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1.
Rural Remote Health ; 22(4): 7541, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-2100709

ABSTRACT

In January 2022, as the COVID pandemic reached remote communities in Central Australia, The Northern Territory Health Central Australian Regional Health Service and the Royal Flying Doctor Service (RFDS) executed 'COVID on Country', a program designed to triage cases and to implement treatment and clinical review of individuals in their community without the need to be relocated to larger centres for safe provision of care. The program assessed patient factors and community/capacity factors to triage and enact pathways. Remote living people who qualified for the program or who declined aeromedical retrieval, were provided with comprehensive clinical support, including administration of intravenous sotrovimab by daily scheduled visits to all affected communities by a doctor transported on an RFDS plane. Evaluation of the program demonstrated that it was a safe and effective way to provide complex care in a culturally safe manner.


Subject(s)
COVID-19 , Physicians , Rural Health Services , Humans , Pandemics , Northern Territory
2.
Quality in Higher Education ; JOUR: 1-26,
Article in English | Academic Search Complete | ID: covidwho-2097105

ABSTRACT

This article considers post-pandemic implications for higher education institutions and explores the steps required to continue with online delivery, where desirable. Strategic considerations are outlined and priorities for development analysed to ensure higher education institutions can align, in a post-pandemic future, with quality assurance expectations for online education, especially where they are new to the online environment. An analysis of the Georgian higher education context exhibited highly transferable findings as it identified the specificities of the emergency response, highlighted experiences relevant to the transition phase and recommended criteria and guidelines to support the quality assurance of post-pandemic online education. While the Georgian pandemic experience has been as challenging as in other parts of the world, the fact that the whole sector was legally denied the opportunity to offer online education before COVID-19 makes for interesting analysis and confirms that post-pandemic online higher education development is as much an institutional decision as it is a systemic leap. [ FROM AUTHOR]

3.
Sustainability ; 14(3):1156, 2022.
Article in English | ProQuest Central | ID: covidwho-1680086

ABSTRACT

The distribution of medical supplies tied to the government-owned nonprofit organizations (GNPOs) is crucial to the sustainable and high-quality development of emergency response to public health emergencies. This paper constructs a two-sided GNPO–hospital game model in a Chinese context, and explores the strategies and influencing factors of medical supply distribution in public health emergencies based on evolutionary game theory. The results show that: (1) GNPOs, as the distributor of medical supplies, should choose strategies that balance efficiency and equity as much as possible. (2) Hospitals, as the recipient of medical supplies, should actively choose strategies that maximize the total benefit to society and strengthen trust in GNPOs. Meanwhile, hospital managers need to pay attention to reducing the impact of communication and coordination costs and strive for the reduction of conflicts between different values. (3) The government should strengthen supervision to avoid conflicts between medical distributors and receivers during a public health emergency and ensure the rescue efficiency. This study provides some reference for the sustainable development of emergency relief in public health emergencies.

4.
Int J Environ Res Public Health ; 19(19)2022 Oct 05.
Article in English | MEDLINE | ID: covidwho-2066042

ABSTRACT

The dramatic increase of global extreme events (e.g., natural, technological, and willful hazards) propels social workers to be equipped with emergency response capacity, supporting affected individuals, families, and communities to prepare, respond, and recover from disasters. Although social workers have historically been engaged in emergency response, social work curriculum and professional training remain slow to adapt, jeopardizing their capacity to support the vulnerable and marginalized populations, who have always been disproportionately affected by extreme events. In response to this deficit, this article utilizes a critical reflection approach to examine three social workers' (a senior faculty, a junior faculty, and a social work student) interventions and challenges in their emergency response to persons experiencing homelessness (PEHs) during the first two waves of COVID-19 in Halifax, Nova Scotia, Canada (March 2020 to March 2021). The cross-career-stage reflections and analyses exhibit these three social workers' COVID-19-specific emergency response efforts: a top-down advocacy effort for social development and policy, a bottom-up cognitive effort to comprehend the community's dynamics, and a disaster-driven self-care effort. These three types of effort demonstrate a greater need for social work education and professional training, to develop more disaster-specific components to contribute to building the emergency response capacity of the next generation of social workers through in-classroom pedagogical enhancement and on-site field education training, better supporting PEHs and other vulnerable and marginalized groups living in the diverse context of extreme events in Canada and internationally.


