scholarly journals (A84) Video Documentation as a Supplemental Teaching Tool for Multi-Focused Emergency Management Exercises

2011 ◽  
Vol 26 (S1) ◽  
pp. s23-s24
Author(s):  
C. Tedeschi ◽  
L.M. Hilmi
Keyword(s):  
Emergency Management ◽  
Large Scale ◽  
Life Support ◽  
Management Education ◽  
Evaluation Process ◽  
Video Footage ◽  
Video Recordings ◽  
Ongoing Training ◽  
Short Video ◽  
Evaluation And Monitoring

IntroductionEmergency management education and large-scale disaster drills help to increase local capacity for dealing with a multitude of hazards. Video recordings of disaster drills offer participants with little exposure to fundamental emergency management principles an introduction to important topics and scenarios. Such resources allow ongoing training and education, thus maximizing the investment required to mount a large-scale exercise.MethodsDuring emergency management exercises in Mumbai, India between 2008 and 2010, video recordings of prior exercises were used to augment training for clinicians, administrators and public health practitioners. During the exercises, videos depicting scenario-based disaster drills were produced for use as teaching and evaluation tools focused on pre-hospital care, trauma life support, and hospital operations. Videos are distributed digitally and online, extending the teaching impact of multi-day courses and serving as a benchmark for future exercises.ResultsDuring the 2010 exercise in Mumbai, approximately eight hours of video footage were recorded by professional producers, and by participants in the evaluation and monitoring track of the course. That footage was added to a library from exercises in Ahmedabad and Mumbai, India, in 2007 and 2008. Video was used as a tool for immediate feedback on participant performance as well as the foundation for ongoing instruction. Videos allowed students to be sensitized to important issues prior to taking part in a drill, and to participate in the post-drill evaluation process.ConclusionVideo documents of disaster management exercises serve as a valuable addition to an ongoing program of emergency management education and preparedness. Short video pieces increase the effectiveness of a teaching program by providing re-usable, easily accessible, and setting-specific teaching tools.

scholarly journals Effectiveness of Adaptation Strategies among Coastal Communities in Ghana: The Case of Dansoman in the Greater Accra Region

2019 ◽  
pp. 1-12
Author(s):  
Isaac Sarfo ◽  
Otchwemah Henry Bortey ◽  
Terney Pradeep Kumara
Keyword(s):  
Climate Change ◽  
Climate Change Adaptation ◽  
Large Scale ◽  
Global Climate ◽  
Evaluation Process ◽  
Monitoring And Evaluation ◽  
Adaptation Strategies ◽  
Study Results ◽  
Evaluation And Monitoring ◽  
Climate Change Adaptation Strategies

Global climate action plans risk resulting to climate maladaptation and shocks when prudent measures are inapt. Adaptation strategies require multidisciplinary approach from all sectors with periodic monitoring and evaluation which are carefully planned, locally adaptable and results-oriented. For decades, various governments, development practitioners and international organizations have made concerted efforts in tackling large scale climate events. These stern initiatives forms part of Millennium Sustainable Development Goals (SDGs), specifically SDG 13 meant to combat climate change. The increasing demand for frameworks that effectively monitor and examine the outcomes of these huge investments made by policy-makers across regions have enhanced the evaluation and monitoring of various climate change adaptation strategies. This study sought to assess the effectiveness and sustainability of initiated adaptation strategies. The study used descriptive statistics based on informants’ knowledge and experience to assess the effectiveness of adaptation strategies in Dansoman and compare the results with the case of Nador-Berkane coastal community in north eastern part of Morocco where the “no-regret strategy” concept was adopted. Assessing the effectiveness of strategies is one of the key components of monitoring and evaluation process of climate change and is often overlooked, hence, the need for this study. Results from this study based on the informants’ experience and assessment show that climate change adaptation strategies in the study area are not effective and sustainable. This study serves as a baseline information for relevant stakeholders on critical areas, which ought to be prioritized to reduce the locals’ vulnerability to climate hazards. Assessing the effectiveness of adaptation strategies aid in ensuring efficiency and efficacy of planned and already initiated projects. Further research could be conducted on the cost of adaptation mechanisms and willingness to pay for sea defense systems in the area.

scholarly journals Findings from the Section on Bioinformatics and Translational Informatics

2017 ◽  
Vol 26 (01) ◽  
pp. 188-192 ◽  
Author(s):  
H. Dauchel ◽  
T. Lecroq
Keyword(s):  
Intelligent Systems ◽  
Large Scale ◽  
Cancer Genomics ◽  
Clinical Care ◽  
Evaluation Process ◽  
Omics Data ◽  
Health Domain ◽  
Medical Genomics ◽  
Research Activities ◽  
Translational Informatics

