scholarly journals Oral Care that Supports Healthy Lives as a Case Study of the Kumamoto Earthquake

2021 ◽  
pp. 211-217
Author(s):  
Michikazu Hiramatsu ◽  
Hideto Ohta

AbstractImmediately after the Great Hanshin-Awaji Earthquake in 1995 and the Great East Japan Earthquake in 2011, pneumonia outbreak among the elderly increased the rate of fatalities. What caused this? To use lessons learned during the large-scale disaster, specialists concerned with the field of dentistry began to take action using new perspectives. Consequently, they noticed the importance of giving care to the entire oral cavity as well as the teeth. Based on reports from a dentist and a dental hygienist who tackled the oral care of the Kumamoto Earthquake victims in 2016, their methods of effective health care following a disaster is presented in this paper. We also propose a preventative medical activity that can be conducted sustainably for anyone, not just medical personnel.

2020 ◽  
pp. 0193841X2097527
Author(s):  
Jean Knab ◽  
Russell Cole

Purpose: This case study discusses Mathematica’s experience providing large-scale evaluation technical assistance (ETA) to 65 grantees across two cohorts of Teen Pregnancy Prevention (TPP) Program grants. The grantees were required to conduct rigorous evaluations with specific evaluation benchmarks. This case study provides an overview of the TPP grant program, the evaluation requirements, the ETA provider, and other key stakeholders and the ETA provided to the grantees. Finally, it discusses the successes, challenges, and lessons learned from the effort. Conclusion: One important lesson learned is that there are two related evaluation features, strong counterfactuals and insufficient target sample sizes, that funders should attend to prior to selecting awardees because they are not easy to change through ETA. In addition, if focused on particular outcomes (for TPP, the goal was to improve sexual behavior outcomes), the funder should prioritize studies with an opportunity to observe differences in these outcomes across conditions; several TPP grantees served young populations, and sexual behavior outcomes were not observed or were rare, limiting the opportunity to observe impacts. Unless funders are attentive to weaning out evaluations with critical limitations during the funding process, requiring grantees to conduct impact evaluations supported by ETA might unintentionally foster internally valid, yet underpowered studies that show nonsignificant program impacts. The TPP funder was able to overcome some of the limitations of the grantee evaluations by funding additional evidence-building activities, including federally led evaluations and a large meta-analysis of the effort, as part of a broader learning agenda.


2008 ◽  
Vol 2008 (1) ◽  
pp. 1163-1169
Author(s):  
Leslie J. Craig ◽  
Tom Pride

ABSTRACT The use of pilot studies can be a useful tool in determining the most appropriate location, method and design for a large scale restoration project. This paper provides a case study where Trustees implemented a small pilot project and feasibility study to determine the best approach for a large scale oyster reef creation project. While the specific case study is the result of a CERCLA settlement (Alafia River Acid Spill of 1997), this model is transferable to other instances where Trustees are scoping for the most appropriate sites and methods to conduct settlement funded restoration. The Restoration Plan and Environmental Assessment on which the case settlement was based called for creation of approximately 4 acres of oyster reef in addition to 4 acres of estuarine marsh restoration. Through an initial scoping process, the Trustees determined that more information was needed to select the most appropriate locations and techniques to implement the large scale oyster restoration project. The Trustees identified 3 general locations with potential for larger scale oyster reef creation. A portion of settlement funding was used to contract for construction and monitoring of an oyster reef pilot project to examine the efficacy of oyster reef construction at the three locations using 4 different cultch materials. At each of the locations, 4 small reefs (approximately 75’ × 20’) were constructed and monitored for spat set, oyster survival and growth as well as subsidence. A baseline construction report and final monitoring report detailed the results. In addition, a separate report was completed that outlined the feasibility of constructing a 4 acre oyster reef in Hillsborough Bay, FL. This report included several construction considerations such as local sources and costs of cultch materials, shipping/transport, staging areas, construction equipment as well as potential local contractors. This paper reports the results of the oyster pilot project and feasibility report as well as lessons learned from each approach.