Subject(s)
COVID-19 , Homeless Persons , COVID-19/epidemiology , Curriculum , Humans , Nova Scotia/epidemiology , Social Workers
5.
Interfaces ; 52(5):395, 2022.
Article in English | ProQuest Central | ID: covidwho-2065084

ABSTRACT

The judges for the 2021 Daniel H. Wagner Prize for Excellence in the Practice of Advanced Analytics and Operations Research selected the five finalist papers featured in this special issue of the INFORMS Journal on Applied Analytics. The prestigious Wagner Prize-awarded for achievement in implemented operations research, management science, and advanced analytics-emphasizes the quality and originality of mathematical models along with clarity of written and oral exposition. This year's winning application describes the design and deployment of Eva, the Greek COVID-19 testing system used as Greece was opening up for tourism in 2020. The remaining four papers describe the stochastic modeling and mixed-integer programming system used to optimize the Atlanta police patrol zones for better police balance and reduced response time to emergency calls;Lyft's new priority dispatch system, which solves the ride-sharing productivity paradox whereby increases in efficiency do not benefit the drivers;the application of advanced analytics to assist local and federal law enforcement organizations in their efforts to disrupt sex-trafficking networks;and the development of a new after-sales service concept, which increases chip availability for ASML's customers.

6.
129th ASEE Annual Conference and Exposition: Excellence Through Diversity, ASEE 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2046679

ABSTRACT

In the last years, educational institutions all over the world has faced the need to give continuity to their academic activities while guaranteeing the compliance with health protocols required to control the SARS-COV-2 pandemic. Emergency Remote Teaching (ERT), has been the solution adopted by many institutions, changing the traditional classes to a synchronous videoconference scheme with the support of online learning platforms. While ERT has been implemented as a temporary solution, from their application institutions can obtain valuable information about how to advance the digital transformation of the teaching and learning process after the pandemic ends. Some studies have found an increase in academic achievement in emergency remote teaching, partly explained by the combination of synchronous interaction with teachers and peers on videoconferences and chat rooms, and the benefits of asynchronous access to course materials that give the students the freedom to choose when to interact with the course material. Those findings suggests that further exploration of the benefits of this modality is needed. The evaluation of ERT characteristics and their comparison with traditional and blended models, may reveal insights about successful practices that can contribute to improve the learning experience and academic achievement of the students. In this study, we assess the learning experience of a sample of students from a first-year introductory programming course delivered using ERT modality using a validated learning experience instrument and analyze the data using factorial analysis to evaluate differences and similitudes on learning experience, academic achievement, and influence on first year student retention with similar courses delivered using other modalities. © American Society for Engineering Education, 2022.

