgeon. Their management requires a specific expertise and set up involving the possibility of long term rehabilitation and follow up. Cases encountered in humanitarian missions present additional issues. Often the local environment is not suitable for an appropriate treatment plan, requiring the case to be transferred to a foreign country for surgical care as part of an integrated international and multidisciplinary management. We present the case of a three year-old patient injured in a bomb explosion during the Arab Spring and suffering from severe scar contracture limiting thoracic and upper limb movement. After initial consultation at distance, transfer to our country was organized and an intensive surgical and rehabilitative program was carried out over three months. After five months, the patient returned to his home country where a supportive network had been set up for continued rehabilitation, ensuring follow up for over a year and ultimate success. PMID:26668562

  14. Intelligent Multisensor Prodder for Training Operators in Humanitarian Demining

    PubMed Central

    Fernández, Roemi; Montes, Héctor; Armada, Manuel

    2016-01-01

    Manual prodding is still one of the most utilized procedures for identifying buried landmines during humanitarian demining activities. However, due to the high number of accidents reported during its practice, it is considered an outmoded and risky procedure and there is a general consensus about the need of introducing upgrades for enhancing the safety of human operators. With the aim of contributing to reduce the number of demining accidents, this paper presents an intelligent multisensory system for training operators in the use of prodders. The proposed tool is able to provide to deminers useful information in two critical issues: (a) the amount of force exerted on the target and if it is greater than the safe limit and, (b) to alert them when the angle of insertion of the prodder is approaching or exceeding a certain dangerous limit. Results of preliminary tests show the feasibility and reliability of the proposed design and highlight the potential benefits of the tool. PMID:27347963

  15. Effective monitoring and evaluation of military humanitarian medical operations.

    PubMed

    Waller, Stephen G; Powell, Clydette; Ward, Jane B; Riley, Kevin

    2011-01-01

    Non-military government agencies and non-governmental organizations (NGOs) have made great strides in the evaluation of humanitarian medical work, and have learned valuable lessons regarding monitoring and evaluation (M&E) that may be equally as valuable to military medical personnel. We reviewed the recent literature by the worldwide humanitarian community regarding the art and science of M&E, with focus toward military applications. The successes and failures of past humanitarian efforts have resulted in prolific analyses. Alliances of NGOs set the standard for humanitarian quality and M&E standards. Military medical personnel can apply some of these standards to military humanitarian M&E in complex and stability operations. The authors believe that the NGO community?s M&E standards should be applied to improve evaluation of U.S. military medical humanitarian operations.

  16. Preventing corruption in humanitarian assistance: perceptions, gaps and challenges.

    PubMed

    Maxwell, Daniel; Bailey, Sarah; Harvey, Paul; Walker, Peter; Sharbatke-Church, Cheyanne; Savage, Kevin

    2012-01-01

    Corruption is a threat to the purpose of humanitarian assistance. Until fairly recently, humanitarian assistance has not been considered an important arena in broader efforts aimed at curbing corruption, and corruption has not always been considered a particularly important concern for humanitarian assistance despite the obviously challenging nature of the context of humanitarian emergencies. Corruption, though, is a threat to humanitarian action because it can prevent assistance from getting to the people who most need it, and because it can potentially undermine public support for such assistance. This paper examines perceptions of corruption and its affects, documents best practices, and outlines gaps in understanding. It suggests recommendations for improving the capacity of humanitarian agencies to prevent and manage the risk of corruption. Agencies have taken steps to combat corruption and improve accountability--downwards and upwards--but scope remains for improvement and for greater sharing of learning and good practice.

  17. Neonatal survival in complex humanitarian emergencies: setting an evidence-based research agenda

    PubMed Central

    2014-01-01

    Background Over 40% of all deaths among children under 5 are neonatal deaths (0–28 days), and this proportion is increasing. In 2012, 2.9 million newborns died, with 99% occurring in low- and middle-income countries. Many of the countries with the highest neonatal mortality rates globally are currently or have recently been affected by complex humanitarian emergencies. Despite the global burden of neonatal morbidity and mortality and risks inherent in complex emergency situations, research investments are not commensurate to burden and little is known about the epidemiology or best practices for neonatal survival in these settings. Methods We used the Child Health and Nutrition Research Initiative (CHNRI) methodology to prioritize research questions on neonatal health in complex humanitarian emergencies. Experts evaluated 35 questions using four criteria (answerability, feasibility, relevance, equity) with three subcomponents per criterion. Using SAS 9.2, a research prioritization score (RPS) and average expert agreement score (AEA) were calculated for each question. Results Twenty-eight experts evaluated all 35 questions. RPS ranged from 0.846 to 0.679 and the AEA ranged from 0.667 to 0.411. The top ten research priorities covered a range of issues but generally fell into two categories– epidemiologic and programmatic components of neonatal health. The highest ranked question in this survey was “What strategies are effective in increasing demand for, and use of skilled attendance?” Conclusions In this study, a diverse group of experts used the CHRNI methodology to systematically identify and determine research priorities for neonatal health and survival in complex humanitarian emergencies. The priorities included the need to better understand the magnitude of the disease burden and interventions to improve neonatal health in complex humanitarian emergencies. The findings from this study will provide guidance to researchers and program implementers in

  18. Humanitarian engineering placements in our own communities

    NASA Astrophysics Data System (ADS)

    VanderSteen, J. D. J.; Hall, K. R.; Baillie, C. A.

    2010-05-01

    There is an increasing interest in the humanitarian engineering curriculum, and a service-learning placement could be an important component of such a curriculum. International placements offer some important pedagogical advantages, but also have some practical and ethical limitations. Local community-based placements have the potential to be transformative for both the student and the community, although this potential is not always seen. In order to investigate the role of local placements, qualitative research interviews were conducted. Thirty-two semi-structured research interviews were conducted and analysed, resulting in a distinct outcome space. It is concluded that local humanitarian engineering placements greatly complement international placements and are strongly recommended if international placements are conducted. More importantly it is seen that we are better suited to address the marginalised in our own community, although it is often easier to see the needs of an outside populace.

  19. Neurological disorders in complex humanitarian emergencies and natural disasters.

    PubMed

    Mateen, Farrah J

    2010-09-01

    Complex humanitarian emergencies include the relatively acute, severe, and overwhelming health consequences of armed conflict, food scarcity, mass displacement, and political strife. Neurological manifestations of complex humanitarian emergencies are important and underappreciated consequences of emergencies in populations worldwide. This review critically assesses the existing knowledge of the range of neurological disorders that accompany complex humanitarian emergencies and natural disasters in both the acute phase of crisis and the "long shadow" that follows.

  20. The United States Military and Humanitarian Operations

    DTIC Science & Technology

    1995-01-01

    stated that, "The wave of the future will be putting together task forces that will be able to respond to crisis management or humanitarian...equipped for combat. "The skills needed to feed hungry people in Africa or build tent cities for hurricane victims are different from the skills needed...examine three options for the military’s role in humanitaria operations at home and abroad. Option 1: Virtually Eliminate Anv Military Role This is the

  1. Yemen's Unprecedented Humanitarian Crisis: Implications for International Humanitarian Law, the Geneva Convention, and the Future of Global Health Security.

    PubMed

    Ripoll Gallardo, Alba; Burkle, Frederick M; Ragazzoni, Luca; Della Corte, Francesco

    2016-10-01

    The current humanitarian crisis in Yemen is unprecedented in many ways. The Yemeni War tragedy is symptomatic of gross failures to recognize, by combatants, existing humanitarian law and the Geneva Convention that have become the new norm in unconventional armed conflicts and are increasingly replicated in Africa, Afghanistan, and other areas of the Middle East with dire consequences on aid workers and the noncombatant population. The health and humanitarian professions must take collective responsibility in calling for all belligerent parties to cease the massacre and commit to guaranteed medical assistance, humanitarian aid, and the free flow of information and respect for the humanitarian principles that protect the neutrality and impartiality of the humanitarian workforce. (Disaster Med Public Health Preparedness. 2016;page 1 of 3).

  2. 75 FR 74678 - Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace Announcement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-01

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Bureau for Democracy, Conflict and Humanitarian Assistance; Office..., Office of Food for Peace, Bureau for Democracy, Conflict and Humanitarian Assistance. BILLING CODE P...

  3. 76 FR 34639 - Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Bureau for Democracy, Conflict and Humanitarian Assistance; Office..., Office of Food for Peace, Bureau for Democracy, Conflict and Humanitarian Assistance. BILLING CODE P...

  4. Logistic Regression

    NASA Astrophysics Data System (ADS)

    Grégoire, G.

    2014-12-01

    The logistic regression originally is intended to explain the relationship between the probability of an event and a set of covariables. The model's coefficients can be interpreted via the odds and odds ratio, which are presented in introduction of the chapter. The observations are possibly got individually, then we speak of binary logistic regression. When they are grouped, the logistic regression is said binomial. In our presentation we mainly focus on the binary case. For statistical inference the main tool is the maximum likelihood methodology: we present the Wald, Rao and likelihoods ratio results and their use to compare nested models. The problems we intend to deal with are essentially the same as in multiple linear regression: testing global effect, individual effect, selection of variables to build a model, measure of the fitness of the model, prediction of new values… . The methods are demonstrated on data sets using R. Finally we briefly consider the binomial case and the situation where we are interested in several events, that is the polytomous (multinomial) logistic regression and the particular case of ordinal logistic regression.

  5. Domestic Disasters and Geospatial Technology for the Defense Logistics Agency

    DTIC Science & Technology

    2014-12-01

    of this report is to analyze the use of a Geographic Information System ( GIS ) for the Defense Logistics Agency (DLA). The report found four common...areas for improvement in Humanitarian Assistance Disaster Relief response. This report explored how using a GIS in disaster response could alleviate...location’s demand. Vehicle Routing Problem Spreadsheet Solver used GIS technology to identify the location or each demand location and the amount of

  6. 31 CFR 500.572 - Humanitarian projects authorized.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... organization, and the officer charged with supervision of the project in Vietnam; and (2) The nature, scope... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Humanitarian projects authorized. 500..., Authorizations and Statements of Licensing Policy § 500.572 Humanitarian projects authorized. (a)...

  7. Foreign Humanitarian Assistance/Disaster Relief Operations Planning

    DTIC Science & Technology

    2006-05-15

    1-1 1.4.2 Foreign Humanitarian Assistance/Disaster Relief Response Models ... DEMAND SIGNAL RESPONSE........................................................................... 7-1 7.2 LEGAL CONSIDERATIONS...and various support for first responders. 1.4.2 Foreign Humanitarian Assistance/Disaster Relief Response Models Foreign HA/DR operations have

  8. Between war and peace: humanitarian assistance in violent urban settings.

    PubMed

    Lucchi, Elena

    2010-10-01

    Cities are fast becoming new territories of violence. The humanitarian consequences of many criminally violent urban settings are comparable to those of more traditional wars, yet despite the intensity of the needs, humanitarian aid to such settings is limited. The way in which humanitarian needs are typically defined, fails to address the problems of these contexts, the suffering they produce and the populations affected. Distinctions between formal armed conflicts, regulated by international humanitarian law, and other violent settings, as well as those between emergency and developmental assistance, can lead to the neglect of populations in distress. It can take a lot of time and effort to access vulnerable communities and implement programmes in urban settings, but experience shows that it is possible to provide humanitarian assistance with a significant focus on the direct and indirect health consequences of violence outside a traditional conflict setting. This paper considers the situation of Port-au-Prince (Haiti), Rio de Janeiro (Brazil) and Guatemala City (Guatemala).

  9. Globalisation, complex humanitarian emergencies and health.

    PubMed

    O'Dempsey, T J D; Munslow, B

    2006-01-01

    A new political economy of conflict has emerged in the aftermath of colonialism and the Cold War. Complex political emergencies have been simmering in the post-colonial world for more than three decades. Intra-country armed conflict, often combined with natural disasters, at present contributes to the displacement of over 20 million people world-wide. The international community remains profoundly uncomfortable with the complex political emergencies of the new era, torn between the respect for national sovereignty upon which the international political system of the United Nations and other agencies is built, and the growth of concern with human rights and a burgeoning International Humanitarian Law. Globalisation may have brought many benefits to some but there are also many losers. The Word Bank and the International Monetary Fund imposed structural adjustment policies to ensure debt repayment and economic restructuring that have resulted in a net reduction in expenditure on health, education and development. A downward spiral has been created of debt, disease, malnutrition, missed education, economic entrapment, poverty, powerlessness, marginalization, migration and instability. Africa's complex political emergencies are particularly virulent and tenacious. Three examples that are among the most serious humanitarian emergencies to have faced the world in recent times--those in Angola, the Democratic Republic of Congo and Sudan--are reviewed here in detail. The political evolution of these emergencies and their impact on the health of the affected populations are also explored.

  10. Rape in war: the humanitarian response.

    PubMed

    Shanks, L; Schull, M J

    2000-10-31

    Women and children are vulnerable to sexual violence in times of conflict, and the risk persists even after they have escaped the conflict area. The impact of rape goes far beyond the immediate effects of the physical attack and has long-lasting consequences. We describe the humanitarian community's response to sexual violence and rape in times of war and civil unrest by drawing on the experiences of Médecins Sans Frontières/Doctors Without Borders and other humanitarian agencies. Health care workers must have a keen awareness of the problem and be prepared to respond appropriately. This requires a comprehensive intervention protocol, including antibiotic prophylaxis, emergency contraception, referral for psychological support, and proper documentation and reporting procedures. Preventing widespread sexual violence requires increasing the security in refugee camps. It also requires speaking out and holding states accountable when violations of international law occur. The challenge is to remain alert to these often hidden, but extremely destructive, crimes in the midst of a chaotic emergency relief setting.

  11. Forecasting Workload for Defense Logistics Agency Distribution

    DTIC Science & Technology

    2014-12-01

    NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT FORECASTING WORKLOAD FOR DEFENSE LOGISTICS AGENCY...DATE December 2014 3. REPORT TYPE AND DATES COVERED MBA Professional Report 4. TITLE AND SUBTITLE FORECASTING WORKLOAD FOR DEFENSE LOGISTICS ...maximum 200 words) The Defense Logistics Agency (DLA) predicts issue and receipt workload for its distribution agency in order to maintain

  12. Logistics hardware and services control system

    NASA Technical Reports Server (NTRS)

    Koromilas, A.; Miller, K.; Lamb, T.

    1973-01-01

    Software system permits onsite direct control of logistics operations, which include spare parts, initial installation, tool control, and repairable parts status and control, through all facets of operations. System integrates logistics actions and controls receipts, issues, loans, repairs, fabrications, and modifications and assets in predicting and allocating logistics parts and services effectively.

  13. Logistics Assessment Guidebook

    DTIC Science & Technology

    2011-07-01

    significant. Another case involved the integration of an aircraft and ground vehicle system. Integration issues were identified early in the design...for height and width; insufficient power requirements to support maintenance actions; and insufficient design of the autonomic logistics system...evaluation at IOT &E and thus on track for Initial Operational Capability (IOC). If not, a plan is in place to ensure they are met (ref DoDI 5000; CJCSM

  14. Logistics, electronic commerce, and the environment

    NASA Astrophysics Data System (ADS)

    Sarkis, Joseph; Meade, Laura; Talluri, Srinivas

    2002-02-01

    Organizations realize that a strong supporting logistics or electronic logistics (e-logistics) function is important from both commercial and consumer perspectives. The implications of e-logistics models and practices cover the forward and reverse logistics functions of organizations. They also have direct and profound impact on the natural environment. This paper will focus on a discussion of forward and reverse e-logistics and their relationship to the natural environment. After discussion of the many pertinent issues in these areas, directions of practice and implications for study and research are then described.

  15. Research on 6R Military Logistics Network

    NASA Astrophysics Data System (ADS)

    Jie, Wan; Wen, Wang

    The building of military logistics network is an important issue for the construction of new forces. This paper has thrown out a concept model of 6R military logistics network model based on JIT. Then we conceive of axis spoke y logistics centers network, flexible 6R organizational network, lean 6R military information network based grid. And then the strategy and proposal for the construction of the three sub networks of 6Rmilitary logistics network are given.

  16. [Child care management in maxillofacial humanitarian mission].

    PubMed

    Bénateau, H; Traoré, H; Chatellier, A; Caillot, A; Ambroise, B; Veyssière, A

    2015-09-01

    Our practice in a humanitarian (or crisis) context differs from what we experience in daily practice. There are several reasons for this. First, the diseases encountered are sometimes unfamiliar, such as sequelae of noma, or the presentation of familiar diseases may be unusual, such as facial malformations seen at a late stage. Secondly, these missions take place in developing countries, and consequently, evaluation and anticipation of possible malnutrition should be considered, especially because facial diseases themselves may be responsible for nutritional problems. Lastly, conditions are often difficult, occurring in an unusual environment, and we sometimes have to face communication and equipment problems. The goal of our work, based on a 15-year experience (in Bamako and Mopti with the Association "Santé et Développement", and in Ouagadougou with the organization "Les enfants du noma") and the analysis of literature, is to point out these features and maybe to be helpful to others.

  17. Humanitarian mine detection by acoustic resonance

    SciTech Connect

    Kercel, S.W.

    1998-03-01

    The JASON Committee at MITRE Corp. was tasked by DARPA to inquire into suitable technologies for humanitarian mine detection. Acoustic resonance was one of the very few technologies that the JASONs determined might be promising for the task, but was as yet unexplored at the time that they conducted their inquiry. The objective of this Seed Money investigation into acoustic resonance was to determine if it would be feasible to use acoustic resonance to provide an improvement to present methods for humanitarian mine detection. As detailed in this report, acoustic resonance methods do not appear to be feasible for this task. Although acoustic resonant responses are relatively easy to detect when they exist, they are very difficult to excite by the non-contact means that must be used for buried objects. Despite many different attempts, this research did not discover any practical means of using sound to excite resonant responses in objects known to have strong resonances. The shaker table experiments did see an effect that might be attributable to the resonance of the object under test, but the effect was weak, and exploited the a priori knowledge of the resonant frequency of the object under test to distinguish it from the background. If experiments that used objects known to have strong acoustic resonances produced such marginal results, this does not seem to be a practical method to detect objects with weak resonances or non-existent resonances. The results of this work contribute to the ORNL countermine initiative. ORNL is exploring several unconventional mine detection technologies, and is proposed to explore others. Since this research has discovered some major pitfalls in non-metallic mine detection, this experience will add realism to other strategies proposed for mine detection technologies. The experiment provided hands-on experience with inert plastic mines under field conditions, and gives ORNL additional insight into the problems of developing practical

  18. Overview of overseas humanitarian, disaster, and civic aid programs.

    PubMed

    Drifmeyer, Jeff; Llewellyn, Craig

    2003-12-01

    The U.S. Department of Defense (DoD) conducts humanitarian assistance missions under the Overseas Humanitarian Disaster and Civic Aid program for the statutory purposes of training military personnel, serving the political interests of the host nation and United States, and providing humanitarian relief to foreign civilians. These purposes are undertaken via the humanitarian assistance (HA), humanitarian and civic assistance, and excess property donation programs. DoD conducts over 200 such projects annually at a direct cost of approximately 27 million dollars in fiscal year 2001. Although varying by year and command, as many as one-half of these projects involve aspects of health care. These range from short-term patient care to donation of medical supplies and equipment excess to the needs of the DoD. Despite the considerable resources invested and importance of international actions, there is presently no formal evaluation system for these HA projects. Current administrative staffing of these programs by military personnel is often by individuals with many other duties and responsibilities. As a result, humanitarian projects are often inadequately coordinated with nongovernmental organizations, private volunteer organizations, or host-nation officials. Nonmedical military personnel sometimes plan health-related projects with little or no coordination with medical experts, military or civilian. After action reports (AARs) on these humanitarian projects are often subjective, lack quantitative details, and are devoid of measures of effectiveness. AARs are sometimes inconsistently completed, and there is no central repository of information for analysis of lessons learned. (The approximate 100 AARs used in the conduct of these studies are available for official use in the Learning Resources Center, Uniformed Services University of Health Sciences.) Feedback from past humanitarian projects is rare and with few exceptions; DoD-centric projects of a similar design are

  19. The far side: the meta functions of humanitarianism in a globalised world.

    PubMed

    Donini, Antonio

    2010-04-01

    This paper explores the meta functions of humanitarianism--that is, the functions that, as an ideology, a movement and a profession, it performs, wittingly or unwittingly, in the early twenty-first century. The term humanitarianism is used as shorthand to encompass a complex set of currents of thought, actions and institutions of which the boundaries are unclear. The focus is on mainstream humanitarianism, the dominant Northern/Western enterprise. The paper first discusses the relationship between humanitarianism and globalised power. It goes on to examine three types of functions that humanitarianism and humanitarian action perform: 'macro' functions--the deep undercurrents, power relations and values that humanitarianism articulates and transmits; 'meso' functions--those that relate to the political economy of humanitarian action and to the mechanics (rather than to the ideology) of globalisation; and 'micro' functions that relate to the motivations of the individuals who devote their energies to humanitarianism.

  20. Humanitarian Assistance and ’Soft’ Power Projection

    DTIC Science & Technology

    2012-05-04

    challenge the current dogma that U.S. military humanitarian support must maintain the ‘status quo’ and remain reactionary. The decoupling will occur in...future challenges that go beyond humanitarian assistance. These were not an all inclusive list of similarities between Peace Operations and...Civil Authorities  Intergovernmental organizations (United Nations)  Local population This is not an all inclusive list, but it helps set the

  1. [Daily risks in the devaluation of the image of humanitarian action].

    PubMed

    Biquet, J M

    2002-01-01

    After restating the definition, purpose, and role of humanitarian assistance, the author emphasizes the dangers that misuse for political considerations represents for the image of humanitarian action. While recognizing that technical expertise is important for effective provision of aid, the author stresses that humanitarianism requires more than technology. He also warns that collecting the funds necessary for relief operations must not lead to commercial-style marketing of humanitarian assistance. Similarly he cautions that the targets for humanitarian action should not be determined by television pictures. In conclusion the author advocates responsible administration of humanitarian programs.

  2. Biomass Logistics

    SciTech Connect

    J. Richard Hess; Kevin L. Kenney; William A. Smith; Ian Bonner; David J. Muth

    2015-04-01

    Equipment manufacturers have made rapid improvements in biomass harvesting and handling equipment. These improvements have increased transportation and handling efficiencies due to higher biomass densities and reduced losses. Improvements in grinder efficiencies and capacity have reduced biomass grinding costs. Biomass collection efficiencies (the ratio of biomass collected to the amount available in the field) as high as 75% for crop residues and greater than 90% for perennial energy crops have also been demonstrated. However, as collection rates increase, the fraction of entrained soil in the biomass increases, and high biomass residue removal rates can violate agronomic sustainability limits. Advancements in quantifying multi-factor sustainability limits to increase removal rate as guided by sustainable residue removal plans, and mitigating soil contamination through targeted removal rates based on soil type and residue type/fraction is allowing the use of new high efficiency harvesting equipment and methods. As another consideration, single pass harvesting and other technologies that improve harvesting costs cause biomass storage moisture management challenges, which challenges are further perturbed by annual variability in biomass moisture content. Monitoring, sampling, simulation, and analysis provide basis for moisture, time, and quality relationships in storage, which has allowed the development of moisture tolerant storage systems and best management processes that combine moisture content and time to accommodate baled storage of wet material based upon “shelf-life.” The key to improving biomass supply logistics costs has been developing the associated agronomic sustainability and biomass quality technologies and processes that allow the implementation of equipment engineering solutions.

  3. Methodologic and Logistic Issues in Conducting Longitudinal Birth Cohort Studies: Lessons Learned from the Centers for Children’s Environmental Health and Disease Prevention Research

    PubMed Central

    Eskenazi, Brenda; Gladstone, Eleanor A.; Berkowitz, Gertrud S.; Drew, Christina H.; Faustman, Elaine M.; Holland, Nina T.; Lanphear, Bruce; Meisel, Stefanie J.; Perera, Frederica P.; Rauh, Virginia A.; Sweeney, Anne; Whyatt, Robin M.; Yolton, Kimberly

    2005-01-01

    In anticipation of the National Children’s Study, lessons can be learned from the smaller birth cohort studies conducted by five Centers for Children’s Environmental Health and Disease Prevention Research funded by the National Institute of Environmental Health Sciences and the U.S. Environmental Protection Agency. The populations studied are diverse in ethnicity and social class and reside in urban and rural environments. Although almost all of the centers chose to enroll participants through medical care facilities, they had to develop independent staffs and structures because of the overburdened medical care system. Some of the lessons learned by the centers include the importance of continuous funding, building community partnerships to conduct culturally appropriate research, hiring bilingual and bicultural staff from the community, prioritizing research goals, developing biorepositories to ensure future utility of samples, instituting quality control procedures for all aspects of specimen and data collection, maintaining frequent contact with study participants, ensuring ethical conduct of the research in a changing medical-legal climate, and communicating results in a timely and appropriate manner to participants and the wider community. All centers underestimated the necessary start-up time, staff, and costs in conducting these birth cohort studies. Despite the logistical complexity and added expenses, all centers emphasize the importance of studying the impact of environmental exposures on those children most at risk, those living in minority and low-income communities. These centers present barriers encountered, solutions found, and considerations for future research, with the hope that the lessons learned can help inform the planning and conduct of the National Children’s Study. PMID:16203258

  4. The development and maturation of humanitarian psychology.

    PubMed

    Jacobs, Gerard A

    2007-11-01

    Humanitarian psychological support as an organized field is relatively young. Pioneers in the field were involved primarily in providing psychological support to refugees and internally displaced persons in conflict and nonconflict situations. This article describes basic principles for the design of psychological support programs and interventions. The International Federation of Red Cross and Red Crescent Societies (IFRC) began a psychological support program in 1991. The IFRC chose psychological first aid as its model for implementation in developing countries. Psychological first aid fits all the principles for psychological support program design and is adapted to individual communities. The first generation of psychological support programs differed dramatically depending on the countries in which they were developed. A second generation of psychological support programs evolved in response to the earthquake/tsunami of December 26, 2004. The Inter-Agency Standing Committee international guidelines consolidated the advances of second-generation programs and provided a clear indication of the wide acceptance of the importance of psychological support. A glimpse is provided of the third generation of psychological support programs, and an admonition is made for a more empirical evaluation of the effectiveness of interventions.

  5. Innovation in Graduate Education for Health Professionals in Humanitarian Emergencies.

    PubMed

    Evans, Dabney P; Anderson, Mark; Shahpar, Cyrus; Del Rio, Carlos; Curran, James W

    2016-10-01

    The objective of this report was to show how the Center for Humanitarian Emergencies (the Center) at Emory University (Atlanta, Georgia USA) has trained graduate students to respond to complex humanitarian emergencies (CHEs) through innovative educational programs, with the goal of increasing the number of trained humanitarian workers. Natural disasters are on the rise with more than twice as many occurring from 2000-2009 as there were from 1980-1989. In 2012 alone, 144 million people were affected by a natural disaster or displaced by conflict worldwide. This has created an immense need for trained humanitarian workers to respond effectively to such disasters. The Center has developed a model for educational programming that targets learners along an educational continuum ranging from the undergraduate level through continuing professional education. These programs, based in the Rollins School of Public Health (RSPH) of Emory University, include: a competency-based graduate certificate program (the Certificate) in humanitarian emergencies; a fellowship program for mid-career professionals; and funded field practica. The competency-based Certificate program began in 2010 with a cohort of 14 students. Since then, 101 students have received the Certificate with 50 more due for completion in 2016 and 2017 combined. The fellowship program for mid-career professionals has hosted four fellows from conflict-affected or resource-poor countries, who have then gone on to assume leadership positions with humanitarian organizations. From 2009-2015, the field practicum program supported 34 students in international summer practicum experiences related to emergency response or preparedness. Students have participated in summer field experiences on every continent but Australia. Together the Certificate, funded field practicum opportunities, and the fellowship comprise current efforts in providing innovative education and training for graduate and post-graduate students of public

  6. Privatisation and outsourcing in wartime: the humanitarian challenges.

    PubMed

    Carbonnier, Gilles

    2006-12-01

    The tendency today to privatise many activities hitherto considered the exclusive preserve of the state has given rise to sharp debate. The specific nature of humanitarian emergencies elucidates in particularly stark contrast some of the main challenges connected to the privatisation and outsourcing of essential public services, such as the provision of drinking water and health care. Privatising the realms of defence and security, which are at the very core of state prerogative, raises several legal and humanitarian concerns. This article focuses on the roles and responsibilities of the various parties involved in armed conflicts, especially those of private companies engaged in security, intelligence and interrogation work, and in the provision of water supply and health services. It highlights the need for humanitarian and development actors to grasp better the potential risks and opportunities related to privatisation and outsourcing with a view to supplying effective protection and assistance to communities affected by war.

  7. Health equity in humanitarian emergencies: a role for evidence aid.

    PubMed

    Pottie, Kevin

    2015-02-01

    Humanitarian emergencies require a range of planned and coordinated actions: security, healthcare, and, as this article highlights, health equity responses. Health equity is an evidence-based science that aims to address unfair and unjust health inequality outcomes. New approaches are using health equity to guide the development of community programs, equity methods are being used to identify disadvantaged groups that may face health inequities in a humanitarian emergency, and equity is being used to prevent unintended harms and consequences in interventions. Limitations to health equity approaches include acquiring sufficient data to make equity interpretations, integrating disadvantage populations in to the equity approach, and ensuring buy-in from decision-makers. This article uses examples from World Health Organization, Refugee Health Guidelines and Health Impact Assessment to demonstrate the emerging role for health equity in humanitarian emergencies. It is based on a presentation at the Evidence Aid Symposium, on 20 September 2014, at Hyderabad, India.

  8. Achievements and bottlenecks in humanitarian demining EU-funded research: final results from the EC DELVE project

    NASA Astrophysics Data System (ADS)

    Sahli, Hichem; Bruschini, Claudio; Van Kempen, Luc; Schleijpen, Ric; den Breejen, Eric

    2008-04-01

    The EC DELVE Support Action project has analyzed the bottlenecks in the transfer of Humanitarian Demining (HD) technology from technology development to the use in the field, and drawn some lessons learned, basing itself on the assessment of the European Humanitarian Demining Research and Technology Development (RTD) situation from early 1990 until 2006. The situation at the European level was analyzed with emphasis on activities sponsored by the European Commission (EC). This was also done for four European countries and Japan, with emphasis on national activities. The developments in HD during the last 10 years underline the fact that in a number of cases demining related developments have been terminated or at least put on hold. The study also showed that the funding provided by the EC under the Framework Program for RTD has led directly to the creation of an extensive portfolio of Humanitarian Demining technology development projects. The latter provided a range of research and supporting measures addressing the critical issues identified as a result of the regulatory policies developed in the field of Humanitarian Demining over the last ten years. However, the range of instruments available to the EC to finance the necessary research and development were limited, to pre-competitive research. The EC had no tools or programs to directly fund actual product development. As a first consequence, the EC funding program for development of technology for Humanitarian Demining unfortunately proved to be largely unsuitable for the small-scale development needed in a field where there is only a very limited market. As a second consequence, most of the research has been demonstrator-oriented. Moreover, the timeframe for RTD in Humanitarian Demining has not been sufficiently synchronized with the timeframe of the EC policies and regulations. The separation of the Mine Action and RTD funding streams in the EC did also negatively affect the take-up of new technologies. As a

  9. [The human, humanistic, humanist and humanitarian in medicine].

    PubMed

    Lifshitz, A

    1997-01-01

    The Spanish use of words like human, humane, humanitarian, humanist and humanistic (humano, humanista, humanístico y humanitario) as synonyms has created some confusion. Human (humano) is related with man's nature, its goodness and evil; humane and humanitarian (humanitario) with kindness and benevolence; humanistic (humanístico) with the cultural and artistic movement that began in renaissance and with anthropocentric philosophy, while humanist (humanista) is identified with the fields of learning (humanities) including the arts, history, literature, and philosophy, excluding the sciences. Medicine and physicians must have all these attributes.

  10. The Military Logistics Support of Humanitarian Relief Efforts during Low-Intensity Conflict

    DTIC Science & Technology

    1991-09-01

    flocks will gain nourishment and the fields receive needed fertilizer in the form of manure (Collier’s Encyclopedia, 1986:Vol 1, 186). Histor. For...Chad, and cultivation is in the south. Millet and sorghum are the main crops, supplemented by peanuts, cassava , dates, corn and rice. Cotton

  11. Multicriteria Cost Assessment and Logistics Modeling for Military Humanitarian Assistance and Disaster Relief Aerial Delivery Operations

    DTIC Science & Technology

    2015-03-01

    of Defense (DOD) may be called to respond to global disasters (hurricanes, earthquakes, tsunamis, flood, volcanic eruption , epidemic, fire, etc.) to...Model Implementation and Solutions 25 4.4 Sensitivity Analyses 31 5. Concluding Remarks 38 6. References 40 Appendix A. Screenshots of MCDA Framework 43...33 Fig. 8 Supply chain network design bi-criteria solution sets from

  12. Collaboration in Humanitarian Logistics: Comparative Analysis of Disaster Response in Chile and Haiti 2010

    DTIC Science & Technology

    2010-12-01

    the total area with agriculture composed of grapes, apples, pears, onions, wheat, corn, oats, peaches, garlic, asparagus, beans , beef, poultry, wool...land totals 28 percent of available land area with agriculture composed of coffee , mangoes, sugar cane, 33 rice, corn, sorghum, and wood...hydropower. Exports total $554.8 million (2007 est.) with manufactured items, coffee , oils, cocoa, and mangoes being the main exports. Imports total

  13. Rapid response: email, immediacy, and medical humanitarianism in Aceh, Indonesia.

    PubMed

    Grayman, Jesse Hession

    2014-11-01

    After more than 20 years of sporadic separatist insurgency, the Free Aceh Movement and the Indonesian government signed an internationally brokered peace agreement in August 2005, just eight months after the Indian Ocean tsunami devastated Aceh's coastal communities. This article presents a medical humanitarian case study based on ethnographic data I collected while working for a large aid agency in post-conflict Aceh from 2005 to 2007. In December 2005, the agency faced the first test of its medical and negotiation capacities to provide psychiatric care to a recently amnestied political prisoner whose erratic behavior upon returning home led to his re-arrest and detention at a district police station. I juxtapose two methodological approaches-an ethnographic content analysis of the agency's email archive and field-based participant-observation-to recount contrasting narrative versions of the event. I use this contrast to illustrate and critique the immediacy of the humanitarian imperative that characterizes the industry. Immediacy is explored as both an urgent moral impulse to assist in a crisis and a form of mediation that seemingly projects neutral and transparent transmission of content. I argue that the sense of immediacy afforded by email enacts and amplifies the humanitarian imperative at the cost of abstracting elite humanitarian actors out of local and moral context. As a result, the management and mediation of this psychiatric case by email produced a bureaucratic model of care that failed to account for complex conditions of chronic political and medical instability on the ground.

  14. Optimizing Resources of United States Navy for Humanitarian Operations

    DTIC Science & Technology

    2014-08-26

    6  A Notional Scenario ...Humanitarian Operations The vessels that the USN deployed for HADR in the 2004 Indian Ocean tsunami were the entire Abraham Lincoln Carrier Strike...officers. We studied every ship that was deployed to respond to certain disasters. Apte et al. (2013) studied the 2004 Indian Ocean tsunami , the 2005

  15. Immigration removal order stayed on humanitarian and compassionate grounds.

    PubMed

    2003-08-01

    The Immigration Appeal Division of the Immigration and Refugee Board (IRB) has stayed a removal order against a man living with HIV and HCV on humanitarian and compassionate grounds. Taking an enlightened approach, the IRB found that Gurbinder Randhawa's efforts at rehabilitation for his drug dependence was a positive factor in staying the removal order.

  16. Integration of Humanitarian Knowledge in Art and Design Activity

    ERIC Educational Resources Information Center

    Kamzina, Nadezhda Enovna; Mazina, Julia Ilyinichna; Turganbayeva, Shakhizada Sainbekovna

    2016-01-01

    The process of integration of humanitarian knowledge is being examined in the article and the development of the project activities and a special outlook on the examples of famous artists, designers and architects are investigated. The forms of creative thinking are systematized and the factors modifying the borders of design knowledge are formed…

  17. Protective Environments and Quality Education in Humanitarian Contexts

    ERIC Educational Resources Information Center

    Aguilar, Pilar; Retamal, Gonzalo

    2009-01-01

    This paper reflects the experience of the authors working in the field of humanitarian education during the last two decades. Important changes have been witnessed since the Central American crises of the seventies, the refugee focus of the eighties and the new UN vision of the complex emergency crisis of the nineties resulting from the post Cold…

  18. Humanitarian aid operations in Republica Srpska during Operation Resolute 2.

    PubMed

    Thornton, R; Cordell, R F; Edmonds, K E

    1997-10-01

    The humanitarian aid experience of a unit in Bosnia is described. Data are presented for primary care clinics undertaken, showing the range of conditions and age of patients seen. The role of the civilian aid agencies involved is described, together with recommendations for future training requirements for similar operations.

  19. Humanitarian Interventions: Western Imperialism or a Responsibility to Protect?--An Analysis of the Humanitarian Interventions in Darfur

    ERIC Educational Resources Information Center

    Damboeck, Johanna

    2012-01-01

    Purpose: The aim of this article is to provide an analysis of the features that have shaped the state's decision-making process in the United Nations, with regard to the humanitarian intervention in Darfur from 2003 onwards. Design/methodology/approach: The methodological approach to the study is a review of political statement papers grounded in…

  20. New trends of short-term humanitarian medical volunteerism: professional and ethical considerations.

    PubMed

    Asgary, Ramin; Junck, Emily

    2013-10-01

    Short-term humanitarian medical volunteerism has grown significantly among both clinicians and trainees over the past several years. Increasingly, both volunteers and their respective institutions have faced important challenges in regard to medical ethics and professional codes that should not be overlooked. We explore these potential concerns and their risk factors in three categories: ethical responsibilities in patient care, professional responsibility to communities and populations, and institutional responsibilities towards trainees. We discuss factors increasing the risk of harm to patients and communities, including inadequate preparation, the use of advanced technology and the translation of Western medicine, issues with clinical epidemiology and test utility, difficulties with the principles of justice and clinical justice, the lack of population-based medicine, sociopolitical effects of foreign aid, volunteer stress management, and need for sufficient trainee supervision. We review existing resources and offer suggestions for future skill-based training, organisational responsibilities, and ethical preparation.

  1. One health and force health protection during foreign humanitarian assistance operations: 2010 Pakistan flood relief.

    PubMed

    Burke, Ronald L

    2013-01-01

    Restrictions on the number of troops that could enter Pakistan in support of the 2010 flood relief efforts limited the type and number of deployed medical personnel. Although this created the potential for mission gaps, the assigned personnel were able to perform additional functions beyond those normally associated with their particular health specialty to help close these gaps, which was largely made possible due to prior cross-training and predeployment refresher training. Given the rapid and unpredictable nature of disaster response, future foreign humanitarian assistance operations may face similar issues with assigned personnel. Promotion of the One Health concept through instruction and training will help to increase awareness among US Army Medical Department personnel about the roles and functions of health specialties, facilitate the identification of critical gaps during deployments, and provide personnel with the knowledge and skills needed to address them.

  2. A Social-Learning Approach to Hazard-Related Knowledge Exchange: Boundary Workers at the Geoscience-Humanitarian Interface

    NASA Astrophysics Data System (ADS)

    Quinn, Keira; Hope, Max; McCloskey, John

    2014-05-01

    A Social-Learning Approach to Hazard-Related Knowledge Exchange: Boundary Workers at the Geoscience-Humanitarian Interface Keira Quinn (1), Dr Max Hope (1), Professor John McCloskey (1). (1)University of Ulster Peer-reviewed science has the potential to guide policy-makers and practitioners in developing robust responses to social problems and issues. Despite advances in hazard-related science, it can often be a challenge to translate findings into useful social applications. With natural hazards affecting 2.9 billion people between 2000 and 2012 the need for hazard science to be effectively communicated is undeniable. This is particularly so in humanitarian contexts as non-governmental organisations (NGOs) play a key role in the poorer nations most affected by natural disasters. Past methods of 'knowledge transfer' have tended to lead to misinterpretations and misrepresentations of science to the extent that it is often used incorrectly or not at all. 'Knowledge exchange' is currently heralded as a more effective means of bringing about successful communication and understanding, and is characterised by the presence of shared learning. Central to a knowledge exchange approach is an understanding of the social and organisational contexts within which learning takes place. Here we use Etienne Wenger's social-learning approach to analyse selected aspects of the social context influencing knowledge exchange across the geoscience-humanitarian interface. For Wenger (2000) Communities of Practice (CoP) are bounded organisational and social groups united by their own distinct values, goals and ways of working. The boundaries surrounding CoPs can act as barriers to knowledge exchange but can also create opportunities for new shared learning by challenging existing perspectives and practice. Drawing on the findings of ongoing qualitative research into communication and learning between earthquake scientists and humanitarian NGOs in UK/Ireland, this paper outlines a number

  3. Ethics of emergent information and communication technology applications in humanitarian medical assistance.

    PubMed

    Hunt, Matthew; Pringle, John; Christen, Markus; Eckenwiler, Lisa; Schwartz, Lisa; Davé, Anushree

    2016-07-01

    New applications of information and communication technology (ICT) are shaping the way we understand and provide humanitarian medical assistance in situations of disaster, disease outbreak or conflict. Each new crisis appears to be accompanied by advancements in humanitarian technology, leading to significant improvements in the humanitarian aid sector. However, ICTs raise ethical questions that warrant attention. Focusing on the context of humanitarian medical assistance, we review key domains of ICT innovation. We then discuss ethical challenges and uncertainties associated with the development and application of new ICTs in humanitarian medical assistance, including avoiding harm, ensuring privacy and security, responding to inequalities, demonstrating respect, protecting relationships, and addressing expectations. In doing so, we emphasize the centrality of ethics in humanitarian ICT design, application and evaluation.

  4. Stabilisation and humanitarian access in a collapsed state: the Somali case.

    PubMed

    Menkhaus, Ken

    2010-10-01

    Somalia today is the site of three major threats: the world's worst humanitarian crisis; the longest-running instance of complete state collapse; and a robust jihadist movement with links to Al-Qa'ida. External state-building, counter-terrorism and humanitarian policies responding to these threats have worked at cross-purposes. State-building efforts that insist humanitarian relief be channelled through the nascent state in order to build its legitimacy and capacity undermine humanitarian neutrality when the state is a party to a civil war. Counter-terrorism policies that seek to ensure that no aid benefits terrorist groups have the net effect of criminalising relief operations in countries where poor security precludes effective accountability. This paper argues that tensions between stabilisation and humanitarian goals in contemporary Somalia reflect a long history of politicisation of humanitarian operations in the country.

  5. Invitation withdrawn: humanitarian action, United Nations peacekeeping, and state sovereignty in Chad.

    PubMed

    Karlsrud, John; Felix da Costa, Diana

    2013-10-01

    This paper looks at the three-way relationship between the Government of Chad, humanitarians, and the United Nations Mission in the Central African Republic and Chad (MINURCAT) from 2004 until June 2011. Chad was never comfortable with the international presence of either humanitarians or peacekeepers and asserted its sovereignty increasingly during this period. MINURCAT was deployed in 2008 to protect humanitarian workers and to facilitate the provision of humanitarian assistance in eastern Chad. This association between the UN mission and humanitarian agencies contributed to making the latter the target of repressive practices by the government, such as the imposition of armed escorts. Facing a steep learning curve, Chad and its state officials gradually appropriated the discourse of the humanitarian and international community and ultimately, in 2010, requested the departure of MINURCAT, claiming that they could meet the protection needs of vulnerable populations in eastern Chad on their own.

  6. Shelter strategies, humanitarian praxis and critical urban theory in post-crisis reconstruction.

    PubMed

    Fan, Lilianne

    2012-07-01

    The paper seeks to link contemporary thinking on urban shelter in the humanitarian sector to debates in the field of 'critical urban theory'. It argues that current humanitarian thinking on urban shelter shares many common concerns with critical urban theory, but that these concerns are rarely translated effectively into humanitarian practice. It attributes this disconnect not only to weaknesses in implementation capacity, but also to the need to reorient humanitarian action to address more definitively questions of power and justice. Humanitarian actors need to step back from product-delivery approaches and find ways of integrating into their analytical, planning, implementation and monitoring tools questions about access, exclusion and the historically specific ways in which these aspects converge in particular urban spaces. By doing so, the humanitarian community would benefit from a more explicit, systematic and sustained engagement with the catalytic theoretical resources that critical urban theory has to offer.

  7. Challenges and opportunities for humanitarian relief in Afghanistan.

    PubMed

    Sharp, Trueman W; Burkle, Frederick M; Vaughn, Andrew F; Chotani, Rashid; Brennan, Richard J

    2002-06-15

    Afghanistan is in the midst of a profound humanitarian crisis resulting primarily from long-standing armed conflict, a devastating drought, and massive population migration. The economy, government, and health care system are in shambles. Currently, as many as 5 million Afghans are in camps either as refugees in neighboring countries or as internally displaced persons within Afghanistan. Much of the rest of the population is in dire need of basic essentials such as food, water, shelter, and basic medical care. Those attempting to carry out humanitarian relief face many daunting challenges, such as reaching remote locations, coping with a dangerous security situation, and working with limited resources. However, there are opportunities in the short run to save many lives and substantially improve the plight of Afghans by carrying out appropriate and effective emergency relief programs. Over the long term, effective medical and public health relief efforts will be an essential part of rehabilitating and rebuilding this devastated country.

  8. Israeli Defense Forces Medical Corps humanitarian mission for Kosovo's refugees.

    PubMed

    Amital, Howard; Alkan, Michael L; Adler, Jakov; Kriess, Iyzhak; Levi, Yehezkel

    2003-01-01

    In April 1999, during the crisis in Kosovo, the Israeli government launched a medical, field hospital in order to provide humanitarian aid to the Albanian refugees that fled from their homes in Kosovo. This facility was set up by the Medical Corps of the Israeli Defense Forces, in a refugee camp located in Northern Macedonia. During the 16 days during which the hospital functioned, the medical staff treated 1,560 patients and hospitalized >100. The field hospital served as a referral center for all of the other primary clinics that were hastily erected in the camp and its surroundings. This communication elaborates on the various aspects of the humanitarian medical aid that were provided by this medical facility and the conclusions that learned from such a mission.

  9. KSC ISS Logistics Support

    NASA Technical Reports Server (NTRS)

    Tellado, Joseph

    2014-01-01

    The presentation contains a status of KSC ISS Logistics Operations. It basically presents current top level ISS Logistics tasks being conducted at KSC, current International Partner activities, hardware processing flow focussing on late Stow operations, list of KSC Logistics POC's, and a backup list of Logistics launch site services. This presentation is being given at the annual International Space Station (ISS) Multi-lateral Logistics Maintenance Control Panel meeting to be held in Turin, Italy during the week of May 13-16. The presentatiuon content doesn't contain any potential lessons learned.