Summary Objective: To summarize excellent current research and propose a selection of best papers published in 2016 in the field of Bioinformatics and Translational Informatics with applications in the health domain and clinical care. Methods: We provide a synopsis of the articles selected for the IMIA Yearbook 2017, from which we attempt to derive a synthetic overview of current and future activities in the field. As in 2016, a first step of selection was performed by querying MEDLINE with a list of MeSH descriptors completed by a list of terms adapted to the section coverage. Each section editor evaluated separately the set of 951 articles returned and evaluation results were merged for retaining 15 candidate best papers for peer-review. Results: The selection and evaluation process of papers published in the Bioinformatics and Translational Informatics field yielded four excellent articles focusing this year on the secondary use and massive integration of multi-omics data for cancer genomics and non-cancer complex diseases. Papers present methods to study the functional impact of genetic variations, either at the level of the transcription or at the levels of pathway and network. Conclusions: Current research activities in Bioinformatics and Translational Informatics with applications in the health domain continue to explore new algorithms and statistical models to manage, integrate, and interpret large-scale genomic datasets. As addressed by some of the selected papers, future trends would include the question of the international collaborative sharing of clinical and omics data, and the implementation of intelligent systems to enhance routine medical genomics.

scholarly journals A Decision Support System for Public Funding of Experimental Development in Energy Research

Energies ◽  
2018 ◽  
Vol 11 (6) ◽  
pp. 1357 ◽  
Author(s):  
Simon Hirzel ◽  
Tim Hettesheimer ◽  
Peter Viebahn ◽  
Manfred Fischedick
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Large Scale ◽  
Public Funding ◽  
Evaluation Process ◽  
Decision Makers ◽  
Market Failures ◽  
Energy Research ◽  
Experimental Development

New energy technologies may fail to make the transition to the market once research funding has ended due to a lack of private engagement to conclude their development. Extending public funding to cover such experimental developments could be one way to improve this transition. However, identifying promising research and development (R&D) proposals for this purpose is a difficult task for the following reasons: Close-to-market implementations regularly require substantial resources while public budgets are limited; the allocation of public funds needs to be fair, open, and documented; the evaluation is complex and subject to public sector regulations for public engagement in R&D funding. This calls for a rigorous evaluation process. This paper proposes an operational three-staged decision support system (DSS) to assist decision-makers in public funding institutions in the ex-ante evaluation of R&D proposals for large-scale close-to-market projects in energy research. The system was developed based on a review of literature and related approaches from practice combined with a series of workshops with practitioners from German public funding institutions. The results confirm that the decision-making process is a complex one that is not limited to simply scoring R&D proposals. Decision-makers also have to deal with various additional issues such as determining the state of technological development, verifying market failures or considering existing funding portfolios. The DSS that is suggested in this paper is unique in the sense that it goes beyond mere multi-criteria aggregation procedures and addresses these issues as well to help guide decision-makers in public institutions through the evaluation process.

Comparing Sources of Disruptions to Telemedicine-Enabled Stroke Care in an Ambulance

2021 ◽  
pp. 193758672110547
Author(s):  
Sahar Mihandoust ◽  
Anjali Joseph ◽  
Kapil Chalil Madathil ◽  
Hunter Rogers ◽  
Roxana Jafarifiroozabadi ◽  
...  
Keyword(s):  
Evaluation Process ◽  
Stroke Care ◽  
Video Recordings ◽  
Impact Location ◽  
Remote Assessment ◽  
Computer Workstation ◽  
Adequate Evaluation ◽  
The Right ◽  
Evaluation Space ◽  
Care Evaluation

Objective: The purpose of this study is to understand the nature and source of disruptions in an ambulance during the telemedicine-based caregiving process for stroke patients to enhance the ambulance design for supporting telemedicine-based care. Background: Telemedicine is emerging as an efficient approach to provide timely remote assessment of patients experiencing acute stroke in an ambulance. These consults are facilitated by connecting the patient and paramedic with a remotely located neurologist and nurse using cameras, audio systems, and computers. However, ambulances are typically retrofitted to support telemedicine-enabled care, and the placement of these systems inside the ambulance might lead to spatial challenges and disruptions during patient evaluation. Method: Video recordings of 13 simulated telemedicine-based stroke consults were coded and analyzed using an existing systems-based flow disruption (FD) taxonomy. For each observed disruption—the type, severity or impact, location in the ambulance, and equipment involved in the disruption were recorded. Results: Seat size, arrangement of assessment equipment, location of telemedicine equipment (computer workstation), and design of telemedicine camera were among the factors that impacted telemedicine-related disruptions. The left ambulance seat zone and head of the patient bed were more involved in environmental hazard–related disruptions, while the right zone of the ambulance was more prone to interruptions and communication-related disruptions. Conclusion: Adequate evaluation space for the paramedic, proper placement of evaluation equipment, and telemedicine computer location could facilitate the stroke care evaluation process and reduce FDs in the ambulance.

