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Pesquisa : I01.451.227 [Categoria DeCS]
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  1 / 1561 MEDLINE  
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PMID:29389094
Autor:Myers N
Título:Policy Making to Build Relationships: A Grounded Theory Analysis of Interviews and Documents Relating to H1N1, Ebola, and the U.S. Public Health Preparedness Network.
Fonte:J Health Hum Serv Adm; 39(3):313-56, 2016.
ISSN:1079-3739
País de publicação:United States
Idioma:eng
Resumo:In the last five years, the American public health emergency preparedness and response system has been tested by two significant threats, H1N1 and Ebola. While neither proved as dangerous as initially feared, these viruses highlighted on-going issues with collaborations in the field of public health and health care. Strengths were identified within the network, but also challenges that must be resolved before the U.S. faces a major pandemic. Employing interview data from public health emergency response practitioners and documentary evidence from the H1N1 and Ebola responses, this qualitative analysis uses the grounded theory approach to identify key areas for collaborative improvement. The grounded theory developed calls for a stronger policy framework at the federal level to facilitate more collaboration between U.S. agencies and facilitate more collaboration at the state and local level.
Tipo de publicação: JOURNAL ARTICLE


  2 / 1561 MEDLINE  
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PMID:29424219
Título:Creating new solutions to tackle old problems: the first ever evidence-based guidance on emergency risk communication policy and practice.
Título:Créer de nouvelles solutions pour s'attaquer à des problèmes anciens: les toutes premières orientations fondées sur des données factuelles relatives à la politique et à la pratique en matière de communication sur les risques en situation d'urgence..
Fonte:Wkly Epidemiol Rec; 93(6):45-54, 2018 Feb 09.
ISSN:0049-8114
País de publicação:Switzerland
Idioma:eng; fre
Tipo de publicação: JOURNAL ARTICLE


  3 / 1561 MEDLINE  
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PMID:29301425
Autor:Shah AA; Valles N; Banu S; Storch EA; Goodman W
Endereço:From the Menninger Department of Psychiatry, Baylor College of Medicine, Houston; and the Department of Pediatrics, Morsani College of Medicine, University of South Florida, Tampa.
Título:Meeting the Mental Health Needs of Hurricane Harvey Evacuees.
Fonte:Am J Psychiatry; 175(1):13-14, 2018 Jan 01.
ISSN:1535-7228
País de publicação:United States
Idioma:eng
Tipo de publicação: JOURNAL ARTICLE


  4 / 1561 MEDLINE  
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PMID:29278800
Autor:Leung WH; Ma WM; Chan PKY
Endereço:Hong Kong Observatory, Hong Kong, China. Electronic address: whleung@hko.gov.hk.
Título:Nuclear accident consequence assessment in Hong Kong using JRODOS.
Fonte:J Environ Radioact; 183:27-36, 2018 Mar.
ISSN:1879-1700
País de publicação:England
Idioma:eng
Resumo:The JRODOS (Java-based Real-time Online DecisiOn Support) is a decision support system for off-site emergency management for releases of radioactive material into the environment. This paper documents the application of JRODOS by the Hong Kong Observatory in accident consequence assessment and emergency preparedness studies. For operational considerations, the most computational efficient dispersion model in JRODOS, ATSTEP, is adopted. Verification studies for JRODOS's ATSTEP model have been conducted. Comparison with tracer experiment results showed that under neutral atmospheric conditions and distances up to 50 km, the JRODOS simulation outputs were in general of the same order of magnitude with the tracer data. To further evaluate the capability of JRODOS in short-range simulation, a case study on the Fukushima nuclear power plant accident was also carried out. JRODOS was able to produce realistic simulation results which were comparable to the actual airborne monitoring data of the Cs-137 ground deposition from the Fukushima accident. Furthermore, the results of a comprehensive study to assess the potential consequences of accidents at a nearby nuclear power station are presented. Simulation using the French S3 source term for the Guangdong Nuclear Power Station at Daya Bay showed that the projected effective doses within Hong Kong remain far below the IAEA generic criteria of projected dose for urgent protective actions in sheltering/evacuation, while the projected equivalent dose in thyroid may meet the IAEA generic criteria for use of thyroid blocking agent at some areas in the northeastern part of Hong Kong, at distances of up to about 40 km from Daya Bay depending on the prevailing weather conditions in different seasons.
Tipo de publicação: JOURNAL ARTICLE
Nome de substância:0 (Air Pollutants, Radioactive); 0 (Cesium Radioisotopes)