  10. Biafra Still Matters: Contested Humanitarian Airlift and American Foreign Policy

    DTIC Science & Technology

    2016-06-01

    i BIAFRA STILL MATTERS : CONTESTED HUMANITARIAN AIRLIFT AND AMERICAN FOREIGN POLICY BY MAJOR DAVID WALTER MYRICK A THESIS PRESENTED...Statehood described as rushing “to pontificate on matters which these men (western scholars) are incompetent to comprehend.”2 Okpaku attributes...design for a Nigerian Federation. Nigerian nationalists wavered back and forth on the matter of federation and were less zealous than many of their

  11. Analyzing Resources of United States Marine Corps for Humanitarian Operations

    DTIC Science & Technology

    2014-08-26

    of information if it does not display a currently valid OMB control number. 1. REPORT DATE 26 AUG 2014 2. REPORT TYPE 3 . DATES COVERED 00-00-2014...tsunami. 2011 Japan Earthquake/Tsunami Deaths >14,898 Injured >5,270 Missing >10,000 Displaced >300,000 Damage Meltdown of Fukushima nuclear power... 3   The Supply for Humanitarian Assistance and Disaster Relief .................................... 5  Suppliers of capabilities

  12. Sustainment and Logistics in Better Buying Power

    DTIC Science & Technology

    2015-07-01

    37 Defense AT&L: July–August 2015 Sustainment and Logistics in Better Buying Power David J. Berteau Berteau is Assistant Secretary of Defense...Better Buying Power (BBP) in 2010, its key sustain - ment initiative has focused on Per- formance-Based Logistics (PBL). With the updated guid- ance...for BBP 3.0 issued April 9, it is worth expanding the view of these updated initiatives through the sustainment prism. This article finds that

  13. Just-In-Time Logistics

    DTIC Science & Technology

    2006-02-07

    Logistics modernization, end-to-end logistics, logistics transformation, and just - in - time logistics -- whichever name it is being called today, it is...demonstrations as to what these systems will do for the end user, consumer confidence will increase and " just - in - time " logistics will lead to a lighter and leaner combat logistics support.

  14. The Role of Prepositioned Stocks: Sustaining and Responding to Foreign Humanitarian Assistance and Disaster Relief (HADR) Operations

    DTIC Science & Technology

    2015-06-12

    THE ROLE OF PREPOSITIONED STOCKS: SUSTAINING AND RESPONDING TO FOREIGN HUMANITARIAN ASSISTANCE AND DISASTER RELIEF (HADR) OPERATIONS...SUBTITLE The Role of Prepositioned Stocks: Sustaining and Responding to Foreign Humanitarian Assistance and Disaster Relief (HADR) Operations...

  15. The academic health center in complex humanitarian emergencies: lessons learned from the 2010 Haiti earthquake.

    PubMed

    Babcock, Christine; Theodosis, Christian; Bills, Corey; Kim, Jimin; Kinet, Melodie; Turner, Madeleine; Millis, Michael; Olopade, Olufunmilayo; Olopade, Christopher

    2012-11-01

    On January 12, 2010, a 7.0-magnitude earthquake struck Haiti. The event disrupted infrastructure and was marked by extreme morbidity and mortality. The global response to the disaster was rapid and immense, comprising multiple actors-including academic health centers (AHCs)-that provided assistance in the field and from home. The authors retrospectively examine the multidisciplinary approach that the University of Chicago Medicine (UCM) applied to postearthquake Haiti, which included the application of institutional structure and strategy, systematic deployment of teams tailored to evolving needs, and the actual response and recovery. The university mobilized significant human and material resources for deployment within 48 hours and sustained the effort for over four months. In partnership with international and local nongovernmental organizations as well as other AHCs, the UCM operated one of the largest and more efficient acute field hospitals in the country. The UCM's efforts in postearthquake Haiti provide insight into the role AHCs can play, including their strengths and limitations, in complex disasters. AHCs can provide necessary intellectual and material resources as well as technical expertise, but the cost and speed required for responding to an emergency, and ongoing domestic responsibilities, may limit the response of a large university and hospital system. The authors describe the strong institutional backing, the detailed predeployment planning and logistical support UCM provided, the engagement of faculty and staff who had previous experience in complex humanitarian emergencies, and the help of volunteers fluent in the local language which, together, made UCM's mission in postearthquake Haiti successful.

  16. Humanitarian ventures or 'fistula tourism?': the ethical perils of pelvic surgery in the developing world.

    PubMed

    Wall, L Lewis; Arrowsmith, Steven D; Lassey, Anyetei T; Danso, Kwabena

    2006-11-01

    The vesico-vaginal fistula from prolonged obstructed labor has become a rarity in the industrialized West but still continues to afflict millions of women in impoverished Third World countries. As awareness of this problem has grown more widespread, increasing numbers of American and European surgeons are volunteering to go on short-term medical mission trips to perform fistula repair operations in African and Asian countries. Although motivated by genuine humanitarian concerns, such projects may serve to promote 'fistula tourism' rather than significant improvements in the medical infrastructure of the countries where these problems exist. This article raises practical and ethical questions that ought to be asked about 'fistula trips' of this kind, and suggests strategies to help insure that unintended harm does not result from such projects. The importance of accurate data collection, thoughtful study design, critical ethical oversight, logistical and financial support systems, and the importance of nurturing local capacity are stressed. The most critical elements in the development of successful programs for treating obstetric vesico-vaginal fistulas are a commitment to developing holistic approaches that meet the multifaceted needs of the fistula victim and identifying and supporting a 'fistula champion' who can provide passionate advocacy for these women at the local level to sustain the momentum necessary to make long-term success a reality for such programs.

  17. Focused Logistics: Putting Agility in Agile Logistics

    DTIC Science & Technology

    2011-05-19

    envisioned an agile and adaptable logstics system built around common situational understanding.5 The Focused Logistics concept specified the requirement to...the tracking of resources moving through the TD network. As a result, 112 Ibid, 20. 113 Ibid, 18-20. 39 distribution centers tagged inbound

  18. Historical Frames and the Politics of Humanitarian Intervention: From Ethiopia, Somalia to Rwanda

    ERIC Educational Resources Information Center

    Shaw, Ibrahim Seaga

    2007-01-01

    This article argues that historical frames we often find in news media discourse can skew the way we perceive distant wars, and that this can have a knock-on effect on international humanitarian response within a cosmopolitan framework of global justice. Drawing on an empirical exploration of recent "humanitarian interventions" in…

  19. 31 CFR 538.532 - Humanitarian transshipments to or from the Specified Areas of Sudan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the Specified Areas of Sudan. 538.532 Section 538.532 Money and Finance: Treasury Regulations Relating... Humanitarian transshipments to or from the Specified Areas of Sudan. The transit or transshipment to or from the Specified Areas of Sudan of goods, technology, or services intended for humanitarian...

  20. 31 CFR 538.532 - Humanitarian transshipments to or from Southern Sudan and Darfur authorized.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Southern Sudan and Darfur authorized. 538.532 Section 538.532 Money and Finance: Treasury Regulations... Humanitarian transshipments to or from Southern Sudan and Darfur authorized. The transit or transshipment to or from Southern Sudan and Darfur of goods, technology, or services intended for humanitarian...

  1. 31 CFR 538.532 - Humanitarian transshipments to or from the Specified Areas of Sudan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the Specified Areas of Sudan. 538.532 Section 538.532 Money and Finance: Treasury Regulations Relating... Humanitarian transshipments to or from the Specified Areas of Sudan. The transit or transshipment to or from the Specified Areas of Sudan of goods, technology, or services intended for humanitarian...

  2. 31 CFR 538.532 - Humanitarian transshipments to or from the Specified Areas of Sudan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the Specified Areas of Sudan. 538.532 Section 538.532 Money and Finance: Treasury Regulations Relating... Humanitarian transshipments to or from the Specified Areas of Sudan. The transit or transshipment to or from the Specified Areas of Sudan of goods, technology, or services intended for humanitarian...

  3. Humanitarian Information Management Network Effectiveness: An Analysis at the Organizational and Network Levels

    ERIC Educational Resources Information Center

    Ngamassi Tchouakeu, Louis-Marie

    2011-01-01

    Massive international response to humanitarian crises such as the South Asian Tsunami in 2004, the Hurricane Katrina in 2005 and the Haiti earthquake in 2010 highlights the importance of humanitarian inter-organizational collaboration networks, especially in information management and exchange. Despite more than a decade old call for more research…

  4. 78 FR 5185 - Guidance for Industry and Food and Drug Administration Staff; Humanitarian Use Device (HUD...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-24

    ... HUMAN SERVICES Food and Drug Administration Guidance for Industry and Food and Drug Administration Staff... the industry and FDA staff entitled ``Humanitarian Use Device (HUD) Designations.'' Devices are... HUD designations may be eligible for marketing approval under the Humanitarian Device Exemption...

  5. Social dimensions of science-humanitarian collaboration: lessons from Padang, Sumatra, Indonesia.

    PubMed

    Shannon, Rachel; Hope, Max; McCloskey, John; Crowley, Dominic; Crichton, Peter

    2014-07-01

    This paper contains a critical exploration of the social dimensions of the science-humanitarian relationship. Drawing on literature on the social role of science and on the social dimensions of humanitarian practice, it analyses a science-humanitarian partnership for disaster risk reduction (DRR) in Padang, Sumatra, Indonesia, an area threatened by tsunamigenic earthquakes. The paper draws on findings from case study research that was conducted between 2010 and 2011. The case study illustrates the social processes that enabled and hindered collaboration between the two spheres, including the informal partnership of local people and scientists that led to the co-production of earthquake and tsunami DRR and limited organisational capacity and support in relation to knowledge exchange. The paper reflects on the implications of these findings for science-humanitarian partnering in general, and it assesses the value of using a social dimensions approach to understand scientific and humanitarian dialogue.

  6. Internally displaced women as knowledge producers and users in humanitarian action: the view from Colombia.

    PubMed

    Sandvik, Kristin Bergtora; Lemaitre, Julieta

    2013-07-01

    The literature on evidence-based action in humanitarian crises commonly focuses on how inter-and non-governmental organisations can produce better knowledge and how this can be translated into improved programming. Yet, there is little recorded experience of, or concern about, how the beneficiaries of humanitarian relief can produce and use knowledge of their predicament. This paper is based on a case study of how the Liga de Mujeres Desplazadas, an internally displaced women's organisation in northern Colombia, employs proactively research-generated data to advance its own agenda in its interactions with donor bodies and the government. The paper finds that beneficiaries of humanitarian aid can, and do, use participatory research to advance their own ends in the legal and political spaces created around humanitarian crisis. However, their agency is limited by poverty, violence, and local balances of power. The paper concludes that beneficiaries' priorities in the production of data about humanitarian crises warrant further study.

  7. Humanitarian presence and urban development: new opportunities and contrasts in Goma, DRC.

    PubMed

    Büscher, Karen; Vlassenroot, Koen

    2010-04-01

    This paper examines the impact of the presence of international humanitarian organisations on local urban transformation processes in the city of Goma, Democratic Republic of the Congo (DRC). Rather than evaluating the direct effects of humanitarian interventions and strategies, it focuses on the indirect but profound effects of the presence of this 'humanitarian sector'. It argues that the international humanitarian presence became a significant factor in the recent shaping and reshaping of the city's profile and has reinforced competition over the urban political and socioeconomic space. The paper evaluates the direct and indirect impact of the international humanitarian presence on the local urban economy and the larger political economy of war in eastern DRC. It analyses how this presence has reinforced processes of spatial reconfiguration, how it has influenced urban planning, and how it has affected dynamics of gentrification and marginalisation on the urban spatial level.

  8. Save the Children, the humanitarian project, and the politics of solidarity: reviving Dorothy Buxton's vision.

    PubMed

    Baughan, Emily; Fiori, Juliano

    2015-10-01

    This paper reflects on the foundational years of Save the Children, one of the oldest and largest Western humanitarian agencies and a mainstay of the humanitarian project. In doing so, it considers how and why, at an early stage, the organisation depoliticised its activities, centring its narrative on the innocent, pre-political child-the image of unsullied humanity. In addition, it seeks to recover the internationalist vision of Save the Children's 'forgotten founder', Dorothy Buxton. Save the Children's turn to non-politics is indicative of the broader depoliticisation of Western humanitarian action. Given the intensely contested spaces in which Western humanitarian non-governmental organisations (NGOs) operate, these entities cannot escape politics. This paper argues that Buxton's efforts to build an international solidarity network through humanitarian action after the end of the First World War in 1918 provide an instructive basis on which these NGOs can pursue a politics of solidarity in the present day.

  9. Mental health in humanitarian settings: shifting focus to care systems.

    PubMed

    Jordans, Mark J D; Tol, Wietse A

    2013-03-01

    Mental health in low- and middle income countries has received increasing attention. This attention has shifted focus, roughly moving from demonstrating the burden of mental health problems, to establishing an evidence base for interventions, to thinking about care delivery frameworks. This paper reviews these trends specifically for humanitarian settings and discusses lessons learned. Notably, that mental health assessments need to go beyond measuring the impact of traumatic events on circumscribed psychiatric disorders; that evidence for effectiveness of interventions is still too weak and its focus too limited; and that development of service delivery in the context of instable community and health systems should be an area of key priority.

  10. 77 FR 52713 - PetroLogistics Natural Gas Storage, LLC; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ... Energy Regulatory Commission PetroLogistics Natural Gas Storage, LLC; Notice of Request Under Blanket Authorization Take notice that on August 17, 2012, PetroLogistics Natural Gas Storage, LLC (PetroLogistics... Iberville Parish, Louisiana, under PetroLogistics' blanket certificate issued in Docket No. CP07-427-000,...

  11. ISS Logistics Hardware Disposition and Metrics Validation

    NASA Technical Reports Server (NTRS)

    Rogers, Toneka R.

    2010-01-01

    I was assigned to the Logistics Division of the International Space Station (ISS)/Spacecraft Processing Directorate. The Division consists of eight NASA engineers and specialists that oversee the logistics portion of the Checkout, Assembly, and Payload Processing Services (CAPPS) contract. Boeing, their sub-contractors and the Boeing Prime contract out of Johnson Space Center, provide the Integrated Logistics Support for the ISS activities at Kennedy Space Center. Essentially they ensure that spares are available to support flight hardware processing and the associated ground support equipment (GSE). Boeing maintains a Depot for electrical, mechanical and structural modifications and/or repair capability as required. My assigned task was to learn project management techniques utilized by NASA and its' contractors to provide an efficient and effective logistics support infrastructure to the ISS program. Within the Space Station Processing Facility (SSPF) I was exposed to Logistics support components, such as, the NASA Spacecraft Services Depot (NSSD) capabilities, Mission Processing tools, techniques and Warehouse support issues, required for integrating Space Station elements at the Kennedy Space Center. I also supported the identification of near-term ISS Hardware and Ground Support Equipment (GSE) candidates for excessing/disposition prior to October 2010; and the validation of several Logistics Metrics used by the contractor to measure logistics support effectiveness.

  12. Tracking humanitarian funding for reproductive health: a systematic analysis of health and protection proposals from 2002-2013

    PubMed Central

    2015-01-01

    Background The Inter-agency Working Group on Reproductive Health in Crises conducted a ten-year global evaluation of reproductive health in humanitarian settings. This paper examines proposals for reproductive health activities under humanitarian health and protection funding mechanisms for 2002-2013, and the level at which these reproductive health proposals were funded. Methods The study used English and French health and protection proposal data for 2002-2013, extracted from the Financial Tracking Service (FTS) database managed by the United Nations Office for the Coordination of Humanitarian Affairs. Every project was reviewed for relevance against pre-determined reproductive health definitions for 2002-2008. An in-depth analysis was additionally conducted for 2009-2013 through systematically reviewing proposals via a key word search and subsequently classifying them under designated reproductive health categories. Among the relevant reproductive health proposals, counts and proportions were calculated in Excel based on their reproductive health components, primarily by year. Contributions, requests, and unfunded requests were calculated based on the data provided by FTS. Results Among the 11,347 health and protection proposals issued from 345 emergencies between 2002 and 2013, 3,912 were relevant to reproductive health (34.5%). The number of proposals containing reproductive health activities increased by an average of 21.9% per year, while the proportion of health and protection sector appeals containing reproductive health activities increased by an average of 10.1% per year. The total funding request over the 12 years amounted to $4.720 billion USD, of which $2.031 billion USD was received. Among reproductive health components for 2009-2013 proposals, maternal newborn health comprised the largest proportion (56.4%), followed by reproductive health-related gender-based violence (45.9%), HIV/sexually transmitted infections (37.5%), general reproductive health

  13. From war on terror to war on weather? Rethinking humanitarianism in a new era of chronic emergencies.

    PubMed

    Munslow, Barry; O'Dempsey, Tim

    2010-01-01

    This special issue of Third World Quarterly makes a case for redirecting attention and resources away from the 'war on terror' and focussing as a matter of urgency on the causes and consequences of global climate change. Global climate change must be recognised as an issue of national and international security. Increased competition for scarce resources and migration are key factors in the propagation of many of today's chronic complex humanitarian emergencies. The relentless growth of megacities in natural disaster hotspots places unprecedented numbers of vulnerable people at risk of disease and death. The Earth's fragile ecosystem has reached a critical tipping point. Today's most urgent need is for a collective endeavour on the part of the international community to redirect resources, enterprise and creativity away from the war on terror and to earnestly redeploy these in seeking solutions to the far greater and increasingly imminent threats that confront us as a consequence of global climate change.

  14. Security in Logistics

    NASA Astrophysics Data System (ADS)

    Cempírek, Václav; Nachtigall, Petr; Široký, Jaromír

    2016-12-01

    This paper deals with security of logistic chains according to incorrect declaration of transported goods, fraudulent transport and forwarding companies and possible threats caused by political influences. The main goal of this paper is to highlight possible logistic costs increase due to these fraudulent threats. An analysis of technological processes will beis provided, and an increase of these transport times considering the possible threatswhich will beis evaluated economic costs-wise. In the conclusion, possible threat of companies'` efficiency in logistics due to the costs`, means of transport and increase in human resources` increase will beare pointed out.

  15. Action-based flood forecasting for triggering humanitarian action

    NASA Astrophysics Data System (ADS)

    Coughlan de Perez, Erin; van den Hurk, Bart; van Aalst, Maarten K.; Amuron, Irene; Bamanya, Deus; Hauser, Tristan; Jongma, Brenden; Lopez, Ana; Mason, Simon; Mendler de Suarez, Janot; Pappenberger, Florian; Rueth, Alexandra; Stephens, Elisabeth; Suarez, Pablo; Wagemaker, Jurjen; Zsoter, Ervin

    2016-09-01

    Too often, credible scientific early warning information of increased disaster risk does not result in humanitarian action. With financial resources tilted heavily towards response after a disaster, disaster managers have limited incentive and ability to process complex scientific data, including uncertainties. These incentives are beginning to change, with the advent of several new forecast-based financing systems that provide funding based on a forecast of an extreme event. Given the changing landscape, here we demonstrate a method to select and use appropriate forecasts for specific humanitarian disaster prevention actions, even in a data-scarce location. This action-based forecasting methodology takes into account the parameters of each action, such as action lifetime, when verifying a forecast. Forecasts are linked with action based on an understanding of (1) the magnitude of previous flooding events and (2) the willingness to act "in vain" for specific actions. This is applied in the context of the Uganda Red Cross Society forecast-based financing pilot project, with forecasts from the Global Flood Awareness System (GloFAS). Using this method, we define the "danger level" of flooding, and we select the probabilistic forecast triggers that are appropriate for specific actions. Results from this methodology can be applied globally across hazards and fed into a financing system that ensures that automatic, pre-funded early action will be triggered by forecasts.

  16. Integrated disaster relief logistics: a stepping stone towards viable civil-military networks?

    PubMed

    Tatham, Peter; Rietjens, Sebastiaan Bas

    2016-01-01

    The twenty-first century has seen a significant rise in all forms of disasters and this has resulted in military and humanitarian organisations becoming more frequently engaged in the provision of support to those affected. Achieving an efficient and effective logistic preparation and response is one of the key elements in mitigating the impact of such events, but the establishment of mechanisms to deliver an appropriately integrated civil-military approach remains elusive. Not least because of the high percentage of assistance budgets spent on logistics, this area is considered to represent fertile ground for developing improved processes and understanding. In practice, the demands placed on civilian and military logisticians are broadly similar, as is the solution space. Speaking a common language and using common concepts, it is argued, therefore, that the logistic profession should be in the vanguard of the development of an improved civil-military interface.

  17. Green Logistics Management

    NASA Astrophysics Data System (ADS)

    Chang, Yoon S.; Oh, Chang H.

    Nowadays, environmental management becomes a critical business consideration for companies to survive from many regulations and tough business requirements. Most of world-leading companies are now aware that environment friendly technology and management are critical to the sustainable growth of the company. The environment market has seen continuous growth marking 532B in 2000, and 590B in 2004. This growth rate is expected to grow to 700B in 2010. It is not hard to see the environment-friendly efforts in almost all aspects of business operations. Such trends can be easily found in logistics area. Green logistics aims to make environmental friendly decisions throughout a product lifecycle. Therefore for the success of green logistics, it is critical to have real time tracking capability on the product throughout the product lifecycle and smart solution service architecture. In this chapter, we introduce an RFID based green logistics solution and service.

  18. Lunar Commercial Mining Logistics

    NASA Astrophysics Data System (ADS)

    Kistler, Walter P.; Citron, Bob; Taylor, Thomas C.

    2008-01-01

    Innovative commercial logistics is required for supporting lunar resource recovery operations and assisting larger consortiums in lunar mining, base operations, camp consumables and the future commercial sales of propellant over the next 50 years. To assist in lowering overall development costs, ``reuse'' innovation is suggested in reusing modified LTS in-space hardware for use on the moon's surface, developing product lines for recovered gases, regolith construction materials, surface logistics services, and other services as they evolve, (Kistler, Citron and Taylor, 2005) Surface logistics architecture is designed to have sustainable growth over 50 years, financed by private sector partners and capable of cargo transportation in both directions in support of lunar development and resource recovery development. The author's perspective on the importance of logistics is based on five years experience at remote sites on Earth, where remote base supply chain logistics didn't always work, (Taylor, 1975a). The planning and control of the flow of goods and materials to and from the moon's surface may be the most complicated logistics challenges yet to be attempted. Affordability is tied to the innovation and ingenuity used to keep the transportation and surface operations costs as low as practical. Eleven innovations are proposed and discussed by an entrepreneurial commercial space startup team that has had success in introducing commercial space innovation and reducing the cost of space operations in the past. This logistics architecture offers NASA and other exploring nations a commercial alternative for non-essential cargo. Five transportation technologies and eleven surface innovations create the logistics transportation system discussed.

  19. Disaster relief in post-earthquake Haiti: unintended consequences of humanitarian volunteerism.

    PubMed

    Jobe, Kathleen

    2011-01-01

    This article provides an overview of US humanitarian relief efforts in Haiti following the earthquake on January 12, 2010. Humanitarian aid arrived rapidly from many sources and was largely provided by organized and skilled humanitarian volunteers. There are however multiple impacts on the existing health care systems, as well as the pharmaceutical and medical supply chain created by massive relief efforts involving personnel, medicines, supplies and equipment that should be considered even in the immediate post-disaster period. Additionally the consequences of short-term medical missions by secular and non-secular NGOs should be considered carefully both in the post-disaster period and as ongoing support to underserved populations.

  20. Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

    PubMed Central

    Noguchi, Norihito; Inoue, Satoshi; Shimanoe, Chisato; Shibayama, Kaoru; Shinchi, Koichi

    2016-01-01

    Background Although nurses play an important role in humanitarian aid and disaster relief (HA/DR), little is known about the nursing activities that are performed in HA/DR. We aimed to clarify the nursing activities performed by Japanese nurses in HA/DR and to examine the factors associated with the frequency of nursing activities. Methods A self-administered questionnaire survey was completed by 147 nurses with HA/DR experience. The survey extracted information on demographic characteristics, past experience (e.g., disaster medical training experience, HA/DR experience), circumstances surrounding their dispatched to HA/DR (e.g., team size, disaster type, post-disaster phase, mission term), and the frequency of nursing activities performed under HA/DR. The frequency of nursing activities was rated on a 5-point Likert scale. Evaluation of nursing activities was conducted based on the “nursing activity score”, which represents the frequency of each nursing activity. Factors related to the nursing activity score were evaluated by multiple logistic regression analysis. Results Nurses were involved in 27 nursing activities in HA/DR, 10 of which were performed frequently. On analysis, factors significantly associated with nursing activity score were nursing license as a registered nurse (OR 7.79, 95% CI 2.95–20.57), two or more experiences with disaster medical training (OR 2.90 95%, CI 1.12–7.49) and a post-disaster phase of three weeks or longer (OR 8.77, 95% CI 2.59–29.67). Conclusions These results will contribute to the design of evidence-based disaster medical training that improves the quality of nursing activities. PMID:26959351

  1. Humanitarian responses to mass violence perpetrated against vulnerable populations.

    PubMed Central

    Gellert, G. A.

    1995-01-01

    This multidisciplinary review links three areas of legitimate inquiry for practitioners of medicine and public health. The first is occurrences of mass violence or genocide perpetrated against vulnerable populations, with a focus on the failure of national and international mechanisms to prevent or predict such violence. The second is evolving concepts of national sovereignty and an emerging framework in which the imperative to assist vulnerable populations supersedes a state's right to self determination. The last is how medical, public health, and other systems of surveillance and rapid assessment of mass violence can accelerate public awareness and facilitate structured, consistent political decision making to prevent mass violence and to provide international humanitarian assistance. Images p1000-a PMID:7580643

  2. Humanitarian relief workers and trauma-related mental illness.

    PubMed

    Connorton, Ellen; Perry, Melissa J; Hemenway, David; Miller, Matthew

    2012-01-01

    Humanitarian relief work is a growing field characterized by ongoing exposure to primary and secondary trauma, which has implications for workers' occupational mental health. This paper reviews and summarizes research to date on mental health effects of relief work. Twelve studies on relief workers and 5 studies on organizations that employ relief workers are examined to determine whether relief work is a risk factor for trauma-related mental illness. Although studies are inconsistent regarding methods and outcomes documenting trauma-related mental illness among relief workers, it appears that relief workers, compared with the general population, experience elevated trauma rates and suffer from more posttraumatic stress disorder, depression, and anxiety. Organizations that employ relief workers have varying approaches to train for these risks, and more support in the field is needed.

  3. Characteristics of an Effective International Humanitarian Assistance: A Systematic Review

    PubMed Central

    Moslehi, Shandiz; Ardalan, Ali; Waugh, William; Tirone, Daniel C.; Akbarisari, Ali

    2016-01-01

    Introduction: The objective of this study is to identify the effectiveness characteristics, review the definition of them, and develop a conceptual mapping of existing domains in the field of International Humanitarian Assistance (IHA). Methods: We conducted a systematic review and searched the major databases (Science Direct, Scopus, Springer and Pubmed) and grey literature, including references of potentially eligible articles and conference proceedings through March 2015. Articles were included if they focused on IHA effectiveness. Reviewers independently identified the eligible studies and extracted data. Results: 10 studies were included and 48 characteristics were identified. There is a lack of scientific studies and agreement on the characteristics of IHA effectiveness.  Conclusion: This study could be the step toward an understanding of IHA effectiveness characteristics and its definitions with the findings making a base line for more research in this area.  PMID:26981325

  4. Evaluation test of ALIS in Cambodia for humanitarian demining

    NASA Astrophysics Data System (ADS)

    Sato, Motoyuki

    2010-04-01

    ALIS is a hand-held dual sensor developed by Tohoku University, Japan since 2002. Dual sensor is a general name of sensor for humanitarian demining, which are equipped with metal detector and GPR. ALIS is only one hand-held dual sensor, which can record the sensor position with sensor signals. Therefore, the data can be processed after data acquisition, and can increase the imaging capability. ALIS has been tested in some mine affected courtiers including Afghanistan (2004), Egypt(2005), Croatia(2006-) and Cambodia(2007-). Mine fields at each country has different conditions and soil types. Therefore testes at the real mine fields are very important. ALIS has detected more than 30 AP-Mines in evaluation test in Cambodia held in 2009.

  5. Development of a thermal neutron sensor for Humanitarian Demining.

    PubMed

    Cinausero, M; Lunardon, M; Nebbia, G; Pesente, S; Viesti, G; Filippini, V

    2004-07-01

    A thermal neutron sensor prototype for Humanitarian Demining has been developed, trying to minimize cost and complexity of the system as required in such application. A (252)Cf source or a sealed-tube neutron generator is employed to produce primary fast neutrons that are thermalized in a moderator designed to optimize the neutron capture reaction yield in buried samples. A description of the sensor, including the performances of the acquisition system based on a Flash ADC card and final tests with explosive simulants are reported. A comparison of the sensor performance when using a radioactive source to that when employing a sealed-tube neutron generator is presented. Limitations and possible applications of this technique are discussed.

  6. Mortality rate and confidence interval estimation in humanitarian emergencies.

    PubMed

    Sullivan, Kevin; Hossain, S M Moazzem; Woodruff, Bradley A

    2010-01-01

    Surveys are conducted frequently in humanitarian emergencies to assess the health status of the population. Most often, they employ complex sample designs, such as cluster sampling. Mortality is an indicator commonly estimated in such surveys. Confidence limits provide information on the precision of the estimate and it is important to ensure that confidence limits for a mortality rate account for the survey design and utilise an acceptable methodology. This paper describes the calculation of confidence limits for mortality rates from surveys using complex sampling designs and a variety of software programmes and methods. It contains an example that makes use of the SAS, SPSS, and Epi Info software programmes. Of the three confidence interval methods examined--the ratio command approach, the modified rate approach, and the modified proportion approach--the paper recommends the ratio command approach to estimate mortality rates with confidence limits.

  7. The practice of humanitarianism: a village birthing clinic in Palestine.

    PubMed

    Wick, Livia

    2011-01-01

    Discourses and practices surrounding humanitarian organisations have changed over time. This is certainly the case for Palestinian non-governmental organisations, which have followed the structural and ideological transformations observed in local, regional and international contexts. There have been three successive but interlocking generations of groups active in health in Palestine: charitable societies, popular committees, and donor-based entities. Against this background, a village clinic in the West Bank is seen to have gone through various incarnations in the context of an emerging neo-liberal economic, administrative and political environment. Despite the critiques justifiably addressed towards them, non-governmental organisations may in some cases be functionally fluid. Communities and people continue to use them strategically in their relations with states, political groups, individuals and receivers of aid, making them potential networking sites in the context of an ongoing occupation.

  8. 31 CFR 538.521 - Registration of nongovernmental organizations for humanitarian or religious activities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... organizations involved in humanitarian or religious activities in Sudan, authorizing transactions by such... technology to Sudan and the transfer of funds to and from Sudan for the purpose of relieving human...

  9. 31 CFR 538.521 - Registration of nongovernmental organizations for humanitarian or religious activities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... organizations involved in humanitarian or religious activities in Sudan, authorizing transactions by such... technology to Sudan and the transfer of funds to and from Sudan for the purpose of relieving human...

  10. 31 CFR 538.521 - Registration of nongovernmental organizations for humanitarian or religious activities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... organizations involved in humanitarian or religious activities in Sudan, authorizing transactions by such... technology to Sudan and the transfer of funds to and from Sudan for the purpose of relieving human...

  11. 31 CFR 538.521 - Registration of nongovernmental organizations for humanitarian or religious activities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... organizations involved in humanitarian or religious activities in Sudan, authorizing transactions by such... technology to Sudan and the transfer of funds to and from Sudan for the purpose of relieving human...

  12. 31 CFR 538.521 - Registration of nongovernmental organizations for humanitarian or religious activities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... organizations involved in humanitarian or religious activities in Sudan, authorizing transactions by such... technology to Sudan and the transfer of funds to and from Sudan for the purpose of relieving human...

  13. The United Nations' humanitarian pillar: refocusing the UN's disaster and emergency roles and responsibilities.

    PubMed

    Kent, Randolph C

    2004-06-01

    Changes in the nature of humanitarian crises and in the ways that the international community responds to such crises demand a radically overhauled role for the United Nations system. At a time when the UN and its member states are pursuing reform of some of that institution's most fundamental peace and security functions, this paper suggests that reform, too, is required to meet humanitarian crises of the future. This paper proposes a new type of operational role for the UN, while at the same time arguing that the UN has to place itself in the vanguard of humanitarian assistance as "the standard-bearer". The article draws many of its conclusions and recommendations from a recently completed study, requested by the Inter-Agency Standing Committee, concerning the effect for the UN system of changes in humanitarian financing.

  14. 'The Ethiopian famine' revisited: band aid and the antipolitics of celebrity humanitarian action.

    PubMed

    Müller, Tanja R

    2013-01-01

    In many ways the Ethiopian famine of 1983-85 has served as a watershed with respect to humanitarian action. One of its lasting legacies has been the emergence of Band Aid and the subsequent increase in celebrity humanitarianism. A revisiting of the events of 1983-85 occurred in 2010 during a dispute in which it was alleged that a portion of the donations of Band Aid were spent on arms purchases. This paper takes this controversy as its starting point. It goes on to use the theoretical reflections of Giorgio Agamben to consider the dynamics that unfolded during the Ethiopian famine of 1983-85 and to analyse the underlying conceptualisation behind the emergence of Band Aid-type celebrity humanitarianism. The paper concludes with some wider thoughts on how the in essence antipolitical agenda of celebrity humanitarian action is transported into the everyday understanding of 'African disaster', resulting ultimately in the perpetuation of hegemonic control by the global North.

  15. The supply of pharmaceuticals in humanitarian assistance missions: implications for military operations.

    PubMed

    Mahmood, Maysaa; Riley, Kevin; Bennett, David; Anderson, Warner

    2011-08-01

    In this article, we provide an overview of key international guidelines governing the supply of pharmaceuticals during disasters and complex emergencies. We review the World Health Organization's guidelines on pharmaceutical supply chain management and highlight their relevance for military humanitarian assistance missions. Given the important role of pharmaceuticals in addressing population health needs during humanitarian emergencies, a good understanding of how pharmaceuticals are supplied at the local level in different countries can help military health personnel identify the most appropriate supply options. Familiarity with international guidelines involved in cross-border movement of pharmaceuticals can improve the ability of military personnel to communicate more effectively with other actors involved in humanitarian and development spheres. Enhancing the knowledge base available to military personnel in terms of existing supply models and funding procedures can improve the effectiveness of humanitarian military operations and invite policy changes necessary to establish more flexible acquisition and funding regulations.

  16. The supply of pharmaceuticals in humanitarian assistance missions: implications for military operations.

    PubMed

    Mahmood, Maysaa; Riley, Kevin; Bennett, David; Anderson, Warner

    2011-01-01

    In this article, we provide an overview of key international guidelines governing the supply of pharmaceuticals during disasters and complex emergencies. We review the World Health Organization?s guidelines on pharmaceutical supply chain management and highlight their relevance for military humanitarian assistance missions. Given the important role of pharmaceuticals in addressing population health needs during humanitarian emergencies, a good understanding of how pharmaceuticals are supplied at the local level in different countries can help military health personnel identify the most appropriate supply options. Familiarity with international guidelines involved in cross-border movement of pharmaceuticals can improve the ability of military personnel to communicate more effectively with other actors involved in humanitarian and development spheres. Enhancing the knowledge base available to military personnel in terms of existing supply models and funding procedures can improve the effectiveness of humanitarian military operations and invite policy changes necessary to establish more flexible acquisition and funding regulations.

  17. 31 CFR 545.511 - Registration of nongovernmental organizations for humanitarian or religious activities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... TREASURY TALIBAN (AFGHANISTAN) SANCTIONS REGULATIONS Licenses, Authorizations and Statements of Licensing... nongovernmental organizations involved in humanitarian or religious activities in the territory of Afghanistan..., including the exportation of goods, software, technology or services to the territory of...

  18. Using Cultural Algorithms to Improve Intelligent Logistics

    NASA Astrophysics Data System (ADS)

    Ochoa, Alberto; García, Yazmani; Yañez, Javier; Teymanoglu, Yaddik

    Today the issue of logistics is a very important within companies to the extent that some have departments devoted exclusively to it. This has evolved over time and today is a fundamental aspect in the fight business seeking to consolidate or remain leaders in their field. With the above we know that logistics can be divided into different classes, however, in this regard, our study is based on the timely distribution to the customer with a lower cost, higher sales and better utilization of space resulting in excellent service. Finally, prepare a comparative analysis of the results with respect to another method of optimization solution space.

  19. Practical Session: Logistic Regression

    NASA Astrophysics Data System (ADS)

    Clausel, M.; Grégoire, G.

    2014-12-01

    An exercise is proposed to illustrate the logistic regression. One investigates the different risk factors in the apparition of coronary heart disease. It has been proposed in Chapter 5 of the book of D.G. Kleinbaum and M. Klein, "Logistic Regression", Statistics for Biology and Health, Springer Science Business Media, LLC (2010) and also by D. Chessel and A.B. Dufour in Lyon 1 (see Sect. 6 of http://pbil.univ-lyon1.fr/R/pdf/tdr341.pdf). This example is based on data given in the file evans.txt coming from http://www.sph.emory.edu/dkleinb/logreg3.htm#data.

  20. The International Space Station: New Capabilities for Disaster Response and Humanitarian Aid

    NASA Technical Reports Server (NTRS)

    Stefanov, William

    2012-01-01

    products) and operational (notification and engagement of sensor support teams, international partner agency sanction of astronaut support activities). To better collaborate on common issues and strengthen applications, including using the data to support disaster response, we established an ISS Program Science Forum Working Group for Earth Observations comprised of representatives from the international partner agencies. This international forum welcomes input and support from relevant United Nations task groups regarding our disaster response and humanitarian aid to enable development of the ISS capabilities in this area for greatest value to the international community.

  1. The Role of Ethics in U.S. Military Humanitarian Intervention

    DTIC Science & Technology

    2001-01-01

    hasten to acclaim that no decision to intervene takes place within a historical vacuum or upon a tabula rasa . More often than not, decisions of...NATIONAL DEFENSE UNIVERSITY NATIONAL WAR COLLEGE THE ROLE OF ETHICS IN U.S. MILITARY HUMANITARIAN INTERVENTION CAPTAIN MEL FERGUSON, CHC, USN...2001 2. REPORT TYPE 3. DATES COVERED 00-00-2001 to 00-00-2001 4. TITLE AND SUBTITLE The Role of Ethics in U.S. Military Humanitarian

  2. Characteristics, determinants and perspectives of experienced medical humanitarians: a qualitative approach

    PubMed Central

    Asgary, Ramin; Lawrence, Katharine

    2014-01-01

    Objective To explore the characteristics, motivations, ideologies, experience and perspectives of experienced medical humanitarian workers. Design We applied a qualitative descriptive approach and conducted in-depth semistructured interviews, containing open-ended questions with directing probes, with 44 experienced international medical aid workers from a wide range of humanitarian organisations. Interviews were coded and analysed, and themes were developed. Setting International non-governmental organisations (INGOs) and United Nations (UN). Results 61% of participants were female; mean age was 41.8 years with an average of 11.8 years of humanitarian work experience with diverse major INGOs. Significant core themes included: population's rights to assistance, altruism and solidarity as motives; self-identification with the mission and directives of INGOs; shared personal and professional morals fostering collegiality; accountability towards beneficiaries in areas of programme planning and funding; burnout and emotional burdens; uncertainties in job safety and security; and uneasiness over changing humanitarian principles with increasing professionalisation of aid and shrinking humanitarian access. While dissatisfied with overall aid operations, participants were generally satisfied with their work and believed that they were well-received by, and had strong relationships with, intended beneficiaries. Conclusions Despite regular use of language and ideology of rights, solidarity and concepts of accountability, tension exists between the philosophy and practical incorporation of accountability into operations. To maintain a humanitarian corps and improve aid worker retention, strategies are needed regarding management of psychosocial stresses, proactively addressing militarisation and neo-humanitarianism, and nurturing individuals’ and organisations’ growth with emphasis on humanitarian principles and ethical practices, and a culture of internal debate

  3. Relevance or Excellence? Setting Research Priorities for Mental Health and Psychosocial Support in Humanitarian Settings

    PubMed Central

    Tol, Wietse A; Patel, Vikram; Tomlinson, Mark; Baingana, Florence; Galappatti, Ananda; Silove, Derrick; Sondorp, Egbert; van Ommeren, Mark; Wessells, Michael G; Catherine, Panter-Brick

    2012-01-01

    Background: Humanitarian crises are associated with an increase in mental disorders and psychological distress. Despite the emerging consensus on intervention strategies in humanitarian settings, the field of mental health and psychosocial support (MHPSS) in humanitarian settings lacks a consensus-based research agenda. Methods: From August 2009 to February 2010, we contacted policymakers, academic researchers, and humanitarian aid workers, and conducted nine semistructured focus group discussions with 114 participants in three locations (Peru, Uganda, and Nepal), in both the capitals and remote humanitarian settings. Local stakeholders representing a range of academic expertise (psychiatry, psychology, social work, child protection, and medical anthropology) and organizations (governments, universities, nongovernmental organizations, and UN agencies) were asked to identify priority questions for MHPSS research in humanitarian settings, and to discuss factors that hamper and facilitate research. Results: Thematic analyses of transcripts show that participants broadly agreed on prioritized research themes in the following order: (1) the prevalence and burden of mental health and psychosocial difficulties in humanitarian settings, (2) how MHPSS implementation can be improved, (3) evaluation of specific MHPSS interventions, (4) the determinants of mental health and psychological distress, and (5) improved research methods and processes. Rather than differences in research themes across countries, what emerged was a disconnect between different groups of stakeholders regarding research processes: the perceived lack of translation of research findings into actual policy and programs; misunderstanding of research methods by aid workers; different appreciation of the time needed to conduct research; and disputed universality of research constructs. Conclusions: To advance a collaborative research agenda, actors in this field need to bridge the perceived disconnect between

  4. The Syrian public health and humanitarian crisis: A 'displacement' in global governance?

    PubMed

    Akbarzada, Sumaira; Mackey, Tim K

    2017-02-04

    Ongoing failure by the international community to resolve the Syrian conflict has led to destruction of critical infrastructure. This includes the collapse of the Syrian health system, leaving millions of internally displaced persons (IDPs) in urgent need of healthcare services. As the conflict intensifies, IDP populations are suffering from infectious and non-communicable disease risks, poor maternal and child health outcomes, trauma, and mental health issues, while healthcare workers continually exit the country. Healthcare workers who remain face significant challenges, including systematic attacks on healthcare facilities and conditions that severely inhibit healthcare delivery and assistance. Within this conflict-driven public health crisis, the most susceptible population is arguably the IDP. Though the fundamental 'right to health' is a recognised international legal principle, its application is inadequate due to limited recognition by the UN Security Council and stymied global governance by the broader international community. These factors have also negatively impacted other vulnerable groups other than IDPs, such as refugees and ethnic minorities, who may or may not be displaced. Hence, this article reviews the current Syrian conflict, assesses challenges with local and global governance for IDPs, and explores potential governance solutions needed to address this health and humanitarian crisis.

  5. Direct Killing of Patients in Humanitarian Situations and Armed Conflicts: The Profession of Medicine Is Losing Its Meaning

    PubMed Central

    Asgary, Ramin

    2015-01-01

    During armed conflicts over the past several years, attacks on humanitarian workers and patients have increased, including the most recent overt killing of patients in their hospital beds in South Sudan and Central African Republic, and bombardments of hospitals in Iraq, Syria, and other countries. Direct attacks on patients inside hospitals, as well as social structural dynamics that undermine patient safety and security, are met with apparent indifference by international and medical communities. How can the medical profession remain silent and stand by while these factors render its core mission futile? In this article, I aim to shed light on this issue, and its implications for the future of the neutral and impartial provision of medical care; provide an analysis of underlying and contributing factors; discuss current international strategies; reflect on the responsibility of health providers; explore ways to strengthen our roles as physician advocates; and call for the medical profession to do more to protect medicine's core values. PMID:25646255

  6. [Antonio de Saldanha da Gama's proposals to improve the slave trade "for humanitarian and economic reasons," Rio de Janeiro, 1810].

    PubMed

    Viotti, Ana Carolina de Carvalho

    2016-01-01

    In 1808, Dom João VI issued an edict which regulated the shipping and treatment of slaves on the transatlantic crossing from Africa. Two years later, Antonio de Saldanha da Gama, a member of the Treasury Council, drafted a letter discussing some points of the resolution. This key figure in the Portuguese administration of Brazil argued that his respectful considerations concerning the determinations of His Royal Highness were designed to improve them "for humanitarian and economic reasons." Safeguarded in the archives of Arquivo Histórico Ultramarino, this letter is transcribed, annotated, and contextualized here, supplying an interesting perspective on the prevailing concerns and justifications about the trafficking of African slaves to Brazil.

  7. Vaccine-preventable diseases in humanitarian emergencies among refugee and internally-displaced populations

    PubMed Central

    Lam, Eugene; McCarthy, Amanda; Brennan, Muireann

    2015-01-01

    Humanitarian emergencies may result in breakdown of regular health services including routine vaccination programs. Displaced populations including refugees and internally displaced persons are particularly susceptible to outbreaks of communicable diseases such as vaccine-preventable diseases (VPDs). Common VPDs encountered in humanitarian emergencies include measles, polio, and depending on geographical location, meningococcal meningitis, yellow fever, hepatitis A, and cholera. We conducted a review of 50 published articles from 2000 to 2015 concerning VPDs in humanitarian emergencies. This article provides an update on the available literature regarding vaccinations among this highly vulnerable population and describes the unique challenges of VPDs during humanitarian emergencies. Humanitarian emergencies place affected populations at risk for elevated morbidity and mortality from VPDs due to creation or exacerbation of factors associated with disease transmission such as mass population movements, overcrowding, malnutrition, and poor water and sanitation conditions. Vaccination is one of the most basic and critical health interventions for protecting vulnerable populations during emergencies. Growing insecurity, as seen in the increasing number of targeted attacks on health workers in recent years, as well as destruction of cold chain and infrastructure for transportation of supplies, are creating new challenges in provision of life saving vaccines in conflict settings. Population displacement can also threaten global VPD eradication and elimination efforts. While highly effective vaccines and guidelines to combat VPDs are available, the trend of increasing number of humanitarian emergencies globally poses new and emerging challenges in providing vaccination among displaced populations. PMID:26406333

  8. Neonatal survival interventions in humanitarian emergencies: a survey of current practices and programs

    PubMed Central

    2012-01-01

    Background Neonatal deaths account for over 40% of all deaths in children younger than five years of age and neonatal mortality rates are highest in areas affected by humanitarian emergencies. Of the ten countries with the highest neonatal mortality rates globally, six are currently or recently affected by a humanitarian emergency. Yet, little is known about newborn care in crisis settings. Understanding current policies and practices for the care of newborns used by humanitarian aid organizations will inform efforts to improve care in these challenging settings. Methods Between August 18 and September 25, 2009, 56 respondents that work in humanitarian emergencies completed a web-based survey either in English or French. A snow ball sampling technique was used to identify organizations that provide health services during humanitarian emergencies to gather information on current practices for maternal and newborn care in these settings. Information was collected about continuum-of-care services for maternal, newborn and child health, referral services, training and capacity development, health information systems, policies and guidelines, and organizational priorities. Data were entered into MS Excel and frequencies and percentages were calculated. Results The majority of responding organizations reported implementing components of neonatal and maternal health interventions. However, multiple barriers exist in providing comprehensive care, including: funding shortages (63.3%), gaps in training (51.0%) and staff shortages and turnover (44.9%). Conclusions Neonatal care is provided by most of the responding humanitarian organizations; however, the quality, breadth and consistency of this care are limited. PMID:22824461

  9. Nuclear Shuttle Logistics Configuration

    NASA Technical Reports Server (NTRS)

    1971-01-01

    This 1971 artist's concept shows the Nuclear Shuttle in both its lunar logistics configuraton and geosynchronous station configuration. As envisioned by Marshall Space Flight Center Program Development persornel, the Nuclear Shuttle would deliver payloads to lunar orbits or other destinations then return to Earth orbit for refueling and additional missions.