7.
Drug Safety ; 45(10):1299, 2022.
Article in English | ProQuest Central | ID: covidwho-2046350

ABSTRACT

Introduction: By using pharmacist monitors, active pharmacovigilance projects make possible to detect many adverse drugs and vaccines reactions (ADRs) that otherwise would go unreported and to improve the quality of the reports entered in the Italian National Pharmacovigilance Network [1]. In our healthcare facility, the pharmacist was responsible for catalysing the process of reporting suspected ADRs by doctors and healthcare workers operating in Emergency and Acceptance Department. Since such adverse drugs and vaccines reactions could potentially have caused the patient to access the emergency department, they were responsible for a part of the requests in charge of the emergency system. Objective: The aim of this paper is to analyse the reports of adverse drugs and vaccines reactions (ADRs) that caused patients to enter the emergency department of our facility during the last 10 months. Methods: Suspected ADRs were identified by the analysis of emergency room reports written by clinicians at Careggi University Hospital during the period from May 2021 to February 2022. ADRs reports were loaded into the Italian National Pharmacovigilance Network and were subsequently analysed according to the reported drug/vaccine, the Anatomical Therapeutic Chemical Classification System (ATC) class and the severity of the reaction, as well as stratified according to patients sex and age. Results: The total number of ADRs reports collected during the analysed period and entered in the Pharmacovigilance Network was 76, of which 38 (50%) related to drugs, 35 (46%) to vaccines used for immunisation against Sars-CoV-2, and 3 (4%) to contrast media for diagnostic use. In terms of severity, only 17 ADRs were classified as serious (22,4 %). Most ADRs were detected in female patients and in adults aged between 30 and 60 years. Conclusion: The active pharmacovigilance project called FARO enabled to intercept a good number of ADRs causing patients to access the emergency department, increasing the quantity and quality of reports entered into the Italian National Pharmacovigilance Network. In the period May 2021-February 2022, almost half of the intercepted ADRs concerned vaccines for immunisation against SARS-CoV-2. However, ADRs from drugs remained prevalent, and concerned molecules belonging to various ATC classes, in particular the class of drugs affecting the nervous and cardiovascular systems. The majority of ADRs were classified as non-serious (77.6%), indicating that many emergency room admissions were inappropriate. This highlights the need of strengthening territorial medicine and continuity of care services, which should ensure adequate care of patients with mild problems.

8.
Journal of Environmental Health ; 85(3):50-61, 2022.
Article in English | ProQuest Central | ID: covidwho-2044898

ABSTRACT

Panelists included Eric Bradley, deputy health director of Linn County Public Health;Tom Gonzales, public health director of the Larimer County Department of Health and Environment;and Niki Lemin, assistant health commissioner and director of environmental health for Franklin County Public Health. William (Bill) Marler, JD, attorney and food safety expert from Marler Clark, The Food Safety Law Firm, closed out the AEC by speaking virtually to attendees about a lawyer's view of modern foodborne outbreaks. During the first 2 years of the COVID-19 pandemic, he was environmental health manager for the Scott County Health Department in Davenport, Iowa. * Tom Gonzales, public health director for the Larimer County Department of Health and Environment in Fort Collins, Colorado. Prior to this position, he served as deputy public Featured Speakers health director at El Paso County Public Health in Colorado Springs, Colorado, and oversaw programs for environmental health and emergency preparedness and response. * Niki Lemin, assistant health commissioner and environmental health director of Franklin County Public Health in Columbus, Ohio.

9.
Journal of Organization Design ; 2022.
Article in English | Web of Science | ID: covidwho-2041373

ABSTRACT

What design recommendations can be made for European Union (EU) organizing its health crisis preparedness and emergency response? The EU has recently established the Health Emergency Response and Health Authority (HERA) for coping with crises. However, as an international organization that lacks a legal means of extending its mandate over EU member states, HERA can potentially fail in its mission. To help prevent this potential failure, we make design recommendations that draw on resourcing theory to complement the limited-or partial-organizing capabilities of HERA. The design recommendations are tailored to three schemas that the analysis of the stakeholder feedback suggests: stability, agility, and evolvability. We outline HERA's current actions and deliverables as mandated in its founding and suggest additional examples of ways to amplify crisis preparedness and emergency response. These recommendations stem from the proposed resourcing perspective within the constraints of an international, partial organization. We conclude with implications for future research and practice, focusing on how stability, agility and evolvability can amplify the HERA's ability to meet its expectations.

