scholarly journals A Brazilian national preparedness survey of anesthesiologists during the coronavirus pandemic

2021 ◽  
Vol 71 (2) ◽  
pp. 184-187
Author(s):  
Vinícius Caldeira Quintão ◽  
Claudia Marquez Simões ◽  
Gibran Elias Harcha Munoz ◽  
Paul Barach ◽  
Maria José Carvalho Carmona
2019 ◽  
Vol 34 (6) ◽  
pp. 149-155
Author(s):  
Yingxia Yun ◽  
Chao Ma

Author(s):  
Tsheten Tsheten ◽  
Angus Mclure ◽  
Archie C. A. Clements ◽  
Darren J. Gray ◽  
Tenzin Wangdi ◽  
...  

Bhutan experienced its largest and first nation-wide dengue epidemic in 2019. The cases in 2019 were greater than the total number of cases in all the previous years. This study aimed to characterize the spatiotemporal patterns and effective reproduction number of this explosive epidemic. Weekly notified dengue cases were extracted from the National Early Warning, Alert, Response and Surveillance (NEWARS) database to describe the spatial and temporal patterns of the epidemic. The time-varying, temperature-adjusted cohort effective reproduction number was estimated over the course of the epidemic. The dengue epidemic occurred between 29 April and 8 December 2019 over 32 weeks, and included 5935 cases. During the epidemic, dengue expanded from six to 44 subdistricts. The effective reproduction number was <3 for most of the epidemic period, except for a ≈1 month period of explosive growth, coinciding with the monsoon season and school vacations, when the effective reproduction number peaked >30 and after which the effective reproduction number declined steadily. Interventions were only initiated 6 weeks after the end of the period of explosive growth. This finding highlights the need to reinforce the national preparedness plan for outbreak response, and to enable the early detection of cases and timely response.


2020 ◽  
Vol 4 (2) ◽  
pp. 128-138
Author(s):  
Lukman Harahap

This article aims to know in real student's understanding of Law No. 5 of year 2018 on combating criminal acts of terrorism. The data collection techniques used in this study use interviews, observations and documentation. Meanwhile the analysis used in this research is a qualitative descriptive. Simultaneous, planned and integrated aspects of prevention need to forward to minimize the occurrence of criminal acts of terrorism. The optimal prevention is done by involving ministries or related institutions as well as all components of the nation through the efforts of national preparedness, counter radicalisation, and deradicalisation coordinated by the National Management Agency Terrorism. To optimize the eradication of criminal acts of terrorism, it is necessary to strengthen institutional functions, especially the coordination functions held with the National Agency for Terrorism counter following its oversight mechanisms. While it relates to the eradication of criminal acts of terrorism in Indonesia is not merely a matter of law and law enforcement but it is also a social, cultural, economic problem closely related to the issue of national resilience So that policies and precautions and pemberantasannyapun are aimed at maintaining balance in the obligation to protect the sovereignty of the State, the rights of victims and witnesses, and the rights of suspects/defendants.


1941 ◽  
Vol 34 (6) ◽  
pp. 243-247
Author(s):  
J. O. Hassler

Many words have invaded our national educational domain in recent times like fifth columnists to entice us, disarm us, and in every way cripple us in our national preparedness campaign against ignorance and inefficiency. One of these is the word enrich, with its breed of derivatives like enriched, enrichment, etc. It is a sweet sounding word. When rolled under the tongue of an enthusiastic representative of “Progressive Education,” it has had marvelous effect. We have become attached to it and have welcomed it into our educational literature. Webster gives two definitions: (1) To increase the value of, and (2) to adorn or make more ornamental. We have had enriched curricula, enrichment programs, and what not. Some produce increased values. Some just adorn. It is my purpose to point out what I consider some “disenriched” and disastrous consequences of our short sighted friendliness with this seductive invader.


2005 ◽  
Vol 2005 (1) ◽  
pp. 969-972

ABSTRACT The National Preparedness for Response Exercise Program has been in effect for over a decade. There is no doubt that it has been a principal factor in moving the response community from the concept of developing incident management from scratch, to unified performance through organized teams. However, in the past couple of years the PREP approach has reached a certain level and stalled. When one goes to exercise design meetings throughout the country and commonly hear, “we are not ready to deal with this issue,” one must wonder why plans cannot or will not be fully tested after a decade of experience. Is the program working to the degree that is necessary and achievable? For continuous growth of the response community's level of competency in the Incident Command System and oil/hazardous substance response operations, a dynamic exercise program must exist. It is pertinent to ask?Has the National PREP Program reached status quo, and if so are we willing to change in order to improve?What is gained by testing the initial 24-hour period of the response over and over?Do core components of a plan tested during smaller exercises satisfy the effort that would be required for the Worst Case Discharge event?What works best, self-evaluation or independent evaluation?Is agency verification of exercises being done?Are unresolved issues and lessons learned documented, studied, and resolved before the next training or spill?Are lessons learned shared between companies for incorporation into plans?Do either the national or state modified PREP programs promote increased capability of oil spill removal organizations and spill management teams at local, regional, and national levels?Is the true availability of response resources tested through PREP? This paper will compare and contrast the National PREP program conducted by Federal Agencies, to the State of Washington's modified PREP program. The authors will answer these questions and provide recommendations for changes to PREP that will create a more dynamic and meaningful training program.


2003 ◽  
Vol 2003 (1) ◽  
pp. 597-602 ◽  
Author(s):  
Dennis Cashman ◽  
Jackie Stephens ◽  
LT Thomas Boyles

ABSTRACT Planning, designing, and executing an area exercise in accordance with the National Preparedness for Response Exercise Program (PREP) Guidelines is an extensive time and resource undertaking. Since it's inception in 1991, the National Strike Force Coordination Center (NSFCC) has designed, updated and tested a successful exercise development process. This overview of the process outlines requirements necessary to manage a coordinated exercise development, execution, and follow up lessons learned. The process follows a 24-week cycle depending upon the needs of the organizations being exercised. The NSFCC must adhere to and follow the planning cycle because: at least three other government-led exercises are undergoing development at any given time; adequate time is needed for the Joint Design Team to plan effectively and provide the required data to the NSFCC; members of the Area Committee need time to accomplish their own exercise preparation processes; and time is needed to produce the exercise manuals and arrange logistics for personnel and equipment. The cycle is broken into six phases: the Initial Contact Phase, Coordination & Initial Production Phase, Interim Production Phase, Final Production Phase, Exercise Execution Phase, and Report Development Phase (Figure 1).


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