  10. Failing to protect humanitarian workers: lessons from Britain and Voluntary Aid Detachments in the Second World War.

    PubMed

    Verma, Amol A

    2017-03-19

    This paper draws on official records of international and British organizations, newspaper reports, and volunteer memoirs to study the failure to protect humanitarian workers in the Second World War. The Second World War saw a significant expansion in the use of air warfare and flying missiles and these technological advances posed a grave threat to civilians and humanitarian workers. In this context, the International Committee of the Red Cross advocated unsuccessfully to restrict air warfare and create safe hospital zones. The British Government grappled with the tension between military and humanitarian objectives in setting its bombardment policy. Ultimately, humanitarian principles were neglected in pursuit of strategic aims, which endangered civilians and left humanitarian workers particularly vulnerable. British Voluntary Aid Detachment nurses experienced more than six-fold greater fatality rates than civil defence workers and the general population. The lessons from failures to protect humanitarian workers in the face of evolutions in warfare remain profoundly relevant.

  11. NASA Space Exploration Logistics Workshop Proceedings

    NASA Technical Reports Server (NTRS)

    deWeek, Oliver; Evans, William A.; Parrish, Joe; James, Sarah

    2006-01-01

    As NASA has embarked on a new Vision for Space Exploration, there is new energy and focus around the area of manned space exploration. These activities encompass the design of new vehicles such as the Crew Exploration Vehicle (CEV) and Crew Launch Vehicle (CLV) and the identification of commercial opportunities for space transportation services, as well as continued operations of the Space Shuttle and the International Space Station. Reaching the Moon and eventually Mars with a mix of both robotic and human explorers for short term missions is a formidable challenge in itself. How to achieve this in a safe, efficient and long-term sustainable way is yet another question. The challenge is not only one of vehicle design, launch, and operations but also one of space logistics. Oftentimes, logistical issues are not given enough consideration upfront, in relation to the large share of operating budgets they consume. In this context, a group of 54 experts in space logistics met for a two-day workshop to discuss the following key questions: 1. What is the current state-of the art in space logistics, in terms of architectures, concepts, technologies as well as enabling processes? 2. What are the main challenges for space logistics for future human exploration of the Moon and Mars, at the intersection of engineering and space operations? 3. What lessons can be drawn from past successes and failures in human space flight logistics? 4. What lessons and connections do we see from terrestrial analogies as well as activities in other areas, such as U.S. military logistics? 5. What key advances are required to enable long-term success in the context of a future interplanetary supply chain? These proceedings summarize the outcomes of the workshop, reference particular presentations, panels and breakout sessions, and record specific observations that should help guide future efforts.

  12. Academic affiliated training centers in humanitarian health, Part I: program characteristics and professionalization preferences of centers in North America.

    PubMed

    Burkle, Frederick M; Walls, Alexa E; Heck, Joan P; Sorensen, Brian S; Cranmer, Hilarie H; Johnson, Kirsten; Levine, Adam C; Kayden, Stephanie; Cahill, Brendan; VanRooyen, Michael J

    2013-04-01

    The collaborative London based non-governmental organization network ELRHA (Enhancing Learning and Research for Humanitarian Assistance) supports partnerships between higher education institutions and humanitarian organizations worldwide with the objective to enhance the professionalization of the humanitarian sector. While coordination and control of the humanitarian sector has plagued the response to every major crisis, concerns highlighted by the 2010 Haitian earthquake response further catalyzed and accelerated the need to ensure competency-based professionalization of the humanitarian health care work force. The Harvard Humanitarian Initiative sponsored an independent survey of established academically affiliated training centers in North America that train humanitarian health care workers to determine their individual training center characteristics and preferences in the potential professionalization process. The survey revealed that a common thread of profession-specific skills and core humanitarian competencies were being offered in both residential and online programs with additional programs offering opportunities for field simulation experiences and more advanced degree programs. This study supports the potential for the development of like-minded academic affiliated and competency-based humanitarian health programs to organize themselves under ELRHA's regional "consultation hubs" worldwide that can assist and advocate for improved education and training opportunities in less served developing countries.

  13. Humanitarian military medical mission in a postconflict environment: lessons from Cambodia.

    PubMed

    Hubner, M E; Ditzler, Thomas F

    2004-09-01

    In the aftermath of a genocidal civil war, the Government of Cambodia is left with major deficiencies in its healthcare system. This article recounts a military medical mission to Cambodia; the authors describe the objectives of the mission and provide a summary of the lessons learned. Specific areas of concern include healthcare infrastructure, logistics, standards of care, social traditions, organizational issues and potential problems in civil-military collaboration. This report is offered as a heuristic device to illuminate some of the issues that can mediate the success of military medical missions in postconflict environments.

  14. [Understanding logistic regression].

    PubMed

    El Sanharawi, M; Naudet, F

    2013-10-01

    Logistic regression is one of the most common multivariate analysis models utilized in epidemiology. It allows the measurement of the association between the occurrence of an event (qualitative dependent variable) and factors susceptible to influence it (explicative variables). The choice of explicative variables that should be included in the logistic regression model is based on prior knowledge of the disease physiopathology and the statistical association between the variable and the event, as measured by the odds ratio. The main steps for the procedure, the conditions of application, and the essential tools for its interpretation are discussed concisely. We also discuss the importance of the choice of variables that must be included and retained in the regression model in order to avoid the omission of important confounding factors. Finally, by way of illustration, we provide an example from the literature, which should help the reader test his or her knowledge.

  15. Research challenges in municipal solid waste logistics management.

    PubMed

    Bing, Xiaoyun; Bloemhof, Jacqueline M; Ramos, Tania Rodrigues Pereira; Barbosa-Povoa, Ana Paula; Wong, Chee Yew; van der Vorst, Jack G A J

    2016-02-01

    During the last two decades, EU legislation has put increasing pressure on member countries to achieve specified recycling targets for municipal household waste. These targets can be obtained in various ways choosing collection methods, separation methods, decentral or central logistic systems, etc. This paper compares municipal solid waste (MSW) management practices in various EU countries to identify the characteristics and key issues from a waste management and reverse logistics point of view. Further, we investigate literature on modelling municipal solid waste logistics in general. Comparing issues addressed in literature with the identified issues in practice result in a research agenda for modelling municipal solid waste logistics in Europe. We conclude that waste recycling is a multi-disciplinary problem that needs to be considered at different decision levels simultaneously. A holistic view and taking into account the characteristics of different waste types are necessary when modelling a reverse supply chain for MSW recycling.

  16. Logistics Software Implementation.

    DTIC Science & Technology

    1986-02-28

    to obtain benchmark performance results. The list presented in Appendix A is not final and should be considered only as the initial worksheet . d...has been used in more applications and its imple-... mentation is better understood. All of the preliminary tests have indi- cated excellent ...environment. The fifth-generation languages, such as PROLOG, also provide excellent dynamic data base support. The proposed approach for the Logistics

  17. Logistics and Strategy

    DTIC Science & Technology

    2014-12-04

    2014 by: , Director, Graduate Degree Programs Robert F. Baumann, PhD The opinions and conclusions expressed herein are those of the...Washington, DC: Center for Military History, 1993), 244. 24 Spencer C. Tucker and Priscilla Mary Roberts , Encyclopedia of World War I (Santa Barbara...Theater of Operations. See Richard M. Leighton and Robert W. Coakley, Global Logistics and Strategy 1940-1943 (Washington, DC: Center for Military

  18. The Co-Creation of a Video to Inspire Humanitarianism: How an Educational Entrepreneurial Approach Inspired Humanitarian Workers to Be Mindfully Innovative Whilst Working with Technology

    ERIC Educational Resources Information Center

    Crotty, Yvonne; Kilboy, Laura

    2015-01-01

    This paper demonstrates the value of embracing digital technology in order to effect positive change in a non-governmental (NGO) charity organisation, in this case the Irish Charity Crosscause. The outcome of the research was the creation of a charity video, Crosscause: Making a Difference, to showcase humanitarian work in Ireland and Romania with…

  19. Humanitarian agencies and authoritarian states: a symbiotic relationship?

    PubMed

    del Valle, Hernan; Healy, Sean

    2013-10-01

    The relationship between humanitarian agencies and authoritarian states is of growing concern to Médecins Sans Frontières (MSF), given the recurring difficulties experienced in negotiating access and implementing operations in such contexts. The effort to negotiate and gain approval from states to operate on their territory prompts reflection on the sources of legitimacy for action. Drawing on direct field examples in two countries only very rarely examined--Turkmenistan and Uzbekistan--this paper explores MSF's attempts to offer live-saving medical care there. It shows that successful access negotiations hinged heavily on demonstrating added value (medical relevance) while simultaneously building relationships with authorities, identifying possible allies within health ministries, and hoping that such measures could promote a level of acceptance or trust needed to operate. It is clear that the operational space achieved is bound to remain limited and fragile, and that many compromises have to be considered and judged against ethical principles and the overall impact of the intervention.

  20. Geoengineering: re-making climate for profit or humanitarian intervention?

    PubMed

    Buck, Holly Jean

    2012-01-01

    Climate engineering, or geoengineering, refers to large-scale climate interventions to lower the earth's temperature, either by blocking incoming sunlight or removing carbon dioxide from the biosphere. Regarded as ‘technofixes’ by critics, these strategies have evoked concern that they would extend the shelf life of fossil-fuel driven socio-ecological systems for far longer than they otherwise would, or should, endure. A critical reading views geoengineering as a class project that is designed to keep the climate system stable enough for existing production systems to continue operating. This article first examines these concerns, and then goes on to envision a regime driven by humanitarian agendas and concern for vulnerable populations, implemented through international development and aid institutions. The motivations of those who fund research and implement geoengineering techniques are important, as the rationale for developing geoengineering strategies will determine which techniques are pursued, and hence which ecologies are produced. The logic that shapes the geoengineering research process could potentially influence social ecologies centuries from now.

  1. Magnetic sensing techniques for humanitarian ordnance detection and discrimination

    NASA Astrophysics Data System (ADS)

    Keranen, Joe; Billings, Steve; Schultz, Gregory; Miller, Jonathan

    2011-06-01

    Detection and discrimination of unexploded ordnance (UXO) in areas of prior conflict is of high importance to the international community and the United States government. For humanitarian applications, sensors and processing methods need to be robust, reliable, and easy to train and implement using indigenous UXO removal personnel. This paper focuses on magnetometer sensing techniques, processing, and operation for UXO detection and discrimination applications. Specifically, we discuss the collection, processing, and discrimination of data collected using the PACMAG man-portable system consisting of arrays of sensitive total-field magnetometers, global positioning (GPS) combined with digital odometers, and a data acquisition system. We outline preliminary standard operating procedures for optimal collection of UXO-induced magnetic fields and associated position data using either a GPS, or odometer when surveying in GPS-denied areas. Processing techniques such as gridding and filtering, target picking, and discrimination lead to estimates of target size and location. Emphasis is placed on simplifying the production of magnetometer hardware and software for use by minimally-trained personnel with no advanced knowledge of magnetic sensing and geophysics.

  2. Monitoring and Evaluating Psychosocial Intervention Outcomes in Humanitarian Aid

    PubMed Central

    de Jong, Kaz; Ariti, Cono; van der Kam, Saskia; Mooren, Trudy; Shanks, Leslie; Pintaldi, Giovanni; Kleber, Rolf

    2016-01-01

    Existing tools for evaluating psychosocial interventions (un-validated self-reporting questionnaires) are not ideal for use in non-Western conflict settings. We implement a generic method of treatment evaluation, using client and counsellor feedback, in 18 projects in non-Western humanitarian settings. We discuss our findings from the perspective of validity and suggestions for future research. A retrospective analysis is executed using data gathered from psychosocial projects. Clients (n = 7,058) complete two (complaints and functioning) rating scales each session and counsellors rate the client’s status at exit. The client-completed pre- and post-intervention rating scales show substantial changes. Counsellor evaluation of the clients’ status shows a similar trend in improvement. All three multivariable models for each separate scale have similar associations between the scales and the investigated variables despite different cultural settings. The validity is good. Limitations are: ratings give only a general impression and clinical risk factors are not measured. Potential ceiling effects may influence change of scales. The intra and inter-rater reliability of the counsellors’ rating is not assessed. The focus on client and counsellor perspectives to evaluate treatment outcome seems a strong alternative for evaluation instruments frequently used in psychosocial programming. The session client rated scales helps client and counsellor to set mutual treatment objectives and reduce drop-out risk. Further research should test the scales against a cross-cultural valid gold standard to obtain insight into their clinical relevance. PMID:27315263

  3. Enforcement costs: some humanitarian alternatives to stronger patent rights.

    PubMed

    Trotter, Andrew

    2012-01-01

    Diseases that cause comparatively few problems in developed countries kill millions of people in the Third World each year. In many cases, people die because they cannot afford the medication needed to save their lives. In others, there are simply no drugs available because there are no wealthy western patients to justify pharmaceutical companies investing in a cure. This reveals a deep-seated problem within the patent system and the pharmaceutical industry that emphasises markets and profits at the expense of health and global welfare. Global efforts have seen substantial improvements in access to medicines in isolated areas, but with international agreements driving towards stronger patent protection and the expiry date for the TRIPS grace period fast approaching, it is time to consider alternatives which will allow the patent system to work for the humanitarian cause rather than against it. This paper considers two such problems in the patent system and pharmaceutical industry - prohibitive pricing and misdirected incentives - to offer a mode of regulation and enforcement that will support both a viable pharmaceutical industry and the human right to health and medication.

  4. Research ethics in the context of humanitarian emergencies.

    PubMed

    O'Mathúna, Dónal

    2015-02-01

    Research is needed to make responses to disasters and humanitarian emergencies more evidence-based. Such research must also adhere to the generally accepted principles of research ethics. While research into health interventions used in disasters raises distinctive ethical concerns, seven ethical principles developed for clinical research are applied here to disaster research. Practical examples from disaster settings are used to demonstrate how these ethical principles can be applied. This reveals that research ethics needs to be seen as much more than a mechanism to obtain ethical approval for research. Research ethics involves ethical principles and governance frameworks, but must also consider the role of ethical virtues in research. Virtues are essential to ensure that researchers do what they believe is ethically right and resist what is unethical. Research ethics that truly protects participants and promotes respect needs to include training in ethical virtues to ensure disaster research is carried out to the highest ethical standards. This article is based on a presentation at the Evidence Aid Symposium on 20 September 2014, in Hyderabad, India.

  5. 'The deserving': Moral reasoning and ideological dilemmas in public responses to humanitarian communications.

    PubMed

    Seu, Irene Bruna

    2016-12-01

    This study investigates everyday moral reasoning in relation to donations and prosocial behaviour in a humanitarian context. The discursive analysis focuses on the principles of deservingness which members of the public use to decide who to help and under what conditions. The study discusses three repertoires of deservingness - 'seeing a difference', 'waiting in queues', and 'something for nothing' - to illustrate participants' dilemmatic reasoning and to examine how the position of 'being deserving' is negotiated in humanitarian crises. Discursive analyses of these dilemmatic repertoires of deservingness identify the cultural and ideological resources behind these constructions and show how humanitarianism intersects and clashes with other ideologies and value systems. The data suggest that a neoliberal ideology, which endorses self-gratification, materialistic and individualistic ethics, and cultural assimilation of helper and receiver play important roles in decisions about humanitarian helping. The study argues for the need for psychological research to engage more actively with the dilemmas involved in the moral reasoning related to humanitarianism and to contextualize decisions about giving and helping within the sociocultural and ideological landscape in which the helper operates.

  6. Dividing disasters in Aceh, Indonesia: separatist conflict and tsunami, human rights and humanitarianism.

    PubMed

    Zeccola, Paul

    2011-04-01

    This paper examines the interface between human rights and humanitarian action in the context of the conflict and tsunami in Aceh, Indonesia, between 1998 and 2007. It looks at the challenges international humanitarian non-governmental organisations (NGOs) faced as they engaged in human rights work in the conflict period and in conflict-related activities in the post-tsunami period. The paper argues that many large NGOs may have compromised what some would hold to be essential principles for humanitarian action because of domestic political concerns, donor restrictions and resistance among certain NGO chiefs. In contrast with the pre-tsunami period, in which NGOs worked for years amid military operations, in the post-tsunami period NGOs were decidedly apolitical, neglecting the conflict in their tsunami response--despite significant developments that permitted greater political engagement in Aceh's post-conflict transformation. The evidence suggests that NGOs are challenged in contextualising humanitarian responses and that there is a need to underscore donor flexibility and independence in humanitarian action.

  7. Earth Science Data and Models for Improved Targeting of Humanitarian Aid

    NASA Technical Reports Server (NTRS)

    Brown, Molly E.

    2011-01-01

    Humanitarian assistance to developing countries has long focused on countries that have political, economic and strategic interest to the United States. Recent changes in global security concerns have heightened the perception that humanitarian action is becoming increasingly politicized. This is seen to be largely driven by the 'global war on terror' along with a push by donors and the United Nations for closer integration between humanitarian action and diplomatic, military and other spheres of engagement in conflict and crisis-affected states (HPG 2010). As we enter an era of rising commodity prices and increasing uncertainty in global food production due to a changing climate, scientific data and analysis will be increasingly important to improve the targeting of humanitarian assistance. Earth science data enables appropriate humanitarian response to complex food emergencies that arise in regions outside the areas of current strategic and security focus. As the climate changes, new places will become vulnerable to food insecurity and will need emergency assistance. Earth science data and multidisciplinary models will enable an information-based comparison of need that goes beyond strategic and political considerations to identify new hotspots of food insecurity as they emerge. These analyses will improve aid targeting and timeliness while reducing strategic risk by highlighting new regions at risk of crisis in a rapidly changing world. Improved targeting with respect to timing and location could reduce cost while increasing the likelihood that those who need aid get it.

  8. Humanitarian Intervention in Kosovo: The Importance of Legal and Moral Issues

    DTIC Science & Technology

    2007-05-01

    categorize and impersonalize facts that detract from the particulars and make Americans comfortable with their decisions. An example of this is the...nations. This inquiry, was carried through to recent history, with the writings of Immanel Kant , who called for a “League of Nations, an organization...camps were built, meals prepared for 129,000, and essential food, medical supplies and other materials were shipped to the region.37 In another

  9. Steganalysis using logistic regression

    NASA Astrophysics Data System (ADS)

    Lubenko, Ivans; Ker, Andrew D.

    2011-02-01

    We advocate Logistic Regression (LR) as an alternative to the Support Vector Machine (SVM) classifiers commonly used in steganalysis. LR offers more information than traditional SVM methods - it estimates class probabilities as well as providing a simple classification - and can be adapted more easily and efficiently for multiclass problems. Like SVM, LR can be kernelised for nonlinear classification, and it shows comparable classification accuracy to SVM methods. This work is a case study, comparing accuracy and speed of SVM and LR classifiers in detection of LSB Matching and other related spatial-domain image steganography, through the state-of-art 686-dimensional SPAM feature set, in three image sets.

  10. Squared sine logistic map

    NASA Astrophysics Data System (ADS)

    de Carvalho, R. Egydio; Leonel, Edson D.

    2016-12-01

    A periodic time perturbation is introduced in the logistic map as an attempt to investigate new scenarios of bifurcations and new mechanisms toward the chaos. With a squared sine perturbation we observe that a point attractor reaches the chaotic attractor without following a cascade of bifurcations. One fixed point of the system presents a new scenario of bifurcations through an infinite sequence of alternating changes of stability. At the bifurcations, the perturbation does not modify the scaling features observed in the convergence toward the stationary state.

  11. The logistics of choice.

    PubMed

    Killeen, Peter R

    2015-07-01

    The generalized matching law (GML) is reconstructed as a logistic regression equation that privileges no particular value of the sensitivity parameter, a. That value will often approach 1 due to the feedback that drives switching that is intrinsic to most concurrent schedules. A model of that feedback reproduced some features of concurrent data. The GML is a law only in the strained sense that any equation that maps data is a law. The machine under the hood of matching is in all likelihood the very law that was displaced by the Matching Law. It is now time to return the Law of Effect to centrality in our science.

  12. 75 FR 26344 - Temporary Exclusion of the Assessment of Overflight Fees for Humanitarian Flights Related to the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... Humanitarian Flights Related to the January 12, 2010, Earthquake in Haiti AGENCY: Federal Aviation... Fees for humanitarian flights in response to the earthquake in Haiti. SUMMARY: On January 12, 2010, the nation of Haiti was hit by a devastating earthquake near the heaviest populated part of the country,...

  13. 76 FR 77542 - Draft Guidance for Industry and Food and Drug Administration Staff on Humanitarian Use Device...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry and Food and Drug Administration... guidance for industry and FDA staff entitled ``Humanitarian Use Device (HUD) Designations.'' Devices are... HUD designation may be eligible for marketing approval under the Humanitarian Device Exemption...

  14. Humanitarian accountability, bureaucracy, and self-regulation: the view from the archive.

    PubMed

    Roddy, Sarah; Strange, Julie-Marie; Taithe, Bertrand

    2015-10-01

    This paper contains a systematic exploration of local and national archives and sources relevant to charities and humanitarian fund appeals of the late Victorian and Edwardian eras (1870-1912) in Great Britain. It shows that the charitable world and humanitarian work share the same matrix and originate from the same roots, with considerable overlap between fundraising for domestic charity and overseas relief. These campaigns engaged in crucial self-regulatory processes very early on that involved concepts such as formal accountability and the close monitoring of delivery. Far from lagging behind in terms of formal practices of auditing and accounts, charities and humanitarian funds often were in the pioneering group as compared with mainstream businesses of the period. The charitable sector, notably through the Charity Organisation Society in cooperation with the press, developed and delivered accountability and monitoring, while the state and the Charity Commission played a negligible role in this process.

  15. Development of an evaluation framework suitable for assessing humanitarian workforce competencies during crisis simulation exercises.

    PubMed

    Cranmer, Hilarie; Chan, Jennifer L; Kayden, Stephanie; Musani, Altaf; Gasquet, Philippe E; Walker, Peter; Burkle, Frederick M; Johnson, Kirsten

    2014-02-01

    The need to provide a professionalization process for the humanitarian workforce is well established. Current competency-based curricula provided by existing academically affiliated training centers in North America, the United Kingdom, and the European Union provide a route toward certification. Simulation exercises followed by timely evaluation is one way to mimic the field deployment process, test knowledge of core competences, and ensure that a competent workforce can manage the inevitable emergencies and crises they will face. Through a 2011 field-based exercise that simulated a humanitarian crisis, delivered under the auspices of the World Health Organization (WHO), a competency-based framework and evaluation tool is demonstrated as a model for future training and evaluation of humanitarian providers.

  16. THE LOSS OF MALAYSIA AIRLINES FLIGHT MH17: A FORENSIC AND HUMANITARIAN TASK.

    PubMed

    Ranson, David

    2015-06-01

    While forensic medical tasks are usually associated with supporting the criminal justice system, there are a range of forensic medical skills that can be brought to bear on addressing humanitarian activities. Disaster victim identification is a procedure that has achieved international standardisation through the work of a multinational Interpol Standing Committee. While part of a police organisation, it includes forensic pathologists, anthropologists, odontologists and molecular biologists who provide most of the specialist scientific input regarding identification that is integrated with police processes such as document examination and fingerprinting. The loss of Malaysian Airlines Flight MH17 represented a major activation of these procedures in an environment that had both humanitarian and forensic criminal investigation components. The information that is derived from the processes involved in disaster victim identification has a value that goes far beyond the determination of identity. It has an important humanitarian role in supporting the family and friends of the victims in their bereavement journey.

  17. Counselling in humanitarian settings: a retrospective analysis of 18 individual-focused non-specialised counselling programmes

    PubMed Central

    2013-01-01

    Background Médecins Sans Frontières (MSF) provides individual counselling interventions in medical humanitarian programmes in contexts affected by conflict and violence. Although mental health and psychosocial interventions are a common part of the humanitarian response, little is known about how the profile and outcomes for individuals seeking care differs across contexts. We did a retrospective analysis of routine programme data to determine who accessed MSF counselling services and why, and the individual and programmatic risk factors for poor outcomes. Methods We analysed data from 18 mental health projects run by MSF in 2009 in eight countries. Outcome measures were client-rating scores (1–10 scale; 1 worst) for complaint severity and functioning and counsellor assessment. The effect of client and programme factors on outcomes was assessed by multiple regression analysis. Logistic regression was used to assess binary outcome variables. Results 48704 counselling sessions were held with 14963 individuals. Excluding women-focused projects, 66.8% of patients were women. Mean (SD) age was 33.3 (14.1) years. Anxiety-related complaints were the most common (35.0%), followed by family-related problems (15.7%), mood-related problems (14.1%) and physical complaints (13.7%). Only 2.0% presented with a serious mental health condition. 27.2% did not identify a traumatic precipitating event. 24.6% identified domestic discord or violence and 17.5% psychological violence as the precipitating event. 6244 (43.9%) had only one session. For 91% of 7837 who returned, the counsellor reported the problem had decreased or resolved. The mean (SD) complaint rating improved by 4.7 (2.4) points (p < 0.001) and by 4.2 (2.3, p < 0.001) for functional rating. Risk factors for poorer outcomes were few sessions, non-conflict setting (stable or societal violence settings), serious mental health condition, or attending a large, recently opened project. Conclusions The majority of

  18. Violence against children in humanitarian settings: A literature review of population-based approaches.

    PubMed

    Stark, Lindsay; Landis, Debbie

    2016-03-01

    Children in humanitarian settings are thought to experience increased exposure to violence, which can impair their physical, emotional, and social development. Violence against children has important economic and social consequences for nations as a whole. The purpose of this review is to examine population-based approaches measuring violence against children in humanitarian settings. The authors reviewed prevalence studies of violence against children in humanitarian contexts appearing in peer-reviewed journals within the past twenty years. A Boolean search procedure was conducted in October 2014 of the electronic databases PubMed/Medline and PsychInfo. If abstracts contained evidence of the study's four primary themes--violence, children, humanitarian contexts and population-based measurement--a full document review was undertaken to confirm relevance. Out of 2634 identified articles, 22 met the final inclusion criteria. Across studies, there was varying quality and no standardization in measurement approach. Nine out of 22 studies demonstrated a relationship between conflict exposure and adverse health or mental health outcomes. Among studies that compared rates of violence between boys and girls, boys reported higher rates of physical violence, while girls reported higher rates of sexual violence. Children in infancy and early childhood were found to be among the most under-researched. Ultimately, the body of evidence in this review offers an incomplete picture regarding the prevalence, nature and impact of violence against children in emergencies, demonstrating a weak evidence base for some of the basic assumptions underpinning humanitarian practice. The development of standardized approaches to more rigorously measure violence against children is urgently needed in order to understand trends of violence against children in humanitarian contexts, and to promote children's healthy development and well-being.

  19. Examples of tropical disease control in the humanitarian medical programmes of MSF and Merlin.

    PubMed

    Balasegaram, Manica; Dejene, Seyoum; Tinnemann, Peter; Perkins, Samantha; Davidson, Robert

    2006-04-01

    Humanitarian medical programmes in the tropics have the opportunity to provide beacons of good practice. The use of modern drugs and diagnostics, a lack of bureaucracy, adequate budgets, motivated staff and well-functioning supply lines all contribute to the success of this approach. At a joint meeting of the Royal Society of Tropical Medicine, the London School of Hygiene and Tropical Medicine, Médecins Sans Frontières and Merlin, new data were presented on the outcomes of recent humanitarian programmes to control malaria (Ethiopia), human African trypanosomiasis (south Sudan), Lassa fever (Sierra Leone) and tuberculosis (Tomsk, former USSR).

  20. Developing Future Strategic Logistics Leaders

    DTIC Science & Technology

    2013-03-01

    and our focus on tactical level lessons learned has 12 skewed our emphasis in PME to a very narrow band of excellence. As such our current...A partnership between senior logistics leaders, PME developers, and personnel managers is essential to constructing and maintaining strategic...short term and inconsistent PME system that does not produce strategic logistic leaders. The Logistics Corps, sustainment branches, LOO lead for leader

  1. Space Shuttle operational logistics plan

    NASA Technical Reports Server (NTRS)

    Botts, J. W.

    1983-01-01

    The Kennedy Space Center plan for logistics to support Space Shuttle Operations and to establish the related policies, requirements, and responsibilities are described. The Directorate of Shuttle Management and Operations logistics responsibilities required by the Kennedy Organizational Manual, and the self-sufficiency contracting concept are implemented. The Space Shuttle Program Level 1 and Level 2 logistics policies and requirements applicable to KSC that are presented in HQ NASA and Johnson Space Center directives are also implemented.

  2. The 1999 international emergency humanitarian evacuation of the Kosovars to Canada: A qualitative study of service providers' perspectives at the international, national and local levels.

    PubMed

    Fowler, Nancy; Redwood-Campbell, Lynda; Molinaro, Elizabeth; Howard, Michelle; Kaczorowski, Janusz; Jafarpour, Morteza; Robinson, Susan

    2005-01-12

    BACKGROUND: In response to the Kosovo crisis, Canada received 5,500 Albanian Kosovar refugees in 1999 as part of the emergency humanitarian evacuation and settlement effort. This study attempts to describe the experiences of service providers at the international, national, and local levels, involved in the organization and delivery of health and settlement services in Canada for the Kosovar refugees. METHODS: A qualitative case study design using key informant interviews was used. Nominated sampling was used to identify 17 individuals involved in the organization and delivery of health and settlement. Key themes were identified and recommendations made to provide a framework for the development of policy to guide response to future humanitarian emergencies. RESULTS: Six themes emerged: (1) A sense of being overwhelmed, (2) A multitude of health issues, (3) critical challenges in providing health care, (4) access to health and settlement services, (5) overall successes and (6) need for a coordinated approach to migration health. CONCLUSIONS: For those involved, the experience was overwhelming but rewarding. Interviewees' major concerns were the need for a more comprehensive and coordinated approach to the flow of medical information and handling of specific health problems.

  3. The Development and Psychometric Properties of the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale

    PubMed Central

    Semrau, Maya; van Ommeren, Mark; Blagescu, Monica; Griekspoor, Andre; Howard, Louise M.; Jordans, Mark; Lempp, Heidi; Marini, Anita; Pedersen, Jon; Pilotte, Isabelle; Slade, Mike

    2012-01-01

    Objectives. We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries. Methods. We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-tested it in Haiti, Jordan, and Nepal. Results. During field-testing, intraclass correlation coefficients (absolute agreement) for the total number of unmet needs were 0.998 in Jordan, 0.986 in Haiti, and 0.995 in Nepal (interrater reliability), and 0.961 in Jordan and 0.773 in Nepal (test–retest reliability). Cohen’s κ for the 26 individual HESPER items ranged between 0.66 and 1.0 (interrater reliability) and between 0.07 and 1.0 (test–retest reliability) across sites. Most HESPER items correlated as predicted with related questions of the World Health Organization Quality of Life-100 (WHOQOL-100), and participants found items comprehensive and relevant, suggesting criterion (concurrent) validity and content validity. Conclusions. The HESPER Scale rapidly provides valid and reliable population-based data on perceived needs in humanitarian settings. PMID:22897533

  4. Developing a Prototype Handbook for Monitoring and Evaluating Department of Defense Humanitarian Assistance Projects

    DTIC Science & Technology

    2011-01-01

    workshop with combatant command (COCOM) HA managers, " Monitoring and Evaluation of DoD Humanitarian Assistance Programs." Participants felt that a user...friendly handbook to clarify overall monitoring and evaluation (M&E) concepts and to facilitate project assessment would be particularly valuable to

  5. 'A tradition of forgetting': stabilisation and humanitarian action in historical perspective.

    PubMed

    Barakat, Sultan; Deely, Seán; Zyck, Steven A

    2010-10-01

    While subject to increasing articulation and institutionalisation, stabilisation is a long-standing concept and practice that has consistently engaged with and, at times, conflicted with varied understandings of humanitarianism and humanitarian action. Reviewing selected historical experiences, including the Philippines (1898-1902), Algeria (1956-62), Vietnam (1967-75) and El Salvador (1980-92), this paper argues that contemporary models of stabilisation build on and repeat mistakes of the past, particularly the overt securitisation of aid and the perception that humanitarian and development actors are able to purchase security effectively. Where current stabilisation differs from its earlier incarnations, as in the introduction of the private sector and incorporation of humanitarian action into war-fighting strategies, the implications are shown to be troubling if not outright disastrous. T his examination of historical experience, which includes many failures and few, if any, successes, raises the likelihood that it is not solely the design or implementation of individual stability operations that require modification but perhaps the entire concept of stabilisation itself.

  6. Measuring the benefits of using market based approaches to provide water and sanitation in humanitarian contexts.

    PubMed

    Martin-Simpson, S; Parkinson, J; Katsou, E

    2017-03-16

    The use of cash transfers and market based programming (CT/MBP) to increase the efficiency and effectiveness of emergency responses is gaining prominence in the humanitarian sector. However, there is a lack of existing indicators and methodologies to monitor activities designed to strengthen water and sanitation (WaSH) markets. Gender and vulnerability markers to measure the impact of such activities on different stakeholders is also missing. This study identifies parameters to monitor, evaluate and determine the added value of utilising CT/MBP to achieve WaSH objectives in humanitarian response. The results of the work revealed that CT/MBP can be used to support household, community and market level interventions to effectively reduce transmission of faeco-oral diseases. Efficiency, effectiveness, sustainability, appropriateness and equity were identified as useful parameters which correlated to widely accepted frameworks against which to evaluate humanitarian action. The parameters were found to be directly applicable to the case of increasing demand and supply of point of use water treatment technology for a) disaster resilience activities, and b) post-crisis response. The need for peer review of the parameters and indicators and pilot measurement in humanitarian contexts was recognised.

  7. 77 FR 49782 - Extension of the Application Deadline for Humanitarian Awards Pilot Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-17

    ...: August 13, 2012. David J. Kappos, Under Secretary of Commerce for Intellectual Property and Director of... United States Patent and Trademark Office Extension of the Application Deadline for Humanitarian Awards Pilot Program AGENCY: United States Patent and Trademark Office, Commerce. ACTION: Notice. SUMMARY:...

  8. 31 CFR 538.532 - Humanitarian transshipments to or from Southern Sudan and Darfur authorized.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... from Southern Sudan and Darfur authorized. 538.532 Section 538.532 Money and Finance: Treasury....532 Humanitarian transshipments to or from Southern Sudan and Darfur authorized. The transit or transshipment to or from Southern Sudan and Darfur of goods, technology, or services intended for...

  9. The Impacts of Humanitarian Assistance/Disaster Relief Operations on the Mental Health of Marines

    DTIC Science & Technology

    2015-12-01

    Marines relative to female Marines and for enlisted Marines relative to officers. 14. SUBJECT TERMS humanitarian assistance, disaster relief...the elevated risks following OEF/OIF deployments are larger for male Marines relative to female Marines and for enlisted Marines relative to...Effect of deployments on mental health outcomes ....................................35  Table 7.  Interaction model between female indicator and

  10. 31 CFR 560.536 - Humanitarian activities in and around Iraq.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... authorized to conduct activities in Iran that are directly incidental and essential to its authorized... authorize the actual provision of humanitarian support in Iran. (b) No exportations or re-exportations of goods or technology, whether U.S. or foreign origin, to Iran are permitted pursuant to this...

  11. 31 CFR 560.536 - Humanitarian activities in and around Iraq.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... authorized to conduct activities in Iran that are directly incidental and essential to its authorized... authorize the actual provision of humanitarian support in Iran. (b) No exportations or re-exportations of goods or technology, whether U.S. or foreign origin, to Iran are permitted pursuant to this...

  12. Helping hands: a cost-effectiveness study of a humanitarian hand surgery mission.

    PubMed

    Tadisina, Kashyap K; Chopra, Karan; Tangredi, John; Thomson, J Grant; Singh, Devinder P

    2014-01-01

    Purpose. Congenital anomalies and injuries of the hand are often undertreated in low-middle income countries (LMICs). Humanitarian missions to LMICs are commonplace, but few exclusively hand surgery missions have been reported and none have attempted to demonstrate their cost-effectiveness. We present the first study evaluating the cost-effectiveness of a humanitarian hand surgery mission to Honduras as a method of reducing the global burden of surgically treatable disease. Methods. Data were collected from a hand surgery mission to San Pedro Sula, Honduras. Costs were estimated for local and volunteer services. The total burden of disease averted from patients receiving surgical reconstruction was derived using the previously described disability-adjusted life years (DALYs) system. Results. After adjusting for likelihood of disability associated with the diagnosis and likelihood of the surgery's success, DALYs averted totaled 104.6. The total cost for the mission was $45,779 (USD). The cost per DALY averted was calculated to be $437.80 (USD), which is significantly below the accepted threshold of two times the per capita gross national income of Honduras. Conclusions. This hand surgery humanitarian mission trip to Honduras was found to be cost-effective. This model and analysis should help in guiding healthcare professionals to organize future plastic surgery humanitarian missions.

  13. 75 FR 39263 - Guidance for Humanitarian Device Exemption Holders, Institutional Review Boards, Clinical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-08

    ..., Institutional Review Boards, Clinical Investigators, and Food and Drug Administration Staff; Humanitarian Device... requirements set forth in the Pediatric Medical Device Safety and Improvement Act of 2007 (Public Law 110-85). The Pediatric Medical Device Safety and Improvement Act of 2007 includes a provision requiring...

  14. Training for Success: Intelligence Training in Support of Humanitarian Assistance Operations

    DTIC Science & Technology

    2016-06-10

    following the 2015 Nepal earthquake . In visualizing these humanitarian operations, one mostly conjures up images of doctors conducting surgery in... earthquake recovery operation, a radiological disaster operation, and an infectious disease operation. This diversity strengthens the relevance of...deployment of a NGA team to natural disasters, specifically including earthquakes , floods, hurricanes, and wildfires in order to provide initial damage or

  15. Humanitarian information systems and emergencies in the Greater Horn of Africa: logical components and logical linkages.

    PubMed

    Maxwell, Daniel; Watkins, Ben

    2003-03-01

    Natural and man-made emergencies are regular occurrences in the Greater Horn of Africa region. The underlying impoverishment of whole populations is increasing, making it more difficult to distinguish between humanitarian crises triggered by shocks and those resulting from chronic poverty. Shocks and hazards can no longer be seen as one-off events that trigger a one-time response. In countries that are both poor and exposed to frequent episodes of debilitating drought or chronic conflict, information needs tend to be different from the straightforward early warning/commodity accounting models of information systems that have proven reliable in past emergencies. This paper describes the interdependent components of a humanitarian information system appropriate for this kind of complex environment, noting the analytical links between the components and operational links to programme and policy. By examining a series of case studies from the Greater Horn region, the paper demonstrates that systems lacking one or more of these components will fail to provide adequate information--and thus incur humanitarian costs. While information always comes with a cost, the price of poor information--or none--is higher. And in situations of chronic vulnerability, in which development interventions are likely to be interspersed with both safety nets and emergency interventions on a recurrent basis, investment in improved information is a good investment from both a humanitarian and a financial viewpoint.

  16. Motivations, concerns, and expectations of Scandinavian health professionals volunteering for humanitarian assignments.

    PubMed

    Bjerneld, Magdalena; Lindmark, Gunilla; McSpadden, Lucia Ann; Garrett, Martha J

    2006-01-01

    International nongovernmental organizations (NGOs) involved in humanitarian assistance employ millions of volunteers. One of the major challenges for the organizations is the high turnover rate among their personnel. Another is recruiting the right persons. As part of a series of studies investigating factors that affect the recruitment process and the success of assignment, this qualitative study examined health professionals' motivations for volunteering, their various concerns, and their expectations about themselves and the organizations for which they would work. The findings from focus group interviews with potential humanitarian volunteers were considered within the framework of Hertzberg's theory of motivations and Maslow's hierarchy of needs. The study has significant implications for personnel policy and practice in the humanitarian sector. Recruitment officers should have the self-actualized person, as described by Maslow, in mind when interviewing candidates. This perspective would make it easier for them to understand the candidates' thoughts and concerns and would lead to more effective interventions. Program officers should have satisfiers and dissatisfiers, as identified by Herzberg, in mind when planning programs. The probability that personnel will leave humanitarian work is lower if they perceive working conditions as good.

  17. Helping Hands: A Cost-Effectiveness Study of a Humanitarian Hand Surgery Mission

    PubMed Central

    Tadisina, Kashyap K.; Chopra, Karan; Tangredi, John; Thomson, J. Grant; Singh, Devinder P.

    2014-01-01

    Purpose. Congenital anomalies and injuries of the hand are often undertreated in low-middle income countries (LMICs). Humanitarian missions to LMICs are commonplace, but few exclusively hand surgery missions have been reported and none have attempted to demonstrate their cost-effectiveness. We present the first study evaluating the cost-effectiveness of a humanitarian hand surgery mission to Honduras as a method of reducing the global burden of surgically treatable disease. Methods. Data were collected from a hand surgery mission to San Pedro Sula, Honduras. Costs were estimated for local and volunteer services. The total burden of disease averted from patients receiving surgical reconstruction was derived using the previously described disability-adjusted life years (DALYs) system. Results. After adjusting for likelihood of disability associated with the diagnosis and likelihood of the surgery's success, DALYs averted totaled 104.6. The total cost for the mission was $45,779 (USD). The cost per DALY averted was calculated to be $437.80 (USD), which is significantly below the accepted threshold of two times the per capita gross national income of Honduras. Conclusions. This hand surgery humanitarian mission trip to Honduras was found to be cost-effective. This model and analysis should help in guiding healthcare professionals to organize future plastic surgery humanitarian missions. PMID:25225616

  18. 75 FR 4526 - Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... From the Federal Register Online via the Government Publishing Office ] AGENCY FOR INTERNATIONAL DEVELOPMENT Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace; Announcement..., Grants Manager, Policy and Technical Division, Office of Food for Peace, Bureau for Democracy,...

  19. 75 FR 51749 - Bureau for Democracy, Conflict and Humanitarian Assistance Office of Food for Peace Announcement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... [Federal Register Volume 75, Number 162 (Monday, August 23, 2010)] [Notices] [Pages 51749-51750] [FR Doc No: 2010-20874] AGENCY FOR INTERNATIONAL DEVELOPMENT Bureau for Democracy, Conflict and... Peace, Bureau for Democracy, Conflict and Humanitarian Assistance. [FR Doc. 2010-20874 Filed 8-20-10;...

  20. 75 FR 4526 - Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... From the Federal Register Online via the Government Publishing Office AGENCY FOR INTERNATIONAL DEVELOPMENT Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace; Announcement... Manager, Policy and Technical Division, Office of Food for Peace, Bureau for Democracy, Conflict...

  1. Medical humanitarianism, human rights and political advocacy: the case of the Israeli Open Clinic.

    PubMed

    Gottlieb, Nora; Filc, Dani; Davidovitch, Nadav

    2012-03-01

    In the context of neo-liberal retrenchments humanitarian NGOs have become alternative healthcare providers that partially fill the vacuum left by the welfare state's withdrawal from the provision of services to migrants and other marginalized populations. In many cases they thus help to build legitimacy for the state's retreat from social responsibilities. Human rights organizations play an important role in advocating for migrants' rights, but in many cases they represent a legalistic and individualized conceptualization of the right to health that limits their claims for social justice. This paper analyzes the interactions and tensions between the discourses of medical humanitarianism, human rights and political advocacy using the example of an "Open Clinic" run by an Israeli human rights organization as a case-study: In 2007 dramatically increasing patient numbers provoked an intense internal debate concerning the proposal to temporarily close the "Open Clinic" in order to press the government to take action. Based on protocols from internal meetings and parliamentary hearings and in-depth interviews, we have analyzed divergent contextualizations of the Clinic's closure. These reflect conflicting notions regarding the Clinic's variegated spectrum of roles--humanitarian, political, legitimizing, symbolic, empowering and organizational--and underlying conceptualizations of migrants' "deservingness". Our case-study thus helps to illuminate NGOs' role in the realm of migrant healthcare and points out options for a possible fruitful relationship between the divergent paradigms of medical humanitarianism, human rights and political advocacy.

  2. Challenges and Psychosocial Growth for Older Volunteers Giving Intensive Humanitarian Service

    ERIC Educational Resources Information Center

    Piercy, Kathleen W.; Cheek, Cheryl; Teemant, Boyd

    2011-01-01

    Purpose of the study: We conducted a qualitative study of 38 mid-late life volunteers in intensive humanitarian service to ascertain the challenges, personal changes, and benefits they experienced from their volunteer activities. Intensive volunteering was defined as service done on a 24-hr a day basis at a location away from home. Design and…

  3. Child Protection Assessment in Humanitarian Emergencies: Case Studies from Georgia, Gaza, Haiti and Yemen

    ERIC Educational Resources Information Center

    Ager, Alastair; Blake, Courtney; Stark, Lindsay; Daniel, Tsufit

    2011-01-01

    Objectives: The paper reviews the experiences of conducting child protection assessments across four humanitarian emergencies where violence and insecurity, directly or indirectly, posed a major threat to children. We seek to identify common themes emerging from these experiences and propose ways to guide the planning and implementation of…

  4. Trauma-related mental health problems among national humanitarian staff: a systematic review of the literature

    PubMed Central

    Strohmeier, Hannah; Scholte, Willem F.

    2015-01-01

    Background Working in humanitarian crisis situations is dangerous. National humanitarian staff in particular face the risk of primary and secondary trauma exposure which can lead to mental health problems. Despite this, research on the mental health of national staff is scarce, and a systematic analysis of up-to-date findings has not been undertaken yet. Objective This article reviews the available literature on trauma-related mental health problems among national humanitarian staff. It focuses on the prevalence of selected mental health problems in relation to reference groups; sex and/or gender as predictive factors of mental health problems; and the influence of organization types on mental health problems. Method Three databases were systematically searched for relevant studies published in the English language in peer-reviewed journals. Results Fourteen articles matched the inclusion criteria. Findings suggest that national staff experience mental health problems and the prevalence of posttraumatic stress disorder, depression, and anxiety among this occupation group is mostly similar to or higher than among reference groups. Research on both substance use disorder and suicidal behavior among national staff is particularly scarce. The relation between sex and/or gender and mental health problems among national staff appears to be complex, and organizational staff support seems to be an important determinant for mental health. Conclusion All findings call for increased attention from the humanitarian community and further research on the topic. PMID:26589256

  5. A solution from hell: the United States and the rise of humanitarian interventionism, 1991-2003.

    PubMed

    Wertheim, Stephen

    2010-01-01

    This article traces the rise of humanitarian interventionist ideas in the US from 1991 to 2003. Until 1997, humanitarian intervention was a relatively limited affair, conceived ad hoc more than systematically, prioritized below multilateralism, aiming to relieve suffering without transforming foreign polities. For this reason, US leaders and citizens scarcely contemplated armed intervention in the Rwandan genocide of 1994: the US 'duty to stop genocide' was a norm still under development. It flourished only in the late 1990s, when humanitarian interventionism, like neoconservatism, became popular in the US establishment and enthusiastic in urging military invasion to remake societies. Now inaction in Rwanda looked outrageous. Stopping the genocide seemed, in retrospect, easily achieved by 5,000 troops, a projection that ignored serious obstacles. On the whole, humanitarian interventionists tended to understate difficulties of halting ethnic conflict, ignore challenges of postconflict reconstruction, discount constraints imposed by public opinion, and override multilateral procedures. These assumptions primed politicians and the public to regard the Iraq war of 2003 as virtuous at best and unworthy of strenuous dissent at worst. The normative commitment to stop mass killing outstripped US or international capabilities—a formula for dashed hopes and dangerous deployments that lives on in the 'responsibility to protect'.