10.
China CDC Wkly ; 4(37): 835-840, 2022 Sep 16.
Article in English | MEDLINE | ID: covidwho-2030652
11.
Int J Environ Res Public Health ; 19(16)2022 08 17.
Article in English | MEDLINE | ID: covidwho-2023660

ABSTRACT

Emergency response capability evaluation is an essential means to strengthen emergency response capacity-building and improve the level of government administration. Based on the whole life cycle of emergency management, the emergency capability evaluation index system is constructed from four aspects: prevention and emergency preparedness, monitoring and early warning, emergency response and rescue, and recovery and reconstruction. Firstly, the entropy method is applied to measure the emergency response capability level of 31 Chinese provinces from 2011 to 2020. Second, the Theil index and ESDA (Exploratory Spatial Data Analysis) are applied in exploring the regional differences and spatial-temporal distribution characteristics of China's emergency response capacity. Finally, the obstacle degree model is used to explore the obstacle factors and obstacle degrees that affect the emergency response capability. The results show that: (1) The average value of China's emergency response capacity is 0.277, with a steady growth trend and a gradient distribution of "high in the east, low in the west, and average in center and northeast" in the four major regions. (2) From the perspective of spatial distribution characteristics, the unbalanced regional development leads to the obvious aggregation effect of "high-efficiency aggregation and low-efficiency aggregation", and the interaction of the "centripetal effect" and "centrifugal effect" finally forms the spatial clustering result of emergency response capability level in China. (3) Examining the source of regional differences, inter-regional differences are the decisive factor affecting the overall differences in emergency response capability, and the inter-regional differences show a reciprocating fluctuation of narrowing-widening-narrowing from 2011 to 2020. (4) Main obstacles restricting the improvement of China's emergency response capabilities are "the business volume of postal and telecommunication services per capita", "the daily disposal capacity of city sewage" and "the general public budget revenue by region". The extent of the obstacles' impacts in 2020 are 12.19%, 7.48%, and 7.08%, respectively. Based on the evaluation results, the following countermeasures are proposed: to realize the balance of each stage of emergency management during the holistic process; to strengthen emergency coordination and balanced regional development; and to implement precise measures to make up for the shortcomings of emergency response capabilities.


Subject(s)
Economic Development , Efficiency , China , Entropy , Spatial Analysis
12.
International Journal of Environmental Impacts ; 5(3):249-258, 2022.
Article in English | ProQuest Central | ID: covidwho-2022483

ABSTRACT

COVID-19 has triggered the scholars to think about how to improve the city’s ability to respond to public health emergencies. From the perspective of the community, this article reviews the risk cases in Wuhan chenjiadun community and other communities under the epidemic, and analyzes the response to public health emergencies such as infectious disease outbreaks in the excellent cases of resilient epidemic prevention communities. Then, combined with the planning of the life circle, it demonstrates the necessity of integrating the concept of resilience into the 15-minute community life circle to make up for the shortcomings of infectious disease prevention. Finally, it is proposed to strictly control the source and tail of the epidemic in the layout of the life circle, daily health and epidemic emergency should be taken into account in planning, community medical resources should be decentralized in management, and the application of smart technologies in the planning of life circle should be fully emphasized, so as to improve the community’s ability to respond to public health emergencies.

13.
International Journal of Environmental Impacts ; 5(3):216-226, 2022.
Article in English | ProQuest Central | ID: covidwho-2022482

ABSTRACT

The borough of Venustiano Carranza has an area of 33.42 km² (8,258 acres), which is 2.24% of the total area of Mexico City. It is in the Trans-Mexican Volcanic Belt, in a land of 3,341 ha (8255.79 acres) where there are mainly lake deposits. To the north of the borough, there stands a structure of 2,290 m.a.s.l. which pertains to what is referred to as Peñón de los Baños. Since the COVID-19 pandemic got to Mexico in 2020, there was a general change throughout the country in the population behaviour regarding their daily life. However, an analysis should be made on how risk is understood in times of COVID-19 in towns where risk-related problems normally occur. For the perception analysis, the town Peñón de los Baños was used a sample. In this town, floods are recurring during the rainy season, and it is one of the towns that was most affected by the pandemic during the first wave (April and May 2020), as more than 100 individuals died in just 2 months. The purpose of this analysis is to know how the population perceives the flood risk and behaves in an emergency phase, in the midst of a pandemic that entails sanitary and social restrictions, i.e., how is the population facing both problems: material losses and fear of getting infected. Both problems put people’s lives at risk, but the results show the priorities and the response process in the emergency phase that is currently implemented by the population.