2013 ◽  
Vol 14 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Fabian Fischer ◽  
Johannes Fuchs ◽  
Florian Mansmann ◽  
Daniel A Keim

The enormous growth of data in the last decades led to a wide variety of different database technologies. Nowadays, we are capable of storing vast amounts of structured and unstructured data. To address the challenge of exploring and making sense out of big data using visual analytics, the tight integration of such backend services is needed. In this article, we introduce BANKSAFE, which was built for the VAST Challenge 2012 and won the outstanding comprehensive submission award. BANKSAFE is based on modern database technologies and is capable of visually analyzing vast amounts of monitoring data and security-related datasets of large-scale computer networks. To better describe and demonstrate the visualizations, we utilize the Visual Analytics Science and Technology (VAST) Challenge 2012 as case study. Additionally, we discuss lessons learned during the design and development of BANKSAFE, which are also applicable to other visual analytics applications for big data.


Energies ◽  
2019 ◽  
Vol 12 (16) ◽  
pp. 3078 ◽  
Author(s):  
Huang ◽  
Fan ◽  
Furbo ◽  
Li

High-rise buildings have a significant impact on the surrounding environment. Building-integrated solar water heating (SWH) systems are effective ways to use renewable energy in buildings. Impediments, such as security concerns, aesthetics and functionality, make it difficult to apply SWH systems in high-rise buildings. At present, only China uses SWH systems on a large scale in such buildings. What are China’s experiences and lessons learned in applying SWH systems in high-rises? Are these experiences scalable to other countries? This study used a combination of field investigation, literature review and case study to summarize 36 systems that had been in operation for 1–14 years. System types, collector types, installation methods, types of auxiliary heat sources, economic performance and various basic principles were summarized. The economic performance of SWH systems in high-rise buildings was analyzed and verified by a case study in Shanghai. The results show that the installation of SWH systems in high-rise buildings is feasible and reliable as long as appropriate design, construction, operation, and maintenance measures are employed. China's unique practical experience gives a reference for other countries in their efforts to make high-rise buildings more sustainable.


2012 ◽  
Vol 4 (3) ◽  
pp. 28-43 ◽  
Author(s):  
Denzil Ferreira ◽  
Vassilis Kostakos ◽  
Anind K. Dey

User studies with mobile devices have typically been cumbersome, since researchers have had to recruit participants, hand out or configure devices, and offer incentives and rewards. The increasing popularity of application stores has allowed researchers to use such mechanisms to recruit participants and conduct large-scale studies in authentic settings with relatively little effort. Most researchers who use application stores do not consider the side-effects or biases that such an approach may introduce. The authors summarize prior work that has reported experiences from using application stores as a recruiting, distribution and study mechanism, and also present a case study of a 4-week long study using the Android Market to deploy an application to over 4000 users that collected data on their mobile phone charging habits. The authors synthesize their own experiences with prior reported findings to discuss the challenges, advantages, limitations and considerations of using application stores as a recruitment and distribution approach for conducting large-scale studies.


Author(s):  
Matthias Kranz ◽  
Andreas Möller ◽  
Florian Michahelles

Large-scale research has gained momentum in the context of Mobile Human-Computer Interaction (Mobile HCI), as many aspects of mobile app usage can only be evaluated in the real world. In this chapter, we present findings on the challenges of research in the large via app stores, in conjunction with selected data collection methods (logging, self-reporting) we identified and have proven as useful in our research. As a case study, we investigated the adoption of NFC technology, based on a gamification approach. We therefore describe the development of the game NFC Heroes involving two release cycles. We conclude with lessons learned and provide recommendations for conducting research in the large for mobile applications.