  6. Nuclear Lunar Logistics Study

    NASA Technical Reports Server (NTRS)

    1963-01-01

    This document has been prepared to incorporate all presentation aid material, together with some explanatory text, used during an oral briefing on the Nuclear Lunar Logistics System given at the George C. Marshall Space Flight Center, National Aeronautics and Space Administration, on 18 July 1963. The briefing and this document are intended to present the general status of the NERVA (Nuclear Engine for Rocket Vehicle Application) nuclear rocket development, the characteristics of certain operational NERVA-class engines, and appropriate technical and schedule information. Some of the information presented herein is preliminary in nature and will be subject to further verification, checking and analysis during the remainder of the study program. In addition, more detailed information will be prepared in many areas for inclusion in a final summary report. This work has been performed by REON, a division of Aerojet-General Corporation under Subcontract 74-10039 from the Lockheed Missiles and Space Company. The presentation and this document have been prepared in partial fulfillment of the provisions of the subcontract. From the inception of the NERVA program in July 1961, the stated emphasis has centered around the demonstration of the ability of a nuclear rocket to perform safely and reliably in the space environment, with the understanding that the assignment of a mission (or missions) would place undue emphasis on performance and operational flexibility. However, all were aware that the ultimate justification for the development program must lie in the application of the nuclear propulsion system to the national space objectives.

  7. Logistic Regression: Concept and Application

    ERIC Educational Resources Information Center

    Cokluk, Omay

    2010-01-01

    The main focus of logistic regression analysis is classification of individuals in different groups. The aim of the present study is to explain basic concepts and processes of binary logistic regression analysis intended to determine the combination of independent variables which best explain the membership in certain groups called dichotomous…

  8. Selected Logistics Models and Techniques.

    DTIC Science & Technology

    1984-09-01

    Programmable Calculator LCC...Program 27 TI-59 Programmable Calculator LCC Model 30 Unmanned Spacecraft Cost Model 31 iv I: TABLE OF CONTENTS (CONT’D) (Subject Index) LOGISTICS...34"" - % - "° > - " ° .° - " .’ > -% > ]*° - LOGISTICS ANALYSIS MODEL/TECHNIQUE DATA MODEL/TECHNIQUE NAME: TI-59 Programmable Calculator LCC Model TYPE MODEL: Cost Estimating DEVELOPED BY:

  9. Exploring the Role of Ad Hoc Grassroots Organizations Providing Humanitarian Aid on Lesvos, Greece

    PubMed Central

    Kitching, George Tjensvoll; J. Haavik, Hanne; Tandstad, Birgit J.; Zaman, Muhammad; Darj, Elisabeth

    2016-01-01

    Introduction: Syrian refugees displaced into Turkey have attempted high-risk sea migrations to reach safer destinations in Europe, most often initially arriving on the Greek island of Lesvos. These refugees were often in need of basic humanitarian assistance that has been provided in part by a new category of ad hoc grassroots organizations (AHGOs). The aim of this study was to understand the internal and external operations of these AHGOs and their role on Lesvos. Methods: The experiences of AHGOs were investigated through a qualitative research design utilizing semi-structured interviews with organization leaders and spokespersons. AHGOs identified through media and social media sources as new Lesvos-specific organizations were purposively invited to complete an interview over phone, Skype or email. Data analysis of the transcribed interviews was performed by Systematic Text Condensation. Results: Forty-one organizations were contacted and 13 interviews were conducted. Most organizations were formed in autumn 2015 responding to the greater influx of refugees and migrants at that time and reported an absence of professional humanitarian agencies providing aid on Lesvos. Three categories emerged from the material. Features of organizations; Features of volunteers and; Evolution of AHGOs. The organizations perceived themselves capable of evaluating needs, mobilizing resources, funding and providing quick response. The volunteers came with limited humanitarian experience and from a wide variety of nationalities and professional backgrounds, and the organizations developed while on Lesvos. Discussion: Knowledge from our findings of AHGOs response to this complex disaster on Lesvos could be utilized in future catastrophes. We conclude that AHGOs may prove effective at providing humanitarian aid in a surge response when international non-governmental organizations are unable to respond quickly. In future complex disasters AHGOs should be recognized as new humanitarian

  10. Strategies for Logistics in Case of a Natural Disaster

    DTIC Science & Technology

    2011-04-30

    U.S. Navy Humanitarian Assistance and Disaster Relief Operations (MBA Student Report) LT Cullen Greenfield and LT Cameron Ingram, USN Financing ...accreditation in Acquisition, Financial and Supply Chain Management and Joint Professional Military Education. Dussault is certified in production...of the analysis of alternatives for capital purchases under conditions of resource scarcity, supply chain management, risk analysis, humanitarian

  11. Refugee flow or brain-drain? The humanitarian policy and post-Tiananmen mainland Chinese immigration to Canada.

    PubMed

    Liu X-f

    1997-03-01

    "The humanitarian policy that the Canadian government implemented in response to the 1989 Tiananmen Square crackdown changed a migration system primarily based on personal networks into a brain drain. Post-Tiananmen mainland Chinese immigrants (MCIs) were better educated than those arriving in Canada previously. Among the post-Tiananmen MCIs, those who landed under the policy were better educated than those landing in other categories. The analysis suggests that post-Tiananmen MCIs represented a brain-drain rather than a refugee flow, that the humanitarian policy implicitly contained ideological and human capital concerns in addition to humanitarian concerns, and that Canada benefited from the policy by obtaining human capital as well as satisfying its humanitarian obligations and ideological aspirations."

  12. The co-construction of medical humanitarianism: analysis of personal, organizationally condoned narratives from an agency website.

    PubMed

    Ager, Alastair; Iacovou, Melina

    2014-11-01

    Recent years have seen significant growth in both the size and profile of the humanitarian sector. However, little research has focused upon the constructions of humanitarian practice negotiated by agencies and their workers that serve to sustain engagement in the face personal challenges and critique of the humanitarian enterprise. This study used the public narrative of 129 website postings by humanitarian workers deployed with the health-focused international humanitarian organization Médecins Sans Frontières (MSF) to identify recurrent themes in personal, organizationally-condoned, public discourse regarding humanitarian practice. Data represented all eligible postings from a feature on the agency's UK website from May 2002 to April 2012. The text of postings was analysed with respect to emergent themes on an iterative basis. Comprehensive coding of material was achieved through a thematic structure that reflected the core domains of project details, the working environment, characteristics of beneficiaries and recurrent motivational sub-texts. Features of the co-construction of narratives include language serving to neutralize complex political contexts; the specification of barriers as substantive but surmountable; the dominance of the construct of national-international in understanding the operation of teams; intense personal identification with organization values; and the use of resilience as a framing of beneficiary adaptation and perseverance in conditions that--from an external perspective--warrant despair and withdrawal. Recurrent motivational sub-texts include 'making a difference' and contrasts with 'past professional constraints' and 'ordinary life back home.' The prominence of these sub-texts not only highlights key personal agendas but also suggests--notwithstanding policy initiatives regarding stronger contextual rooting and professionalism--continuing organizational emphasis on externality and volunteerism. Overall, postings illustrate a

  13. Perspectives from Ethiopia regarding U.S. military humanitarian assistance: how to build a better medical civil action project (MEDCAP).

    PubMed

    Miles, Shana; Malone, Joseph L

    2013-12-01

    Assuming that budgetary constraints continue over the next several years, the U.S. military's overseas medical activities including medical civic action projects (MEDCAPs) and humanitarian assistance projects could comprise an increasing proportion of the contributions of U.S. government (USG) to improving global health. We have identified several issues with MEDCAPs in Ethiopia since 2009 that resulted in delays or project cancellations. These were mostly related to lack of a plan to develop sustainable capacities. Although there are many obvious medical needs for civilian populations in Ethiopia, the provision of sustainable development assistance involving these Ethiopian populations on behalf of the USG is a complex undertaking involving coordination with many partners and coordination with several other USG agencies. Military medical professionals planning MEDCAPs and other cooperative global health projects would benefit from consultation and close coordination with U.S. Centers for Disease Control and Prevention (CDC) and U.S. Agency of International Development (USAID) experts who are involved in supporting medium- and long-term health projects in Ethiopia. The establishment of durable military medical academic relationships and involvement of overseas military medical research units could also help promote sustainable projects and build robust professional relationships in global health.

  14. Reuse and recycling - reverse logistics opportunities

    SciTech Connect

    Kopicki, R.; Berg, M.J.; Legg, L.

    1993-12-31

    This book is intended to serve as a managerial guide for planning and implementing waste reduction programs. It is based on the premise that proactive management of environmental issues is becoming vital to corporate success, and that these issues are creating new roles and opportunities for logistic professionals. Examined in detail are nonhazardous waste reduction activities; reuse and recycling activities; and source reduction. The book is based on in-depth interviews with seventeen firms and several trade associations acknowledged to be leaders in waste reduction efforts. Topics discussed include adapting inbound supply chains to use more recycled goods; minimizing packaging waste; reverse distribution capabilities for taking back products and packaging; and the use of third party services for recycling, reuse, and source reduction activities. Included are two case analyses of progressive firms like E.I. Dupont Nemours and Home Depot and their waste reduction efforts.

  15. Logistics in smallpox: the legacy.

    PubMed

    Wickett, John; Carrasco, Peter

    2011-12-30

    Logistics, defined as "the time-related positioning of resources" was critical to the implementation of the smallpox eradication strategy of surveillance and containment. Logistical challenges in the smallpox programme included vaccine delivery, supplies, staffing, vehicle maintenance, and financing. Ensuring mobility was essential as health workers had to travel to outbreaks to contain them. Three examples illustrate a range of logistic challenges which required imagination and innovation. Standard price lists were developed to expedite vehicle maintenance and repair in Bihar, India. Innovative staffing ensured an adequate infrastructure for vehicle maintenance in Bangladesh. The use of disaster relief mechanisms in Somalia provided airlifts, vehicles and funding within 27 days of their initiation. In contrast the Expanded Programme on Immunization (EPI) faces more complex logistical challenges.

  16. Reducing food losses by intelligent food logistics.

    PubMed

    Jedermann, Reiner; Nicometo, Mike; Uysal, Ismail; Lang, Walter

    2014-06-13

    The need to feed an ever-increasing world population makes it obligatory to reduce the millions of tons of avoidable perishable waste along the food supply chain. A considerable share of these losses is caused by non-optimal cold chain processes and management. This Theme Issue focuses on technologies, models and applications to monitor changes in the product shelf life, defined as the time remaining until the quality of a food product drops below an acceptance limit, and to plan successive chain processes and logistics accordingly to uncover and prevent invisible or latent losses in product quality, especially following the first-expired-first-out strategy for optimized matching between the remaining shelf life and the expected transport duration. This introductory article summarizes the key findings of this Theme Issue, which brings together research study results from around the world to promote intelligent food logistics. The articles include three case studies on the cold chain for berries, bananas and meat and an overview of different post-harvest treatments. Further contributions focus on the required technical solutions, such as the wireless sensor and communication system for remote quality supervision, gas sensors to detect ethylene as an indicator of unwanted ripening and volatile components to indicate mould infections. The final section of this introduction discusses how improvements in food quality can be targeted by strategic changes in the food chain.

  17. Reducing food losses by intelligent food logistics

    PubMed Central

    Jedermann, Reiner; Nicometo, Mike; Uysal, Ismail; Lang, Walter

    2014-01-01

    The need to feed an ever-increasing world population makes it obligatory to reduce the millions of tons of avoidable perishable waste along the food supply chain. A considerable share of these losses is caused by non-optimal cold chain processes and management. This Theme Issue focuses on technologies, models and applications to monitor changes in the product shelf life, defined as the time remaining until the quality of a food product drops below an acceptance limit, and to plan successive chain processes and logistics accordingly to uncover and prevent invisible or latent losses in product quality, especially following the first-expired-first-out strategy for optimized matching between the remaining shelf life and the expected transport duration. This introductory article summarizes the key findings of this Theme Issue, which brings together research study results from around the world to promote intelligent food logistics. The articles include three case studies on the cold chain for berries, bananas and meat and an overview of different post-harvest treatments. Further contributions focus on the required technical solutions, such as the wireless sensor and communication system for remote quality supervision, gas sensors to detect ethylene as an indicator of unwanted ripening and volatile components to indicate mould infections. The final section of this introduction discusses how improvements in food quality can be targeted by strategic changes in the food chain. PMID:24797131

  18. What Exactly is Space Logistics?

    DTIC Science & Technology

    2011-01-01

    information on the space shuttle in the news and have inferred by now that resupply missions to the International Space Sta- tion, Hubble Space ... Telescope repair missions, and satellite deployment missions are space logistics—and you would be technically correct. The science of logistics as applied...What Exactly is Space Logistics? James C. Breidenbach Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the

  19. Logistics Transformation: The Paradigm Shift

    DTIC Science & Technology

    2007-05-14

    NUMBER 6. AUTHOR(S) MAJ Derrick A. Corbett 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND...ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT U.S. Army Command and General Staff College School of Advanced Military Studies 250 Gibbon...logistics transformation be defined. In the 18th Century, the French invented “a third military science which they called Logistique , or Logistics

  20. NASA Space Rocket Logistics Challenges

    NASA Technical Reports Server (NTRS)

    Neeley, James R.; Jones, James V.; Watson, Michael D.; Bramon, Christopher J.; Inman, Sharon K.; Tuttle, Loraine

    2014-01-01

    The Space Launch System (SLS) is the new NASA heavy lift launch vehicle and is scheduled for its first mission in 2017. The goal of the first mission, which will be uncrewed, is to demonstrate the integrated system performance of the SLS rocket and spacecraft before a crewed flight in 2021. SLS has many of the same logistics challenges as any other large scale program. Common logistics concerns for SLS include integration of discreet programs geographically separated, multiple prime contractors with distinct and different goals, schedule pressures and funding constraints. However, SLS also faces unique challenges. The new program is a confluence of new hardware and heritage, with heritage hardware constituting seventy-five percent of the program. This unique approach to design makes logistics concerns such as commonality especially problematic. Additionally, a very low manifest rate of one flight every four years makes logistics comparatively expensive. That, along with the SLS architecture being developed using a block upgrade evolutionary approach, exacerbates long-range planning for supportability considerations. These common and unique logistics challenges must be clearly identified and tackled to allow SLS to have a successful program. This paper will address the common and unique challenges facing the SLS programs, along with the analysis and decisions the NASA Logistics engineers are making to mitigate the threats posed by each.

  1. A technique for determining viable military logistics support alternatives

    NASA Astrophysics Data System (ADS)

    Hester, Jesse Stuart

    A look at today's US military will see them operating much beyond the scope of protecting and defending the United States. These operations now consist of, but are not limited to humanitarian aid, disaster relief, peace keeping, and conflict resolution. This broad spectrum of operational environments has necessitated a transformation of the individual military services to a hybrid force that is attempting to leverage the inherent and emerging capabilities and strengths of all those under the umbrella of the Department of Defense (DOD), this concept has been coined Joint Operations. Supporting Joint Operations requires a new approach to determining a viable military logistics support system. The logistics architecture for these operations has to accommodate scale, time, varied mission objectives, and imperfect information. Compounding the problem is the human in the loop (HITL) decision maker (DM) who is a necessary component for quickly assessing and planning logistics support activities. Past outcomes are not necessarily good indicators of future results, but they can provide a reasonable starting point for planning and prediction of specific needs for future requirements. Adequately forecasting the necessary logistical support structure and commodities needed for any resource intensive environment has progressed well beyond stable demand assumptions to one in which dynamic and nonlinear environments can be captured with some degree of fidelity and accuracy. While these advances are important, a holistic approach that allows exploration of the operational environment or design space does not exist to guide the military logistician in a methodical way to support military forecasting activities. To bridge this capability gap, a method called Adaptive Technique for Logistics Architecture Solutions (ATLAS) has been developed. This method provides a process that facilitates the use of techniques and tools that filter and provide relevant information to the DM. By doing

  2. Human Rights, Humanitarianism, and State Violence: Medical Documentation of Torture in Turkey.

    PubMed

    Can, Başak

    2016-09-01

    State authorities invested in developing official expert discourses and practices to deny torture in post-1980 coup d'état Turkey. Documentation of torture was therefore crucial for the incipient human rights movement there in the 1980s. Human rights physicians used their expertise not only to treat torture victims but also to document torture and eventually found the Human Rights Foundation of Turkey (HRFT) in 1990. Drawing on an ethnographic and archival research at the HRFT, this article examines the genealogy of anti-torture struggles in Turkey and argues that locally mediated intimacies and/or hostilities between victims of state violence, human rights physicians, and official forensics reveal the limitations of certain universal humanitarian and human rights principles. It also shows that locally mediated long-term humanitarian encounters around the question of political violence challenge forensic denial of violence and remake the legitimate levels of state violence.

  3. The humanitarian situation in syria: a snapshot in the third year of the crisis.

    PubMed

    Doocy, Shannon; Delbiso, Tefera D; Guha-Sapir, Debarati

    2015-03-03

    Between April and June 2014, International Orthodox Christian Charities (IOCC), an International NGO, and the Greek Orthodox Patriarchate of Antioch and All the East (GOPA) conducted a needs assessment of Syrians affected by the crisis with the objective of gaining a better understanding of humanitarian needs and assistance priorities. Findings suggest that interventions that increase access to non-food items, food, medication and education should be prioritized where cost was the primary barrier to accessing goods and services. Cash transfer programs and direct provision of material assistance should be considered, though the most appropriate assistance modality is likely to vary by sector, location and the preferences and prior experience of donors and implementing organizations. Renewed international commitment to funding humanitarian assistance efforts in Syria and neighboring countries where the burden of refugees is greatest is essential from both a human rights perspective and in terms of maintaining stability in the region.

  4. The Humanitarian Situation in Syria: A Snapshot in the Third Year of the Crisis

    PubMed Central

    Doocy, Shannon; Delbiso, Tefera D.; Guha-Sapir, Debarati

    2015-01-01

    Between April and June 2014, International Orthodox Christian Charities (IOCC), an International NGO, and the Greek Orthodox Patriarchate of Antioch and All the East (GOPA) conducted a needs assessment of Syrians affected by the crisis with the objective of gaining a better understanding of humanitarian needs and assistance priorities. Findings suggest that interventions that increase access to non-food items, food, medication and education should be prioritized where cost was the primary barrier to accessing goods and services. Cash transfer programs and direct provision of material assistance should be considered, though the most appropriate assistance modality is likely to vary by sector, location and the preferences and prior experience of donors and implementing organizations. Renewed international commitment to funding humanitarian assistance efforts in Syria and neighboring countries where the burden of refugees is greatest is essential from both a human rights perspective and in terms of maintaining stability in the region. PMID:25821647

  5. Books vs bombs? Humanitarian development and the narrative of terror in Northern Pakistan.

    PubMed

    Ali, Nosheen

    2010-01-01

    This article examines the role of humanitarian discourse and development in reconfiguring the contemporary culture of empire and its war on terror. It takes as its point of entry the immensely popular biographical tale, Three Cups of Tea, which details how the American mountaineer Greg Mortenson has struggled to counter terrorism in Northern Pakistan through the creation of schools. Even as this text appears to provide a self-critical and humane perspective on terrorism, the article argues that it constructs a misleading narrative of terror in which the realities of Northern Pakistan and Muslim life-worlds are distorted through simplistic tropes of ignorance, backwardness and extremism, while histories of US geopolitics and violence are erased. The text has further facilitated the emergence of a participatory militarism, whereby humanitarian work helps to reinvent the military as a culturally sensitive and caring institution in order to justify and service the project of empire.

  6. Logistics engineering education from the point of view environment

    NASA Astrophysics Data System (ADS)

    Bányai, Ágota

    2010-05-01

    A new field of MSc programme offered by the Faculty of Mechanical Engineering and Informatics of the University of Miskolc is represented by the programme in logistics engineering. The Faculty has always laid great emphasis on assigning processes connected with environment protection and globalisation issues the appropriate weight in its programmes. This is based on the fact that the Faculty has initiated and been involved in a great number of research and development projects with a substantial emphasis on the fundamental principles of sustainable development. The objective of the programme of logistics engineering is to train engineers who, in possession of the science, engineering, economic, informatics and industrial, transportation technological knowledge related to the professional field of logistics, are able to analyse, design, organise, and control logistics processes and systems (freight transportation, materials handling, storage, commissioning, loading, purchasing, distribution and waste management) as well as to design and develop machinery and equipment as the elements of logistic systems and also to be involved in their manufacture and quality control and are able to control their operation. The programme prepares its students for performing the logistics management tasks in a company, for creative participation in solving research and development problems in logistics and for pursuing logistics studies in doctoral programmes. There are several laboratories available for practice-oriented training. The 'Integrated Logistics Laboratory' consists of various fixed and mobile, real industrial, i.e. not model-level equipment, the integration of which in one system facilitates not only the presentation, examination and development of the individual self-standing facilities, but the study of their interaction as well in terms of mechatronics, engineering, control engineering, informatics, identification technology and logistics. The state

  7. Human Rights and United States Military Humanitarian and Civic Assistance in Latin America

    DTIC Science & Technology

    2004-06-01

    www.catholicrelief. org/where_ we_ work/ africa /sudan/index.cfm Accessed 3 May 2004. 11 Cuny Center. “Greater Efficiency in Humanitarian Assistance Operations...Rather than supporting the legitimacy of the government, the circumstances involving the exercise resulted in a political crisis for the Ecuadorean...www.proquest Accessed 15 November 2003. 98 Ibid. 99 Richard Boudreaux. “ Crisis Accentuated Weaknesses in Ecuador’s Democratic System,” in Los

  8. The United States Air Force and Humanitarian Airlift Operations 1947-1994

    DTIC Science & Technology

    1998-01-01

    a new role for the U.S. military. This book attempts to fill a histori- cal gap by addressing humanitarian airlift missions as an important part of...so the reader should not attempt to compare economic losses for various disasters from the figures provided. Organization This book is divided into...as a whole the countries to which they are directed. They allow foreign states to retain economic and political stability in the face of sudden

  9. The Process of Providing Humanitarian Assistance: A Department of Defense Perspective.

    DTIC Science & Technology

    1995-09-01

    humanitarian assistance. A model was compiled to portray the current process and given to key personnel identified in the research as subject matter experts...Subsequently, their opinion was used to determine the validity of the model and gather additional points of contact for future research. Once the...examined and analyzed by answering the investigative questions. A model was subsequently compiled and used as a baseline to further define the

  10. Burden of cardiovascular morbidity and mortality following humanitarian emergencies: a systematic literature review

    PubMed Central

    Hayman, Kaitlin G.; Sharma, Davina; Wardlow, Robert D.; Singh, Sonal

    2016-01-01

    Background The global burden of cardiovascular mortality is increasing, as is the number of large-scale humanitarian emergencies. The interaction between these phenomena is not well understood. This review aims to clarify the relationship between humanitarian emergencies and cardiovascular morbidity and mortality. Methods With assistance from a research librarian, electronic databases (PubMed, Scopus, CINAHL, Global Health) were searched in January 2014. Findings were supplemented by reviewing citations of included trials. Observational studies reporting the effect of natural disasters and conflict events on cardiovascular morbidity and mortality in adults since 1997 were included. Studies without a comparison group were not included. Double-data extraction was utilized to abstract information on acute coronary syndrome (ACS), acute decompensated heart failure (ADHF), and cardiac death (SCD). Review Manager 5.0 was used to create figures for qualitative synthesis (Version 5.2, Copenhagen Denmark, The Nordic Cochrane Centre). Results The search retrieved 1697 unique records; 24 studies were included (17 studies of natural disasters, 7 studies of conflict). These studies involved 14,583 cardiac events. All studies utilized retrospective designs: 4 were population-based, 15 were single-center, and 5 were multicenter studies. 23 studies utilized historical controls in the primary analysis, and 1 utilized primarily geographical controls. Conflicts are associated with an increase in long-term morbidity from ACS; the short-term effects of conflict vary by study. Natural disasters exhibit heterogeneous effects including increased occurrence of ACS, ADHF, and SCD. Conclusions In certain settings, humanitarian emergencies are associated with increased cardiac morbidity and mortality that may persist for years following the event. Humanitarian aid organizations should consider morbidity from non-communicable disease when planning relief and recuperation projects. PMID

  11. Making the Case for Humanitarian Intervention: National Interest and Moral Imperative

    DTIC Science & Technology

    2015-03-01

    November 2014. 4 C. BEGINNINGS OF HUMANITARIAN INTERVENTION The 19th century British philosopher John Stuart Mill published the essay A Few Words on...population to pressure government 12 John Stuart Mill , “A Few Words on Non-Intervention” Foreign Policy...Marcus Mohlin, and Charlotte Wagnsson, 19–40. New York: Routledge, 2014. Mill , John Stuart . “A Few Words on Non-Intervention.” Foreign Policy

  12. Trauma and humanitarian translation in Liberia: the tale of open mole.

    PubMed

    Abramowitz, Sharon Alane

    2010-06-01

    The focus of this paper is the intercultural process through which Open Mole and trauma-related mental illnesses are brought together in the postconflict mental health encounter. In this paper, I explore the historical dimension of this process by reviewing the history of Open Mole, and the ways in which it has been interpreted, acted on, and objectified by external observers over the last half-century. Moving into Liberia's recent war and postconflict period, I examine the process by which Open Mole is transformed from a culture-bound disorder into a local idiom of trauma, and how it has become a gateway diagnosis of PTSD-related mental illnesses, and consider how it is produced as an objectified experience of psychiatric disorder in clinical humanitarian contexts. By studying how Open Mole is transformed in the humanitarian encounter, I address the structure and teleology of the humanitarian encounter and challenge some of the foundational assumptions about cultural sensitivity and community-based mental health care in postconflict settings that are prevalent in scholarship and practice today.

  13. Core Competencies in Disaster Management and Humanitarian Assistance: A Systematic Review.

    PubMed

    Ripoll Gallardo, Alba; Djalali, Ahmadreza; Foletti, Marco; Ragazzoni, Luca; Della Corte, Francesco; Lupescu, Olivera; Arculeo, Chris; von Arnim, Gotz; Friedl, Tom; Ashkenazi, Michael; Fisher, Philipp; Hreckovski, Boris; Khorram-Manesh, Amir; Komadina, Radko; Lechner, Konstanze; Stal, Marc; Patru, Cristina; Burkle, Frederick M; Ingrassia, Pier Luigi

    2015-08-01

    Disaster response demands a large workforce covering diverse professional sectors. Throughout this article, we illustrate the results of a systematic review of peer-reviewed studies to identify existing competency sets for disaster management and humanitarian assistance that would serve as guidance for the development of a common disaster curriculum. A systematic review of English-language articles was performed on PubMed, Google Scholar, Scopus, ERIC, and Cochrane Library. Studies were included if reporting competency domains, abilities, knowledge, skills, or attitudes for professionals involved disaster relief or humanitarian assistance. Exclusion criteria included abstracts, citations, case studies, and studies not dealing with disasters or humanitarian assistance. Thirty-eight papers were analyzed. Target audience was defined in all articles. Five references (13%) reported cross-sectorial competencies. Most of the articles (81.6%) were specific to health care. Eighteen (47%) papers included competencies for at least 2 different disciplines and 18 (47%) for different professional groups. Nursing was the most widely represented cadre. Eighteen papers (47%) defined competency domains and 36 (94%) reported list of competencies. Nineteen articles (50%) adopted consensus-building to define competencies, and 12 (31%) included competencies adapted to different professional responsibility levels. This systematic review revealed that the largest number of papers were mainly focused on the health care sector and presented a lack of agreement on the terminology used for competency-based definition.

  14. Logistics Management: New trends in the Reverse Logistics

    NASA Astrophysics Data System (ADS)

    Antonyová, A.; Antony, P.; Soewito, B.

    2016-04-01

    Present level and quality of the environment are directly dependent on our access to natural resources, as well as their sustainability. In particular production activities and phenomena associated with it have a direct impact on the future of our planet. Recycling process, which in large enterprises often becomes an important and integral part of the production program, is usually in small and medium-sized enterprises problematic. We can specify a few factors, which have direct impact on the development and successful application of the effective reverse logistics system. Find the ways to economically acceptable model of reverse logistics, focusing on converting waste materials for renewable energy, is the task in progress.

  15. Bounded agency in humanitarian settings: a qualitative study of adherence to antiretroviral therapy among refugees situated in Kenya and Malaysia.

    PubMed

    Mendelsohn, Joshua B; Rhodes, Tim; Spiegel, Paul; Schilperoord, Marian; Burton, John Wagacha; Balasundaram, Susheela; Wong, Chunting; Ross, David A

    2014-11-01

    HIV-positive refugees confront a variety of challenges in accessing and adhering to antiretroviral therapy (ART) and attaining durable viral suppression; however, there is little understanding of what these challenges are, how they are navigated, or how they may differ across humanitarian settings. We sought to document and examine accounts of the threats, barriers and facilitators experienced in relation to HIV treatment and care and to conduct comparisons across settings. We conducted semi-structured interviews among a purposive sample of 14 refugees attending a public, urban HIV clinic in Kuala Lumpur, Malaysia (July-September 2010), and 12 refugees attending a camp-based HIV clinic in Kakuma, Kenya (February-March 2011). We used framework methods and between-case comparison to analyze and interpret the data, identifying social and environmental factors that influenced adherence. The multiple issues that threatened adherence to antiretroviral therapy or precipitated actual adherence lapses clustered into three themes: "migration", "insecurity", and "resilience". The migration theme included issues related to crossing borders and integrating into treatment systems upon arrival in a host country. Challenges related to crossing borders were reported in both settings, but threats pertaining to integration into, and navigation of, a new health system were exclusive to the Malaysian setting. The insecurity theme included food insecurity, which was most commonly reported in the Kenyan setting; health systems insecurity, reported in both settings; and emotional insecurity, which was most common in the Kenyan setting. Resilient processes were reported in both settings. We drew on the concept of "bounded agency" to argue that, despite evidence of personal and community resilience, these processes were sometimes insufficient for overcoming social and environmental barriers to adherence. In general, interventions might aim to bolster individuals' range of action with

  16. Availability and Diversity of Training Programs for Responders to International Disasters and Complex Humanitarian Emergencies

    PubMed Central

    Jacquet, Gabrielle A.; Obi, Chioma C.; Chang, Mary P.; Bayram, Jamil D.

    2014-01-01

    Introduction: Volunteers and members of relief organizations increasingly seek formal training prior to international field deployment. This paper identifies training programs for personnel responding to international disasters and complex humanitarian emergencies, and provides concise information – if available- regarding the founding organization, year established, location, cost, duration of training, participants targeted, and the content of each program. Methods: An environmental scan was conducted through a combination of a peer-reviewed literature search and an open Internet search for the training programs. Literature search engines included EMBASE, Cochrane, Scopus, PubMed, Web of Science databases using the search terms “international,” “disaster,” “complex humanitarian emergencies,” “training,” and “humanitarian response”. Both searches were conducted between January 2, 2013 and September 12, 2013. Results: 14 peer-reviewed articles mentioned or described eight training programs, while open Internet search revealed 13 additional programs. In total, twenty-one training programs were identified as currently available for responders to international disasters and CHE. Each of the programs identified has different goals and objectives, duration, expenses, targeted trainees and modules. Each of the programs identified has different goals and objectives, duration, expenses, targeted trainees and modules. Seven programs (33%) are free of charge and four programs (19%) focus on the mental aspects of disasters. The mean duration for each training program is 5 to 7 days. Fourteen of the trainings are conducted in multiple locations (66%), two in Cuba (9%) and two in Australia (9%). The cost-reported in US dollars- ranges from $100 to $2,400 with a mean cost of $480 and a median cost of $135. Most of the programs are open to the public, but some are only available by invitation only, such as the International Mobilization Preparation for

  17. Operational Logistics: Lessons from the Inchon Landing.

    DTIC Science & Technology

    2007-11-02

    logistics at the strategic, operational, or tactical levels. An analysis of Operation Chromite , the amphibious landing at Inchon, reveals that logistical...commander’s intent, and define the logistics focus of effort demonstrate that operational logistics was a key enabler in Operation Chromite . This analysis

  18. Logistics background study: underground mining

    SciTech Connect

    Hanslovan, J. J.; Visovsky, R. G.

    1982-02-01

    Logistical functions that are normally associated with US underground coal mining are investigated and analyzed. These functions imply all activities and services that support the producing sections of the mine. The report provides a better understanding of how these functions impact coal production in terms of time, cost, and safety. Major underground logistics activities are analyzed and include: transportation and personnel, supplies and equipment; transportation of coal and rock; electrical distribution and communications systems; water handling; hydraulics; and ventilation systems. Recommended areas for future research are identified and prioritized.

  19. Continual Improvement in Shuttle Logistics

    NASA Technical Reports Server (NTRS)

    Flowers, Jean; Schafer, Loraine

    1995-01-01

    It has been said that Continual Improvement (CI) is difficult to apply to service oriented functions, especially in a government agency such as NASA. However, a constrained budget and increasing requirements are a way of life at NASA Kennedy Space Center (KSC), making it a natural environment for the application of CI tools and techniques. This paper describes how KSC, and specifically the Space Shuttle Logistics Project, a key contributor to KSC's mission, has embraced the CI management approach as a means of achieving its strategic goals and objectives. An overview of how the KSC Space Shuttle Logistics Project has structured its CI effort and examples of some of the initiatives are provided.

  20. Analysis of Transportation and Logistics Challenges Affecting the Deployment of Larger Wind Turbines: Summary of Results

    SciTech Connect

    Cotrell, J.; Stehly, T.; Johnson, J.; Roberts, J. O.; Parker, Z.; Scott, G.; Heimiller, D.

    2014-01-01

    There is relatively little literature that characterizes transportation and logistics challenges and the associated effects on U.S. wind markets. The objectives of this study were to identify the transportation and logistics challenges, assess the associated impacts, and provide recommendations for strategies and specific actions to address the challenges. The authors primarily relied on interviews with wind industry project developers, original equipment manufacturers, and transportation and logistics companies to obtain the information and industry perspectives needed for this study. They also reviewed published literature on trends and developments in increasing wind turbine size, logistics, and transportation issues.

  1. SAP: Is it the Network Centric Logistics Solution for the Army Medical Department?

    DTIC Science & Technology

    2007-11-02

    Combines SCM , CRM , and product life cycle management to meet ongoing needs after the initial sale/delivery. 3.2 Supply Chain Collaboration 3.2.1...however the original CASS-M was designed especially for medical logistics battalions with the concept of managing warehouses through the receiving, issue ...TMIP Network Centric Logistics Solution 40 An important issue that the reader needs to consider and understand is that the operating systems

  2. NASA Space Rocket Logistics Challenges

    NASA Technical Reports Server (NTRS)

    Bramon, Chris; Neeley, James R.; Jones, James V.; Watson, Michael D.; Inman, Sharon K.; Tuttle, Loraine

    2014-01-01

    The Space Launch System (SLS) is the new NASA heavy lift launch vehicle in development and is scheduled for its first mission in 2017. SLS has many of the same logistics challenges as any other large scale program. However, SLS also faces unique challenges. This presentation will address the SLS challenges, along with the analysis and decisions to mitigate the threats posed by each.

  3. Equivalent Linear Logistic Test Models.

    ERIC Educational Resources Information Center

    Bechger, Timo M.; Verstralen, Huub H. F. M.; Verhelst, Norma D.

    2002-01-01

    Discusses the Linear Logistic Test Model (LLTM) and demonstrates that there are many equivalent ways to specify a model. Analyzed a real data set (300 responses to 5 analogies) using a Lagrange multiplier test for the specification of the model, and demonstrated that there may be many ways to change the specification of an LLTM and achieve the…

  4. Primary health care in complex humanitarian emergencies: Rwanda and Kosovo experiences and their implications for public health training.

    PubMed

    Gardemann, Joachim

    2002-04-01

    In a complex humanitarian emergency, a catastrophic breakdown of political, economic, and social systems, often accompanied by violence, contributes to a long-lasting dependency of the affected communities on external service. Relief systems, such as the Emergency Response Units of the International Federation of Red Cross and Red Crescent Societies, have served as a sound foundation for fieldwork in humanitarian emergencies. The experience in emergencies gained in Rwanda in 1994 and Kosovo in 1999 clearly points to the need for individual adjustments of therapeutic standards to preexisting morbidity and health care levels within the affected population. In complex emergencies, public health activities have been shown to promote peace, prevent violence, and reconcile enemies. A truly democratic and multi-professional approach in all public health training for domestic or foreign service serves as good pattern for fieldwork. Beyond the technical and scientific skills required in the profession, political, ethical, and communicative competencies are critical in humanitarian assistance. Because of the manifold imperatives of further public health education for emergency assistance, a humanitarian assistance competence training center should be established. Competence training centers focus on the core competencies required to meet future needs, are client-oriented, connect regional and international networks, rely on their own system of quality control, and maintain a cooperative management of knowledge. Public health focusing on complex humanitarian emergencies will have to act in prevention not only of diseases and impairments but also of political tension and hatred.

  5. The League of Nations' rescue of Armenian genocide survivors and the making of modern humanitarianism, 1920-1927.

    PubMed

    Watenpaugh, Keith David

    2010-01-01

    The essay centers of the efforts by the League of Nations to rescue women and children survivors of the 1915 Armenian Genocide. This rescue -- a seemingly unambiguous good -- was at once a constitutive act in drawing the boundaries of the international community, a key moment in the definition of humanitarianism, and a site of resistance to the colonial presence in the post-Ottoman Eastern Mediterranean. Drawing from a wide range of source materials in a number of languages, including Turkish, Armenian, and Arabic, the essay brings the intellectual and social context of humanitarianism in initiating societies together with the lived experience of humanitarianism in the places where the act took form. In so doing, it draws our attention to the proper place of the Eastern mediterranean, and its women and children, in the global history of humanitarianism. The prevailing narrative of the history of human rights places much of its emphasis on the post-World War II era, the international reaction to the Holocaust, and the founding of the United Nations. yet contemporary human rights thinking also took place within practices of humanitarianism in the interwar period, and is necessarily inseparable from the histories of refugees, colonialism, and the non-West.

  6. The impact of humanitarian emergencies on the prevalence of violence against children: an evidence-based ecological framework.

    PubMed

    Rubenstein, Beth L; Stark, Lindsay

    2017-03-01

    Little is known about the patterns and mechanisms by which humanitarian emergencies may exacerbate violence against children. In this article, we propose using the ecological framework to examine the impact of humanitarian emergencies on interpersonal violence against children. We consider the literature that supports this framework and suggest future directions for research to fill identified gaps in the framework. The relationship between humanitarian emergencies and violence against children depends on risk factors at multiple levels, including a breakdown of child protection systems, displacement, threats to livelihoods, changing gender roles, changing household composition, overcrowded living conditions, early marriage, exposure to conflict or other emergency events, and alcohol abuse. The empirical evidence supporting the proposed emergency/violence framework is limited by cross-sectional study designs and a propensity to predominantly examine individual-level determinants of violence, especially exposure to conflict or emergency events. Thus, there is a pressing need to contextualize the relationship between conflict or emergency events and violence against children within the wider ecological and household dynamics that occur during humanitarian emergencies. Ultimately, this will require longitudinal observations of children, families and communities from before the emergency through recovery and improvements to ongoing global surveillance systems. More complete data will enable the humanitarian community to design effective, appropriate and well-targeted interventions.

  7. Incidence, Etiology and Risk Factors for Travelers’ Diarrhea during a Hospital Ship-Based Military Humanitarian Mission: Continuing Promise 2011

    PubMed Central

    McCoy, Andrea; Brannock, Tracy; Martin, Gregory J.; Scouten, William T.; Brooks, Krista; Putnam, Shannon D.; Riddle, Mark S.

    2016-01-01

    Travelers’ diarrhea (TD) is the most common ailment affecting travelers, including deployed U.S. military. Continuing Promise 2011 was a 5-month humanitarian assistance/disaster response (HA/DR) military and non-governmental organization training mission aboard the hospital ship USNS Comfort, which deployed to Central and South America and the Caribbean between April and September 2011. Enhanced TD surveillance was undertaken during this mission for public health purposes. Passive surveillance (clinic visits), active surveillance (self-reported questionnaires), and stool samples were collected weekly from shipboard personnel. Descriptive statistics and multivariate-logistic regression methods were used to estimate disease burden and risk factor identification. Two polymerase chain reaction methods on frozen stool were used for microbiological identification. TD was the primary complaint for all clinic visits (20%) and the leading cause of lost duties days due to bed rest confinement (62%), though underreported, as the active self-reported incidence was 3.5 times higher than the passive clinic-reported incidence. Vomiting (p = 0.002), feeling lightheaded or weak (p = 0.005), and being a food handler (p = 0.017) were associated with increased odds of lost duty days. Thirty-eight percent of self-reported cases reported some amount of performance impact. Based on the epidemiological curve, country of exercise and liberty appeared to be temporally associated with increased risk. From the weekly self-reported questionnaire risk factor analysis, eating off ship in the prior week was strongly associated (adjusted odds ratio [OR] 2.4, p<0.001). Consumption of seafood increased risk (aOR 1.7, p = 0.03), though consumption of ice appeared protective (aOR 0.3, p = 0.01). Etiology was bacterial (48%), with enterotoxigenic Escherichia coli as the predominant pathogen (35%). Norovirus was identified as a sole pathogen in 12%, though found as a copathogen in an additional 6

  8. Incidence, Etiology and Risk Factors for Travelers' Diarrhea during a Hospital Ship-Based Military Humanitarian Mission: Continuing Promise 2011.

    PubMed

    Hameed, Jessica M; McCaffrey, Ramona L; McCoy, Andrea; Brannock, Tracy; Martin, Gregory J; Scouten, William T; Brooks, Krista; Putnam, Shannon D; Riddle, Mark S

    2016-01-01

    Travelers' diarrhea (TD) is the most common ailment affecting travelers, including deployed U.S. military. Continuing Promise 2011 was a 5-month humanitarian assistance/disaster response (HA/DR) military and non-governmental organization training mission aboard the hospital ship USNS Comfort, which deployed to Central and South America and the Caribbean between April and September 2011. Enhanced TD surveillance was undertaken during this mission for public health purposes. Passive surveillance (clinic visits), active surveillance (self-reported questionnaires), and stool samples were collected weekly from shipboard personnel. Descriptive statistics and multivariate-logistic regression methods were used to estimate disease burden and risk factor identification. Two polymerase chain reaction methods on frozen stool were used for microbiological identification. TD was the primary complaint for all clinic visits (20%) and the leading cause of lost duties days due to bed rest confinement (62%), though underreported, as the active self-reported incidence was 3.5 times higher than the passive clinic-reported incidence. Vomiting (p = 0.002), feeling lightheaded or weak (p = 0.005), and being a food handler (p = 0.017) were associated with increased odds of lost duty days. Thirty-eight percent of self-reported cases reported some amount of performance impact. Based on the epidemiological curve, country of exercise and liberty appeared to be temporally associated with increased risk. From the weekly self-reported questionnaire risk factor analysis, eating off ship in the prior week was strongly associated (adjusted odds ratio [OR] 2.4, p<0.001). Consumption of seafood increased risk (aOR 1.7, p = 0.03), though consumption of ice appeared protective (aOR 0.3, p = 0.01). Etiology was bacterial (48%), with enterotoxigenic Escherichia coli as the predominant pathogen (35%). Norovirus was identified as a sole pathogen in 12%, though found as a copathogen in an additional 6

  9. Differentially private distributed logistic regression using private and public data

    PubMed Central

    2014-01-01

    Background Privacy protecting is an important issue in medical informatics and differential privacy is a state-of-the-art framework for data privacy research. Differential privacy offers provable privacy against attackers who have auxiliary information, and can be applied to data mining models (for example, logistic regression). However, differentially private methods sometimes introduce too much noise and make outputs less useful. Given available public data in medical research (e.g. from patients who sign open-consent agreements), we can design algorithms that use both public and private data sets to decrease the amount of noise that is introduced. Methodology In this paper, we modify the update step in Newton-Raphson method to propose a differentially private distributed logistic regression model based on both public and private data. Experiments and results We try our algorithm on three different data sets, and show its advantage over: (1) a logistic regression model based solely on public data, and (2) a differentially private distributed logistic regression model based on private data under various scenarios. Conclusion Logistic regression models built with our new algorithm based on both private and public datasets demonstrate better utility than models that trained on private or public datasets alone without sacrificing the rigorous privacy guarantee. PMID:25079786

  10. Where There Is a (Collective) Will, There Are (Effective) Ways: Integrating Individual- and Group-Level Factors in Explaining Humanitarian Collective Action.

    PubMed

    Thomas, Emma F; McGarty, Craig; Reese, Gerhard; Berndsen, Mariette; Bliuc, Ana-Maria

    2016-12-01

    The 21st century has borne witness to catastrophic natural and human-induced tragedies. These disasters necessitate humanitarian responses; however, the individual and collective bases of support are not well understood. Drawing on Duncan's motivational model of collective action, we focus on how individual differences position a person to adopt group memberships and develop a "group consciousness" that provides the basis for humanitarian action. Longitudinal mediation analyses involving supporters of international humanitarian action (N = 384) sampled annually for 3 years provided support for the hypothesized model, with some twists. The results revealed that within time point, a set of individual differences (together, the "pro-social orientation") promoted a humanitarian group consciousness that, in turn, facilitated collective action. However, longitudinally, there was evidence that a more general pro-social orientation undermined subsequent identification with, and engagement in, the humanitarian cause. Results are discussed in terms of understanding the interplay between individual and group in collective actions.

  11. Employing moderate resolution sensors in human rights and international humanitarian law monitoring

    NASA Astrophysics Data System (ADS)

    Marx, Andrew J.

    Organizations concerned with human rights are increasingly using remote sensing as a tool to improve their detection of human rights and international humanitarian law violations. However, as these organizations have transitioned to human rights monitoring campaigns conducted over large regions and extended periods of time, current methods of using fine- resolution sensors and manpower-intensive analyses have become cost- prohibitive. To support the continued growth of remote sensing in human rights and international humanitarian law monitoring campaigns, this study researches how moderate resolution land observatories can provide complementary data to operational human rights monitoring efforts. This study demonstrates the capacity of moderate resolutions to provide data to monitoring efforts by developing an approach that uses Landsat Enhanced Thematic Mapper Plus (ETM+) as part of a system for the detection of village destruction in Darfur, Sudan. Village destruction is an indicator of a human rights or international humanitarian law violations in Darfur during the 2004 study period. This analysis approach capitalizes on Landsat's historical archive and systematic observations by constructing a historic spectral baseline for each village in the study area that supports automated detection of a potentially destroyed village with each new overpass of the sensor. Using Landsat's near-infrared band, the approach demonstrates high levels of accuracy when compared with a U.S. government database documenting destroyed villages. This approach is then applied to the Darfur conflict from 2002 to 2008, providing new data on when and where villages were destroyed in this widespread and long-lasting conflict. This application to the duration of a real-world conflict illustrates the abilities and shortcomings of moderate resolution sensors in human rights monitoring efforts. This study demonstrates that moderate resolution satellites have the capacity to contribute

  12. State humanitarian verticalism versus universal health coverage: a century of French international health assistance revisited.