14.
International Journal of Taiwan Studies ; : 1-26, 2022.
Article in English | Academic Search Complete | ID: covidwho-2020605

ABSTRACT

Taiwan was one of the places most affected by sars in 2003—but one of the least affected by covid-19 in the first year of the pandemic. Taiwan deployed a centralised approach and has been able to effectively eliminate the threat of the spread of covid-19 through swift decisions and effective action. This paper compares and evaluates the Taiwanese government’s emergency responses to two health crises: sars in 2003 and covid-19 in 2020. The policy responses to both are mapped out on easily comprehensible timelines. The study also explores how one crisis governance influences another—how the mishandling of the sars outbreak influenced early governmental responses to covid-19. These are described in more detail, divided into thematic sections, and accompanied by illustrative images. [ FROM AUTHOR] Copyright of International Journal of Taiwan Studies is the property of Brill Academic Publishers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

15.
American Journal of Public Health ; 112(9):1239-1241, 2022.
Article in English | ProQuest Central | ID: covidwho-2011259

ABSTRACT

(p. 1326) creatively use body-worn camera footage- a previously unused data source-to support the following findings of previous research: (1) police can administer naloxone during an overdose, (2) combativeness toward first responders by overdose survivors is rare, (3) drug exposure is nota risk to police officers, and (4) arrests do occur at the scene of overdose emergencies as the result of police presence.1,2 Although we recognize this article's contribution to the growing literature on law enforcement involvement in overdose response, we would caution policymakers about using the findings of this study to bolster (or worse, solely rely on) the role of police in overdose response. White et al. document that arrest- of both overdose victims and other bystanders-does indeed occur. [...]their conclusion that concerns about police-administered naloxone are "overstated" is dismissive of the most problematic and disruptive concern examined in the study. The disproportionate risk of violence at the hands of police is a powerful deterrent to inviting law enforcement interaction (specifically by calling 911)-one that cannot be resolved by the limited protections provided by most 911 Good Samaritan laws.10 Furthermore, druginduced homicide investigations not only directly undermine the protective mechanisms of 911 Good Samaritan laws5 but are also disproportionately used against non-White persons-and almost exclusively in response to the preventable overdose deaths of White persons.11 Disproportionate policing, police violence, and incarceration of Black and Indigenous persons affect these groups' access to overdose prevention interventions, broadly, and to naloxone, specifically, especially in cases when the nearest available naloxone rests in the hands of police. Black and Indigenous people have the highest fatal overdose rates and are least served by resource allocations that further support police involvement in overdose response. [...]methodologically sound and Black and Indigenous PWUD-informed research indicates otherwise, policymakers and resource allocation decision-makers should consider any life-saving gains via police-involved overdose response to be disproportionately unavailable and inaccessible to Black and Indigenous people.

16.
Assistive Technology Outcomes & Benefits ; 16(2):86-103, 2022.
Article in English | ProQuest Central | ID: covidwho-2010789

ABSTRACT

It is essential that people with disabilities have equitable access to COVID-19 communication resources to protect themselves, their families, and their communities. The Accessible Materials and Culturally Relevant Messages for Individuals with Disabilities project aimed to deliver essential COVID-19 information in braille, American Sign Language (ASL), simplified text, and other alternative formats, along with providing additional tools and trainings that people with disabilities and organizations that serve them can use to apply the COVID-19 guidance. Lessons learned from this project can be implemented in future public health emergencies as well as in general public health messaging for people with disabilities. This project, led by Georgia Tech's Center for Inclusive Design and Innovation (CIDI) and with technical assistance from the Centers for Disease Control and Prevention (CDC), was supported by the CDC Foundation, using funds from the CDC Foundation's COVID-19 Emergency Response Fund.