  5 / 1561 MEDLINE  
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PMID:27775636
Autor:Gray L; MacDonald C
Endereço:Department of Primary Health Care & General Practice, University of Otago, Wellington 6242, New Zealand. lesley.gray@otago.ac.nz.
Título:Morbid Obesity in Disasters: Bringing the "Conspicuously Invisible" into Focus.
Fonte:Int J Environ Res Public Health; 13(10), 2016 10 20.
ISSN:1660-4601
País de publicação:Switzerland
Idioma:eng
Resumo:It is a frightening reality for some people to be caught up in the midst of a disaster, alone and vulnerable due to their relative size, shape or weight. A literature search failed to find any empirical reports of data specific to body mass index (BMI) in disaster situations. A handful of largely anecdotal reports described situations in which people categorised as morbidly obese were negatively impacted in disasters because of their size and/or weight. While a small number of toolkits and training resources were found, there remains a paucity of research in relation to obesity and emergency planning or disaster risk reduction. This is somewhat surprising, considering the concern about increasing levels of obesity globally. Research is urgently needed to prioritise and address the specific considerations of people with morbid obesity and how communities plan, prepare, respond, and recover from disasters and public health emergencies.
Tipo de publicação: JOURNAL ARTICLE


  6 / 1561 MEDLINE  
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PMID:27775505
Autor:Ghanchi A
Endereço:Maternity Unit,Pitié-Salpêtrière University Teaching Hospital,Paris,France.
Título:Insights Into French Emergency Planning, Response, and Resilience Procedures From a Hospital Managerial Perspective Following the Paris Terrorist Attacks of Friday, November 13, 2015.
Fonte:Disaster Med Public Health Prep; 10(5):789-794, 2016 10.
ISSN:1938-744X
País de publicação:United States
Idioma:eng
Resumo:On Friday, November 13, 2015, Paris was subjected to a multiple terrorist attack that caused widespread carnage. Although French emergency planning, response, and resilience procedures (Plan Blanc) anticipated crisis management of a major incident, these had to be adapted to the local context of Pitié-Salpêtrière University Teaching Hospital. Health care workers had undergone Plan Blanc training and exercises and it was fortunate that such a drill had occurred on the morning of the attack. The procedures were observed to work well because this type of eventuality had been fully anticipated, and staff performance exceeded expectations owing to prior in-depth training and preparations. Staff performance was also facilitated by overwhelming staff solidarity and professionalism, ensuring the smooth running of crisis management and improving victim survival rates. Although lessons learned are ongoing, an initial debriefing of managers found organizational improvements to be made. These included improvements to the activation of Plan Blanc and how staff were alerted, bed management, emergency morgue facilities, and public relations. In conclusion, our preparations for an eventual terrorist attack on this unprecedented scale ensured a successful medical response. Even though anticipating the unthinkable is difficult, contingency plans are being made to face other possible terrorist threats including chemical or biological agents. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).
Tipo de publicação: JOURNAL ARTICLE


  7 / 1561 MEDLINE  
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PMID:29076830
Autor:Kennedy MS
Endereço:AJN Editor-in-Chief E-mail: shawn.kennedy@wolterskluwer.com.
Título:Been There, Done That-What Will It Take to Safeguard Seniors in Disasters?
Fonte:Am J Nurs; 117(11):7, 2017 Nov.
ISSN:1538-7488
País de publicação:United States
Idioma:eng
Resumo:Prior recommendations still aren't implemented 10 years later.
Tipo de publicação: JOURNAL ARTICLE