    PubMed

    Atlani-Duault, Laëtitia; Dozon, Jean-Pierre; Wilson, Andrew; Delfraissy, Jean-François; Moatti, Jean-Paul

    2016-05-28

    The French contribution to global public health over the past two centuries has been marked by a fundamental tension between two approaches: State-provided universal free health care and what we propose to call State humanitarian verticalism. Both approaches have historical roots in French colonialism and have led to successes and failures that continue until the present day. In this paper, the second in The Lancet's Series on France, we look at how this tension has evolved. During the French colonial period (1890s to 1950s), the Indigenous Medical Assistance structure was supposed to bring metropolitan France's model of universal and free public health care to the colonies, and French State imperial humanitarianism crystallised in vertical programmes inspired by Louis Pasteur, while vying with early private humanitarian activism in health represented by Albert Schweitzer. From decolonisation to the end of the Cold War (1960-99), French assistance to newly independent states was affected by sans frontièrisme, Health for All, and the AIDS pandemic. Since 2000, France has had an active role in development of global health initiatives and favoured multilateral action for health assistance. Today, with adoption of the 2030 Sustainable Development Goals and the challenges of non-communicable diseases, economic inequality, and climate change, French international health assistance needs new direction. In the context of current debate over global health as a universal goal, understanding and acknowledging France's history could help strengthen advocacy in favour of universal health coverage and contribute to advancing global equity through income redistribution, from healthy populations to people who are sick and from wealthy individuals to those who are poor.

  13. Of special humanitarian concern: U.S. refugee admissions since passage of the Refugee Act.

    PubMed

    Gallagher, D; Forbes, S; Fagan, P W

    1986-01-01

    The Refugee Act of 1980 is the 1st comprehensive legislation on the admission of refugees to the US; in the 5+ years since its enactment, over 500,000 refugees from more than 25 countries have been admitted to the US. This report assesses the effectiveness of the law in achieving its objectives in making and implementing decisions about the admission of refugees. The objectives of the Act include 1) a desire for a humanitarian response to refugee emergencies and a desire for control over that response, 2) a concern that ideological and geographic restrictions on refugee admissions be removed, and 3) a desire to balance international concerns and domestic impacts in making decisions on refugee admissions. The authors conclude that the refugee program does not serve the broad humanitarian purposes of previous parole programs, due to its stringent review requirements. The formal Congressional Consultations on refugee numbers should be rescheduled to allow regular Congressional input. The program needs a contingency budget for changing situations. The program needs more input from nongovernmental agencies and information sources. Recommendations on refugee admission numbers and allocations have not been well substantiated. Determinations as to which refugees are of "special humanitarian concern" are made solely on the basis of nationality; these decisions should also incorporate other factors. Admissions priorities are generally based on ties to this country, but this makes the refugee program a surrogate immigration program. Although the application of the refugee definition is difficult in practice, it forms the essence of the admission process. US staff must be trained to make these decisions; indecisiveness must not be allowed to jeopardize refugees.

  14. Evidence on the Effectiveness of Water, Sanitation, and Hygiene (WASH) Interventions on Health Outcomes in Humanitarian Crises: A Systematic Review

    PubMed Central

    Ramesh, Anita; Blanchet, Karl; Ensink, Jeroen H. J.; Roberts, Bayard

    2015-01-01

    Background Water, sanitation, and hygiene (WASH) interventions are amongst the most crucial in humanitarian crises, although the impact of the different WASH interventions on health outcomes remains unclear. Aim To examine the quantity and quality of evidence on WASH interventions on health outcomes in humanitarian crises, as well as evaluate current evidence on their effectiveness against health outcomes in these contexts. Methods A systematic literature review was conducted of primary and grey quantitative literature on WASH interventions measured against health outcomes in humanitarian crises occurring from 1980–2014. Populations of interest were those in resident in humanitarian settings, with a focus on acute crisis and early recovery stages of humanitarian crises in low and middle-income countries. Interventions of interest were WASH-related, while outcomes of interest were health-related. Study quality was assessed via STROBE/CONSORT criteria. Results were analyzed descriptively, and PRISMA reporting was followed. Results Of 3963 studies initially retrieved, only 6 published studies measured a statistically significant change in health outcome as a result of a WASH intervention. All 6 studies employed point-of-use (POU) water quality interventions, with 50% using safe water storage (SWS) and 35% using household water treatment (HWT). All 6 studies used self-reported diarrhea outcomes, 2 studies also reported laboratory confirmed outcomes, and 2 studies reported health treatment outcomes (e.g. clinical admissions). 1 study measured WASH intervention success in relation to both health and water quality outcomes; 1 study recorded uptake (use of soap) as well as health outcomes. 2 studies were unblinded randomized-controlled trials, while 4 were uncontrolled longitudinal studies. 2 studies were graded as providing high quality evidence; 3 studies provided moderate and 1 study low quality evidence. Conclusion The current evidence base on the impact of WASH

  15. Evaluations of reproductive health programs in humanitarian settings: a systematic review

    PubMed Central

    2015-01-01

    Provision of reproductive health (RH) services is a minimum standard of health care in humanitarian settings; however access to these services is often limited. This systematic review, one component of a global evaluation of RH in humanitarian settings, sought to explore the evidence regarding RH services provided in humanitarian settings and to determine if programs are being evaluated. In addition, the review explored which RH services receive more attention based on program evaluations and descriptive data. Peer-reviewed papers published between 2004 and 2013 were identified via the Ovid MEDLINE database, followed by a PubMed search. Papers on quantitative evaluations of RH programs, including experimental and non-experimental designs that reported outcome data, implemented in conflict and natural disaster settings, were included. Of 5,669 papers identified in the initial search, 36 papers describing 30 programs met inclusion criteria. Twenty-five papers described programs in sub-Saharan Africa, six in Asia, two in Haiti and three reported data from multiple countries. Some RH technical areas were better represented than others: seven papers reported on maternal and newborn health (including two that also covered family planning), six on family planning, three on sexual violence, 20 on HIV and other sexually transmitted infections and two on general RH topics. In comparison to the program evaluation papers identified, three times as many papers were found that reported RH descriptive or prevalence data in humanitarian settings. While data demonstrating the magnitude of the problem are crucial and were previously lacking, the need for RH services and for evaluations to measure their effectiveness is clear. Program evaluation and implementation science should be incorporated into more programs to determine the best ways to serve the RH needs of people affected by conflict or natural disaster. Standard program design should include rigorous program evaluation, and

  16. Progress and gaps in reproductive health services in three humanitarian settings: mixed-methods case studies

    PubMed Central

    2015-01-01

    Background Reproductive health (RH) care is an essential component of humanitarian response. Women and girls living in humanitarian settings often face high maternal mortality and are vulnerable to unwanted pregnancy, unsafe abortion, and sexual violence. This study explored the availability and quality of, and access barriers to RH services in three humanitarian settings in Burkina Faso, Democratic Republic of the Congo (DRC), and South Sudan. Methods Data collection was conducted between July and October 2013. In total, 63 purposively selected health facilities were assessed: 28 in Burkina Faso, 25 in DRC, and nine in South Sudan, and 42 providers completed a questionnaire to assess RH knowledge and attitudes. Thirty-four focus group discussions were conducted with 29 members of the host communities and 273 displaced married and unmarried women and men to understand access barriers. Results All facilities reported providing some RH services in the prior three months. Five health facilities in Burkina Faso, six in DRC, and none in South Sudan met the criteria as a family planning service delivery point. Two health facilities in Burkina Faso, one in DRC, and two in South Sudan met the criteria as an emergency obstetric and newborn care service delivery point. Across settings, three facilities in DRC adequately provided selected elements of clinical management of rape. Safe abortion was unavailable. Many providers lacked essential knowledge and skills. Focus groups revealed limited knowledge of available RH services and socio-cultural barriers to accessing them, although participants reported a remarkable increase in use of facility-based delivery services. Conclusion Although RH services are being provided, the availability of good quality RH services was inconsistent across settings. Commodity management and security must be prioritized to ensure consistent availability of essential supplies. It is critical to improve the attitudes, managerial and technical

  17. Select clinical recommendations for military medical practitioners conducting humanitarian and civic assistance activities.

    PubMed

    Hollon, Justin R; Hickey, Patrick W

    2010-09-01

    Training and planning for stability, security, transition, and reconstruction, to include humanitarian and civic assistance activities, has taken on new importance for today's military forces. Deployed medical forces providing medical care to local populations are presented with the challenge of limited resources, complex public health needs, and complex cultural and linguistic barriers to care. In this article, we review some of the clinical situations commonly encountered during these operations and provide an evidence-based rationale for proposed courses of action. This report is timely given expanding operations in Afghanistan and the stand-up of the U.S. African Command (AFRICOM).

  18. Microsurgery "without borders": new limits for reconstruction of post-burn sequelae in the humanitarian setting.

    PubMed

    Tocco-Tussardi, I; Presman, B; Cherubino, M; Garusi, C; Bassetto, F

    2016-03-31

    Post-burn contractures account for up to 50% of the workload of a plastic surgery team volunteering in developing nations. Best possible outcome most likely requires extensive surgery. However, extensive approaches such as microsurgery are generally discouraged in these settings. We report two successful cases of severe hand contractures reconstructed with free flaps on a surgical mission in Kenya. Microsurgery can be safely performed in the humanitarian setting by an integration of: personal skills; technical means; education of local personnel; follow-up services; and an effective network for communication.

  19. Weather patterns, food security and humanitarian response in sub-Saharan Africa.

    PubMed

    Haile, Menghestab

    2005-11-29

    Although considerable achievements in the global reduction of hunger and poverty have been made, progress in Africa so far has been very limited. At present, a third of the African population faces widespread hunger and chronic malnutrition and is exposed to a constant threat of acute food crisis and famine. The most affected are rural households whose livelihood is heavily dependent on traditional rainfed agriculture. Rainfall plays a major role in determining agricultural production and hence the economic and social well being of rural communities. The rainfall pattern in sub-Saharan Africa is influenced by large-scale intra-seasonal and inter-annual climate variability including occasional El Niño events in the tropical Pacific resulting in frequent extreme weather event such as droughts and floods that reduce agricultural outputs resulting in severe food shortages. Households and communities facing acute food shortages are forced to adopt coping strategies to meet the immediate food requirements of their families. These extreme responses may have adverse long-term, impacts on households' ability to have sustainable access to food as well as the environment. The HIV/AIDS crisis has also had adverse impacts on food production activities on the continent. In the absence of safety nets and appropriate financial support mechanisms, humanitarian aid is required to enable households effectively cope with emergencies and manage their limited resources more efficiently. Timely and appropriate humanitarian aid will provide households with opportunities to engage in productive and sustainable livelihood strategies. Investments in poverty reduction efforts would have better impact if complemented with timely and predictable response mechanisms that would ensure the protection of livelihoods during crisis periods whether weather or conflict-related. With an improved understanding of climate variability including El Niño, the implications of weather patterns for the food

  20. Access to healthcare for the most vulnerable migrants: a humanitarian crisis.

    PubMed

    Pottie, Kevin; Martin, Jorge Pedro; Cornish, Stephen; Biorklund, Linn Maria; Gayton, Ivan; Doerner, Frank; Schneider, Fabien

    2015-01-01

    A series of Médecins Sans Frontières projects for irregular migrants over the past decade have consistently documented high rates of 14 physical and sexual trauma, extortion and mental illness amidst severe healthcare, food, and housing limitations. Complex interventions were needed to begin to address illness and barriers to healthcare and to help restore dignity to the most vulnerable women, children and men. Promising interventions included mobile clinics, use of cultural mediators, coordination with migrant-friendly entities and NGOs and integrating advocacy programs and mental health care with medical services. Ongoing interventions, research and coordination are needed to address this neglected humanitarian crisis.

  1. Developing Institutional Capacity for Reproductive Health in Humanitarian Settings: A Descriptive Study

    PubMed Central

    Tran, Nguyen-Toan; Dawson, Angela; Meyers, Janet; Krause, Sandra; Hickling, Carina

    2015-01-01

    Introduction Institutions play a central role in advancing the field of reproductive health in humanitarian settings (RHHS), yet little is known about organizational capacity to deliver RHHS and how this has developed over the past decade. This study aimed to document the current institutional experiences and capacities related to RHHS. Materials and Methods Descriptive study using an online questionnaire tool. Results Respondents represented 82 institutions from 48 countries, of which two-thirds originated from low-and middle-income countries. RHHS work was found not to be restricted to humanitarian agencies (25%), but was also embraced by development organizations (25%) and institutions with dual humanitarian and development mandates (50%). Agencies reported working with refugees (81%), internally-displaced (87%) and stateless persons (20%), in camp-based settings (78%), and in urban (83%) and rural settings (78%). Sixty-eight percent of represented institutions indicated having an RHHS-related policy, 79% an accountability mechanism including humanitarian work, and 90% formal partnerships with other institutions. Seventy-three percent reported routinely appointing RH focal points to ensure coordination of RHHS implementation. There was reported progress in RHHS-related disaster risk reduction (DRR), emergency management and coordination, delivery of the Minimum Initial Services Package (MISP) for RH, comprehensive RH services in post-crisis/recovery situations, gender mainstreaming, and community-based programming. Other reported institutional areas of work included capacity development, program delivery, advocacy/policy work, followed by research and donor activities. Except for abortion-related services, respondents cited improved efforts in advocacy, capacity development and technical support in their institutions for RHHS to address clinical services, including maternal and newborn health, sexual violence prevention and response, HIV prevention, management

  2. Logistics support of lunar bases

    NASA Astrophysics Data System (ADS)

    Woodcock, Gordon R.

    Concepts for lunar base design and operations have been studied for over twenty years. A brief summary of past concepts is presented, with reference to new ideas on design, uses and logistics schemes. Transportation systems and mission modes are reviewed, showing the significant cost benefits of reusable transportation at the higher traffic rates representative of lunar base buildup and logistics operations. Parametric studies are presented over the range of base size from 6 crew to 1000 crew, and the "choke points", or barriers to growth are identified and means for their resolution presented. The leverages of food growth on the Moon, crew stay time, use of lunar oxygen, indigenous resources for construction of facilities, and transportation systems size and operations modes are presented. It is concluded that bases as large as 1000 people are affordable at less than twice the cost of an initial base of six people if these leverages of advanced basing technologies are exploited.

  3. Logistic analysis of algae cultivation.

    PubMed

    Slegers, P M; Leduc, S; Wijffels, R H; van Straten, G; van Boxtel, A J B

    2015-03-01

    Energy requirements for resource transport of algae cultivation are unknown. This work describes the quantitative analysis of energy requirements for water and CO2 transport. Algae cultivation models were combined with the quantitative logistic decision model 'BeWhere' for the regions Benelux (Northwest Europe), southern France and Sahara. For photobioreactors, the energy consumed for transport of water and CO2 turns out to be a small percentage of the energy contained in the algae biomass (0.1-3.6%). For raceway ponds the share for transport is higher (0.7-38.5%). The energy consumption for transport is the lowest in the Benelux due to good availability of both water and CO2. Analysing transport logistics is still important, despite the low energy consumption for transport. The results demonstrate that resource requirements, resource distribution and availability and transport networks have a profound effect on the location choices for algae cultivation.

  4. Logistical teamwork tames Madagascar wildcats

    SciTech Connect

    Twa, W.

    1986-03-01

    Amoco Production Company's exploration program in western Madagascar's Sakalaya coastal plain exemplifies the unique logistical challenges both operator and drilling contractor must undergo to reach the few remaining onshore frontier areas. Sakalava is characterized by deep rivers, flood prone tributaries, and a lone 40 km hard-surface road. Problems caused by a lack of port facilities and oil field services are complicated by thousands of square miles of unimproved wooded plains. Rainwater from the nearby mountains of central Madagascar frequently floods rivers in the Sakalava coastal plain leaving impassable marshes in their wake. Prior to this project, about 45 wells had been drilled in Madagascar. Most recently, state oil company Omnis contracted Bawden Drilling International Inc. to drill nine wells for its heavy oil project on the Tsimioro oil prospect. Bawden provided both logistical and drilling services for that program.

  5. Fleet Logistics Center, Puget Sound

    DTIC Science & Technology

    2012-08-01

    ORGANIZATION NAME(S) AND ADDRESS(ES) Naval Supply Systems Command,Fleet Logistics Center, Puget Sound,467 W Street , Bremerton ,WA,98314-5100 8... Bremerton , WA Established: October 1967 Name Changes: Naval Supply Center Puget Sound, Fleet and Industrial Supply Center Puget...or Sasebo) deployed Ships in the Western Pacific (WestPac) Naval Base Kitsap at Bremerton and Bangor (NBK at Bremerton or Bangor) Navy Region

  6. Basic humanitarian principles applicable to non-nationals.

    PubMed

    Goodwin-gill, G S; Jenny, R K; Perruchoud, R

    1985-01-01

    This article examines the general status in international law of certain fundamental human rights to determine the minimum "no derogation" standards, and then surveys a number of formal agreements between stages governing migration matters, while examining some of the standard-setting work undertaken by the International Labor Organization (ILO) and other institutions. Article 13 of the Universal Declaration of Human Rights, proclaims the right of everyone to leave any country, including his or her own. The anti-discrimination provision is widely drawn and includes national or social origin, birth, or other status. Non-discrimination is frequently the core issue in migration matters; it offers the basis for a principles approach to questions involving non-nationals and their methodological analysis, as well as a standard for the progressive elaboration of institutions and practices. As a general rule, ILO conventions give particular importance to the principle of choice of methods by states for the implementation of standards, as well as to the principle of progressive implementation. Non-discrimination implies equality of opportunity in the work field, inremuneration, job opportunity, trade union rights and benefits, social security, taxation, medical treatment, and accommodation; basic legal guarantees are also matters of concern to migrant workers, including termination of employment, non-renewal of work permits, and expulsion. The generality of human rights is due not because the individual is or is not a member of a partucular group, and claims to such rights are not determinable according to membership, but according to the character of the right in question. The individualized aspect of fundamental human rights requires a case-by-case consideration of claims, and the recognition that to all persons now certain special duties are owed.

  7. Comparing the Discrete and Continuous Logistic Models

    ERIC Educational Resources Information Center

    Gordon, Sheldon P.

    2008-01-01

    The solutions of the discrete logistic growth model based on a difference equation and the continuous logistic growth model based on a differential equation are compared and contrasted. The investigation is conducted using a dynamic interactive spreadsheet. (Contains 5 figures.)

  8. EMS incident management: emergency medical logistics.

    PubMed

    Maniscalco, P M; Christen, H T

    1999-01-01

    If you had to get x amount of supplies to point A or point B, or both, in 10 minutes, how would you do it? The answer lies in the following steps: 1. Develop a logistics plan. 2. Use emergency management as a partner agency for developing your logistics plan. 3. Implement a push logistics system by determining what supplies/medications and equipment are important. 4. Place mass casualty/disaster caches at key locations for rapid deployment. Have medication/fluid caches available at local hospitals. 5. Develop and implement command caches for key supervisors and managers. 6. Anticipate the logistics requirements of a terrorism/tactical violence event based on a community threat assessment. 7. Educate the public about preparing a BLS family disaster kit. 8. Test logistics capabilities at disaster exercises. 9. Budget for logistics needs. 10. Never underestimate the importance of logistics. When logistics support fails, the EMS system fails.

  9. Aviation Logistics Officers: Combining Supply and Maintenance Responsibilities

    DTIC Science & Technology

    2009-01-05

    aircraft or at the IMA within a Marine Aviation Logistics Squadron ( MALS ) to manage the intermediate maintenance of a specific type of equipment...provider of components to be issued. Supply officers, on the other hand, rarely leave the confines of the MALS , despite providing support to both the...AAMO). At the MALS maintenance officers serve as division heads for airframe repair, engine repair, etc. or the AAMO. They can also serve as

  10. The Evolution of Centralized Operational Logistics

    DTIC Science & Technology

    2012-05-17

    Command Reports 1-10; Lieutenant General William G. Pagonis and Jeffery L . Cruikshank. Moving Mountains: Lessons in Leadership and Logistics from the Gulf...1943- 1945, (Washington, DC: Government Printing Office, 1955), 320-321. 22 Alan Gropman, The Big " L "- American Logistics in World War II...29 Carter B. Magruder, Recurring Logistic Problems As I Have Observed Them, 29. 30 Ibid., 245; Lieutenant Colonel Robert L . Burke, “Corps Logistic

  11. Performance-Based Logistics, Contractor Logistics Support, and Stryker

    DTIC Science & Technology

    2007-06-15

    New Supply Chain ” Engineering Management; Vol. 15 Issue 1, (Feb/March 2005): 24-27 10General Eric Shinseki, AUSA Speech, Washington D.C (October 1999...Keating, Scott “Managing Risk in the New Supply Chain ” Engineering Management; Vol. 15 Issue 1, (Feb/March 2005): 24-27 Kobren, Bill. “Mitigating

  12. Crisis Management- Operational Logistics & Asset Visibility Technologies

    DTIC Science & Technology

    2006-06-01

    greatly increase the effectiveness of future crisis response operations. The proposed logistics framework serves as a viable solution for common...increase the effectiveness of future crisis response operations. The proposed logistics framework serves as a viable solution for common logistical...FRAMEWORK............................................................29 A. INTEGRATED COMMUNICATIONS NETWORK MODEL ................29 B. INTEGRATED

  13. Naval Logistics Integration Through Interoperable Supply Systems

    DTIC Science & Technology

    2014-06-13

    NAVAL LOGISTICS INTEGRATION THROUGH INTEROPERABLE SUPPLY SYSTEMS A thesis presented to the Faculty of the U.S. Army Command...Thesis 3. DATES COVERED (From - To) AUG 2013 – JUNE 2014 4. TITLE AND SUBTITLE Naval Logistics Integration through Interoperable Supply Systems...Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT This research investigates how the Navy and the Marine Corps could increase Naval Logistics

  14. Militarized humanitarianism meets carceral feminism: the politics of sex, rights, and freedom in contemporary antitrafficking campaigns.

    PubMed

    Bernstein, Elizabeth

    2010-01-01

    Over the past decade, abolitionist feminist and evangelical Christian activists have directed increasing attention toward the “traffic in women” as a dangerous manifestation of global gender inequalities. Despite renowned disagreements around the politics of sex and gender, these groups have come together to advocate for harsher penalties against traffickers, prostitutes’ customers, and nations deemed to be taking insufficient steps to stem the flow of trafficked women. In this essay, I argue that what has served to unite this coalition of "strange bedfellows" is not simply an underlying commitment to conservative ideals of sexuality, as previous commentators have offered, but an equally significant commitment to carceral paradigms of justice and to militarized humanitarianism as the preeminent mode of engagement by the state. I draw upon my ongoing ethnographic research with feminist and evangelical antitrafficking movement leaders to argue that the alliance that has been so efficacious in framing contemporary antitrafficking politics is the product of two historically unique and intersecting trends: a rightward shift on the part of many mainstream feminists and other secular liberals away from a redistributive model of justice and toward a politics of incarceration, coincident with a leftward sweep on the part of many younger evangelicals toward a globally oriented social justice theology. In the final section of this essay, I consider the resilience of these trends given a newly installed and more progressive Obama administration, positing that they are likely to continue even as the terrain of militarized humanitarian action shifts in accordance with new sets of geopolitical interests.

  15. Fluid technologies: The Bush Pump, the LifeStraw and microworlds of humanitarian design.

    PubMed

    Redfield, Peter

    2016-04-01

    Over the past decade, many ingenious, small-scale gadgets have appeared in response to problems of disaster and extreme poverty. Focusing on the LifeStraw, a water filtration device invented by the company Vestergaard Frandsen, I situate this wave of humanitarian design relative to Marianne de Laet and Annemarie Mol's classic article on the Zimbabwe Bush Pump. The LifeStraw shares the Bush Pump's principle of technical minimalism, as well as its ethical desire to improve the lives of communities. Unlike the pump, however, the straw defines itself through rather than against market logic, accepting the premise that one can 'do well while doing good'. Moreover, it does not share the assumed framework of de Laet and Mol's Zimbabwean socio-technical landscape: a postcolonial state happily en route to national self-definition. Nonetheless, it clearly embodies moral affect, if in the idiom of humanitarian concern rather than development. My aim is to open up three interrelated lines of inquiry for discussion. First, I consider aspects of a postcolonial condition at the micro-level of immediate needs, including assumptions about nation-state politics and markets. Second, I emphasize science and technology in the form of infrastructure, the material frontline of norms. Third, I return reflexively to love, and the complicated allure of engagement in academic work.

  16. Mini pressurized logistics module (MPLM)

    NASA Astrophysics Data System (ADS)

    Vallerani, E.; Brondolo, D.; Basile, L.

    1996-06-01

    The MPLM Program was initiated through a Memorandum of Understanding (MOU) between the United States' National Aeronautics and Space Administration (NASA) and Italy's ASI, the Italian Space Agency, that was signed on 6 December 1991. The MPLM is a pressurized logistics module that will be used to transport supplies and materials (up to 20,000 lb), including user experiments, between Earth and International Space Station Alpha (ISSA) using the Shuttle, to support active and passive storage, and to provide a habitable environment for two people when docked to the Station. The Italian Space Agency has selected Alenia Spazio to develop MPLM modules that have always been considered a key element for the new International Space Station taking benefit from its design flexibility and consequent possible cost saving based on the maximum utilization of the Shuttle launch capability for any mission. In the frame of the very recent agreement between the U.S. and Russia for cooperation in space, that foresees the utilization of MIR 1 hardware, the Italian MPLM will remain an important element of the logistics system, being the only pressurized module designed for re-entry. Within the new scenario of anticipated Shuttle flights to MIR 1 during Space Station phase 1, MPLM remains a candidate for one or more missions to provide MIR 1 resupply capabilities and advanced ISSA hardware/procedures verification. Based on the concept of Flexible Carriers, Alenia Spazio is providing NASA with three MPLM flight units that can be configured according to the requirements of the Human-Tended Capability (HTC) and Permanent Human Capability (PHC) of the Space Station. Configurability will allow transportation of passive cargo only, or a combination of passive and cold cargo accommodated in R/F racks. Having developed and qualified the baseline configuration with respect to the worst enveloping condition, each unit could be easily configured to the passive or active version depending upon the

  17. Designing for Multiple Stakeholder Interests within the Humanitarian Market: The Case of Off-Grid Energy Devices

    ERIC Educational Resources Information Center

    Nielsen, Brita Fladvad; Rodrigues Santos, Ana Laura

    2013-01-01

    A "humanitarian market" for off-grid renewable energy technologies for displaced populations in remote areas has emerged. Within this market, there are multiple stakeholder agendas. End-user needs and sustainable development goals are currently not considered through the customer-enterprise relationship and the applied product and…

  18. Right Technology, Right Now: An Evaluation Methodology for Rapidly Deployable Information and Communications Technologies in Humanitarian Assistance/Disaster Relief

    DTIC Science & Technology

    2012-03-01

    Space Agency, 2006) ...........................34  Figure 19.  Global BGAN Coverage (From Inmarsat, 2009...34  Figure 20.  BGAN Overview (From Skinnemoen, Johansen, & Eriksen, 2003) ...............36  Figure 21.  Key Benefits of BGAN for Humanitarian Aid...From Inmarsat, BGAN Applications: Aid, 2009) ..................................................................................37  Figure 22

  19. Humanitarian and Development Assistance: Project Evaluations and Better Information Sharing Needed to Manage the Military’s Efforts

    DTIC Science & Technology

    2012-02-01

    coalition partners during times of conflict. Security cooperation programs provide financial and technical assistance, ensure transfer of defense...officials said that the Overseas Humanitarian Assistance Shared Information System database is not used for financial management purposes,26 DOD’s...pulled in from DOD’s financial management systems

  20. The Epidemiology of Operation Stress during Continuing Promise 2011: A Humanitarian Response and Disaster Relief Mission aboard a US Navy Hospital Ship.

    PubMed

    Scouten, William T; Mehalick, Melissa L; Yoder, Elizabeth; McCoy, Andrea; Brannock, Tracy; Riddle, Mark S

    2017-03-20

    Introduction Operational stress describes individual behavior in response to the occupational demands and tempo of a mission. The stress response of military personnel involved in combat and peace-keeping missions has been well-described. The spectrum of effect on medical professionals and support staff providing humanitarian assistance, however, is less well delineated. Research to date concentrates mainly on shore-based humanitarian missions. Problem The goal of the current study was to document the pattern of operational stress, describe factors responsible for it, and the extent to which these factors impact job performance in military and civilian participants of Continuing Promise 2011 (CP11), a ship-based humanitarian medical mission.

  1. Logistics measurement and performance for United States-Mexican operations under NAFTA

    SciTech Connect

    Fawcett, S.E.; Smith, S.R.

    1995-12-01

    An empirical study utilizing a survey methodology was undertaken to explore the issues surrounding logistics performance under the recently enacted North American Free Trade Agreement (NAFTA). The study surveyed 524 senior level managers directly responsible for their strategic business units` operations involving Mexican production sharing. The study focused on what role Mexican production facilities take in the production process, relative technology level, planning activities, final destination of products, and what level of logistics performance was required to successfully operate. Some of the findings suggest a need to reevaluate current strategies to incorporate logistics support systems. Many benefits of true integration may have been overlooked since logistics was given a secondary position when strategies were formulated. Excessive tranportation and distribution costs may be lowered if logistics is given a higher emphasis in corporate decision making.

  2. Improving the performance of community health workers in humanitarian emergencies: a realist evaluation protocol for the PIECES programme

    PubMed Central

    Gilmore, Brynne; Adams, Ben Jack; Bartoloni, Alex; Alhaydar, Bana; McAuliffe, Eilish; Raven, Joanna; Taegtmeyer, Miriam; Vallières, Frédérique

    2016-01-01

    Introduction Understanding what enhances the motivation and performance of community health workers (CHWs) in humanitarian emergencies represents a key research gap within the field of human resources for health. This paper presents the research protocol for the Performance ImprovEment of CHWs in Emergency Settings (PIECES) research programme. Enhancing Learning and Research in Humanitarian Action (ELRHA) funded the development of this protocol as part of their Health in Humanitarian Crises (R2HC) call (No.19839). PIECES aims to understand what factors improve the performance of CHWs in level III humanitarian emergencies. Methods and analysis The suggested protocol uses a realist evaluation with multiple cases across the 3 country sites: Turkey, Iraq and Lebanon. Working with International Medical Corps (IMC), an initial programme theory was elicited through literature and document reviews, semistructured interviews and focus groups with IMC programme managers and CHWs. Based on this initial theory, this protocol proposes a combination of semistructured interviews, life histories and critical incident narratives, surveys and latent variable modelling of key constructs to explain how contextual factors work to trigger mechanisms for specific outcomes relating to IMC's 300+ CHWs' performance. Participants will also include programme staff, CHWs and programme beneficiaries. Realist approaches will be used to better understand ‘what works, for whom and under what conditions’ for improving CHW performance within humanitarian contexts. Ethics and dissemination Trinity College Dublin's Health Policy and Management/Centre for Global Health Research Ethics Committee gave ethical approval for the protocol development phase. For the full research project, additional ethical approval will be sought from: Université St. Joseph (Lebanon), the Ethics Committee of the Ministry of Health in Baghdad (Iraq) and the Middle East Technical University (Turkey). Dissemination

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

    PubMed

    Li, Xiaohui; Tan, Qingmei

    2013-01-01

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

  4. The imperative for stronger vaccine supply and logistics systems.

    PubMed

    Zaffran, Michel; Vandelaer, Jos; Kristensen, Debra; Melgaard, Bjørn; Yadav, Prashant; Antwi-Agyei, K O; Lasher, Heidi

    2013-04-18

    With the introduction of new vaccines, developing countries are facing serious challenges in their vaccine supply and logistics systems. Storage capacity bottlenecks occur at national, regional, and district levels and system inefficiencies threaten vaccine access, availability, and quality. As countries adopt newer and more expensive vaccines and attempt to reach people at different ages and in new settings, their logistics systems must be strengthened and optimized. As a first step, national governments, donors, and international agencies have crafted a global vision for 2020 vaccine supply and logistics systems with detailed plans of action to achieve five priority objectives. Vaccine products and packaging are designed to meet the needs of developing countries. Immunization supply systems support efficient and effective vaccine delivery. The environmental impact of energy, materials, and processes used in immunization systems is minimized. Immunization information systems enable better and more timely decision-making. Competent and motivated personnel are empowered to handle immunization supply chain issues. Over the next decade, vaccine supply and logistics systems in nearly all developing countries will require significant investments of time and resources from global and national partners, donors, and governments. These investments are critical if we are to reach more people with current and newer vaccines.

  5. El Niño-Flood Predictability for Early Humanitarian Action

    NASA Astrophysics Data System (ADS)

    Emerton, Rebecca; Stephens, Liz; Cloke, Hannah; Woolnough, Steve; Zsoter, Ervin

    2016-04-01

    El Niño Southern Oscillation (ENSO), a mode of variability which sees anomalously high or low sea surface temperatures in the Pacific, is known to have a significant impact on both hydrology and meteorology across the globe. One significant influence is that of El Niño, the warm phase of ENSO, on flooding in the Piura region of Peru. The anticipation and forecasting of floods is crucial for flood preparedness, and the link between El Niño and flooding in Peru, alongside the predictive skill of El Niño up to seasons ahead, may provide an early indication of upcoming severe flood events. The Global Flood Awareness System (GloFAS) has been used to create the first 110-year global reanalysis dataset of river discharge, using the ECMWF ERA-20C atmospheric reanalysis. These datasets are being used to analyse the predictability of flood events in Peru in relation to ENSO, using both hydrological and meteorological approaches; with the aim of providing early indicators of potential flood events and thresholds for early humanitarian action in the region. In particular, this research also aims to determine the causes of the most extreme flood events, such as those observed in 1982/83 and 1997/98, through investigation of the changes in atmospheric circulation during these events. Forecast-based Financing (FbF) is an initiative of the German Red Cross, for disbursing humanitarian funding as soon as a forecast threshold is crossed, prior to a severe event. Collaboration with the Peruvian Red Cross and SENAHMI during 2015 led to the use of such research to define thresholds for action in Piura during an El Niño, as part of an FbF pilot study. We will present here the link between El Niño and flooding, with a focus on the Piura region of Peru, and how this El Niño-flood predictability may be used for flood preparedness and early humanitarian action in regions across the globe.

  6. Defense Logistics: Better Strategic Planning Can Help Ensure DOD’s Successful Implementation of Passive Radio Frequency Identification

    DTIC Science & Technology

    2005-09-01

    GAO United States Government Accountability OfficeReport to Congressional CommitteesSeptember 2005 DEFENSE LOGISTICS Better Strategic Planning Can...LOGISTICS Better Strategic Planning Can Help Ensure DOD’s Successful Implementation of Passive Radio Frequency Identification Since 2003, DOD and the...discuss issues involving RFID and the implications of RFID for current business processes, new technology concerns, and strategic planning and

  7. Korean Domestic Third Party Logistics Providers: Reach for a Global Market

    DTIC Science & Technology

    2010-03-01

    and improve services. Improving service and quality became an unavoidable issue to third party logistics providers (3PLs) because global logistics...With the appearance of domestic or multinational competitors in the 1980s, interests were given to intense competition to improve product quality ... improve the quality of products and service in order to create values for customers (Choi, 1994:30). Figure 1. Change in Essential Components of

  8. Success in Kashmir: a positive trend in civil-military integration during humanitarian assistance operations.

    PubMed

    Thompson, Wiley C

    2010-01-01

    The modern cast of disaster relief actors includes host nations, non-governmental organisations, private volunteer organisations, military organisations and others. Each group, civilian or military, has valuable skills and experiences critical to disaster relief work. The goal of this paper is to supplement the study of civil-military relief efforts with contemporary anecdotal experience. The paper examines the interaction between US military forces and other disaster relief actors during the 2005 Kashmir earthquake relief effort. The author uses direct observations made while working in Pakistan to contrast the relationships and activities from that effort with other accounts in prevailing scholarly disaster literature and military doctrine. Finally, this paper suggests that the Kashmir model of integration, coordination and transparency of intent creates a framework in which future humanitarian assistance operations could be successfully executed. Recommendations to improve civil-military interaction in future relief efforts will also be addressed.

  9. Post-earthquake Haiti: the critical role for rehabilitation services following a humanitarian crisis.

    PubMed

    Landry, Michel D; O'Connell, Colleen; Tardif, Gaetan; Burns, Anthony

    2010-01-01

    The earthquake that occurred in Haiti on 12 January 2010 resulted in massive infrastructure damage, and created one of the largest single-day loss of life events in modern history. Despite the tragic mortality rates, many people with catastrophic injuries including spinal cord injuries and amputations survived due to swift emergency responses by local and international non-governmental organisations (NGOs). The outcome however is that Haiti now has a considerable cohort of people who live with important disabilities. In this 'perspectives in rehabilitation' we share our experiences of working in post-earthquake Haiti, and highlight that this event has raised awareness of the critical importance of providing rehabilitation services during and after a humanitarian crisis of this magnitude.

  10. Multivariate emulation of computer simulators: model selection and diagnostics with application to a humanitarian relief model.

    PubMed

    Overstall, Antony M; Woods, David C

    2016-08-01

    We present a common framework for Bayesian emulation methodologies for multivariate output simulators, or computer models, that employ either parametric linear models or non-parametric Gaussian processes. Novel diagnostics suitable for multivariate covariance separable emulators are developed and techniques to improve the adequacy of an emulator are discussed and implemented. A variety of emulators are compared for a humanitarian relief simulator, modelling aid missions to Sicily after a volcanic eruption and earthquake, and a sensitivity analysis is conducted to determine the sensitivity of the simulator output to changes in the input variables. The results from parametric and non-parametric emulators are compared in terms of prediction accuracy, uncertainty quantification and scientific interpretability.

  11. When "humanitarianism" becomes "development": the politics of international aid in Syria's Palestinian refugee camps.

    PubMed

    Gabiam, Nell

    2012-01-01

    In recent years, the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) has attempted to go beyond its role as a provider of relief and basic services in Palestinian refugee camps and emphasize its role as a development agency. In this article, I focus on the Neirab Rehabilitation Project, an UNRWA-sponsored development project taking place in the Palestinian refugee camps of Ein el Tal and Neirab in northern Syria. I argue that UNRWA's role as a relief-centered humanitarian organization highlights the everyday suffering of Palestinian refugees, suffering that has become embedded in refugees’ political claims. I show that UNRWA's emphasis on “development” in the refugee camps is forcing Palestinian refugees in Ein el Tal and Neirab to reassess the political narrative through which they have understood their relationship with UNRWA.

  12. Integrated Computer System of Management in Logistics

    NASA Astrophysics Data System (ADS)

    Chwesiuk, Krzysztof

    2011-06-01

    This paper aims at presenting a concept of an integrated computer system of management in logistics, particularly in supply and distribution chains. Consequently, the paper includes the basic idea of the concept of computer-based management in logistics and components of the system, such as CAM and CIM systems in production processes, and management systems for storage, materials flow, and for managing transport, forwarding and logistics companies. The platform which integrates computer-aided management systems is that of electronic data interchange.

  13. Optimal distributions for multiplex logistic networks.

    PubMed

    Solá Conde, Luis E; Used, Javier; Romance, Miguel

    2016-06-01

    This paper presents some mathematical models for distribution of goods in logistic networks based on spectral analysis of complex networks. Given a steady distribution of a finished product, some numerical algorithms are presented for computing the weights in a multiplex logistic network that reach the equilibrium dynamics with high convergence rate. As an application, the logistic networks of Germany and Spain are analyzed in terms of their convergence rates.

  14. Coordinating the Provision of Health Services in Humanitarian Crises: a Systematic Review of Suggested Models

    PubMed Central

    Lotfi, Tamara; Bou-Karroum, Lama; Darzi, Andrea; Hajjar, Rayan; El Rahyel, Ahmed; El Eid, Jamale; Itani, Mira; Brax, Hneine; Akik, Chaza; Osman, Mona; Hassan, Ghayda; El-Jardali, Fadi; Akl, Elie

    2016-01-01

    Background: Our objective was to identify published models of coordination between entities funding or delivering health services in humanitarian crises, whether the coordination took place during or after the crises. Methods: We included reports describing models of coordination in sufficient detail to allow reproducibility. We also included reports describing implementation of identified models, as case studies. We searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library. We also searched websites of relevant organizations. We followed standard systematic review methodology. Results: Our search captured 14,309 citations. The screening process identified 34 eligible papers describing five models of coordination of delivering health services: the “Cluster Approach” (with 16 case studies), the 4Ws “Who is Where, When, doing What” mapping tool (with four case studies), the “Sphere Project” (with two case studies), the “5x5” model (with one case study), and the “model of information coordination” (with one case study). The 4Ws and the 5x5 focus on coordination of services for mental health, the remaining models do not focus on a specific health topic. The Cluster approach appears to be the most widely used. One case study was a mixed implementation of the Cluster approach and the Sphere model. We identified no model of coordination for funding of health service. Conclusion: This systematic review identified five proposed coordination models that have been implemented by entities funding or delivering health service in humanitarian crises. There is a need to compare the effect of these different models on outcomes such as availability of and access to health services. PMID:27617167

  15. Food security and humanitarian assistance among displaced Iraqi populations in Jordan and Syria.

    PubMed

    Doocy, Shannon; Sirois, Adam; Anderson, Jamie; Tileva, Margarita; Biermann, Elizabeth; Storey, J Douglas; Burnham, Gilbert

    2011-01-01

    The Iraq conflict resulted in the largest displacement in the Middle East in recent history, and provision of health services to the displaced population presents a critical challenge. With an increase in the number of people affected by complex emergencies and the number of people displaced in urban settings, the international community must adapt intervention strategies to meet the specific demands and contexts of this population. The study aimed to provide information on food security and livelihoods for Iraqi refugees in Syria and Jordan to inform humanitarian assistance planning. National cross-sectional cluster sample surveys of displaced Iraqi populations displaced were conducted in Jordan (October 2008) and Syria (March 2009). Clusters of ten households were randomly selected using probability-based sampling; a total of 1200 and 813 Iraqi households in Jordan and Syria, respectively, were interviewed about food security and receipt of humanitarian assistance. In Syria, 60% of households reported the household food situation had declined since the arrival period as compared to 46% in Jordan. Food aid receipt was reported by 18.0% of households in Jordan and 90.3% of households in Syria. In Jordan, 10.2% of households received cash assistance and in Syria 25.3% of households received cash assistance. In Jordan, cash assistance was associated with low socioeconomic status, large household size, and UNHCR registration. In Syria, female headed households, Damascus residents, families with children, and those registered with UNHCR were more likely to receive cash assistance. Food insecurity remains a concern among displaced Iraqi households in both Jordan and Syria. Improved targeting of both food and cash assistance and the expansion of cash-based programs could lead to a more effective use of funds and facilitate the implementation of assistance programs that are sustainable in the context of declining funding availability.

  16. Antibiotic lock therapy: review of technique and logistical challenges

    PubMed Central

    Justo, Julie Ann; Bookstaver, P Brandon

    2014-01-01

    Antibiotic lock therapy (ALT) for the prevention and treatment of catheter-related bloodstream infections is a simple strategy in theory, yet its real-world application may be delayed or avoided due to technical questions and/or logistical challenges. This review focuses on these latter aspects of ALT, including preparation information for a variety of antibiotic lock solutions (ie, aminoglycosides, beta-lactams, fluoroquinolones, folate antagonists, glycopeptides, glycylcyclines, lipopeptides, oxazolidinones, polymyxins, and tetracyclines) and common clinical issues surrounding ALT administration. Detailed data regarding concentrations, additives, stability/compatibility, and dwell times are summarized. Logistical challenges such as lock preparation procedures, use of additives (eg, heparin, citrate, or ethylenediaminetetraacetic acid), timing of initiation and therapy duration, optimal dwell time and catheter accessibility, and risks of ALT are also described. Development of local protocols is recommended in order to avoid these potential barriers and encourage utilization of ALT where appropriate. PMID:25548523

  17. In-space propellant logistics. Volume 4: Project planning data

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The prephase A conceptual project planning data as it pertains to the development of the selected logistics module configuration transported into earth orbit by the space shuttle orbiter. The data represents the test, implementation, and supporting research and technology requirements for attaining the propellant transfer operational capability for early 1985. The plan is based on a propellant module designed to support the space-based tug with cryogenic oxygen-hydrogen propellants. A logical sequence of activities that is required to define, design, develop, fabricate, test, launch, and flight test the propellant logistics module is described. Included are the facility and ground support equipment requirements. The schedule of activities are based on the evolution and relationship between the R and T, the development issues, and the resultant test program.

  18. Logistics Reduction Technologies for Exploration Missions

    NASA Technical Reports Server (NTRS)

    Broyan, James L., Jr.; Ewert, Michael K.; Fink, Patrick W.

    2014-01-01

    Human exploration missions under study are limited by the launch mass capacity of existing and planned launch vehicles. The logistical mass of crew items is typically considered separate from the vehicle structure, habitat outfitting, and life support systems. Although mass is typically the focus of exploration missions, due to its strong impact on launch vehicle and habitable volume for the crew, logistics volume also needs to be considered. NASA's Advanced Exploration Systems (AES) Logistics Reduction and Repurposing (LRR) Project is developing six logistics technologies guided by a systems engineering cradle-to-grave approach to enable after-use crew items to augment vehicle systems. Specifically, AES LRR is investigating the direct reduction of clothing mass, the repurposing of logistical packaging, the use of autonomous logistics management technologies, the processing of spent crew items to benefit radiation shielding and water recovery, and the conversion of trash to propulsion gases. Reduction of mass has a corresponding and significant impact to logistical volume. The reduction of logistical volume can reduce the overall pressurized vehicle mass directly, or indirectly benefit the mission by allowing for an increase in habitable volume during the mission. The systematic implementation of these types of technologies will increase launch mass efficiency by enabling items to be used for secondary purposes and improve the habitability of the vehicle as mission durations increase. Early studies have shown that the use of advanced logistics technologies can save approximately 20 m(sup 3) of volume during transit alone for a six-person Mars conjunction class mission.

  19. Analysis of Jingdong Mall Logistics Distribution Model

    NASA Astrophysics Data System (ADS)

    Shao, Kang; Cheng, Feng

    In recent years, the development of electronic commerce in our country to speed up the pace. The role of logistics has been highlighted, more and more electronic commerce enterprise are beginning to realize the importance of logistics in the success or failure of the enterprise. In this paper, the author take Jingdong Mall for example, performing a SWOT analysis of their current situation of self-built logistics system, find out the problems existing in the current Jingdong Mall logistics distribution and give appropriate recommendations.