17.
SciDev.net ; 2021.
Article in English | ProQuest Central | ID: covidwho-1998572

ABSTRACT

Mass immunisation got under way on Tuesday (February 23) after 11,000 doses of the Ebola vaccine landed in the West African country as part of an emergency response to the outbreak, the World Health Organization (WHO) confirmed on Twitter. Drawing on experience of the latest Ebola outbreak in the Democratic Republic of Congo (DRC), experts believe that the vaccine rollout, which began nine days after the first cases were confirmed, is a crucial part of the emergency response. According to Wolz, if communities are involved in and support the response, the benefit is “huge”.

18.
Zhongguo Anquan Shengchan Kexue Jishu = Journal of Safety Science and Technology ; 18(7):19, 2022.
Article in English | ProQuest Central | ID: covidwho-1998560

ABSTRACT

In order to cope with the sudden disasters such as floods, COVID-19,etc.,a discrete time Markov chain and multi-objective programming model(DTMC-MOP) with the maximum supply satisfaction rate, the shortest supply time and the lowest supply cost was proposed to dynamically identify, analyze and respond to the emergency supply chain risk.The improved self-adaptive Non-dominated Sorting Genetic Algorithm-Ⅱ(NSGA-Ⅱ) was used to solve the optimization model, and the feasibility and effectiveness of the model were verified by testing and evaluation with standard test functions.Through the example analysis, the Pareto optimal front with higher precision and more uniform distribution was obtained.The results showed that the decision-maker could choose the appropriate emergency scheme based on the core objective of emergency management or different preferences.It provide a scientific method for the decision-making optimization of emergency supply chain, which has positive significance for ensuring the life safety of victims and maintaining the social harmony and stability.

19.
Journal of Advanced Medical and Dental Sciences Research ; 8(5):22-25, 2020.
Article in English | ProQuest Central | ID: covidwho-1994758

ABSTRACT

Covid-19, just few days back, was foreign to us and now spreading its routes well in India. Starting with one case and now with 35,000+ cases, the virus is trending right now in almost every part of the country. The irony is not much is known about this novel virus, hence mortality and morbidity across the globe is on a peak. Hospitals and other healthcare facilities play a critical role in national and local responses to emergencies, such as communicable disease epidemics. The healthcare professionals need to be protected against coronavirus so that they can save other people who are in critical stage of the illness. Various command teams need to be prepared for implementation of infection control and transmission measures. However, that deals with a lot of training for the hospital staff, as well coping with surge for the resources as well as designing appropriate containment strategies. It is a complex interplay between hospital administration and the government along with the country's population.

20.
International Journal of Emergency Services ; 11(2):189-192, 2022.
Article in English | ProQuest Central | ID: covidwho-1985289

ABSTRACT

In our first article, entitled “Mental health patterns during COVID-19 in emergency medical services (EMS)”, Silvia Monteiro Fonseca et al. have explored the patterns of EMS personnel’s mental health regarding their levels of anxiety, depression and stress during COVID-19 pandemic. The study recommendations from this research include, but are not limited to, ensuring a more equitable distribution of protective equipment to paramedics across unevenly funded services and recognizing paramedics face unique and additional stressors in public health emergencies. The study used validated instruments such as the Pittsburg Sleep Quality Index (PSQI), the World Health Organization Quality of Life (WHOQOL) instrument, the Epworth Sleepiness Scale (ESS), the PSS and the post-traumatic stress disorder (PTSD) checklist on a sample of UK police officers. In a fascinating paper, John Hylander et al. explore the collaborative challenge of emergency response to major incidents in road tunnels for the emergency services, emergency dispatch centers and local authorities next.

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