  8 / 1561 MEDLINE  
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PMID:28931007
Autor:Pan W; Guo Y; Jin L; Liao S
Endereço:School of Economic and Management, Wuhan University, Wuhan, China.
Título:Medical resource inventory model for emergency preparation with uncertain demand and stochastic occurrence time under considering different risk preferences at the airport.
Fonte:PLoS One; 12(9):e0183472, 2017.
ISSN:1932-6203
País de publicação:United States
Idioma:eng
Resumo:With the high accident rate of civil aviation, medical resource inventory becomes more important for emergency management at the airport. Meanwhile, medical products usually are time-sensitive and short lifetime. Moreover, we find that the optimal medical resource inventory depends on multiple factors such as different risk preferences, the material shelf life and so on. Thus, it becomes very complex in a real-life environment. According to this situation, we construct medical resource inventory decision model for emergency preparation at the airport. Our model is formulated in such a way as to simultaneously consider uncertain demand, stochastic occurrence time and different risk preferences. For solving this problem, a new programming is developed. Finally, a numerical example is presented to illustrate the proposed method. The results show that it is effective for determining the optimal medical resource inventory for emergency preparation with uncertain demand and stochastic occurrence time under considering different risk preferences at the airport.
Tipo de publicação: JOURNAL ARTICLE


  9 / 1561 MEDLINE  
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PMID:28892451
Autor:Watson CR; Watson M; Sell TK
Endereço:All of the authors are with the Johns Hopkins Center for Health Security and the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Título:Public Health Preparedness Funding: Key Programs and Trends From 2001 to 2017.
Fonte:Am J Public Health; 107(S2):S165-S167, 2017 Sep.
ISSN:1541-0048
País de publicação:United States
Idioma:eng
Resumo:OBJECTIVES: To evaluate trends in funding over the past 16 years for key federal public health preparedness and response programs at the US Department of Health and Human Services, to improve understanding of federal funding history in this area, and to provide context for future resource allocation decisions for public health preparedness. METHODS: In this 2017 analysis, we examined the funding history of key federal programs critical to public health preparedness by reviewing program budget data collected for our annual examination of federal funding for biodefense and health security programs since fiscal year (FY) 2001. RESULTS: State and local preparedness at the Centers for Disease Control and Prevention initially received $940 million in FY2002 and resulted in significant preparedness gains, but funding levels have since decreased by 31%. Similarly, the Hospital Preparedness Program within the Office of the Assistant Secretary for Preparedness and Response was funded at a high of $515 million in FY2003, but funding was reduced by 50%. Investments in medical countermeasure development and stockpiling remained relatively stable. CONCLUSIONS: The United States has made significant progress in preparing for disasters and advancing public health infrastructure. To enable continued advancement, federal funding commitments must be sustained.
Tipo de publicação: JOURNAL ARTICLE


  10 / 1561 MEDLINE  
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PMID:28892449
Autor:Swift MD; Aliyu MH; Byrne DW; Qian K; McGown P; Kinman PO; Hanson KL; Culpepper D; Cooley TJ; Yarbrough MI
Endereço:Melanie D. Swift, Katherine Louise Hanson, and Mary I. Yarbrough are with Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN. Muktar H. Aliyu is with the Department of Health Policy, Vanderbilt University School of Medicine. Daniel W. Byrne is with the Department of Bios
Título:Emergency Preparedness in the Workplace: The Flulapalooza Model for Mass Vaccination.
Fonte:Am J Public Health; 107(S2):S168-S176, 2017 Sep.
ISSN:1541-0048
País de publicação:United States
Idioma:eng
Resumo:OBJECTIVES: To explore whether an emergency preparedness structure is a feasible, efficient, and sustainable way for health care organizations to manage mass vaccination events. METHODS: We used the Hospital Incident Command System to conduct a 1-day annual mass influenza vaccination event at Vanderbilt University Medical Center over 5 successive years (2011-2015). Using continuous quality improvement principles, we assessed whether changes in layout, supply management, staffing, and documentation systems improved efficiency. RESULTS: A total of 66 591 influenza vaccines were administered at 5 annual Flulapalooza events; 13 318 vaccines per event on average. Changes to the physical layout, staffing mix, and documentation processes improved vaccination efficiency 74%, from approximately 38 to 67 vaccines per hour per vaccinator, while reducing overall staffing needs by 38%. An unexpected finding was the role of social media in facilitating active engagement. CONCLUSIONS: Health care organizations can use a closed point-of-dispensing model and Hospital Incident Command System to conduct mass vaccination events, and can adopt the "Flulapalooza method" as a best practice model to enhance efficiency.
Tipo de publicação: JOURNAL ARTICLE



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