  20. Funding Based on Needs? A Study on the Use of Needs Assessment Data by a Major Humanitarian Health Assistance Donor in its Decisions to Allocate Funds

    PubMed Central

    Olin, Emma; von Schreeb, Johan

    2014-01-01

    Background: International humanitarian assistance is essential for disaster-affected populations, particularly in resource scarce settings. To target such assistance, needs assessments are required. According to internationally endorsed principles, donor governments should provide funding for humanitarian assistance based on need. Aim: The aim of this study is to explore a major donor’s use of needs assessment data in decision-making for allocations of funds for health-related humanitarian assistance contributions. Setting: This is a case study of the Swedish International Development Cooperation Agency (Sida), a major and respected international donor of humanitarian assistance. Methods: To explore Sida’s use of needs assessment data in practice for needs-based allocations, we reviewed all decision documents and assessment memoranda for humanitarian assistance contributions for 2012 using content analysis; this was followed by interviews with key personnel at Sida. Results: Our document analysis found that needs assessment data was not systematically included in Sida’s assessment memoranda and decision documents. In the interviews, we observed various descriptions of the concept of needs assessments, the importance of contextual influences as well as previous collaborations with implementing humanitarian assistance organizations. Our findings indicate that policies guiding funding decisions on humanitarian assistance need to be matched with available needs assessment data and that terminologies and concepts have to be clearly defined. Conclusion: Based on the document analysis and the interviews, it is unclear how well Sida used needs assessment data for decisions to allocate funds. However, although our observations show that needs assessments are seldom used in decision making, Sida’s use of needs assessments has improved compared to a previous study. To improve project funds allocations based on needs assessment data, it will be critical to develop

  1. Biomass Supply Logistics and Infrastructure

    SciTech Connect

    Sokhansanj, Shahabaddine

    2009-04-01

    Feedstock supply system encompasses numerous unit operations necessary to move lignocellulosic feedstock from the place where it is produced (in the field or on the stump) to the start of the conversion process (reactor throat) of the Biorefinery. These unit operations, which include collection, storage, preprocessing, handling, and transportation, represent one of the largest technical and logistics challenges to the emerging lignocellulosic biorefining industry. This chapter briefly reviews methods of estimating the quantities of biomass followed by harvesting and collection processes based on current practices on handling wet and dry forage materials. Storage and queuing are used to deal with seasonal harvest times, variable yields, and delivery schedules. Preprocessing can be as simple as grinding and formatting the biomass for increased bulk density or improved conversion efficiency, or it can be as complex as improving feedstock quality through fractionation, tissue separation, drying, blending, and densification. Handling and Transportation consists of using a variety of transport equipment (truck, train, ship) for moving the biomass from one point to another. The chapter also provides typical cost figures for harvest and processing of biomass.

  2. Biomass supply logistics and infrastructure.

    PubMed

    Sokhansanj, Shahabaddine; Hess, J Richard

    2009-01-01

    Feedstock supply system encompasses numerous unit operations necessary to move lignocellulosic feedstock from the place where it is produced (in the field or on the stump) to the start of the conversion process (reactor throat) of the biorefinery. These unit operations, which include collection, storage, preprocessing, handling, and transportation, represent one of the largest technical and logistics challenges to the emerging lignocellulosic biorefining industry. This chapter briefly reviews the methods of estimating the quantities of biomass, followed by harvesting and collection processes based on current practices on handling wet and dry forage materials. Storage and queuing are used to deal with seasonal harvest times, variable yields, and delivery schedules. Preprocessing can be as simple as grinding and formatting the biomass for increased bulk density or improved conversion efficiency, or it can be as complex as improving feedstock quality through fractionation, tissue separation, drying, blending, and densification. Handling and transportation consists of using a variety of transport equipment (truck, train, ship) for moving the biomass from one point to another. The chapter also provides typical cost figures for harvest and processing of biomass.

  3. FUTURE LOGISTICS AND OPERATIONAL ADAPTABILITY

    SciTech Connect

    Houck, Roger P.

    2009-10-01

    While we cannot predict the future, we can ascertain trends and examine them through the use of alternative futures methodologies and tools. From a logistics perspective, we know that many different futures are possible, all of which are obviously dependent on decisions we make in the present. As professional logisticians we are obligated to provide the field - our Soldiers - with our best professional opinion of what will result in success on the battlefield. Our view of the future should take history and contemporary conflict into account, but it must also consider that continuity with the past cannot be taken for granted. If we are too focused on past and current experience, then our vision of the future will be limited indeed. On the one hand, the future must be explained in language that does not defy common sense. On the other hand, the pace of change is such that we must conduct qualitative and quantitative trend analyses, forecasting, and explorative scenario development in ways that allow for significant breaks - or "shocks" - that may "change the game". We will need capabilities and solutions that are constantly evolving - and improving - to match the operational tempo of a radically changing threat environment. For those who provide quartermaster services, this article will briefly examine what this means from the perspective of creating what might be termed a preferred future.

  4. Issues Curriculum.

    ERIC Educational Resources Information Center

    Sando, Joe S.

    A program for teaching techniques of critical thinking on issues concerning American Indians was developed for students at Albuquerque Indian School. It was designed to include not only the students but also their families with learning activities that required consultation in search of answers or understanding. The first issue presented sought to…

  5. Standards for Standardized Logistic Regression Coefficients

    ERIC Educational Resources Information Center

    Menard, Scott

    2011-01-01

    Standardized coefficients in logistic regression analysis have the same utility as standardized coefficients in linear regression analysis. Although there has been no consensus on the best way to construct standardized logistic regression coefficients, there is now sufficient evidence to suggest a single best approach to the construction of a…

  6. The Automated Logistics Element Planning System (ALEPS)

    NASA Technical Reports Server (NTRS)

    Schwaab, Douglas G.

    1991-01-01

    The design and functions of ALEPS (Automated Logistics Element Planning System) is a computer system that will automate planning and decision support for Space Station Freedom Logistical Elements (LEs) resupply and return operations. ALEPS provides data management, planning, analysis, monitoring, interfacing, and flight certification for support of LE flight load planning activities. The prototype ALEPS algorithm development is described.

  7. Visualizing the Logistic Map with a Microcontroller

    ERIC Educational Resources Information Center

    Serna, Juan D.; Joshi, Amitabh

    2012-01-01

    The logistic map is one of the simplest nonlinear dynamical systems that clearly exhibits the route to chaos. In this paper, we explore the evolution of the logistic map using an open-source microcontroller connected to an array of light-emitting diodes (LEDs). We divide the one-dimensional domain interval [0,1] into ten equal parts, an associate…

  8. Exploration Mission Benefits From Logistics Reduction Technologies

    NASA Technical Reports Server (NTRS)

    Broyan, James Lee, Jr.; Ewert, Michael K.; Schlesinger, Thilini

    2016-01-01

    Technologies that reduce logistical mass, volume, and the crew time dedicated to logistics management become more important as exploration missions extend further from the Earth. Even modest reductions in logistical mass can have a significant impact because it also reduces the packaging burden. NASA's Advanced Exploration Systems' Logistics Reduction Project is developing technologies that can directly reduce the mass and volume of crew clothing and metabolic waste collection. Also, cargo bags have been developed that can be reconfigured for crew outfitting, and trash processing technologies are under development to increase habitable volume and improve protection against solar storm events. Additionally, Mars class missions are sufficiently distant that even logistics management without resupply can be problematic due to the communication time delay with Earth. Although exploration vehicles are launched with all consumables and logistics in a defined configuration, the configuration continually changes as the mission progresses. Traditionally significant ground and crew time has been required to understand the evolving configuration and to help locate misplaced items. For key mission events and unplanned contingencies, the crew will not be able to rely on the ground for logistics localization assistance. NASA has been developing a radio-frequency-identification autonomous logistics management system to reduce crew time for general inventory and enable greater crew self-response to unplanned events when a wide range of items may need to be located in a very short time period. This paper provides a status of the technologies being developed and their mission benefits for exploration missions.

  9. Utilization of surgical resources during the USNS COMFORT humanitarian mission to the Americas, June to October 2007.

    PubMed

    Hartgerink, Bradley J; Chapman, Louisa E; Stevenson, John; Donahue, Timothy F; Pagliara, Claire

    2010-09-01

    In 2007, the United States Navy Ship (USNS) COMFORT (T-AH 20), a full-capability medical treatment facility, departed for Partnership for the Americas, her first large-scale humanitarian civic assistance (HCA) mission. Analysis of operational data describes surgical resource utilization. Lessons from previous military humanitarian assistance operations were helpful when placed in the cultural context of Latin America. Premission planning decisions that included time in each port and funding determined the services that were offered to host nations. Surgical, dental, immunizations, preventive medicine, and biomedical repair services had lasting impacts. COMFORT and similar hospital ships are a superior platform to combatant vessels in providing comprehensive surgical care. Medical planning is heavily dependent upon statistics. Collection of additional clinical data on subsequent HCA missions could aid future planning decisions regarding manning, equipment, supplies, and objectives.

  10. The Automated Logistics Element Planning System (ALEPS)

    NASA Technical Reports Server (NTRS)

    Schwaab, Douglas G.

    1992-01-01

    ALEPS, which is being developed to provide the SSF program with a computer system to automate logistics resupply/return cargo load planning and verification, is presented. ALEPS will make it possible to simultaneously optimize both the resupply flight load plan and the return flight reload plan for any of the logistics carriers. In the verification mode ALEPS will support the carrier's flight readiness reviews and control proper execution of the approved plans. It will also support the SSF inventory management system by providing electronic block updates to the inventory database on the cargo arriving at or departing the station aboard a logistics carrier. A prototype drawer packing algorithm is described which is capable of generating solutions for 3D packing of cargo items into a logistics carrier storage accommodation. It is concluded that ALEPS will provide the capability to generate and modify optimized loading plans for the logistics elements fleet.

  11. Should metacognition be measured by logistic regression?

    PubMed

    Rausch, Manuel; Zehetleitner, Michael

    2017-03-01

    Are logistic regression slopes suitable to quantify metacognitive sensitivity, i.e. the efficiency with which subjective reports differentiate between correct and incorrect task responses? We analytically show that logistic regression slopes are independent from rating criteria in one specific model of metacognition, which assumes (i) that rating decisions are based on sensory evidence generated independently of the sensory evidence used for primary task responses and (ii) that the distributions of evidence are logistic. Given a hierarchical model of metacognition, logistic regression slopes depend on rating criteria. According to all considered models, regression slopes depend on the primary task criterion. A reanalysis of previous data revealed that massive numbers of trials are required to distinguish between hierarchical and independent models with tolerable accuracy. It is argued that researchers who wish to use logistic regression as measure of metacognitive sensitivity need to control the primary task criterion and rating criteria.

  12. The Center for Excellence in Disaster Management and Humanitarian Assistance (CFE-DMHA): An Assessment of Roles and Missions

    DTIC Science & Technology

    2016-01-01

    Regional Medical Com- mand at Tripler, PACOM, and the University of Hawaii. The CDC provided a full- time program manager and research physician and a...to manage inherently gov- ernmental tasks), and organization and oversight to cover a broader range of activities have, at times , threatened the...course. 22 The Center for Excellence in Disaster Management and Humanitarian Assistance The classroom HART course takes place approximately 12 times

  13. Multi-Agent Architecture for Integrating Remote Databases and Expert Sources With Situational Awareness Tools: Humanitarian Operations Scenario

    DTIC Science & Technology

    2004-03-01

    Assistance: Humanitarian assistance is aid to an affected population that seeks, as its primary purpose, to save lives and alleviate suffering of a...Furthermore, civil defense organization means any organization that, under the control of a Government, performs the functions enumerated in Article 61...Datagram Protocol (UDP) and H.323 for audio and video transmissions and call control. The Light weight Directory Access Protocol ( LDAP ) is used by

  14. Active-Duty Physicians' Perceptions and Satisfaction with Humanitarian Assistance and Disaster Relief Missions: Implications for the Field

    PubMed Central

    Oravec, Geoffrey J.; Artino, Anthony R.; Hickey, Patrick W.

    2013-01-01

    Background The United States Department of Defense participates in more than 500 missions every year, including humanitarian assistance and disaster relief, as part of medical stability operations. This study assessed perceptions of active-duty physicians regarding these activities and related these findings to the retention and overall satisfaction of healthcare professionals. Methods and Findings An Internet-based survey was developed and validated. Of the 667 physicians who responded to the survey, 47% had participated in at least one mission. On a 7-point, Likert-type response scale, physicians reported favorable overall satisfaction with their participation in these missions (mean  = 5.74). Perceived benefit was greatest for the United States (mean  = 5.56) and self (mean  = 5.39) compared to the target population (mean  = 4.82). These perceptions were related to participants' intentions to extend their military medical service (total model R2  = .37), with the strongest predictors being perceived benefit to self (β = .21, p<.01), the U.S. (β = .19, p<.01), and satisfaction (β = .18, p<.05). In addition, Air Force physicians reported higher levels of satisfaction (mean  = 6.10) than either Army (mean  = 5.27, Cohen's d = 0.75, p<.001) or Navy (mean  = 5.60, Cohen's d  = 0.46, p<.01) physicians. Conclusions Military physicians are largely satisfied with humanitarian missions, reporting the greatest benefit of such activities for themselves and the United States. Elucidation of factors that may increase the perceived benefit to the target populations is warranted. Satisfaction and perceived benefits of humanitarian missions were positively correlated with intentions to extend time in service. These findings could inform the larger humanitarian community as well as military medical practices for both recruiting and retaining medical professionals. PMID:23555564

  15. Systematic review of the evidence on the effectiveness of sexual and reproductive health interventions in humanitarian crises

    PubMed Central

    Warren, Emily; Post, Nathan; Hossain, Mazeda; Blanchet, Karl; Roberts, Bayard

    2015-01-01

    Objectives This systematic review aims to evaluate evidence on the effectiveness of sexual and reproductive health (SRH) interventions delivered in humanitarian crises. Setting Crisis affected low-income or middle-income countries. Participants Crisis-affected populations in low-income or middle-income countries. Method Peer-reviewed and grey literature sources were systematically searched for relevant papers detailing interventions from 1 January 1980 until the search date on 30 April 2013. Data from included studies were then extracted, and the papers’ quality evaluated using criteria based on modified STROBE and CONSORT checklists. Primary and secondary outcome measures Primary outcomes include, but are not limited to, changes in morbidity, mortality, sexually transmitted infection (STI) diagnosis or gender-based violence. Secondary outcomes include, but are not limited to, reported condom use or skilled attendance at birth. Primary outputs include, but are not limited to, condoms distributed or education courses taught. Results Of 7149 returned citations, 15 studies met the inclusion criteria. Only one randomised controlled trial was identified. The remaining observational studies were of moderate quality, demonstrating limited use of controls and inadequate attempts to address bias. Evidence of effectiveness was available for the following interventions: impregnated bed nets for pregnant women, subsidised refugee healthcare, female community health workers, and tiered community reproductive health services. Conclusions The limited evidence base for SRH interventions highlights the need for improved research on the effectiveness of public health interventions in humanitarian crises. While interventions proven efficacious in stable settings are being used in humanitarian efforts, more evidence is required to demonstrate the effectiveness of delivering and scaling-up such interventions in humanitarian crises. PMID:26685020

  16. Camel milk, amoxicillin, and a prayer: medical pluralism and medical humanitarian aid in the Somali Region of Ethiopia.

    PubMed

    Carruth, Lauren

    2014-11-01

    This paper details how exposure to new clinics, diagnostic technologies, and pharmaceuticals during humanitarian relief operations in the Somali Region of Ethiopia shaped local pluralistic health systems and altered the ways in which residents subsequently conceived of and treated illness and disease. Despite rising demand for pharmaceuticals and diagnostic technologies among Somalis in Ethiopia, local ethnophysiologies continued to draw upon popular ideas about humoral flows, divine action, and spirit possession. Demands for therapeutic camel milk, Qur'anic spiritual healing, herbal remedies, and other historically popular therapies persisted, but were shaped by concurrent demands for and understandings of diagnostic biotechnologies and pharmaceutical medications. The reverse was also true: contemporary understandings and uses of non-biomedical healing modalities among Somalis shaped evaluations of clinical care, including healthcare during humanitarian responses. To illustrate these phenomena, based on ethnographic research in eastern Ethiopia between 2007 and 2009, this paper explores three topics vital to Somalis' pluralistic healthcare systems: camel milk and the management of digestive bile; women's experiences and clinical presentations with pain and disorder in their reproductive systems; and the rising popularity of high-tech diagnostic tests. I conclude that medical humanitarian aid never happens in a vacuum or among truly treatment-naïve populations. Instead, aid unfolds within ever-changing and pluralistic health cultures, and it permanently alters and is altered by the frames within which people evaluate and make future decisions about healthcare.

  17. Emergency management logistics must become emergency supply chain management.

    PubMed

    Young, Richard R; Peterson, Matthew R

    2014-01-01

    Much has been written about how emergency management (EM) needs to look to the future regarding issues of resource management (monetary, human, and material). Constraints on budgets are ongoing and the staffing of emergency response activities is often difficult because volunteers have little to no training. The management of material resources has also been a challenge because 1) the categories of material vary by the type of emergency, 2) the necessary quantities of material are often not located near the ultimate point of need, and 3) the transportation assets are rarely available in the form and quantity required to allow timely and effective response. The logistics and resource management functions of EM (what we refer to as EM logistics) have been largely reactive, with little to no pre-event planning for potential demand. We applied the Supply Chain Operational Reference (SCOR) model to EM logistics in an effort to transform it to an integrated and scalable system of physical, information, and financial flows into which are woven the functions of sourcing, making, delivering, and returning, with an overarching planning function that transcends the organizational boundaries of participants. The result is emergency supply chain management, which embraces many more participants who share in a larger quantity of more useful information about the resources that need to be deployed when responding to and recovering from emergency events.

  18. Logistics management in Universal Immunisation Programme.

    PubMed

    Bachani, D; Bansal, R D

    1990-01-01

    The review of the National Immunization Programme of India in 1989 focused attention to the issue of storage and distribution of vaccines. Cold-chain equipment such as walk-in-coolers (WICs), deep freezers, ice-lined refrigerators (ILRs), and vaccine carriers proliferated after the introduction of the universal immunization program (UIP) but the available units fell short of the official targets in 1988, especially ILRs (7500 proposed and 2876 available) and vaccine carriers (250,000 proposed and 35,500 available). Some states had over 6 months of supplies of vaccines whose management posed problems of losing potency: oral polio virus (OPV) potency was acceptable in 63% of stock in 1988. Syringes, needles, stoves, pressure-cooker sterilizers, dial thermometers, and refrigerator repair kits were in short supply especially at the primary health care (PHC) level. Only 1/3 of subcenters had sterilizers and 58% had vaccines carriers. Logistics management on the state level required provision of vaccines based on previous use and eligible population with even distribution throughout the year. On the district level WICs were needed for every district with 1.5 million inhabitants. Recording of vaccine requirement, utilization, and storage would aid target allocations and avoid wastage. On the institutional and PHC level an ILR and a transporting vehicle was needed. The number of women and children eligible for immunization had to be calculated based on real population figures. Cold-chain capacity of 30,000-40,000 vials was required for a district as well as about 500 reusable syringes and needles a year along with vaccination cards exceeding the number of women and children by 10% for recordkeeping at the PHC center.

  19. Emerging Issues.

    ERIC Educational Resources Information Center

    Carter, Denise

    1988-01-01

    Youth services programs and cholesterol in children's diets, two topics that may emerge as issues in schools and school districts in the near future, are addressed. Resources for further information are listed. (CB)

  20. An integrated conceptual framework for selecting reverse logistics providers in the presence of vagueness

    NASA Astrophysics Data System (ADS)

    Fırdolaş, Tugba; Önüt, Semih; Kongar, Elif

    2005-11-01

    In recent years, relating organization's attitude towards sustainable development, environmental management is gaining an increasing interest among researchers in supply chain management. With regard to a long term requirement of a shift from a linear economy towards a cycle economy, businesses should be motivated to embrace change brought about by consumers, government, competition, and ethical responsibility. To achieve business goals and objectives, a company must reply to increasing consumer demand for "green" products and implement environmentally responsible plans. Reverse logistics is an activity within organizations delegated to the customer service function, where customers with warranted or defective products would return them to their supplier. Emergence of reverse logistics enables to provide a competitive advantage and significant return on investment with an indirect effect on profitability. Many organizations are hiring third-party providers to implement reverse logistics programs designed to retain value by getting products back. Reverse logistics vendors play an important role in helping organizations in closing the loop for products offered by the organizations. In this regard, the selection of third-party providers issue is increasingly becoming an area of reverse logistics concept and practice. This study aims to assist managers in determining which third-party logistics provider to collaborate in the reverse logistics process with an alternative approach based on an integrated model using neural networks and fuzzy logic. An illustrative case study is discussed and the best provider is identified through the solution of this model.

  1. Logistics Modeling for Lunar Exploration Systems

    NASA Technical Reports Server (NTRS)

    Andraschko, Mark R.; Merrill, R. Gabe; Earle, Kevin D.

    2008-01-01

    The extensive logistics required to support extended crewed operations in space make effective modeling of logistics requirements and deployment critical to predicting the behavior of human lunar exploration systems. This paper discusses the software that has been developed as part of the Campaign Manifest Analysis Tool in support of strategic analysis activities under the Constellation Architecture Team - Lunar. The described logistics module enables definition of logistics requirements across multiple surface locations and allows for the transfer of logistics between those locations. A key feature of the module is the loading algorithm that is used to efficiently load logistics by type into carriers and then onto landers. Attention is given to the capabilities and limitations of this loading algorithm, particularly with regard to surface transfers. These capabilities are described within the context of the object-oriented software implementation, with details provided on the applicability of using this approach to model other human exploration scenarios. Some challenges of incorporating probabilistics into this type of logistics analysis model are discussed at a high level.

  2. Exploration Mission Benefits From Logistics Reduction Technologies

    NASA Technical Reports Server (NTRS)

    Broyan, James Lee, Jr.; Schlesinger, Thilini; Ewert, Michael K.

    2016-01-01

    Technologies that reduce logistical mass, volume, and the crew time dedicated to logistics management become more important as exploration missions extend further from the Earth. Even modest reductions in logical mass can have a significant impact because it also reduces the packing burden. NASA's Advanced Exploration Systems' Logistics Reduction Project is developing technologies that can directly reduce the mass and volume of crew clothing and metabolic waste collection. Also, cargo bags have been developed that can be reconfigured for crew outfitting and trash processing technologies to increase habitable volume and improve protection against solar storm events are under development. Additionally, Mars class missions are sufficiently distant that even logistics management without resupply can be problematic due to the communication time delay with Earth. Although exploration vehicles are launched with all consumables and logistics in a defined configuration, the configuration continually changes as the mission progresses. Traditionally significant ground and crew time has been required to understand the evolving configuration and locate misplaced items. For key mission events and unplanned contingencies, the crew will not be able to rely on the ground for logistics localization assistance. NASA has been developing a radio frequency identification autonomous logistics management system to reduce crew time for general inventory and enable greater crew self-response to unplanned events when a wide range of items may need to be located in a very short time period. This paper provides a status of the technologies being developed and there mission benefits for exploration missions.

  3. Internet-Mediated Learning in Public Affairs Programs: Issues and Implications.

    ERIC Educational Resources Information Center

    Rahm, Dianne; Reed, B. J.; Rydl, Teri L.

    1999-01-01

    An overview of Internet-mediated learning in public affairs programs identifies issues for faculty, students, and administrators, including intellectual property rights, instructional issues, learning approaches, student expectations, logistics and support, complexity of coordination, and organizational control. (DB)

  4. Logistic Proliferation of Cells in Scratch Assays is Delayed.

    PubMed

    Jin, Wang; Shah, Esha T; Penington, Catherine J; McCue, Scott W; Maini, Philip K; Simpson, Matthew J

    2017-03-23

    Scratch assays are used to study how a population of cells re-colonises a vacant region on a two-dimensional substrate after a cell monolayer is scratched. These experiments are used in many applications including drug design for the treatment of cancer and chronic wounds. To provide insights into the mechanisms that drive scratch assays, solutions of continuum reaction-diffusion models have been calibrated to data from scratch assays. These models typically include a logistic source term to describe carrying capacity-limited proliferation; however, the choice of using a logistic source term is often made without examining whether it is valid. Here we study the proliferation of PC-3 prostate cancer cells in a scratch assay. All experimental results for the scratch assay are compared with equivalent results from a proliferation assay where the cell monolayer is not scratched. Visual inspection of the time evolution of the cell density away from the location of the scratch reveals a series of sigmoid curves that could be naively calibrated to the solution of the logistic growth model. However, careful analysis of the per capita growth rate as a function of density reveals several key differences between the proliferation of cells in scratch and proliferation assays. Our findings suggest that the logistic growth model is valid for the entire duration of the proliferation assay. On the other hand, guided by data, we suggest that there are two phases of proliferation in a scratch assay; at short time, we have a disturbance phase where proliferation is not logistic, and this is followed by a growth phase where proliferation appears to be logistic. These two phases are observed across a large number of experiments performed at different initial cell densities. Overall our study shows that simply calibrating the solution of a continuum model to a scratch assay might produce misleading parameter estimates, and this issue can be resolved by making a distinction between the

  5. Medical humanitarianism in the United States: alternative healthcare, spirituality and political advocacy in the case of Our Lady Guadalupe Free Clinic.

    PubMed

    Tiedje, Kristina; Plevak, David J

    2014-11-01

    Exclusionary practices in dominant market-based systems are recognized as contributing to global health inequities. Undocumented immigrants are particularly vulnerable to unequal access to healthcare. Humanitarian NGOs strive to respond meaningfully to these health inequities among migrants and undocumented immigrants. Few studies describe the work of humanitarian NGOs that advocate for the right to health of undocumented immigrants in high-income countries. This paper discusses immigration, health, and human rights while examining solidarity, spirituality, and advocacy using a U.S.-based example of medical humanitarianism: the 'Our Lady of Guadalupe Free Clinic.' In 2011, the Free Clinic began in the basement of a Catholic parish in Minnesota in response to the lack of access to medical services for undocumented immigrants. Run by a local grassroots organization, it is held every six weeks and offers free primary healthcare to Latino immigrants and the uninsured. In this article, we examine the tricky relationship between humanitarianism and human rights in the U.S. Using ethnography, we draw on participant observation and interviews with 30 clinic volunteers, including health professionals, administrators, language interpreters, and spiritual leaders. The study was conducted September 2012-December 2013 in southern Minnesota. We examine how notions of solidarity, spirituality, and advocacy structure faith-based medical humanitarianism in the U.S. and explore the underlying tensions between the humanitarian mandate, spiritual teachings (social justice, solidarity), and political advocacy. Examining a moment of "crisis" in the Clinic, our study shows that volunteers experience the alliance between spirituality and advocacy with uneasiness. While a spiritual calling may initially motivate volunteers to serve, an embrace of human rights advocacy is important in a sustained effort to provide humanitarian medical care to individuals who fall outside of the political

  6. Who shall coordinate the coordinators? Facilitating the work of telemedicine networks which provide humanitarian services.

    PubMed

    Wootton, Richard; McGoey, Suzanne T

    2012-03-01

    Telemedicine networks for humanitarian purposes have evolved over the last decade or so in a largely autonomous way. Communication between them has been informal and relatively limited in scope. This situation could be improved by developing a comprehensive approach to the collection and dissemination of information. We propose the formation of a central 'clearing house' which would allow networks to exchange information and cases where appropriate. In order for a network to belong to the clearing house, it would need to conform to certain guidelines, which would ensure that safe and satisfactory standards would be maintained. We propose that a coordinators' conference should be held to discuss who would operate the clearing house and how it would be resourced. The creation of a central clearing house would facilitate the operation of the networks, particularly during periods of heavy workload, and lead to improved sustainability, thereby benefiting individual patients. We believe that more can be achieved by the networks acting together than by them acting independently.

  7. Comparative performance of seven long-running telemedicine networks delivering humanitarian services.

    PubMed

    Wootton, Richard; Geissbuhler, Antoine; Jethwani, Kamal; Kovarik, Carrie; Person, Donald A; Vladzymyrskyy, Anton; Zanaboni, Paolo; Zolfo, Maria

    2012-09-01

    Seven long-running telemedicine networks were surveyed. The networks provided humanitarian services (clinical and educational) in developing countries, and had been in operation for periods of 5-15 years. The number of experts serving each network ranged from 15 to 513. The smallest network had a total of 10 requesters and the largest one had more than 500 requesters. The networks operated in nearly 60 countries. The seven networks managed a total of 1857 cases in 2011, i.e. an average of 265 cases per year per network. There was a significant growth in total activity, amounting to 100.3 cases per year during the 15 year study period. In 2011, network activity was 50-700 teleconsultations per network. There were clear differences in the patterns of activity, with some networks managing an increasing caseload, and others managing a slowly reducing caseload. The seven networks had published a total of 44 papers listed in Medline which summarized the evidence resulting from the delivery of services by telemedicine. There was a dearth of information about clinical and cost-effectiveness. Nevertheless, the services were widely appreciated by referring doctors, considered to be clinically useful, and there were indications that clinical outcomes for telemedicine patients were often improved. Despite a lack of formal evidence, the present study suggests that telemedicine can provide clinically useful services in developing countries.

  8. Humanitarian cardiac care in Arequipa, Peru: experiences of a multidisciplinary Canadian cardiovascular team

    PubMed Central

    Adams, Corey; Kiefer, Philipp; Ryan, Kenneth; Smith, David; McCabe, Greg; Allen, Peter; Sridhar, Kumar; Torres, Pedro; Chu, Michael W.A.

    2012-01-01

    Background The prevalence of cardiovascular disease and its associated mortality continue to increase in developing countries despite unparalleled improvements in cardiovascular medicine over the last century. Cardiovascular care in developing nations is often constrained by limited resources, poor access, lack of specialty training and inadequate financial support. Medical volunteerism by experienced health care teams can provide mentorship, medical expertise and health policy advice to local teams and improve cardiovascular patient outcomes. Methods We report our experience from annual successive humanitarian medical missions to Arequipa, Peru, and describe the challenges faced when performing cardiovascular interventions with limited resources. Results Over a 2-year period, we performed a total of 15 cardiac repairs in patients with rheumatic, congenital and ischemic heart disease. We assessed and managed 150 patients in an outpatient clinic, including 7 patients at 1-year postoperative follow-up. Conclusion Despite multiple challenges, we were able to help the local team deliver advanced cardiovascular care to many patients with few alternatives and achieve good early and 1-year outcomes. Interdisciplinary education at all levels of cardiac care, including preoperative assessment, intraoperative surgical and anesthetic details, and postoperative critical care management, were major goals for our medical missions. PMID:22630071

  9. Measuring and Increasing Adoption Rates of Cookstoves in a Humanitarian Crisis.

    PubMed

    Wilson, Daniel L; Coyle, Jeremy; Kirk, Angeli; Rosa, Javier; Abbas, Omnia; Adam, Mohammed Idris; Gadgil, Ashok J

    2016-08-02

    Traditional smoky cooking fires are one of today's greatest environmental threats to human life. These fires, used by 40% of the global population, cause 3.9 million annual premature deaths. "Clean cookstoves" have potential to improve this situation; however, most cookstove programs do not employ objective measurement of adoption to inform design, marketing, subsidies, finance, or dissemination practices. Lack of data prevents insights and may contribute to consistently low adoption rates. In this study, we used sensors and surveys to measure objective versus self-reported adoption of freely-distributed cookstoves in an internally displaced persons camp in Darfur, Sudan. Our data insights demonstrate how to effectively measure and promote adoption, especially in a humanitarian crisis. With sensors, we measured that 71% of participants were cookstove "users" compared to 95% of respondents reporting the improved cookstove was their "primary cookstove." No line of survey questioning, whether direct or indirect, predicted sensor-measured usage. For participants who rarely or never used their cookstoves after initial dissemination ("non-users"), we found significant increases in adoption after a simple followup survey (p = 0.001). The followup converted 83% of prior "non-users" to "users" with average daily adoption of 1.7 cooking hours over 2.2 meals. This increased adoption, which we posit resulted from cookstove familiarization and social conformity, was sustained for a 2-week observation period post intervention.

  10. Providing more than health care: the dynamics of humanitarian surgery efforts on the local microeconomy.

    PubMed

    Nagengast, Eric S; Caterson, E J; Magee, William P; Hatcher, Kristin; Ramos, Margarita S; Campbell, Alex

    2014-09-01

    Humanitarian cleft surgery has long been provided by teams from resource-rich countries traveling for short-term missions to resource-poor countries. After identifying an area of durable unmet need through surgical missions, Operation Smile constructed a permanent center for cleft care in Northeast India. The Operation Smile Guwahati Comprehensive Cleft Care Center (GCCCC) uses a high-volume subspecialized institution to provide safe, quality, comprehensive, and cost-effective cleft care to a highly vulnerable patient population in Assam, India. The purpose of this study was to profile the expenses of several cleft missions carried out in Assam and to compare these to the expenditures of the permanent comprehensive cleft care center. We reviewed financial data from 4 Operation Smile missions in Assam between December 2009 and February 2011 and from the GCCCC for the 2012-2013 fiscal year. Expenses from the 2 models were categorized and compared. In the studied period, 33% of the mission expenses were spent locally compared to 94% of those of the center. The largest expenses in the mission model were air travel (48.8%) and hotel expenses (21.6%) for the team, whereas salaries (46.3%) and infrastructure costs (19.8%) made up the largest fractions of expenses in the center model. The evolution from mission-based care to a specialty hospital model in Guwahati incorporated a transition from vertical inputs to investments in infrastructure and human capital to create a sustainable local care delivery system.

  11. Subsurface Imaging by UWB Radar: Application to Humanitarian Demining in Cambodia

    NASA Astrophysics Data System (ADS)

    Sato, Motoyuki

    Ground Penetrating Radar (GPR) has been widely used applications which include detection of subsurface facilities, concrete inspection and archaeology. Among these applications, humanitarian demining is still difficult task. Since 2002, we have developed a new hand-held land mine detection dual-sensor ALIS. ALIS is equipped with a metal detector and a GPR, and it has a sensor tracking system, which can record the GPR and Metal detector signal with its location. ALIS can process the data and is used for image re-construction by migration processing. ALIS is the only one mine detection system in the world which can visualize the GPR image by hand scanning. We found that the migration processing can reduce the clutter and gives us clear images of buried mines. After several tests of ALIS in mine affected courtiers, operation of ALIS in mine fields in Cambodia started in summer 2009. Two sets of ALIS have been operated in Cambodia and more than 77 antipersonnel mines have been detected and 137,000m2 farmland was cleaned.

  12. Needs, Acceptability, and Value of Humanitarian Medical Assistance in Remote Peruvian Amazon Riverine Communities

    PubMed Central

    Sanchez, Juan F.; Halsey, Eric S.; Bayer, Angela M.; Beltran, Martin; Razuri, Hugo R.; Velasquez, Daniel E.; Cama, Vitaliano A.; Graf, Paul C. F.; Quispe, Antonio M.; Maves, Ryan C.; Montgomery, Joel M.; Sanders, John W.; Lescano, Andres G.

    2015-01-01

    Much debate exists regarding the need, acceptability, and value of humanitarian medical assistance. We conducted a cross-sectional study on 457 children under 5 years from four remote riverine communities in the Peruvian Amazon and collected anthropometric measures, blood samples (1–4 years), and stool samples. Focus groups and key informant interviews assessed perspectives regarding medical aid delivered by foreigners. The prevalence of stunting, anemia, and intestinal parasites was 20%, 37%, and 62%, respectively. Infection with multiple parasites, usually geohelminths, was detected in 41% of children. The prevalence of intestinal parasites both individual and polyparasitism increased with age. Participants from smaller communities less exposed to foreigners expressed lack of trust and fear of them. However, participants from all communities were positive about foreigners visiting to provide health support. Prevalent health needs such as parasitic infections and anemia may be addressed by short-term medical interventions. There is a perceived openness to and acceptability of medical assistance delivered by foreign personnel. PMID:25846293

  13. Providing reproductive health care to internally displaced persons: barriers experienced by humanitarian agencies.

    PubMed

    Hakamies, Nina; Geissler, Paul Wenzel; Borchert, Matthias

    2008-05-01

    Reproductive health care for internally displaced persons (IDPs) is recognised by the Inter-Agency Working Group on Reproductive Health in Refugee Situations and the Reproductive Health Response in Conflict Consortium as a neglected area in humanitarian relief operations. To identify barriers to agencies providing reproductive health care to IDPs, and their strategies for overcoming these barriers, we interviewed representatives of 12 relief and development agencies providing health care to conflict-affected populations. Although material and human resources are significant constraints on agencies, the main challenge is to tackle ideological, managerial and policy barriers, and those related to donor influence. The absence of a legal instrument that recognises IDPs internationally has contributed to the difficulties agencies face in systematically reaching IDPs. Our findings suggest that considerable efforts are needed to close the gap between international commitments and the provision of services at field level. We recommend that agencies carry out awareness-raising activities internally and among partner organisations and donors, strengthen internal organisation and inter-agency collaboration and share expertise in order to maximise benefits and save resources at the local level. We also recommend exploring the possibility of an international convention to protect the rights of internally displaced persons.

  14. Roles of the Military Dietitian in Combat Operations and Humanitarian Assistance-Professional Development and Utilization.

    PubMed

    Story, Kerryn L; Bukhari, Asma S; Bovill, Maria

    2016-10-01

    Military dietitians have long been valued members of the health care team, called on for their expertise as early as World War I. However, in the more recent conflicts over the past two decades, their role in health care delivery as a component of medical stability operations has been largely undefined. The purpose of this study was to explore the types of missions supported by U.S. military dietitians and characterize any unique competencies critical to their success during these missions using an online questionnaire. Sixty-five military dietitians responded to an online questionnaire and 49 (75%) shared their deployment experiences, lessons learned, and recommendations for future training based on 57 deployments from 1975 to 2014. Results indicated that during these deployments nutrition- and dietetics-related competencies were capitalized along with staff positions in support of combat and humanitarian operations. The majority (n = 24; 51%) valued mentorship as a useful resource before deployments followed by field experience (45%) and Web-based training (43%). The authors propose standardized formal training for military dietitians aimed at increasing strategic level awareness of partnerships and collaborations between U.S. Government and interagency organizations; these associations are vital for sustained synchronization of global health efforts.

  15. Featured Partner: Saddle Creek Logistics Services

    EPA Pesticide Factsheets

    This EPA fact sheet spotlights Saddle Creek Logistics as a SmartWay partner committed to sustainability in reducing greenhouse gas emissions and air pollution caused by freight transportation, partly by growing its compressed natural gas (CNG) vehicles for

  16. Logistical Consideration in Computer-Based Screening of Astronaut Applicants

    NASA Technical Reports Server (NTRS)

    Galarza, Laura

    2000-01-01

    This presentation reviews the logistical, ergonomic, and psychometric issues and data related to the development and operational use of a computer-based system for the psychological screening of astronaut applicants. The Behavioral Health and Performance Group (BHPG) at the Johnson Space Center upgraded its astronaut psychological screening and selection procedures for the 1999 astronaut applicants and subsequent astronaut selection cycles. The questionnaires, tests, and inventories were upgraded from a paper-and-pencil system to a computer-based system. Members of the BHPG and a computer programmer designed and developed needed interfaces (screens, buttons, etc.) and programs for the astronaut psychological assessment system. This intranet-based system included the user-friendly computer-based administration of tests, test scoring, generation of reports, the integration of test administration and test output to a single system, and a complete database for past, present, and future selection data. Upon completion of the system development phase, four beta and usability tests were conducted with the newly developed system. The first three tests included 1 to 3 participants each. The final system test was conducted with 23 participants tested simultaneously. Usability and ergonomic data were collected from the system (beta) test participants and from 1999 astronaut applicants who volunteered the information in exchange for anonymity. Beta and usability test data were analyzed to examine operational, ergonomic, programming, test administration and scoring issues related to computer-based testing. Results showed a preference for computer-based testing over paper-and -pencil procedures. The data also reflected specific ergonomic, usability, psychometric, and logistical concerns that should be taken into account in future selection cycles. Conclusion. Psychological, psychometric, human and logistical factors must be examined and considered carefully when developing and

  17. Logistics: Supply Based or Distribution Based?

    DTIC Science & Technology

    2007-04-01

    supply chain management, the need to adapt systems as conditions and capabilities change may not be clear or the root causes of problems may not be...logistics-system and supply - chain design and management positions. They need to become adept at integrating the full range of options available to...distribution-based and supply-based designs, the Army, in conjunction with its joint supply - chain partners, should seek optimal, balanced logistics system designs that it can adapt quickly to changing conditions.

  18. Logistics Handbook for Strategic Mobility Planning

    DTIC Science & Technology

    1992-09-01

    AD-A257 075 MTMCTEA REFERENCE 92-700-2 LOGISTICS HANDBOOK FOR STRATEGIC 7 DTIGMOBILITY >CT 2 8 1992 SEPTEMBER 1992 MILITARY TRAFFIC MANAGEMENT...unlimited.,, I MTMCTEA Reference 92-700-2 LOGISTICS HANDBOOK FOR STRATEGIC MOBILITY PLANNING September 1992 Aces gaj 0 n For (NTIS cz MILITARY TRAFFIC ...Military Traffic Management Command Transportation Engineering Agency (MTMCTEA) transportation and transportability studies. D. REFERENCES Source references

  19. Satellite rainfall retrieval by logistic regression

    NASA Technical Reports Server (NTRS)

    Chiu, Long S.

    1986-01-01

    The potential use of logistic regression in rainfall estimation from satellite measurements is investigated. Satellite measurements provide covariate information in terms of radiances from different remote sensors.The logistic regression technique can effectively accommodate many covariates and test their significance in the estimation. The outcome from the logistical model is the probability that the rainrate of a satellite pixel is above a certain threshold. By varying the thresholds, a rainrate histogram can be obtained, from which the mean and the variant can be estimated. A logistical model is developed and applied to rainfall data collected during GATE, using as covariates the fractional rain area and a radiance measurement which is deduced from a microwave temperature-rainrate relation. It is demonstrated that the fractional rain area is an important covariate in the model, consistent with the use of the so-called Area Time Integral in estimating total rain volume in other studies. To calibrate the logistical model, simulated rain fields generated by rainfield models with prescribed parameters are needed. A stringent test of the logistical model is its ability to recover the prescribed parameters of simulated rain fields. A rain field simulation model which preserves the fractional rain area and lognormality of rainrates as found in GATE is developed. A stochastic regression model of branching and immigration whose solutions are lognormally distributed in some asymptotic limits has also been developed.

  20. Logistics Reduction Technologies for Exploration Missions

    NASA Technical Reports Server (NTRS)

    Broyan, James L., Jr.; Ewert, Michael K.; Fink, Patrick W.

    2014-01-01

    Human exploration missions under study are very limited by the launch mass capacity of existing and planned vehicles. The logistical mass of crew items is typically considered separate from the vehicle structure, habitat outfitting, and life support systems. Consequently, crew item logistical mass is typically competing with vehicle systems for mass allocation. NASA's Advanced Exploration Systems (AES) Logistics Reduction and Repurposing (LRR) Project is developing five logistics technologies guided by a systems engineering cradle-to-grave approach to enable used crew items to augment vehicle systems. Specifically, AES LRR is investigating the direct reduction of clothing mass, the repurposing of logistical packaging, the use of autonomous logistics management technologies, the processing of spent crew items to benefit radiation shielding and water recovery, and the conversion of trash to propulsion gases. The systematic implementation of these types of technologies will increase launch mass efficiency by enabling items to be used for secondary purposes and improve the habitability of the vehicle as the mission duration increases. This paper provides a description and the challenges of the five technologies under development and the estimated overall mission benefits of each technology.

  1. Humanitarian assistance medicine: perceptions of preparedness: a survey-based needs assessment of recent U.S. Army internal medicine residency graduates.

    PubMed

    DeZee, Kent J; Berbano, Elizabeth P; Wilson, Ramey L; Rinaldo, Jean E

    2006-09-01

    The U.S. military provides humanitarian assistance in many areas around the globe. With recent changes in the force structure of the U.S. Army, internal medicine physicians are now at the forefront of providing this care, but the extent of their involvement is not known. This study measured the frequency with which recently trained Army internists provided humanitarian assistance, and it assessed their perceived preparedness for such missions. All graduates from Army internal medicine programs for 4 consecutive years were invited by e-mail to participate in an Internet-based survey. Eighty-nine personnel (49% of those contacted) completed the survey. Of those in a deployable position for >6 months, 72% provided medical humanitarian assistance. Most thought that additional training was needed, especially in tropical disease management, sanitation, and the practices of civilian humanitarian workers. This study demonstrates that military-trained internists are frequently involved in humanitarian assistance medicine, and it suggests that they might benefit from additional training.

  2. Analysis of the Oklahoma City Air Logistics Center’s (ALC) Contract Management Processes

    DTIC Science & Technology

    2007-12-01

    for Acquisition, Technology, and Logistics, 2007) Table 2. AT&L Workforce by Generation (From Amour , 2002) These main issues are what led...June 14, 2007, from http://www.afmc.af.mil/library/mission.asp Amour , S. (2002, November 6). Generation Y They’ve arrived at work with a new attitude

  3. Iterative Purification and Effect Size Use with Logistic Regression for Differential Item Functioning Detection

    ERIC Educational Resources Information Center

    French, Brian F.; Maller, Susan J.

    2007-01-01

    Two unresolved implementation issues with logistic regression (LR) for differential item functioning (DIF) detection include ability purification and effect size use. Purification is suggested to control inaccuracies in DIF detection as a result of DIF items in the ability estimate. Additionally, effect size use may be beneficial in controlling…

  4. Unaddressed Issues

    ERIC Educational Resources Information Center

    Rochester, J. Martin

    2005-01-01

    Walter Parker's January article, "Teaching Against Idiocy," raises important and fascinating issues relating to the proper role and function of the K-12 social studies classroom. Although J. Martin Rochester, the author of this article, agrees with his basic premise that schools obviously have an obligation to help promote citizenship education,…

  5. Faculty Issues.

    ERIC Educational Resources Information Center

    Finkelstein, Martin

    Patterns that emerged from reviewing syllabi for courses on faculty issues are discussed, and four sample syllabi are presented. Few doctoral programs in higher education administration were identified that devote an entire course to the subject of American college and university faculty. For four courses that did devote an entire course to the…

  6. ISS Update: Logistics Reduction and Repurposing (Part 1)

    NASA Video Gallery

    Public Affairs Officer Brandi Dean interviews Sarah Shull, Deputy Project Manager Logistics Reduction and Repurposing. Shull, who is with the Advanced Exploration Systems, discusses the Logistics t...

  7. ISS Update: Logistics Reduction and Repurposing (Part 2)

    NASA Video Gallery

    Public Affairs Officer Brandi Dean interviews Sarah Shull, Deputy Project Manager Logistics Reduction and Repurposing. Shull, who is with the Advanced Exploration Systems, discusses the Logistics t...

  8. Environmental Issues are Controversial Issues.

    ERIC Educational Resources Information Center

    Hepburn, Mary Allaire

    The extensive social-scientific interest and continuing relevance of environmental study assure its immediate and long-range importance in the social studies. But the crisis atmosphere surrounding this issue threatens a thoughtful, systematic approach to the subject, and poses the danger of a careless rush to activity. As social studies educators,…

  9. Theoretical Issues

    SciTech Connect

    Marc Vanderhaeghen

    2007-04-01

    The theoretical issues in the interpretation of the precision measurements of the nucleon-to-Delta transition by means of electromagnetic probes are highlighted. The results of these measurements are confronted with the state-of-the-art calculations based on chiral effective-field theories (EFT), lattice QCD, large-Nc relations, perturbative QCD, and QCD-inspired models. The link of the nucleon-to-Delta form factors to generalized parton distributions (GPDs) is also discussed.