Author(s):  
Lynne Siemens ◽  
The INKE Research Group

Many academic teams and granting agencies undergo a process of reflection at the completion of research projects to understand lessons learned and develop best practice guidelines. Generally completed at the project’s end, these reviews focus on the actual research work accomplished with little discussion of the work relationships and process involved. As a result, some hard-earned lessons are forgotten or minimized through the passage of time. Additional learning about the nature of collaboration may be gained if this type of reflection occurs during the project’s life. Building on earlier examinations of INKE, this paper contributes to that discussion with an exploration of seventh and final year of a large-scale research project.Implementing New Knowledge Environment (INKE) serves as a case study for this research. Members of the administrative team, researchers, postdoctoral fellows, graduate research assistants, and others are asked about their experiences collaborating within INKE on an annual basis in order to understand the nature of collaboration and ways that it may change over the life of a long-term grant. Interviewees continue to outline benefits for collaboration within INKE while admitting that there continue to be challenges. They also outline several lessons learned which will be applied to the next project.


2021 ◽  
Vol 16 (1) ◽  
pp. 35-41
Author(s):  
Gidon Berger, MD ◽  
Netanel A. Horowitz, MD ◽  
Yael Shachor-Meyouhas, MD ◽  
Vardit Gepstein, MD ◽  
Khetam Hussein, MD ◽  
...  

Objective: In response to the coronavirus disease 2019 (COVID-19) pandemic, the Israeli government strategy initially focused on containment. The Ministry of Health mandated isolation of COVID-19 patients in hospitals and instructed healthcare institutions to make necessary arrangements. As the second Israeli hospital to establish a COVID-19 department, this article describes our experience in its rapid establishment, while maintaining normal medical center activities.Setting: Establishing the COVID-19 department involved planning, set-up, and implementations phases, each one based on knowledge available regarding the pandemic and established medical standards for isolation and protection of patients and staff. Wherever possible, new innovative technologies were utilized to provide maximum protection for both patients and staff, together with special online training that was developed for medical teams.Results: A COVID-19 department was successfully established on the hospital campus, remote from other ongoing patient activities. A novel methodology of disease-adapted medicine was implemented successfully among the department's medical staff, who underwent training tailored to expected clinical scenarios. The COVID-19 department is receiving patients, with no contamination of medical personnel to date. A recent survey of COVID-19 patients revealed a very high patient satisfaction rate.Conclusion: Based on the experience described herein and lessons learned, the hospital is preparing for a potential large-scale COVID-19 wave, aimed at full readiness through utilization of a fortified underground emergency hospital to treat up to 900 COVID-19 patients, and establishment of versatile in-hospital infrastructure for quick conversion from standard conditions to COVID-19 appropriate conditions.


2019 ◽  
Vol 34 (s1) ◽  
pp. s130-s131
Author(s):  
Tatsuhiko Kubo ◽  
Joji Tomioka ◽  
Hisayoshi Kondo ◽  
Yuichi Koido

Introduction:The Emergency Medical Team (EMT) Strategic Advisory Group of the World Health Organization has endorsed the EMT Minimum Data Set (MDS) as the standard methodology for EMT daily report. The MDS had been developed on a similar methodology called J-SPEED which developed in Japan. Thus, lessons learned from the J-SPEED can be applied to the MDS.Aim:To review previous J-SPEED activations and to extract lessons learned.Methods:Cases of the J-SPEED activation at the Kumamoto earthquake in 2016, West Japan Heavy Rain in 2018, and Hokkaido Earthquake in 2018 were reviewed.Results:The first large-scale activation of the J-SPEED at the Kumamoto earthquake revealed a significant burden in aggregations of submitted paper forms at the EMT Coordination Cell (EMTCC). To strengthen this function of the EMTCC, electronic system and human capacity development have been identified as key issues. To fulfill this gap, a smartphone app so-called J-SPEED+ has been developed. Also, the J-SPEED offsite analysis support team, which is a team to support analysis of data from outside of an affected area has been established. These two functions contributed to significant improvement of J-SPEED data flow at the West Japan Heavy Rain and Hokkaido Earthquake. These two responses reinforced the necessity of strengthening the capacity of J-SPEED onsite coordinator working at the ETMCC, and national education and training for all EMTs.Discussion:In order to strengthen the mechanism to run the J-SPEED, nationwide training for all EMTs, onsite coordinators, and the off-site analysis support team have been established. The authors regard this structural approach as a requirement for other countries to run the MDS.


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