  10. Logistics Lessons Learned in NASA Space Flight

    NASA Technical Reports Server (NTRS)

    Evans, William A.; DeWeck, Olivier; Laufer, Deanna; Shull, Sarah

    2006-01-01

    The Vision for Space Exploration sets out a number of goals, involving both strategic and tactical objectives. These include returning the Space Shuttle to flight, completing the International Space Station, and conducting human expeditions to the Moon by 2020. Each of these goals has profound logistics implications. In the consideration of these objectives,a need for a study on NASA logistics lessons learned was recognized. The study endeavors to identify both needs for space exploration and challenges in the development of past logistics architectures, as well as in the design of space systems. This study may also be appropriately applied as guidance in the development of an integrated logistics architecture for future human missions to the Moon and Mars. This report first summarizes current logistics practices for the Space Shuttle Program (SSP) and the International Space Station (ISS) and examines the practices of manifesting, stowage, inventory tracking, waste disposal, and return logistics. The key findings of this examination are that while the current practices do have many positive aspects, there are also several shortcomings. These shortcomings include a high-level of excess complexity, redundancy of information/lack of a common database, and a large human-in-the-loop component. Later sections of this report describe the methodology and results of our work to systematically gather logistics lessons learned from past and current human spaceflight programs as well as validating these lessons through a survey of the opinions of current space logisticians. To consider the perspectives on logistics lessons, we searched several sources within NASA, including organizations with direct and indirect connections with the system flow in mission planning. We utilized crew debriefs, the John Commonsense lessons repository for the JSC Mission Operations Directorate, and the Skylab Lessons Learned. Additionally, we searched the public version of the Lessons Learned

  11. Quantifying the humanitarian and economic impact of earthquakes on South American capital cities (Invited)

    NASA Astrophysics Data System (ADS)

    Zoback, M. L.; Cabrera, C.; Pomonis, A.; Baca, A.; Brunner, I.; Cheung, G.; Chen, A.; Nagel, B.; Carrasco, S.

    2009-12-01

    By 2000, an estimated 80% of South America’s population lived in urban areas (Veblen et al., The Physical Geography of South America, Oxford University Press, 2007). A significant fraction of those urban dwellers resides in the capital cities which are major economic centers and act as magnets for rural poor and refugees. This population concentration includes many residents living in extreme poverty in substandard and informal housing, often on the margins of these capital cities and sometimes on steep slopes, greatly compounding the vulnerability to natural hazards. We are analyzing the humanitarian and economic risk for six of the seismically most-at-risk South American capitals along the northern and western plate boundaries of South America: Caracas, Venezuela; Bogotá, Colombia; Quito, Ecuador; Lima, Perú; La Paz, Bolivia; and Santiago, Chile. Impacts are provided in the form of expected losses for a specific “likely” scenario earthquake and in a probabilistic format using exceedance probability curves (probability of exceeding a given loss in different return periods). Impacts to be quantified include: total economic losses, potential fatalities, potential serious injuries, and the number of displaced households. Probabilistic seismic hazard was developed in collaboration with numerous South American experts and includes subduction interface, intraslab, background crustal and, where available, active fault sources. A significant challenge for this study is to accurately account for the exposure and vulnerability of populations living in the informal, shanty areas. Combining analysis of aerial imagery and on-the-ground reconnaissance, we define between 20-30 “inventory districts” of relatively uniform construction styles within each capital. Statistical distributions of the different construction types and their characteristics (height, occupancy, year built, average value) are estimated for each district. In addition, working with local graduate

  12. Reverse logistics in the construction industry.

    PubMed

    Hosseini, M Reza; Rameezdeen, Raufdeen; Chileshe, Nicholas; Lehmann, Steffen

    2015-06-01

    Reverse logistics in construction refers to the movement of products and materials from salvaged buildings to a new construction site. While there is a plethora of studies looking at various aspects of the reverse logistics chain, there is no systematic review of literature on this important subject as applied to the construction industry. Therefore, the objective of this study is to integrate the fragmented body of knowledge on reverse logistics in construction, with the aim of promoting the concept among industry stakeholders and the wider construction community. Through a qualitative meta-analysis, the study synthesises the findings of previous studies and presents some actions needed by industry stakeholders to promote this concept within the real-life context. First, the trend of research and terminology related with reverse logistics is introduced. Second, it unearths the main advantages and barriers of reverse logistics in construction while providing some suggestions to harness the advantages and mitigate these barriers. Finally, it provides a future research direction based on the review.

  13. Structural Vulnerability Among Migrating Women and Children Fleeing Central America and Mexico: The Public Health Impact of "Humanitarian Parole".

    PubMed

    Valdez, Elizabeth Salerno; Valdez, Luis A; Sabo, Samantha

    2015-01-01

    Since October 2013, US Customs and Border Patrol has apprehended 15,979 families on the Southwest Border of the US. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project helping hands (PHHs) utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here, we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency. These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US-Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing population.

  14. Mental health and psychosocial support in humanitarian settings: linking practice and research.

    PubMed

    Tol, Wietse A; Barbui, Corrado; Galappatti, Ananda; Silove, Derrick; Betancourt, Theresa S; Souza, Renato; Golaz, Anne; van Ommeren, Mark

    2011-10-29

    This review links practice, funding, and evidence for interventions for mental health and psychosocial wellbeing in humanitarian settings. We studied practice by reviewing reports of mental health and psychosocial support activities (2007-10); funding by analysis of the financial tracking service and the creditor reporting system (2007-09); and interventions by systematic review and meta-analysis. In 160 reports, the five most commonly reported activities were basic counselling for individuals (39%); facilitation of community support of vulnerable individuals (23%); provision of child-friendly spaces (21%); support of community-initiated social support (21%); and basic counselling for groups and families (20%). Most interventions took place and were funded outside national mental health and protection systems. 32 controlled studies of interventions were identified, 13 of which were randomised controlled trials (RCTs) that met the criteria for meta-analysis. Two studies showed promising effects for strengthening community and family supports. Psychosocial wellbeing was not included as an outcome in the meta-analysis, because its definition varied across studies. In adults with symptoms of post-traumatic stress disorder (PTSD), meta-analysis of seven RCTs showed beneficial effects for several interventions (psychotherapy and psychosocial supports) compared with usual care or waiting list (standardised mean difference [SMD] -0·38, 95% CI -0·55 to -0·20). In children, meta-analysis of four RCTs failed to show an effect for symptoms of PTSD (-0·36, -0·83 to 0·10), but showed a beneficial effect of interventions (group psychotherapy, school-based support, and other psychosocial support) for internalising symptoms (six RCTs; SMD -0·24, -0·40 to -0·09). Overall, research and evidence focuses on interventions that are infrequently implemented, whereas the most commonly used interventions have had little rigorous scrutiny.

  15. The Prevalence of Sexual Violence among Female Refugees in Complex Humanitarian Emergencies: a Systematic Review and Meta-analysis

    PubMed Central

    Vu, Alexander; Adam, Atif; Wirtz, Andrea; Pham, Kiemanh; Rubenstein, Leonard; Glass, Nancy; Beyrer, Chris; Singh, Sonal

    2014-01-01

    Importance: Refugees and internally displaced persons are highly vulnerable to sexual violence during conflict and subsequent displacement. However, accurate estimates of the prevalence of sexual violence among in these populations remain uncertain. Objective: Our objective was to estimate the prevalence of sexual violence among refugees and displaced persons in complex humanitarian emergencies. Data Source: We conducted systematic review of relevant literature in multiple databases (EMBASE, CINAHL, and MEDLINE) through February 2013 to identify studies. We also reviewed reference lists of included articles to identify any missing sources. Study Selection: Inclusion criteria required identification of sexual violence among refugees and internally displaced persons or those displaced by conflict in complex humanitarian settings. Studies were excluded if they did not provide female sexual violence prevalence, or that included only single case reports, anecdotes, and those that focused on displacement associated with natural disasters. After a review of 1175 citations 19 unique studies were selected. Data Extraction: Two reviewers worked independently to identify final selection and a third reviewer adjudicated any differences. Descriptive and quantitative information was extracted; prevalence estimates were synthesized. Heterogeneity was assessed using I2. Main Outcomes: The main outcome of interest was sexual violence among female refugees and internally displaced persons in complex humanitarian settings. Results: The prevalence of sexual violence was estimated at 21.4% (95% CI, 14.9-28.7; I2=98.3%), using a random effects model. Statistical heterogeneity was noted with studies using probability sampling designs reporting lower prevalence of sexual violence (21.0%, 95% CI, 13.2-30.1; I2=98.6%), compared to lower quality studies (21.7%, 95% CI, 11.5-34.2; I2=97.4%). We could not rule out the presence of publication bias. Conclusions: The findings suggest that

  16. Focused Training for Humanitarian Responders in Regional Anesthesia Techniques for a Planned Randomized Controlled Trial in a Disaster Setting

    PubMed Central

    Aluisio, Adam R.; Teicher, Carrei; Wiskel, Tess; Guy, Allysia; Levine, Adam

    2016-01-01

    Background:Lower extremity trauma during earthquakes accounts for the largest burden of geophysical disaster-related injuries. Insufficient pain management is common in disaster settings, and regional anesthesia (RA) has the potential to reduce pain in injured patients beyond current standards. To date, no prospective research has evaluated the use of RA in a disaster setting. This cross-sectional study assesses knowledge translation and skill acquisition outcomes for lower extremity RA performed with and without ultrasound guidance among a cohort of Médecins Sans Frontières (MSF) volunteers who will function as proceduralists in a planned randomized controlled trial evaluating the efficacy of RA for pain management in an earthquake setting. Methods:Generalist humanitarian healthcare responders, including both physicians and nurses, were trained in ultrasound guided femoral nerve block (USGFNB) and landmark guided fascia iliaca compartment block (LGFICB) techniques using didactic sessions and interactive simulations during a one-day focused course. Outcome measures evaluated interval knowledge attainment and technical proficiency in performing the RA procedures. Knowledge attainment was assessed via pre- and post-test evaluations and procedural proficiency was evaluated through monitored simulations, with performance of critical actions graded by two independent observers. Results:Twelve humanitarian response providers were enrolled and completed the trainings and assessments. Knowledge scores significantly increased from a mean pre-test score of 79% to post-test score of 88% (p<0.001). In practical evaluation of the LGFICB, participants correctly performed a median of 15.0 (Interquartile Range (IQR) 14.0-16.0) out of 16 critical actions. For the USGFNB, the median score was also 15.0 (IQR 14.0-16.0) out of 16 critical actions. Inter-rater reliability for completion of critical actions was excellent, with inter-rater agreement of 83.3% and 91.7% for the LGFICB

  17. Users' guides to the medical literature: how to use an article about mortality in a humanitarian emergency

    PubMed Central

    Mills, Edward J; Checchi, Francesco; Orbinski, James J; Schull, Michael J; Burkle, Frederick M; Beyrer, Chris; Cooper, Curtis; Hardy, Colleen; Singh, Sonal; Garfield, Richard; Woodruff, Bradley A; Guyatt, Gordon H

    2008-01-01

    The accurate interpretation of mortality surveys in humanitarian crises is useful for both public health responses and security responses. Recent examples suggest that few medical personnel and researchers can accurately interpret the validity of a mortality survey in these settings. Using an example of a mortality survey from the Democratic Republic of Congo (DRC), we demonstrate important methodological considerations that readers should keep in mind when reading a mortality survey to determine the validity of the study and the applicability of the findings to their settings. PMID:18826636

  18. 78 FR 25853 - Defense Logistics Agency Privacy Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... of the Secretary 32 CFR Part 323 RIN 0790-AI86 Defense Logistics Agency Privacy Program AGENCY: Defense Logistics Agency, DoD. ACTION: Final rule. SUMMARY: The Defense Logistics Agency (DLA) is revising... Defense Logistics Agency's implementation of the Privacy Act of 1974, as amended. In addition, DLA...

  19. 77 FR 39662 - Hazardous Materials; Reverse Logistics (RRR)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ... Materials; Reverse Logistics (RRR) AGENCY: Pipeline and Hazardous Materials Safety Administration (PHMSA... materials in the ``reverse logistics'' supply chain. Reverse logistics is the process that is initiated when... will propose to simplify the regulations for reverse logistics shipments and provide avenue means...

  20. Right-sizing the Logistics Deployment Footprint

    DTIC Science & Technology

    2008-06-01

    ISER -MLB-PR-08-61 Right-sizing the Logistics Deployment Footprint 76th MORS Symposium 10-12 June, 2008 Tom Collipi Mike Albright Northrop Grumman...Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 ISER -MLB-PR-08-61 3 Purpose • Present A Simulation-Based Methodology For Sizing The Logistics...Avoidance Associated With The “Optimal” Footprint ISER -MLB-PR-08-61 4 Agenda • Tool Overview • Scenario And Trade Space • Input Data • Initial Results

  1. Reverse logistics in the Brazilian construction industry.

    PubMed

    Nunes, K R A; Mahler, C F; Valle, R A

    2009-09-01

    In Brazil most Construction and Demolition Waste (C&D waste) is not recycled. This situation is expected to change significantly, since new federal regulations oblige municipalities to create and implement sustainable C&D waste management plans which assign an important role to recycling activities. The recycling organizational network and its flows and components are fundamental to C&D waste recycling feasibility. Organizational networks, flows and components involve reverse logistics. The aim of this work is to introduce the concepts of reverse logistics and reverse distribution channel networks and to study the Brazilian C&D waste case.

  2. Strategies on the Implementation of China's Logistics Information Network

    NASA Astrophysics Data System (ADS)

    Dong, Yahui; Li, Wei; Guo, Xuwen

    The economic globalization and trend of e-commerce network have determined that the logistics industry will be rapidly developed in the 21st century. In order to achieve the optimal allocation of resources, a worldwide rapid and sound customer service system should be established. The establishment of a corresponding modern logistics system is the inevitable choice of this requirement. It is also the inevitable choice for the development of modern logistics industry in China. The perfect combination of modern logistics and information network can better promote the development of the logistics industry. Through the analysis of Status of Logistics Industry in China, this paper summed up the domestic logistics enterprise logistics information system in the building of some common problems. According to logistics information systems planning methods and principles set out logistics information system to optimize the management model.

  3. Between a humanitarian ethos and the military efficiency: the early days of the Spanish Red Cross, 1864-1876.

    PubMed

    Arrizabalaga, Jon; García-Reyes, Juan Carlos

    2011-01-01

    Spain was officially represented at the preliminary international conference the "International Committee for the Assistance to Sick and Wounded Soldiers" (better known as the "Geneva Committee") organised at Geneva in October 1863; and joined the Red Cross one year later on the occasion of the first Geneva Convention in August 1864. This article explores the ambivalence between the humanitarian ethos and the military efficiency in the early Spanish Red Cross through the works of Nicasio Landa (1830-1891). A medical major of the Spanish Military Health Service, the co-founder of the Spanish section of the Red Cross in 1864, and its general inspector in 1867, Landa was its most active promoter, and responsible for its connections with the Geneva Committee and other national sections of this international association during its early times. He was not only an active correspondent, but also a prolific author of monographs, leaflets and articles in specialized and daily newspapers on humanitarianism and war medicine, in addition to being the founder of the Spanish Red Cross journal La Caridad en la Guerra in 1870.

  4. Strengths and weaknesses of the humanitarian Cluster Approach in relation to sexual and reproductive health services in northern Uganda.

    PubMed

    Landegger, Justine; Hau, Monica; Kaducu, Felix; Sondorp, Egbert; Mayhew, Susannah; Roberts, Bayard

    2011-06-01

    Implementation of the Cluster Approach has been a major recent development in the humanitarian system. The aim of this study was to explore the strengths and weaknesses of the humanitarian Cluster Approach in relation to services for sexual and reproductive health (SRH) [including gender-based violence (GBV)] in northern Uganda, which is recovering from over 20 years of armed conflict. Face-to-face and telephone, semistructured, qualitative interviews were conducted in 2009 with purposively selected key informants from governmental, non-governmental, United Nations and donor agencies working in northern Uganda. Respondents noted a number of contributions of the Cluster Approach, including improved co-ordination of SRH services and stronger advocacy. However, concerns were raised about the low prioritisation, limited leadership and capacity, and standard setting for SRH services. Concerns were also raised about limited planning and capacity for dissolution of the Clusters in the transition to recovery and development in northern Uganda. Despite a number of contributions made by the Cluster Approach, particularly for responding to GBV, there were many concerns about its limited influence on SRH services. There were also concerns that the transition to recovery and development in northern Uganda may not result in reproductive health services being sufficiently strengthened.

  5. Assessment of health-care waste management in a humanitarian crisis: A case study of the Gaza Strip.

    PubMed

    Caniato, Marco; Tudor, Terry Louis; Vaccari, Mentore

    2016-12-01

    Health-care waste management requires technical, financial and human resources, and it is a challenge for low- and middle income countries, while it is often neglected in protracted crisis or emergency situations. Indeed, when health, safety, security or wellbeing of a community is threatened, solid waste management usually receives limited attention. Using the Gaza Strip as the case study region, this manuscript reports on health-care waste management within the context of a humanitarian crisis. The study employed a range of methods including content analyses of policies and legislation, audits of waste arisings, field visits, stakeholder interviews and evaluation of treatment systems. The study estimated a production from clinics and hospitals of 683kg/day of hazardous waste in the Gaza Strip, while the total health-care waste production was 3357 kg/day. A number of challenges was identified including lack of clear definitions and regulations, limited accurate data on which to base decisions and strategies and poor coordination amongst key stakeholders. Hazardous and non-hazardous waste was partially segregated and treatment facilities hardly used, and 75% of the hazardous waste was left untreated. Recommendations for mitigating these challenges posed to patients, staff and the community in general are suggested. The outputs are particularly useful to support decision makers, and re-organize the system according to reliable data and sound assumptions. The methodology can be replicated in other humanitarian settings, also to other waste flows, and other sectors of environmental sanitation.

  6. Which Anthropometric Indicators Identify a Pregnant Woman as Acutely Malnourished and Predict Adverse Birth Outcomes in the Humanitarian Context?

    PubMed Central

    Ververs, Mija-tesse; Antierens, Annick; Sackl, Anita; Staderini, Nelly; Captier, Valerie

    2013-01-01

    Currently there is no consensus on how to identify pregnant women as acutely malnourished and when to enroll them in nutritional programmes. Médecins Sans Frontières Switzerland undertook a literature review with the purpose of determining values of anthropometric indicators for acute malnutrition that are associated with adverse birth outcomes (such as low birth weight (LBW)), pre-term birth and intra-uterine growth retardation (IUGR). A literature search in PUBMED was done covering 1 January 1995 to 12 September 2012 with the key terms maternal anthropometry and pregnancy. The review focused on the humanitarian context. Mid-upper-arm circumference (MUAC) was identified as the preferential indicator of choice because of its relatively strong association with LBW, narrow range of cut-off values, simplicity of measurement (important in humanitarian settings) and it does not require prior knowledge of gestational age. The MUAC values below which most adverse effects were identified were <22 and <23 cm. A conservative cut-off of <23 cm is recommended to include most pregnant women at risk of LBW for their infants in the African and Asian contexts. PMID:23787989

  7. Humanitarian cleft care in Southeast Asia: military-civilian partnerships and the role of the US Navy ship Mercy.

    PubMed

    Lim, Alan A; Salas, Carlos; Kumar, Anand R

    2012-11-01

    The primary mission of the US Navy (USN) is to maintain superior naval forces capable of winning wars, deterring aggression, and maintaining freedom of the seas. However, a major core capability of the present-day USN includes the ability to effectively and rapidly provide humanitarian assistance and disaster response whenever the need arises. Occurring annually since 2006, Pacific Partnership is an ongoing USN operation that aims to strengthen regional alliances and improve delivery of humanitarian assistance and disaster relief. A major focus of Pacific Partnership 2010 was the delivery of medical care to underserved communities in the region. A significant portion of the medical mission was specifically directed toward the treatment of patients with cleft lip and palate. As the main operational platform, the USN Ship Mercy provided an unparalleled environment in which to provide state-of-the-art multidisciplinary treatment to patients with cleft lip and palate. With the cooperation of host nations and locally active nongovernmental organizations, a sustainable model for providing treatment for cleft lip and palate can be developed.

  8. Pipeline issues

    NASA Technical Reports Server (NTRS)

    Eisley, Joe T.

    1990-01-01

    The declining pool of graduates, the lack of rigorous preparation in science and mathematics, and the declining interest in science and engineering careers at the precollege level promises a shortage of technically educated personnel at the college level for industry, government, and the universities in the next several decades. The educational process, which starts out with a large number of students at the elementary level, but with an ever smaller number preparing for science and engineering at each more advanced educational level, is in a state of crisis. These pipeline issues, so called because the educational process is likened to a series of ever smaller constrictions in a pipe, were examined in a workshop at the Space Grant Conference and a summary of the presentations and the results of the discussion, and the conclusions of the workshop participants are reported.

  9. Linear Logistic Test Modeling with R

    ERIC Educational Resources Information Center

    Baghaei, Purya; Kubinger, Klaus D.

    2015-01-01

    The present paper gives a general introduction to the linear logistic test model (Fischer, 1973), an extension of the Rasch model with linear constraints on item parameters, along with eRm (an R package to estimate different types of Rasch models; Mair, Hatzinger, & Mair, 2014) functions to estimate the model and interpret its parameters. The…

  10. Predicting Social Trust with Binary Logistic Regression

    ERIC Educational Resources Information Center

    Adwere-Boamah, Joseph; Hufstedler, Shirley

    2015-01-01

    This study used binary logistic regression to predict social trust with five demographic variables from a national sample of adult individuals who participated in The General Social Survey (GSS) in 2012. The five predictor variables were respondents' highest degree earned, race, sex, general happiness and the importance of personally assisting…

  11. Biomass round bales infield aggregation logistic scenarios

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Biomass bales often need to be aggregated (collected into groups and transported) to a field-edge stack for temporary storage for feedlots or processing facilities. Aggregating the bales with the least total distance involved is a goal of producers and bale handlers. Several logistics scenarios for ...

  12. Mission Benefits Analysis of Logistics Reduction Technologies

    NASA Technical Reports Server (NTRS)

    Ewert, Michael K.; Broyan, James L.

    2012-01-01

    Future space exploration missions will need to use less logistical supplies if humans are to live for longer periods away from our home planet. Anything that can be done to reduce initial mass and volume of supplies or reuse or recycle items that have been launched will be very valuable. Reuse and recycling also reduce the trash burden and associated nuisances, such as smell, but require good systems engineering and operations integration to reap the greatest benefits. A systems analysis was conducted to quantify the mass and volume savings of four different technologies currently under development by NASA fs Advanced Exploration Systems (AES) Logistics Reduction and Repurposing project. Advanced clothing systems lead to savings by direct mass reduction and increased wear duration. Reuse of logistical items, such as packaging, for a second purpose allows fewer items to be launched. A device known as a heat melt compactor drastically reduces the volume of trash, recovers water and produces a stable tile that can be used instead of launching additional radiation protection. The fourth technology, called trash ]to ]supply ]gas, can benefit a mission by supplying fuel such as methane to the propulsion system. This systems engineering work will help improve logistics planning and overall mission architectures by determining the most effective use, and reuse, of all resources.

  13. LOGISTICS OF ECOLOGICAL SAMPLING ON LARGE RIVERS

    EPA Science Inventory

    The objectives of this document are to provide an overview of the logistical problems associated with the ecological sampling of boatable rivers and to suggest solutions to those problems. It is intended to be used as a resource for individuals preparing to collect biological dat...

  14. Co-providing: understanding the logistics.

    PubMed

    Dickerson, Pamela S

    2011-11-01

    Continuing nursing education providers have sometimes said that they don't want to co-provide because "it's too much trouble" or they "won't be able to control what happens" or because they don't understand the process. This column clarifies the logistics of the co-provider relationship.

  15. [Discussion on logistics management of medical consumables].

    PubMed

    Deng, Sutong; Wang, Miao; Jiang, Xiali

    2011-09-01

    Management of medical consumables is an important part of modern hospital management. In modern medical behavior, drugs and medical devices act directly on the patient, and are important factors affecting the quality of medical practice. With the increasing use of medical materials, based on practical application, this article proposes the management model of medical consumables, and discusses the essence of medical materials logistics management.

  16. Multi-Purpose Logistics Module Briefing

    NASA Technical Reports Server (NTRS)

    2001-01-01

    Silvanna Rabbi, MPLM Program Manager, Italian Space Agency, gives an overview of the Multi-Purpose Logistics Module (MPLM) in a prelaunch press conference. She describes the objectives, construction, specifications, and purpose of the three Italian-built modules, Leonardo, Rafaello, and Donatello. Ms. Rabbi then answers questions from the press.

  17. Mission Benefits Analysis of Logistics Reduction Technologies

    NASA Technical Reports Server (NTRS)

    Ewert, Michael K.; Broyan, James Lee, Jr.

    2013-01-01

    Future space exploration missions will need to use less logistical supplies if humans are to live for longer periods away from our home planet. Anything that can be done to reduce initial mass and volume of supplies or reuse or recycle items that have been launched will be very valuable. Reuse and recycling also reduce the trash burden and associated nuisances, such as smell, but require good systems engineering and operations integration to reap the greatest benefits. A systems analysis was conducted to quantify the mass and volume savings of four different technologies currently under development by NASA s Advanced Exploration Systems (AES) Logistics Reduction and Repurposing project. Advanced clothing systems lead to savings by direct mass reduction and increased wear duration. Reuse of logistical items, such as packaging, for a second purpose allows fewer items to be launched. A device known as a heat melt compactor drastically reduces the volume of trash, recovers water and produces a stable tile that can be used instead of launching additional radiation protection. The fourth technology, called trash-to-gas, can benefit a mission by supplying fuel such as methane to the propulsion system. This systems engineering work will help improve logistics planning and overall mission architectures by determining the most effective use, and reuse, of all resources.

  18. SIMULATION AND EVALUATION OF LOGISTICS SYSTEMS,

    DTIC Science & Technology

    A description of PLANET (Planned Logistics Analysis and Evaluation Technique), designed to increase the possibility of discovering flaws in a weapon...equipment, and spare parts. Even though PLANET cannot optimize the hardware configuration, it permits examination of different configurations. It

  19. Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases.

    PubMed

    Villa, Stefano; Barbieri, Marta; Lega, Federico

    2009-06-01

    To make hospitals more patient-centered it is necessary to intervene on patient flow logistics. The study analyzes three innovative redesign projects implemented at three Italian hospitals. The three hospitals have reorganized patient flow logistics around patient care needs using, as proxies, the expected length of stay and the level of nursing assistance. In order to do this, they have extensively revised their logistical configuration changing: (1) the organization of wards, (2) the hospital's physical lay-out, (3) the capacity planning system, and (4) the organizational roles supporting the patient flow management. The study describes the changes implemented as well as the results achieved and draws some general lessons that provide useful hints for those other hospitals involved in such type of redesign projects. The paper ends by discussing some policy implications. In fact, the results achieved in the three cases investigated provide interesting material for further discussion on clinical, operational, and economic issues.

  20. An integrated fuzzy approach for strategic alliance partner selection in third-party logistics.

    PubMed

    Erkayman, Burak; Gundogar, Emin; Yilmaz, Aysegul

    2012-01-01

    Outsourcing some of the logistic activities is a useful strategy for companies in recent years. This makes it possible for firms to concentrate on their main issues and processes and presents facility to improve logistics performance, to reduce costs, and to improve quality. Therefore provider selection and evaluation in third-party logistics become important activities for companies. Making a strategic decision like this is significantly hard and crucial. In this study we proposed a fuzzy multicriteria decision making (MCDM) approach to effectively select the most appropriate provider. First we identify the provider selection criteria and build the hierarchical structure of decision model. After building the hierarchical structure we determined the selection criteria weights by using fuzzy analytical hierarchy process (AHP) technique. Then we applied fuzzy technique for order preference by similarity to ideal solution (TOPSIS) to obtain final rankings for providers. And finally an illustrative example is also given to demonstrate the effectiveness of the proposed model.

  1. Logistic Regression Applied to Seismic Discrimination

    SciTech Connect

    BG Amindan; DN Hagedorn

    1998-10-08

    The usefulness of logistic discrimination was examined in an effort to learn how it performs in a regional seismic setting. Logistic discrimination provides an easily understood method, works with user-defined models and few assumptions about the population distributions, and handles both continuous and discrete data. Seismic event measurements from a data set compiled by Los Alamos National Laboratory (LANL) of Chinese events recorded at station WMQ were used in this demonstration study. PNNL applied logistic regression techniques to the data. All possible combinations of the Lg and Pg measurements were tried, and a best-fit logistic model was created. The best combination of Lg and Pg frequencies for predicting the source of a seismic event (earthquake or explosion) used Lg{sub 3.0-6.0} and Pg{sub 3.0-6.0} as the predictor variables. A cross-validation test was run, which showed that this model was able to correctly predict 99.7% earthquakes and 98.0% explosions for this given data set. Two other models were identified that used Pg and Lg measurements from the 1.5 to 3.0 Hz frequency range. Although these other models did a good job of correctly predicting the earthquakes, they were not as effective at predicting the explosions. Two possible biases were discovered which affect the predicted probabilities for each outcome. The first bias was due to this being a case-controlled study. The sampling fractions caused a bias in the probabilities that were calculated using the models. The second bias is caused by a change in the proportions for each event. If at a later date the proportions (a priori probabilities) of explosions versus earthquakes change, this would cause a bias in the predicted probability for an event. When using logistic regression, the user needs to be aware of the possible biases and what affect they will have on the predicted probabilities.

  2. [A collective malarial infestation during a humanitarian mission in west Africa].

    PubMed

    Philippe, J M; Caumon, L; Chouaki, M; Dufraise, S; Rimeize, H; Monchard, F; Cueto, T; Beytout, J; Delort, P

    2002-06-01

    Four truck drivers involved in a humanitarian mission across the Sahara towards Mali fell ill 15 days after their return. Plasmodium falciparum malaria (thankfully, non pernicious) was diagnosed with 3 to 4 days delay. The four drivers had been treated with chloroquine and proguanil but the dosage may have been insufficient with regard to their body weight (average weight = 110 kg). These 4 travelers had all slept outside (in Tintane, near Kiffa in Mauritania), without any anti-vectorial protection, whereas their other 8 companions (none of whom caught malaria) had slept in their vehicles. The evolution of the 4 cases was favourable despite the difficulties involved in urgently obtaining sufficient amounts of quinine for treatment. How can these cases be explained in relation to prophylactic treatment of associated chloroquine and proguanil? One explanation might be resistance of the P. falciparum strain. We were unable to study this possibility. The high incidence and similitude of cases points towards a hypothesis of resistance both to proguanil and chloroquine. Resistance to chloroquine, as has been formally ascertained in Mauritania, reinforces such a conviction. And yet prophylaxis does not prevent pernicious malaria. This clinical form of the disease, with P. falciparum primo-invasion occurring under rigorous chemoprophylaxis is characteristic of a partially resistant strain. The most reasonable explanation besides "chance" is that we are dealing here with a partially resistant strain of Plasmodium falciparum which is thus also partially sensitive to--in this case highly effective--therapeutic treatment. Indeed, chloroquino-resistant strains are more sensitive to mefloquine and halofantrine. Another explanation might be under-dosage of Savarine with relation to the body weight of these 4 patients. We should be aware of adapting more rigorously the posology of prescribed prophylaxis. But above all, this outbreak should remind us that we should recommend to

  3. Psychological Distress, Depression, Anxiety, and Burnout among International Humanitarian Aid Workers: A Longitudinal Study

    PubMed Central

    Lopes Cardozo, Barbara; Gotway Crawford, Carol; Eriksson, Cynthia; Zhu, Julia; Sabin, Miriam; Ager, Alastair; Foy, David; Snider, Leslie; Scholte, Willem; Kaiser, Reinhard; Olff, Miranda; Rijnen, Bas; Simon, Winnifred

    2012-01-01

    Background International humanitarian aid workers providing care in emergencies are subjected to numerous chronic and traumatic stressors. Objectives To examine consequences of such experiences on aid workers' mental health and how the impact is influenced by moderating variables. Methodology We conducted a longitudinal study in a sample of international non-governmental organizations. Study outcomes included anxiety, depression, burnout, and life and job satisfaction. We performed bivariate regression analyses at three time points. We fitted generalized estimating equation multivariable regression models for the longitudinal analyses. Results Study participants from 19 NGOs were assessed at three time points: 212 participated at pre-deployment; 169 (80%) post-deployment; and 154 (73%) within 3–6 months after deployment. Prior to deployment, 12 (3.8%) participants reported anxiety symptoms, compared to 20 (11.8%) at post-deployment (p = 0·0027); 22 (10.4%) reported depression symptoms, compared to 33 (19.5%) at post-deployment (p = 0·0117) and 31 (20.1%) at follow-up (p = .00083). History of mental illness (adjusted odds ratio [AOR] 4.2; 95% confidence interval [CI] 1·45–12·50) contributed to an increased risk for anxiety. The experience of extraordinary stress was a contributor to increased risk for burnout depersonalization (AOR 1.5; 95% CI 1.17–1.83). Higher levels of chronic stress exposure during deployment were contributors to an increased risk for depression (AOR 1·1; 95% CI 1·02–1.20) comparing post- versus pre-deployment, and increased risk for burnout emotional exhaustion (AOR 1.1; 95% CI 1.04–1.19). Social support was associated with lower levels of depression (AOR 0·9; 95% CI 0·84–0·95), psychological distress (AOR = 0.9; [CI] 0.85–0.97), burnout lack of personal accomplishment (AOR 0·95; 95% CI 0·91–0·98), and greater life satisfaction (p = 0.0213). Conclusions When recruiting and preparing aid workers

  4. Army Sustainment. Volume 44, Issue 4, July-August 2012

    DTIC Science & Technology

    2012-08-01

    Army Sustainment The SOC in effect lowers the walls and enables a fusion of communication and coordination within the field level of logistics...and the division rear were where sustainment synchronization occurred and the warfighter worked on logistics issues. The SOC is even more efficient...increasingly important as budgets shrink. AFSBn and SOC Colocation Army doctrine should recognize that the AFSBn and sustainment brigade should colocate within

  5. Operational Use of the US Army Reserve in Foreign Disaster Relief to Support the United States Government’s Strategic Use of Humanitarian Assistance and Disaster Response

    DTIC Science & Technology

    2015-05-21

    FDR). Global climate change , urbanization, growing natural resources scarcity, and other factors will increase the need for humanitarian assistance......additional military support to the United States Government’s agencies in Foreign Disaster Relief (FDR). Global climate change , urbanization, growing

  6. Strange but common bedfellows: the relationship between humanitarians and the military in developing psychosocial interventions for civilian populations affected by armed conflict.

    PubMed

    Kienzler, Hanna; Pedersen, Duncan

    2012-07-01

    This essay analyses how the relationships between Cold War and post-Cold War politics, military psychiatry, humanitarian aid and mental health interventions in war and post-war contexts have transformed over time. It focuses on the restrictions imposed on humanitarian interventions and aid during the Cold War; the politics leading to the transfer of the PTSD diagnosis and its treatment from the military to civilian populations; humanitarian intervention campaigns in the post-Cold War era; and the development of psychosocial intervention programs and standards of care for civilian populations affected by armed conflict. Viewing these developments in their broader historical, political and social contexts reveals the politics behind mental health interventions conducted in countries and populations affected by warfare. In such militarized contexts, the work of NGOs providing assistance to people suffering from trauma-related health problems is far from neutral as it depends on the support of the military and plays an important role in the shaping of international politics and humanitarian aid programs.

  7. 31 CFR 585.524 - Humanitarian aid and trade in United Nations Protected Areas of Croatia and those areas of the...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Humanitarian aid and trade in United Nations Protected Areas of Croatia and those areas of the Republic of...-by-case basis to permit exportation to, or transshipment through, the United Nations Protected Areas... permit importation from, exportation to, or transshipment through the United Nations Protected Areas...

  8. Electronic medical records in humanitarian emergencies – the development of an Ebola clinical information and patient management system

    PubMed Central

    Jobanputra, Kiran; Greig, Jane; Shankar, Ganesh; Perakslis, Eric; Kremer, Ronald; Achar, Jay; Gayton, Ivan

    2017-01-01

    By November 2015, the West Africa Ebola epidemic had caused 28598 infections and 11299 deaths in the three countries most affected. The outbreak required rapid innovation and adaptation. Médecins sans Frontières (MSF) scaled up its usual 20-30 bed Ebola management centres (EMCs) to 100-300 beds with over 300 workers in some settings. This brought challenges in patient and clinical data management resulting from the difficulties of working safely with high numbers of Ebola patients. We describe a project MSF established with software developers and the Google Social Impact Team to develop context-adapted tools to address the challenges of recording Ebola clinical information. We share the outcomes and key lessons learned in innovating rapidly under pressure in difficult environmental conditions. Information on adoption, maintenance, and data quality was gathered through review of project documentation, discussions with field staff and key project stakeholders, and analysis of tablet data. In March 2015, a full prototype was deployed in Magburaka EMC, Sierra Leone. Inpatient data were captured on 204 clinical interactions with 34 patients from 5 March until 10 April 2015. Data continued to also be recorded on paper charts, creating theoretically identical record “pairs” on paper and tablet. 83 record pairs for 33 patients with 22 data items (temperature and symptoms) per pair were analysed. The overall Kappa coefficient for agreement between sources was 0.62, but reduced to 0.59 when rare bleeding symptoms were excluded, indicating moderate to good agreement. The time taken to deliver the product was more than that anticipated by MSF (7 months versus 6 weeks). Deployment of the tablet coincided with a dramatic drop in patient numbers and thus had little impact on patient care. We have identified lessons specific to humanitarian-technology collaborative projects and propose a framework for emergency humanitarian innovation. Time and effort is required to bridge

  9. Logistics Models: Evolution and Future Trends,

    DTIC Science & Technology

    1982-03-01

    combat capable aircraft available to fly as a function of time Fig. 1--The Logistics Model -o ’,7:7- -5- performed. Many were measures of internal ...difficult combinatorial problem, which many modelers have studied with only limited success. Generally, only the two-machine problem has a known solution...currently uses a large simulation called MIDAS to study airlift requirements and capabilities. The use of ton miles/day as a measure of the military

  10. Model selection for logistic regression models

    NASA Astrophysics Data System (ADS)

    Duller, Christine

    2012-09-01

    Model selection for logistic regression models decides which of some given potential regressors have an effect and hence should be included in the final model. The second interesting question is whether a certain factor is heterogeneous among some subsets, i.e. whether the model should include a random intercept or not. In this paper these questions will be answered with classical as well as with Bayesian methods. The application show some results of recent research projects in medicine and business administration.

  11. Beyond Tables, Templates, and Checklists: Logistical Art

    DTIC Science & Technology

    2009-04-07

    Paret (New York: Everyman’s Library , 1993) 120. 3 amidst ongoing change. It is an enduring requirement for logisticians to be skilled in both the...On War, edited and translated by Michael Howard and Peter Paret (New York: Everyman’s Library , 1993), 405. 13 Carl Von Clausewitz, On War, edited...and translated by Michael Howard and Peter Paret (New York: Everyman’s Library , 1993), 137-135. 14 Moshe Kress, Operational Logistics, The Art and

  12. Air Delivery and Marine Corps Logistics

    DTIC Science & Technology

    2010-03-17

    to ground-based logistics, the evolution of ground-based vehicles to counter the threat, and the lift capacity of air and ground vehicles organic to...UAS------------------------------------------- A4 Figure 11. Bo.eing A160 Hummingbird Vertical Lift UAS------------------------------------------- A4...Vertical Takeoff and Landing Unmanned Aerial Vehicle (VTUAV). VTUAVs like the Boeing A160 Hummingbird , Bell Helicopter Eagle Eye, and the Northrop

  13. The challenge of logistics facilities development

    NASA Technical Reports Server (NTRS)

    Davis, James R.

    1987-01-01

    The paper discusses the experiences of a group of engineers and logisticians at John F. Kennedy Space center in the design, construction and activation of a consolidated logistics facility for support of Space Transportation System ground operations and maintenance. The planning, methodology and processes are covered, with emphasis placed on unique aspects and lessons learned. The project utilized a progressive design, baseline and build concept for each phase of construction, with the Government exercising funding and configuration oversight.

  14. Contracting Effects on Logistics Capabilities and Readiness

    DTIC Science & Technology

    2012-05-17

    About it (New York: Cambridge University Press, 2007), 25-28. 26 Elke Krahmann, “The New Model Soldier and Civil-Military Relations” in Private...Military Logistics and Strategic Performance. London: Frank Cass Publishers, 2001. Krahmann, Elke . States, Citizens, and the Privatization of Security...Reports: Contracting In Iraq and Afghanistan. August 2008. http://wwwacq.osd.mil/ log /ps/archvd_CENTCOM.html (accessed 02 12, 2012). Peltz, Eric, M

  15. Assessment of Logistical Support for Expeditionary Units

    DTIC Science & Technology

    2014-06-01

    continue , they will have significant impact on readiness. The goal in this case study is to describe the current NSW processes for both gear...independent work, this study can be viewed as a critical assessment of the logistics business practices in the Navy Explosive Ordnance Disposal (EOD...for non-NSN purchases above $3k (LOGSU1, 2014). 35 IV. CASE STUDY Background As America concludes the war in Iraq and continues its efforts to

  16. Transfer Learning Based on Logistic Regression

    NASA Astrophysics Data System (ADS)

    Paul, A.; Rottensteiner, F.; Heipke, C.

    2015-08-01

    In this paper we address the problem of classification of remote sensing images in the framework of transfer learning with a focus on domain adaptation. The main novel contribution is a method for transductive transfer learning in remote sensing on the basis of logistic regression. Logistic regression is a discriminative probabilistic classifier of low computational complexity, which can deal with multiclass problems. This research area deals with methods that solve problems in which labelled training data sets are assumed to be available only for a source domain, while classification is needed in the target domain with different, yet related characteristics. Classification takes place with a model of weight coefficients for hyperplanes which separate features in the transformed feature space. In term of logistic regression, our domain adaptation method adjusts the model parameters by iterative labelling of the target test data set. These labelled data features are iteratively added to the current training set which, at the beginning, only contains source features and, simultaneously, a number of source features are deleted from the current training set. Experimental results based on a test series with synthetic and real data constitutes a first proof-of-concept of the proposed method.

  17. Panel 2.18: logistics, information technology (IT), and telecommunications in crisis management.

    PubMed

    De Silva, Terrence; Chikersal, Jyotsna; Snoad, Nigel; Woodworth, Brent; Ghaly, Cherif; Catterall, Martin

    2005-01-01

    This is a summary of the presentations and discussion of Panel 2.18, Logistics, Information Technology, and Telecommunications in Crisis Management of the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed included issues related to logistics, information technology (IT), and crisis communication pertaining to the responses to the damage created by the Tsunami. It is presented in the following major sections: (1) issues; (2) lessons learned; (3) what was done well; (4) what could have been done better; and (5) conclusions and recommendations. Each major section is presented in four sub-sections: (1) needs assessments; (2) coordination; (3) filling the gaps; and (4) capacity building.

  18. Micro-Logistics Analysis for Human Space Exploration

    NASA Technical Reports Server (NTRS)

    Cirillo, William; Stromgren, Chel; Galan, Ricardo

    2008-01-01

    Traditionally, logistics analysis for space missions has focused on the delivery of elements and goods to a destination. This type of logistics analysis can be referred to as "macro-logistics". While the delivery of goods is a critical component of mission analysis, it captures only a portion of the constraints that logistics planning may impose on a mission scenario. The other component of logistics analysis concerns the local handling of goods at the destination, including storage, usage, and disposal. This type of logistics analysis, referred to as "micro-logistics", may also be a primary driver in the viability of a human lunar exploration scenario. With the rigorous constraints that will be placed upon a human lunar outpost, it is necessary to accurately evaluate micro-logistics operations in order to develop exploration scenarios that will result in an acceptable level of system performance.

  19. Logistic models--an odd(s) kind of regression.

    PubMed

    Jupiter, Daniel C

    2013-01-01

    The logistic regression model bears some similarity to the multivariable linear regression with which we are familiar. However, the differences are great enough to warrant a discussion of the need for and interpretation of logistic regression.

  20. Fully-Burdened Cost of Supply in Self-Sustaining Logistics Networks

    DTIC Science & Technology

    2013-04-01

    Logistics Networks Eva Regnier, Jay Simon, Daniel Nussbaum, Aruna Apte, and John Khawam Naval Postgraduate School Published April 1, 2013 Approved for...Networks Eva Regnier, Jay Simon, Daniel Nussbaum, Aruna Apte, and John Khawam Naval Postgraduate School Platform Design for Fleet-Level Efficiency...Çeven and Kevin Gue Auburn University Issues and Challenges in Self-Sustaining Response Supply Chains Aruna Apte, John Khawam, Eva Regnier, Jay

  1. The Application used RFID in Third Party Logistics*

    NASA Astrophysics Data System (ADS)

    Mingxiu, Zheng; Chunchang, Fu; Minggen, Yang

    RFID is a non-contact automatic identification technology, which will be the future information storage extraction and processing technology. In recent years the mainstream of the large-scale development has manifested the situation. RFID is the key technology of tripartite logistics information and automation. RFID-based logistics system can enlarge the logistics operation capacity, and improve labor productivity to reduce logistics operations mistakes.

  2. The role of evidence in humanitarian assessment: the Seed System Security Assessment and the Emergency Market Mapping and Analysis.

    PubMed

    Goeldner Byrne, Karri; March, Julie; McGuire, Shawn; Meissner, Laura; Sperling, Louise

    2013-07-01

    This paper reviews advances in the development and use of two evidence-based assessment toolkits: the Seed System Security Assessment (SSSA) and the Emergency Market Mapping and Analysis (EMMA). Both were created in the past five years and have been employed in a range of acute and chronic stress contexts across Africa, Asia, and parts of the Americas, in periods of civil strife, displacement, and drought, as well as following earthquakes, flooding, and political instability. The aims of this paper are threefold: to review advances with regard to each tool; to compare how each toolkit gathers and uses evidence, while considering possibilities for greater complementarity; and to reflect on the nature of 'evidence' used to guide humanitarian response in sudden-onset and chronic crisis situations. A comparison highlights the importance of triangulation and informed analysis for drawing conclusions from imperfect evidence, understanding the limitations of each assessment methodology, and confronting tacit assumptions.

  3. [Appliancation of logistics in resources management of medical asset].

    PubMed

    Miroshnichenko, Iu V; Goriachev, A B; Bunin, S A

    2011-06-01

    The usage of basic regulations of logistics in practical activity for providing joints and military units with medical asset is theoretically justified. The role of logistics in organizing, building and functioning of military (armed forces) medical supply system is found out. The methods of solving urgent problems of improvement the resources management of medical asset on the basis of logistics are presented.

  4. Using Dominance Analysis to Determine Predictor Importance in Logistic Regression

    ERIC Educational Resources Information Center

    Azen, Razia; Traxel, Nicole

    2009-01-01

    This article proposes an extension of dominance analysis that allows researchers to determine the relative importance of predictors in logistic regression models. Criteria for choosing logistic regression R[superscript 2] analogues were determined and measures were selected that can be used to perform dominance analysis in logistic regression. A…

  5. 77 FR 46653 - Defense Logistics Agency Privacy Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-06

    ... of the Secretary 32 CFR Part 323 RIN 0790-AI86 Defense Logistics Agency Privacy Program AGENCY: Defense Logistics Agency, DoD. ACTION: Proposed rule with request for comments. SUMMARY: The Defense Logistics Agency (DLA) is proposing to amend the DLA Privacy Program Regulation. The DLA Privacy...

  6. USAREUR LOGISTIC MANAGEMENT INFORMATION SYSTEM - 360 DAY BRIEFING.

    DTIC Science & Technology

    Information System . This report is the 360 Day Briefing presented to the DCSLOG and his Logistic Management Information System Committee at the conclusion of the study. (Author)...objective of the study was to provide for the Deputy Chief of Staff for Logistics, Headquarters USAREUR and Seventh Army, a Logistic Management

  7. The Improving Way of Logistics Management in Korean Army

    DTIC Science & Technology

    2011-03-01

    above identified problems and solutions, Korea Army Logistic still has other unidentified problems. These things can be identified and improvements...TECHNOLOGIES OF LOGISTICS MANAGEMENT SYSTEM ................................................................ 8 a) Booming e-commerce by Internet ...logistics cost and time. To achieve this, they expand e- commerce and internet service structures, construct automated transportation system, and

  8. Marine Aviation Logistics, Seabasing, Integration, Outsourcing and the Future

    DTIC Science & Technology

    2008-01-01

    transfer of functions to the private sector that has been traditionally accomplished by service men and women ?! "DOD defines outsourcing as the transfer...34Outsourcing" logistics solutions to companies. A successful example of outsourcing logistics include companies like Nike using logistics solutions

  9. Naval Aviation Integrated Logistics: Technical users guide version 1. 0

    SciTech Connect

    DeLozier, R.C.; Holder, D.A.

    1987-06-01

    This document summarizes the operational and analytical functions of version 1.0 of the Naval Aviation Integrated Logistic (NAIL) package. NAIL, a logistics management and analysis system, creates standardized reports and performs several categories of statistical operations in support of NAVAIR logistic analytic functions.

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

    PubMed Central

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

    2012-01-01

    Background: Complex Humanitarian Emergencies (CHE) result in rapid degradation of population health and quickly overwhelm indigenous health resources. Numerous governmental, non-governmental, national and international organizations and agencies are involved in the assessment of post-CHE affected populations. To date, there is no entirely quantitative assessment tool conceptualized to measure the public health impact of CHE. Methods: Essential public health parameters in CHE were identified based on the Sphere Project "Minimum Standards", and scoring rubrics were proposed based on the prevailing evidence when applicable. Results: 12 quantitative parameters were identified, representing the four categories of “Minimum Standards for Disaster Response” according to the Sphere Project; health, shelter, food and nutrition, in addition to water and sanitation. The cumulative tool constitutes a quantitative scale, referred to as the Public Health Impact Severity Scale (PHISS), and the score on this scale ranges from a minimum of 0 to a maximum of 100. Conclusion: Quantitative measurement of the public health impact of CHE is germane to accurate assessment, in order to identify the scale and scope of the critical response required for the relief efforts of the affected populations. PHISS is a new conceptual metric tool, proposed to add an objective quantitative dimension to the post-CHE assessment arsenal. PHISS has not yet been validated, and studies are needed with prospective data collection to test its validity, feasibility and reliability. Citation: Bayram JD, Kysia R, Kirsch TD. Disaster Metrics: A Proposed Quantitative Assessment Tool in Complex Humanitarian Emergencies – The Public Health Impact Severity Scale (PHISS). PLOS Currents Disasters. 2012 Aug 21. doi: 10.1371/4f7b4bab0d1a3. PMID:22984643

  11. Community-based assessment of human rights in a complex humanitarian emergency: the Emergency Assistance Teams-Burma and Cyclone Nargis

    PubMed Central

    2010-01-01

    Introduction Cyclone Nargis hit Burma on May 2, 2008, killing over 138,000 and affecting at least 2.4 million people. The Burmese military junta, the State Peace and Development Council (SPDC), initially blocked international aid to storm victims, forcing community-based organizations such as the Emergency Assistance Teams-Burma (EAT) to fill the void, helping with cyclone relief and long-term reconstruction. Recognizing the need for independent monitoring of the human rights situation in cyclone-affected areas, particularly given censorship over storm relief coverage, EAT initiated such documentation efforts. Methods A human rights investigation was conducted to document selected human rights abuses that had initially been reported to volunteers providing relief services in cyclone affected areas. Using participatory research methods and qualitative, semi-structured interviews, EAT volunteers collected 103 testimonies from August 2008 to June 2009; 42 from relief workers and 61 from storm survivors. Results One year after the storm, basic necessities such as food, potable water, and shelter remained insufficient for many, a situation exacerbated by lack of support to help rebuild livelihoods and worsening household debt. This precluded many survivors from being able to access healthcare services, which were inadequate even before Cyclone Nargis. Aid efforts continued to be met with government restrictions and harassment, and relief workers continued to face threats and fear of arrest. Abuses, including land confiscation and misappropriation of aid, were reported during reconstruction, and tight government control over communication and information exchange continued. Conclusions Basic needs of many cyclone survivors in the Irrawaddy Delta remained unmet over a year following Cyclone Nargis. Official impediments to delivery of aid to storm survivors continued, including human rights abrogations experienced by civilians during reconstruction efforts. Such issues

  12. Preliminary analysis of an integrated logistics system for OSSA payloads. Volume 2: OSSA integrated logistics support strategy

    NASA Technical Reports Server (NTRS)

    Palguta, T.; Bradley, W.; Stockton, T.

    1988-01-01

    The purpose is to outline an Office of Space Science and Applications (OSSA) integrated logistics support strategy that will ensure effective logistics support of OSSA payloads at an affordable life-cycle cost. Program objectives, organizational relationships, and implementation of the logistics strategy are discussed.

  13. Is decentralization good for logistics systems? Evidence on essential medicine logistics in Ghana and Guatemala.

    PubMed

    Bossert, Thomas J; Bowser, Diana M; Amenyah, Johnnie K

    2007-03-01

    Efficient logistics systems move essential medicines down the supply chain to the service delivery point, and then to the end user. Experts on logistics systems tend to see the supply chain as requiring centralized control to be most effective. However, many health reforms have involved decentralization, which experts fear has disrupted the supply chain and made systems less effective. There is no consensus on an appropriate methodology for assessing the effectiveness of decentralization in general, and only a few studies have attempted to address decentralization of logistics systems. This paper sets out a framework and methodology of a pioneering exploratory study that examines the experiences of decentralization in two countries, Guatemala and Ghana, and presents suggestive results of how decentralization affected the performance of their logistics systems. The analytical approach assessed decentralization using the principal author's 'decision space' approach, which defines decentralization as the degree of choice that local officials have over different health system functions. In this case the approach focused on 15 different logistics functions and measured the relationship between the degree of choice and indicators of performance for each of the functions. The results of both studies indicate that less choice (i.e. more centralized) was associated with better performance for two key functions (inventory control and information systems), while more choice (i.e. more decentralized) over planning and budgeting was associated with better performance. With different systems of procurement in Ghana and Guatemala, we found that a system with some elements of procurement that are centralized (selection of firms and prices fixed by national tender) was positively related in Guatemala but negatively related in Ghana, where a system of 'cash and carry' cost recovery allowed more local choice. The authors conclude that logistics systems can be effectively

  14. Space Shuttle Orbiter logistics - Managing in a dynamic environment

    NASA Technical Reports Server (NTRS)

    Renfroe, Michael B.; Bradshaw, Kimberly

    1990-01-01

    The importance and methods of monitoring logistics vital signs, logistics data sources and acquisition, and converting data into useful management information are presented. With the launch and landing site for the Shuttle Orbiter project at the Kennedy Space Center now totally responsible for its own supportability posture, it is imperative that logistics resource requirements and management be continually monitored and reassessed. Detailed graphs and data concerning various aspects of logistics activities including objectives, inventory operating levels, customer environment, and data sources are provided. Finally, some lessons learned from the Shuttle Orbiter project and logistics options which should be considered by other space programs are discussed.

  15. Risk assessment of logistics outsourcing based on BP neural network

    NASA Astrophysics Data System (ADS)

    Liu, Xiaofeng; Tian, Zi-you

    The purpose of this article is to evaluate the risk of the enterprises logistics outsourcing. To get this goal, the paper first analysed he main risks existing in the logistics outsourcing, and then set up a risk evaluation index system of the logistics outsourcing; second applied BP neural network into the logistics outsourcing risk evaluation and used MATLAB to the simulation. It proved that the network error is small and has strong practicability. And this method can be used by enterprises to evaluate the risks of logistics outsourcing.

  16. Infrastructure, logistics and regulation of transplantation: UNOS.

    PubMed

    Heimbach, Julie K

    2013-12-01

    Organ transplantation has evolved into the standard of care for patients with end-stage organ failure. Despite considering increasingly complex transplant recipients for organs recovered from donors with increasing comorbid conditions, 1-year patient survival following kidney transplantation is 97% in the United States, whereas liver transplant recipient 1-year survival is 90%. There were 16,485 kidney recipients in the United States in 2012, and 6256 patients who underwent liver transplantation. The intent of this review is to highlight the logistics required for transplantation as well as reviewing the current oversight of transplantation.

  17. Aerial Robotic System for Transportation and Logistics

    NASA Astrophysics Data System (ADS)

    Iwata, Kakuya; Hashimoto, Naohisa; Komoriya, Kiyoshi

    The status quo of a research on a novel aerial robotic system for transportation and logistics is presented. Under a new concept for an aerial robotic transportation system, three-Dimensional Transportation Robots (3DTR) were constructed with twin turbojet engines equipped by high performance noise reduction system and a flexibly jointed delta wing controlled by 2-axis actuators. This vehicle is also stable in the air due to its pendulum structure. The first flight was successfully conducted on November 22, 2005. Flight examination of 3DTR indicates its short take-off and landing (STOL) capability.

  18. Signal Life in the Logistics Lane

    DTIC Science & Technology

    2011-01-01

    Signal life in the logistics lane By CW2 Juan M. Dorado and CW2 James E.A. Richards Every Signal Soldier should have an understanding of the...or system design phases (Pre-Milestone A). CW2 Juan M. Dorado has been assigned to the 125th Brigade Support Battalion, 3rd Infantry Brigade Combat...Division in Iraq in 2008. Before being appointed as a War- rant Officer in 2007, Mr. Dorado held the MOS of 25B. He is currently enrolled in the

  19. Logistic map analysis of biomolecular network evolution

    NASA Astrophysics Data System (ADS)

    Stein, R. R.; Isambert, H.

    2011-11-01

    We study the expansion of biomolecular networks from the view point of first evolutionary principles based on the duplication and divergence of ancestral genes. The expansion of gene families and subnetworks is analyzed in terms of logistic map compositions, which capture the varying functional constraints of individual genes in the course of evolution. Using a mean-field approach, we then demonstrate the existence of spontaneous growth-rate variations between gene families and discuss the relevance of such heterogeneous expansions for the emergent properties of actual biomolecular networks.

  20. Analysis of Logistics in Support of a Human Lunar Outpost

    NASA Technical Reports Server (NTRS)

    Cirillo, William; Earle, Kevin; Goodliff, Kandyce; Reeves, j. D.; Andrashko, Mark; Merrill, R. Gabe; Stromgren, Chel

    2008-01-01

    Strategic level analysis of the integrated behavior of lunar transportation system and lunar surface system architecture options is performed to inform NASA Constellation Program senior management on the benefit, viability, affordability, and robustness of system design choices. This paper presents an overview of the approach used to perform the campaign (strategic) analysis, with an emphasis on the logistics modeling and the impacts of logistics resupply on campaign behavior. An overview of deterministic and probabilistic analysis approaches is provided, with a discussion of the importance of each approach to understanding the integrated system behavior. The logistics required to support lunar surface habitation are analyzed from both 'macro-logistics' and 'micro-logistics' perspectives, where macro-logistics focuses on the delivery of goods to a destination and micro-logistics focuses on local handling of re-supply goods at a destination. An example campaign is provided to tie the theories of campaign analysis to results generation capabilities.

  1. Logistics of Guinea worm disease eradication in South Sudan.

    PubMed

    Jones, Alexander H; Becknell, Steven; Withers, P Craig; Ruiz-Tiben, Ernesto; Hopkins, Donald R; Stobbelaar, David; Makoy, Samuel Yibi

    2014-03-01

    From 2006 to 2012, the South Sudan Guinea Worm Eradication Program reduced new Guinea worm disease (dracunculiasis) cases by over 90%, despite substantial programmatic challenges. Program logistics have played a key role in program achievements to date. The program uses disease surveillance and program performance data and integrated technical-logistical staffing to maintain flexible and effective logistical support for active community-based surveillance and intervention delivery in thousands of remote communities. Lessons learned from logistical design and management can resonate across similar complex surveillance and public health intervention delivery programs, such as mass drug administration for the control of neglected tropical diseases and other disease eradication programs. Logistical challenges in various public health scenarios and the pivotal contribution of logistics to Guinea worm case reductions in South Sudan underscore the need for additional inquiry into the role of logistics in public health programming in low-income countries.

  2. Logistics of Guinea Worm Disease Eradication in South Sudan

    PubMed Central

    Jones, Alexander H.; Becknell, Steven; Withers, P. Craig; Ruiz-Tiben, Ernesto; Hopkins, Donald R.; Stobbelaar, David; Makoy, Samuel Yibi

    2014-01-01

    From 2006 to 2012, the South Sudan Guinea Worm Eradication Program reduced new Guinea worm disease (dracunculiasis) cases by over 90%, despite substantial programmatic challenges. Program logistics have played a key role in program achievements to date. The program uses disease surveillance and program performance data and integrated technical–logistical staffing to maintain flexible and effective logistical support for active community-based surveillance and intervention delivery in thousands of remote communities. Lessons learned from logistical design and management can resonate across similar complex surveillance and public health intervention delivery programs, such as mass drug administration for the control of neglected tropical diseases and other disease eradication programs. Logistical challenges in various public health scenarios and the pivotal contribution of logistics to Guinea worm case reductions in South Sudan underscore the need for additional inquiry into the role of logistics in public health programming in low-income countries. PMID:24445199

  3. Regional Logistics Information Resources Integration Patterns and Countermeasures

    NASA Astrophysics Data System (ADS)

    Wu, Hui; Shangguan, Xu-ming

    Effective integration of regional logistics information resources can provide collaborative services in information flow, business flow and logistics for regional logistics enterprises, which also can reduce operating costs and improve market responsiveness. First, this paper analyzes the realistic significance on the integration of regional logistics information. Second, this paper brings forward three feasible patterns on the integration of regional logistics information resources, These three models have their own strengths and the scope of application and implementation, which model is selected will depend on the specific business and the regional distribution of enterprises. Last, this paper discusses the related countermeasures on the integration of regional logistics information resources, because the integration of regional logistics information is a systems engineering, when the integration is advancing, the countermeasures should pay close attention to the current needs and long-term development of regional enterprises.

  4. Supporting Regularized Logistic Regression Privately and Efficiently.

    PubMed

    Li, Wenfa; Liu, Hongzhe; Yang, Peng; Xie, Wei

    2016-01-01

    As one of the most popular statistical and machine learning models, logistic regression with regularization has found wide adoption in biomedicine, social sciences, information technology, and so on. These domains often involve data of human subjects that are contingent upon strict privacy regulations. Concerns over data privacy make it increasingly difficult to coordinate and conduct large-scale collaborative studies, which typically rely on cross-institution data sharing and joint analysis. Our work here focuses on safeguarding regularized logistic regression, a widely-used statistical model while at the same time has not been investigated from a data security and privacy perspective. We consider a common use scenario of multi-institution collaborative studies, such as in the form of research consortia or networks as widely seen in genetics, epidemiology, social sciences, etc. To make our privacy-enhancing solution practical, we demonstrate a non-conventional and computationally efficient method leveraging distributing computing and strong cryptography to provide comprehensive protection over individual-level and summary data. Extensive empirical evaluations on several studies validate the privacy guarantee, efficiency and scalability of our proposal. We also discuss the practical implications of our solution for large-scale studies and applications from various disciplines, including genetic and biomedical studies, smart grid, network analysis, etc.

  5. Electronically-implemented coupled logistic maps

    NASA Astrophysics Data System (ADS)

    L'Her, Alexandre; Amil, Pablo; Rubido, Nicolás; Marti, Arturo C.; Cabeza, Cecilia

    2016-03-01

    The logistic map is a paradigmatic dynamical system originally conceived to model the discrete-time demographic growth of a population, which shockingly, shows that discrete chaos can emerge from trivial low-dimensional non-linear dynamics. In this work, we design and characterize a simple, low-cost, easy-to-handle, electronic implementation of the logistic map. In particular, our implementation allows for straightforward circuit-modifications to behave as different one-dimensional discrete-time systems. Also, we design a coupling block in order to address the behavior of two coupled maps, although, our design is unrestricted to the discrete-time system implementation and it can be generalized to handle coupling between many dynamical systems, as in a complex system. Our findings show that the isolated and coupled maps' behavior has a remarkable agreement between the experiments and the simulations, even when fine-tuning the parameters with a resolution of ~10-3. We support these conclusions by comparing the Lyapunov exponents, periodicity of the orbits, and phase portraits of the numerical and experimental data for a wide range of coupling strengths and map's parameters.

  6. Supporting Regularized Logistic Regression Privately and Efficiently

    PubMed Central

    Li, Wenfa; Liu, Hongzhe; Yang, Peng; Xie, Wei

    2016-01-01

    As one of the most popular statistical and machine learning models, logistic regression with regularization has found wide adoption in biomedicine, social sciences, information technology, and so on. These domains often involve data of human subjects that are contingent upon strict privacy regulations. Concerns over data privacy make it increasingly difficult to coordinate and conduct large-scale collaborative studies, which typically rely on cross-institution data sharing and joint analysis. Our work here focuses on safeguarding regularized logistic regression, a widely-used statistical model while at the same time has not been investigated from a data security and privacy perspective. We consider a common use scenario of multi-institution collaborative studies, such as in the form of research consortia or networks as widely seen in genetics, epidemiology, social sciences, etc. To make our privacy-enhancing solution practical, we demonstrate a non-conventional and computationally efficient method leveraging distributing computing and strong cryptography to provide comprehensive protection over individual-level and summary data. Extensive empirical evaluations on several studies validate the privacy guarantee, efficiency and scalability of our proposal. We also discuss the practical implications of our solution for large-scale studies and applications from various disciplines, including genetic and biomedical studies, smart grid, network analysis, etc. PMID:27271738

  7. Defense Logistics Information System (DLIS). Volume 17. Fed Log Federal Logistics Data On Compact Disc

    DTIC Science & Technology

    1993-01-01

    Defense Logistics Information System (DLIS) and contains technical and administrative information and samples for selected transactions concerning FED...J I of 9 tene Cooqpny Nme: PUTT AND WHITNEY CANADA INC Address: 1000 UARIE-VICTORIN BLVD LONGUEUIL NUE CAN J4G IA1 Zip Code: Telephone: 514-662-8333

  8. Safety of immunization injections in Africa: not simply a problem of logistics.

    PubMed

    Dicko, M; Oni, A Q; Ganivet, S; Kone, S; Pierre, L; Jacquet, B

    2000-01-01

    In 1995, the WHO Regional Office for Africa launched a logistics project to address the four main areas of immunization logistics: the cold chain, transport, vaccine supply and quality, and the safety of injections in the countries of the region. The impact of this logistic approach on immunization injection safety was evaluated through surveys of injection procedures and an analysis of the injection materials (e.g. sterilizable or disposable syringes) chosen by the Expanded Programme on Immunization (EPI) and those actually seen to be used. Re-use of injection materials without sterilization, accidental needle-stick injuries among health care workers, and injection-related abscesses in patients were common in countries in the WHO African Region. Few health centres used time-steam saturation-temperature (TST) indicators to check the quality of sterilization and, in many centres, the injection equipment was boiled instead of being steam sterilized. Facilities for the proper disposal of used materials were rarely present. Although the official EPI choice was to use sterilizable equipment, use of a combination of sterilizable and disposable equipment was observed in the field. Unsafe injection practices in these countries were generally due to a failure to integrate nursing practices and public awareness with injection safety issues, and an absence of the influence of EPI managers on health care service delivery. Holistic rather than logistic approaches should be adopted to achieve safe injections in immunization, in the broader context of promoting safe vaccines and safety of all injections.

  9. Safety of immunization injections in Africa: not simply a problem of logistics.

    PubMed Central

    Dicko, M.; Oni, A. Q.; Ganivet, S.; Kone, S.; Pierre, L.; Jacquet, B.

    2000-01-01

    In 1995, the WHO Regional Office for Africa launched a logistics project to address the four main areas of immunization logistics: the cold chain, transport, vaccine supply and quality, and the safety of injections in the countries of the region. The impact of this logistic approach on immunization injection safety was evaluated through surveys of injection procedures and an analysis of the injection materials (e.g. sterilizable or disposable syringes) chosen by the Expanded Programme on Immunization (EPI) and those actually seen to be used. Re-use of injection materials without sterilization, accidental needle-stick injuries among health care workers, and injection-related abscesses in patients were common in countries in the WHO African Region. Few health centres used time-steam saturation-temperature (TST) indicators to check the quality of sterilization and, in many centres, the injection equipment was boiled instead of being steam sterilized. Facilities for the proper disposal of used materials were rarely present. Although the official EPI choice was to use sterilizable equipment, use of a combination of sterilizable and disposable equipment was observed in the field. Unsafe injection practices in these countries were generally due to a failure to integrate nursing practices and public awareness with injection safety issues, and an absence of the influence of EPI managers on health care service delivery. Holistic rather than logistic approaches should be adopted to achieve safe injections in immunization, in the broader context of promoting safe vaccines and safety of all injections. PMID:10743280

  10. Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review

    PubMed Central

    Akl, Elie A.; El-Jardali, Fadi; Bou Karroum, Lama; El-Eid, Jamale; Brax, Hneine; Akik, Chaza; Osman, Mona; Hassan, Ghayda; Itani, Mira; Farha, Aida; Pottie, Kevin; Oliver, Sandy

    2015-01-01

    Background Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services compare in terms of access to health services and health outcomes. Methods We registered a protocol for this review in PROSPERO International prospective register of systematic reviews under number PROSPERO2014:CRD42014009267. Eligible studies included randomized and nonrandomized designs, process evaluations and qualitative methods. We electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and websites of relevant organizations. We followed standard systematic review methodology for the selection, data abstraction, and risk of bias assessment. We assessed the quality of evidence using the GRADE approach. Results Of 14,309 identified citations from databases and organizations' websites, we identified four eligible studies. Two studies used mixed-methods, one used quantitative methods, and one used qualitative methods. The available evidence suggests that information coordination between bodies providing health services in humanitarian crises settings may be effective in improving health systems inputs. There is additional evidence suggesting that management/directive coordination such as the cluster model may improve health system inputs in addition to access to health services. None of the included studies assessed coordination through common representation and framework coordination. The evidence was judged to be of very low quality. Conclusion This systematic review provides evidence of possible effectiveness of information coordination

  11. Development of a comprehensive logistics and warfighting simulation system.

    SciTech Connect

    Hummel, J. R.

    1998-08-12

    An efficient logistics system is critical to the success of military operations. Recently, the Department of Defense (DoD) has begun to move from a ''just in case'' logistics system that relies on large stores of inventoried materials toward a ''just in time'' system based on obtaining and delivering supplies when and where they are needed. For this new logistics concept to operate smoothly and responsively and be highly robust, one must understand the interrelationships between warfighting and logistics, such as the impact of losses of logistics links/nodes and the changing pace of warfighting operations. Two DoD programs, the Distributed Intelligent Agents for Logistics (DIAL) and the Warfighting Logistics Technology and Assessment Environment (WLTAE), are focusing on different aspects of this problem. These programs are being integrated to develop a Comprehensive Logistics and Warfighting System (CLAWS) that can be used to address a variety of different logistics applications in the military arena. In this paper, we describe how CLAWS will be developed, including the development of a generalized Federation Object Model that could be used in a variety of logistics and military operations applications.

  12. 78 FR 37814 - Tesoro Corporation and Tesoro Logistics Operations LLC; Analysis of Proposed Agreement Containing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... Tesoro Corporation and Tesoro Logistics Operations LLC; Analysis of Proposed Agreement Containing Consent... Tesoro Logistics Operations LLC (``Respondents''). On December 6, 2012, Respondents executed related.... Tesoro Logistics Operations LLC Tesoro Logistics Operations LLC, a limited liability company, is a...

  13. Evaluating the co-production of a near real time Earthquake Aftershock forecasting tool for humanitarian risk assessment and emergency planning

    NASA Astrophysics Data System (ADS)

    Quinn, Keira; Hope, Max; McCloskey, John; NicBhloscaidh, Mairead; Jimenez, Abigail; Dunlop, Paul

    2015-04-01

    Concern Worldwide and the University of Ulster Geophysics Research Group are engaged in a project to co-produce a suite of software and mapping tools to assess aftershock hazard in near real-time during the emergency response phase of earthquake disaster, and inform humanitarian emergency planning and response activities. This paper uses a social learning approach to evaluate this co-production process. Following Wenger (1999) we differentiate between the earthquake science and humanitarian communities of practice (CoP) along three dimensions: enterprise (the purpose of CoPs and the problems participants are working to address), repertoire (knowledge, skills, language), and identity (values and boundaries). We examine the effectiveness of learning between CoP, focusing on boundary work and objects, and various organisational structures and aspects of the wider political economy of learning that enable and hinder the co-production process. We conclude by identifying a number of ways to more effectively integrate earthquake science into humanitarian decision-making, policy development and programme design.

  14. Engaging High School Students as Co-Researchers in Qualitative Research: Logistical, Methodological and Ethical Issues.

    ERIC Educational Resources Information Center

    Miller, Dana L.; McVea, Kristine L. S. P.; Creswell, John W.; Harter, Lynn; Mickelson, William; McEntarffer, Rob

    This paper explores six phases of a research project designed specifically to engage high school students as co-researchers in a multisite qualitative study exploring perceptions of tobacco use among high school students in four schools. It describes how university researchers collaborated with the high school students and summarizes seven major…

  15. Defense Logistical Support Contracts in Iraq and Afghanistan: Issues for Congress

    DTIC Science & Technology

    2010-04-28

    LOGCAP contract (LOGCAP III) was awarded in 2001 to Halliburton /KBR.32 LOGCAP III, a 10-year contract (one base year followed by nine option years), was...awarded to Halliburton /KBR to perform a variety of tasks. Initial press reports indicated that the 2001 LOGCAP III contract would be for the...billion. According to one press account, Halliburton /KBR reportedly earned a fixed 1% profit above costs on LOGCAP III, with the possibility of an

  16. Defense Logistical Support Contracts in Iraq and Afghanistan: Issues for Congress

    DTIC Science & Technology

    2010-09-20

    LOGCAP contract (LOGCAP III) was awarded in 2001 to Halliburton /KBR.32 LOGCAP III, a 10-year contract (one base year followed by nine option years...was awarded to Halliburton /KBR to perform a variety of tasks. Initial press reports indicated that the 2001 LOGCAP III contract would be for the...billion. According to one press account, Halliburton /KBR reportedly earned a fixed 1% profit above costs on LOGCAP III, with the possibility of an

  17. Space station synergetic RAM-logistics analysis

    NASA Technical Reports Server (NTRS)

    Dejulio, Edmund T.; Leet, Joel H.

    1988-01-01

    NASA's Space Station Maintenance Planning and Analysis (MP&A) Study is a step in the overall Space Station Program to define optimum approaches for on-orbit maintenance planning and logistics support. The approach used in the MP&A study and the analysis process used are presented. Emphasis is on maintenance activities and processes that can be accomplished on orbit within the known design and support constraints of the Space Station. From these analyses, recommendations for maintainability/maintenance requirements are established. The ultimate goal of the study is to reduce on-orbit maintenance requirements to a practical and safe minimum, thereby conserving crew time for productive endeavors. The reliability, availability, and maintainability (RAM) and operations performance evaluation models used were assembled and developed as part of the MP&A study and are described. A representative space station system design is presented to illustrate the analysis process.

  18. [Logistic regression against a divergent Bayesian network].

    PubMed

    Sánchez Trujillo, Noel Antonio

    2015-02-03

    This article is a discussion about two statistical tools used for prediction and causality assessment: logistic regression and Bayesian networks. Using data of a simulated example from a study assessing factors that might predict pulmonary emphysema (where fingertip pigmentation and smoking are considered); we posed the following questions. Is pigmentation a confounding, causal or predictive factor? Is there perhaps another factor, like smoking, that confounds? Is there a synergy between pigmentation and smoking? The results, in terms of prediction, are similar with the two techniques; regarding causation, differences arise. We conclude that, in decision-making, the sum of both: a statistical tool, used with common sense, and previous evidence, taking years or even centuries to develop; is better than the automatic and exclusive use of statistical resources.

  19. Green Packaging Management of Logistics Enterprises

    NASA Astrophysics Data System (ADS)

    Zhang, Guirong; Zhao, Zongjian

    From the connotation of green logistics management, we discuss the principles of green packaging, and from the two levels of government and enterprises, we put forward a specific management strategy. The management of green packaging can be directly and indirectly promoted by laws, regulations, taxation, institutional and other measures. The government can also promote new investment to the development of green packaging materials, and establish specialized institutions to identify new packaging materials, standardization of packaging must also be accomplished through the power of the government. Business units of large scale through the packaging and container-based to reduce the use of packaging materials, develop and use green packaging materials and easy recycling packaging materials for proper packaging.

  20. Coexisting attractors in periodically modulated logistic maps.

    PubMed

    Singh, Thounaojam Umeshkanta; Nandi, Amitabha; Ramaswamy, Ram

    2008-06-01

    We consider the logistic map wherein the nonlinearity parameter is periodically modulated. For low periods, there is multistability, namely two or more distinct dynamical attractors coexist. The case of period 2 is treated in detail, and it is shown how an extension of the kneading theory for one-dimensional maps can be applied in order to analyze the origin of bistability, and to demarcate the principal regions of bistability in the phase space. When the period of the modulation is increased-and here we choose periods which are the Fibonacci numbers-the measure of multistable regions decreases. The limit of quasiperiodic driving is approached in two different ways, by increasing the period and keeping the drive dichotomous, or by increasing the period and varying the modulation sinusoidally. In the former case, we find that multistability persists in small regions of the phase space, while in the latter, there is no evidence of multistability but strange nonchaotic attractors are created.

  1. Applying the OTV to lunar logistics

    NASA Technical Reports Server (NTRS)

    Willcockson, W. H.

    1988-01-01

    The Orbit Transfer Vehicle (OTV), representing the next generation of upper stages, has recently been studied in a Phase A concept definition study managed by NASA's Marshall Space Flight Center. The vehicle has been previously defined as strictly an orbit-to-orbit type transfer device. Recently its application to the task of lunar surface logistics was investigated. Transfer options to the surface were considered which included direct transfer, and transfer via lunar orbit as well as the L1 libration point. The subsystem modifications required to enable lunar landings were established for the following elements: aerobrake, main propulsion system, landing legs, primary structure, and avionics. It is concluded that the majority of the basic systems required for efficient transfer to the lunar surface are already contained in the OTV.

  2. Stochastic dynamics and logistic population growth

    NASA Astrophysics Data System (ADS)

    Méndez, Vicenç; Assaf, Michael; Campos, Daniel; Horsthemke, Werner

    2015-06-01

    The Verhulst model is probably the best known macroscopic rate equation in population ecology. It depends on two parameters, the intrinsic growth rate and the carrying capacity. These parameters can be estimated for different populations and are related to the reproductive fitness and the competition for limited resources, respectively. We investigate analytically and numerically the simplest possible microscopic scenarios that give rise to the logistic equation in the deterministic mean-field limit. We provide a definition of the two parameters of the Verhulst equation in terms of microscopic parameters. In addition, we derive the conditions for extinction or persistence of the population by employing either the momentum-space spectral theory or the real-space Wentzel-Kramers-Brillouin approximation to determine the probability distribution function and the mean time to extinction of the population. Our analytical results agree well with numerical simulations.

  3. Stochastic dynamics and logistic population growth.

    PubMed

    Méndez, Vicenç; Assaf, Michael; Campos, Daniel; Horsthemke, Werner

    2015-06-01

    The Verhulst model is probably the best known macroscopic rate equation in population ecology. It depends on two parameters, the intrinsic growth rate and the carrying capacity. These parameters can be estimated for different populations and are related to the reproductive fitness and the competition for limited resources, respectively. We investigate analytically and numerically the simplest possible microscopic scenarios that give rise to the logistic equation in the deterministic mean-field limit. We provide a definition of the two parameters of the Verhulst equation in terms of microscopic parameters. In addition, we derive the conditions for extinction or persistence of the population by employing either the momentum-space spectral theory or the real-space Wentzel-Kramers-Brillouin approximation to determine the probability distribution function and the mean time to extinction of the population. Our analytical results agree well with numerical simulations.

  4. Visions for Space Exploration: ILS Issues and Approaches

    NASA Technical Reports Server (NTRS)

    Watson, Kevin

    2005-01-01

    This viewgraph presentation reviews some of the logistic issues that the Vision for Space Exploration will entail. There is a review of the vision and the timeline for the return to the moon that will lead to the first human exploration of Mars. The lessons learned from the International Space Station (ISS) and other such missions are also reviewed.

  5. Space Station Evolution Logistics Lunar/Mars Initiative Case

    NASA Technical Reports Server (NTRS)

    Tucker, Michael; Thrasher, David; Davidson, Gordon

    1990-01-01

    The purpose of this study is to examine the potential logistics requirements for Space Station Freedom growth/evolution, and to provide definition of logistics systems for such growth/evolution. Logistics requirements and logistics system elements for the initial Space Station were used as a starting point. In the early part of the study, a small portion of the effort was used to characterize a spectrum of potential SSF growth/evolution possibilities, with the intent of assessing logistics requirements for a few selected SSF concepts. The data characterizing these concepts is included herein. An evolution concept of an R &D SSF & a Lunar/Mars Expedition (data from on-going related studies) began to emerge as a 'reference' concept, so the logistics study effort was shifted to focus on this concept.

  6. Weirton Steel Corporation logistics and integrated scheduling. Final report

    SciTech Connect

    Guzzetta, M.B.

    1996-06-01

    In order to remain competitive in the changing steel market, US steel producers restructured by taking on foreign and domestic partners, closing facilities and/or trimming work forces, and modernizing their steel making facilities. However, very little was done to develop production management technology to complement these changes. The Logistics and Integrated Scheduling program (LIS) was undertaken to address this issue. LIS is an information management system that delivers better customer service, better quality materials, and a just-in-time delivery system. It involves three major components: (1) material marking and sensing: advanced R&D applied to determining cost effective, feasible solutions to passive inventory; (2) material inventory and tracking: advanced technology applied to managing inventory movement; (3) planning and scheduling: beginning with annual production plans, order management, and operational constraints, the ability to build integrated schedules capable of pull through and push through scheduling for various plant capability levels and location configurations with rapid turnaround capability. LIS provides accurate, automated tracking of material flows throughout the mill, the collection and analysis of production data, and automated schedule optimization.

  7. Explaining Humanitarian Intervention in Libya and Non-Intervention in Syria

    DTIC Science & Technology

    2012-06-01

    December 2011. Russell Goldman, “Defiant Assad Denies Ordering Bloody Syrian Crackdown.” ABCNews, http://abcnews.go.com/International/bashar-al...Among Nations, New York: Alfred a. Knopf, 1966; Robert Jervis, Perception and Misperception in International Politics, Princeton: Princeton University...Neoconservatism. Middle East Policy, Vol. XI, No. 1, Spring 2004 and Alfred B. Prados, Syria: U.S. Relations and Bilateral Issues, CRS Report for Congress

  8. Transportation system modeling and simulation in support of logistics and operations

    SciTech Connect

    Yoshimura, R.H.; Kjeldgaard, E.A.; Turnquist, M.A.; List, G.F.

    1997-12-01

    Effective management of DOE`s transportation operations requires better data than are currently available, a more integrated management structure for making transportation decisions, and decision support tools to provide needed analysis capabilities. This paper describes a vision of an advanced logistics management system for DOE, and the rationale for developing improved modeling and simulation capability as an integral part of that system. The authors illustrate useful types of models through four examples, addressing issues of transportation package allocation, fleet sizing, routing/scheduling, and emergency responder location. The overall vision for the advanced logistics management system, and the specific examples of potential capabilities, provide the basis for a conclusion that such a system would meet a critical DOE need in the area of radioactive material and waste transportation.

  9. Logistics Reduction and Repurposing Beyond Low Earth Orbit

    NASA Technical Reports Server (NTRS)

    Broyan, James Lee, Jr.; Ewert, Michael K.

    2011-01-01

    All human space missions, regardless of destination, require significant logistical mass and volume that is strongly proportional to mission duration. Anything that can be done to reduce initial mass and volume of supplies or reuse items that have been launched will be very valuable. Often, the logistical items require disposal and represent a trash burden. Utilizing systems engineering to analyze logistics from cradle-to-grave and then to potential reuse, can minimize logistics contributions to total mission architecture mass. In NASA's Advanced Exploration Systems Logistics Reduction and Repurposing Project , various tasks will reduce the intrinsic mass of logistical packaging, enable reuse and repurposing of logistical packaging and carriers for other habitation, life support, crew health, and propulsion functions, and reduce or eliminate the nuisances aspects of trash at the same time. Repurposing reduces the trash burden and eliminates the need for hardware whose function can be provided by use of spent logistic items. However, these reuse functions need to be identified and built into future logical systems to enable them to effectively have a secondary function. These technologies and innovations will help future logistic systems to support multiple exploration missions much more efficiently.

  10. Space Station logistics policy - Risk management from the top down

    NASA Technical Reports Server (NTRS)

    Paules, Granville; Graham, James L., Jr.

    1990-01-01

    Considerations are presented in the area of risk management specifically relating to logistics and system supportability. These considerations form a basis for confident application of concurrent engineering principles to a development program, aiming at simultaneous consideration of support and logistics requirements within the engineering process as the system concept and designs develop. It is shown that, by applying such a process, the chances of minimizing program logistics and supportability risk in the long term can be improved. The problem of analyzing and minimizing integrated logistics risk for the Space Station Freedom Program is discussed.

  11. The life cycle cost of integrated logistic support

    NASA Astrophysics Data System (ADS)

    Florio, U. G.

    Scheduling of preventive maintenance within the general context of the life cycle cost of integrated logistic support is discussed. The principal categories of support cost are considered and a procedure of optimizing the total cost for the evaluation of a fundamental logistic parameters is developed using Markov models. The Markov approach allows the examination of the functional relationships between system reliability, maintenance policies and the costs of integrated logistic support. The life cycle cost of the logistic support is optimized, and the results permit a correct cost/efficiency scaling of the support.

  12. Use of Ubiquitous Technologies in Military Logistic System in Iran

    NASA Astrophysics Data System (ADS)

    Jafari, P.; Sadeghi-Niaraki, A.

    2013-09-01

    This study is about integration and evaluation of RFID and ubiquitous technologies in military logistic system management. Firstly, supply chain management and the necessity of a revolution in logistic systems especially in military area, are explained. Secondly RFID and ubiquitous technologies and the advantages of their use in supply chain management are introduced. Lastly a system based on these technologies for controlling and increasing the speed and accuracy in military logistic system in Iran with its unique properties, is presented. The system is based on full control of military logistics (supplies) from the time of deployment to replenishment using sensor network, ubiquitous and RFID technologies.

  13. Federal Logistics Information Systems. FLIS Procedures Manual. Document Identifier Code Input/Output Formats (Variable Length). Volume 9.

    DTIC Science & Technology

    2007-11-02

    49017-3084 CH I CHANGE NO. 1 DoD 4100.39-M DoD 4100.39-M Volume 9 V DLSC- VPH 1 July 1997 _-’ FEDERAL LOGISTICS INFORMATION SYSTEM (FLIS) PROCEDURES...47 3053 UNIT OF ISSUE CONVERSION FACTOR 0005N H 02 QS 8472 FORMER UNIT OF ISSUE 0002A H 89 0211 OCCURS COUNTER/li/ 0001N H GV 2862 PHRASE CODE...16 0707 MANAGEMENT CONTROL DATA, COAST GUARD 0007X H 16 0443 EXPANSION FIELD 1 0001X H 47 3053 UNIT OF ISSUE CONVERSION FACTOR 0005N H 02 0S 8472

  14. Building Combat Strength through Logistics: Translating the New Air Force Logistics Concept of Operations into Action

    DTIC Science & Technology

    1988-03-31

    and external changes to the logistics environment. Wilder, Lim- exlStlflig luglstA LS CUL~ pL uro perOlu(v’it n itut-ma1 • ll , n ly nL ot in•1e are...GEN CAMPBELL USA: E/LG BRIG GEN BRACKEN AFLC/XR Up I WORKING- ...--- WORKING GROUP GROUP Fig 9. Air Force CLOUT Steerinj Group Structure. Within that

  15. [Post-traumatic stress disorder symptoms among professionals during humanitarian aid in Haiti after the earthquake in 2010].

    PubMed

    Guimaro, Melissa Simon; Caiuby, Andrea Vannini Santesso; dos Santos, Oscar Fernando Pavão; Lacerda, Shirley Silva; Andreoli, Sergio Baxter

    2013-11-01

    The scope of this article is to screen the symptoms of Post-Traumatic Stress Disorder (PTSD) among the professionals who provided humanitarian aid for the Haitian population after the 2010 earthquake. It involvess a cross-sectional study. The Impact of Event Scale - Revised (IES-R) was used for screening symptoms of PTSD. The participants included 32 Brazilians (mean age = 37.58 +/-7.01), 22 Americans (mean age =33.67 +/-8.03) and 12 Ecuadorians (mean age = 44.80 +/- 15.88). The professionals did not have PTSD symptoms. The relationship between prior experience variables in disaster situations and the total score of the IES-R (F (2) = 4.34, p = 0.017), as well as prior experience in disaster situations and the intrusion subscale (F (2) = 3.94, p = 0.024) were significant in linear regression models. The number of prior experiences was revealed as a significant predictor for the total score of IES (p < 0.05). The results showed that current experiences can be exacerbated by memories of prior experiences, increasing the likelihood of developing PTSD. Therefore the mental health care of the professionals should foster the early identification of prior experience risk factors, thereby not permitting voluntary initiative to transcend selective criteria and specific care.

  16. Using Airborne Remote Sensing to Increase Situational Awareness in Civil Protection and Humanitarian Relief - the Importance of User Involvement

    NASA Astrophysics Data System (ADS)

    Römer, H.; Kiefl, R.; Henkel, F.; Wenxi, C.; Nippold, R.; Kurz, F.; Kippnich, U.

    2016-06-01

    Enhancing situational awareness in real-time (RT) civil protection and emergency response scenarios requires the development of comprehensive monitoring concepts combining classical remote sensing disciplines with geospatial information science. In the VABENE++ project of the German Aerospace Center (DLR) monitoring tools are being developed by which innovative data acquisition approaches are combined with information extraction as well as the generation and dissemination of information products to a specific user. DLR's 3K and 4k camera system which allow for a RT acquisition and pre-processing of high resolution aerial imagery are applied in two application examples conducted with end users: a civil protection exercise with humanitarian relief organisations and a large open-air music festival in cooperation with a festival organising company. This study discusses how airborne remote sensing can significantly contribute to both, situational assessment and awareness, focussing on the downstream processes required for extracting information from imagery and for visualising and disseminating imagery in combination with other geospatial information. Valuable user feedback and impetus for further developments has been obtained from both applications, referring to innovations in thematic image analysis (supporting festival site management) and product dissemination (editable web services). Thus, this study emphasises the important role of user involvement in application-related research, i.e. by aligning it closer to user's requirements.

  17. Faith-based aid, globalisation and the humanitarian frontline: an analysis of Western-based Muslim aid organisations.

    PubMed

    De Cordier, Bruno

    2009-10-01

    This paper focuses on the emergence and modus operandi of Muslim faith-based aid organisations from the West, particularly those from the United Kingdom. Through case studies of Islamic Relief Worldwide and Muslim Hands, it examines the actual and potential added value generated by these humanitarian players in Muslim-majority contexts at times when aid actors from or associated with the West are being perceived by some as instrumental to the political agendas of Western powers, or are being confronted with the consequences thereof. The study analyses Muslim faith-based aid organisations' transnational networks, their implementing partnerships with local faith-based non-governmental organisations (NGOs), and their security position within and their access to insecure contexts, drawing on field examples and opinion from Central Asia, Iraq and Pakistan. It thereby argues that there is ground for an expansion of the role of Muslim aid actors, because of the existence of social and political realities in the field that cannot be always effectively tackled by the dominant international development approaches.

  18. Logistics as a Competitive Warfighting Advantage

    DTIC Science & Technology

    2016-10-20

    maintenance and supply issues continue to impact the Services’ ability to budget and manage DWCF workload which increases carryover – Timing – Defining...industry developments, and legislation – Speak with industry practitioners and academic experts to better understand outside recommendations for...to achieve results Refinements to the performance management system 6 Tight control over overhead personnel Continuous evaluation and

  19. Nowcasting sunshine number using logistic modeling

    NASA Astrophysics Data System (ADS)

    Brabec, Marek; Badescu, Viorel; Paulescu, Marius

    2013-04-01

    In this paper, we present a formalized approach to statistical modeling of the sunshine number, binary indicator of whether the Sun is covered by clouds introduced previously by Badescu (Theor Appl Climatol 72:127-136, 2002). Our statistical approach is based on Markov chain and logistic regression and yields fully specified probability models that are relatively easily identified (and their unknown parameters estimated) from a set of empirical data (observed sunshine number and sunshine stability number series). We discuss general structure of the model and its advantages, demonstrate its performance on real data and compare its results to classical ARIMA approach as to a competitor. Since the model parameters have clear interpretation, we also illustrate how, e.g., their inter-seasonal stability can be tested. We conclude with an outlook to future developments oriented to construction of models allowing for practically desirable smooth transition between data observed with different frequencies and with a short discussion of technical problems that such a goal brings.

  20. Source Recertification, Refurbishment, and Transfer Logistics

    SciTech Connect

    Gastelum, Zoe N.; Duckworth, Leesa L.; Greenfield, Bryce A.; Doll, Stephanie R.

    2013-09-01

    The 2012 Gap Analysis of Department of Energy Radiological Sealed Sources, Standards, and Materials for Safeguards Technology Development [1] report, and the subsequent Reconciliation of Source Needs and Surpluses across the U.S. Department of Energy National Laboratory Complex [2] report, resulted in the identification of 33 requests for nuclear or radiological sealed sources for which there was potentially available, suitable material from within the U.S. Department of Energy (DOE) complex to fill the source need. Available, suitable material was defined by DOE laboratories as material slated for excess, or that required recertification or refurbishment before being used for safeguards technology development. This report begins by outlining the logistical considerations required for the shipment of nuclear and radiological materials between DOE laboratories. Then, because of the limited need for transfer of matching sources, the report also offers considerations for an alternative approach – the shipment of safeguards equipment between DOE laboratories or technology testing centers. Finally, this report addresses repackaging needs for the two source requests for which there was available, suitable material within the DOE complex.