Abstract 139: Does Simplification of Guidelines Improve Retention of BLS Skills 3 Months After Training?

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Dung T Nguyen ◽  
Kasper G Lauridsen ◽  
Josephine Johnsen ◽  
Kristian Krogh ◽  
Bo Løfgren
Keyword(s):  
Life Support ◽  
European Resuscitation Council ◽  
Shock Delivery ◽  
Adherence To Guidelines ◽  
Skill Retention ◽  
Video Recordings ◽  
Correct Sequence ◽  
Significant Difference ◽  
Male Sex ◽  
Simplified Algorithm

Background: The European Resuscitation Council (ERC) 2015 basic life support (BLS) guidelines introduced a simplified algorithm compared to the ERC 2010 BLS guidelines. This was intended to improve adherence to guidelines and retention of skills. This study aimed to compare the retention of BLS skills 3 months after training using the ERC 2010 or 2015 guidelines. Methods: This was an observational study including video recordings of laypersons being skill tested 3 months after participation in a standardized ERC BLS/AED course using either the ERC 2010 guidelines or the simplified ERC 2015 guidelines. The endpoints were 1) remembering the correct sequence of BLS/AED algorithm, 2) remembering the correct sequence of the BLS/AED algorithm and performing all skills correctly, 3) time to: emergency medical service (EMS) call, first compression, and shock delivery. Results: We analyzed videos of 133 laypersons skill tested 3 months after initial training; 64 trained using the 2010 guidelines (mean ±standard deviation (SD) age: 40 ±11 years, male sex: 19 (30%)) and 69 trained using the 2015 guidelines (age: 44 ±10 years, male sex: 36 (52%)). Participants in the 2015 guidelines group improved the retention of the BLS/AED algorithm compared to the 2010 guidelines group (29 (42%) vs. 10 (16%), relative risk (RR): 2.7 (95% confidence interval (CI): 1.4 - 5.1) P=0.001). Both BLS/AED algorithm and all skills were correctly performed by 13 (19%) vs. 3 (5%) (RR: 4.0 (95% CI: 1.2 - 13.5) P=0.01) in the 2015 and 2010 groups respectively. No significant difference was found in time to EMS call (difference: 3 sec (95% CI: -2 - 9 sec) P=0.27), time to first compression (difference: 4 sec, (95% CI: -3 - 10 sec) P=0.28), and time to first shock (difference: 4 sec (95% CI: -5 - 14 sec) P=0.33) between the groups. Conclusion: BLS/AED training using ERC 2015 guidelines was associated with better skill retention compared to training using ERC 2010 guidelines. There was no difference in time to EMS call, first compression, or shock delivery.

Emergency Response in Rural Areas

2013 ◽  
Vol 5 (2) ◽  
pp. 19-31 ◽  
Author(s):  
Sofie Pilemalm ◽  
Rebecca Stenberg ◽  
Tobias Andersson Granberg
Keyword(s):  
Social Capital ◽  
Emergency Management ◽  
Emergency Response ◽  
Rural Areas ◽  
Mobile Applications ◽  
Large Scale ◽  
First Responders ◽  
Local Resources ◽  
Technical Solutions

In this study, security and safety in rural parts of Sweden are investigated. New ways of organizing for efficient response can be found in the extended collaboration between societal sectors and in the utilization of local social capital. New categories of first responders and their requirements are identified and technical and non-technical solutions as support are proposed. The solutions include e.g. mobile applications and a technical infrastructure making it possible for volunteers to obtain information about events requiring emergency response. Emergency management in rural areas shows several similarities to large-scale crises, e.g. in terms of insufficient infrastructure available and the need to use local resources in the immediate aftermath of the event. Therefore, the results of the study can be transferable to large-scale crises.

Basic life support training in schools: Reflecting on students' and teachers' perspectives in Portugal

2020 ◽  
Vol 1 (3) ◽  
pp. 124-128
Author(s):  
Nuno Pinto ◽  
Alexandra Carvalho ◽  
Rita Silva ◽  
Eleonora Marianucci ◽  
Beatriz Novo
Keyword(s):  
Large Scale ◽  
Basic Life Support ◽  
Life Support ◽  
Low Cost ◽  
Training Programme ◽  
The Public ◽  
Confidence Levels ◽  
Effective Training ◽  
Training Courses ◽  
Teachers Perspectives

Cardiovascular events are the third cause of death in the world. It is generally accepted by all the main health organisations dedicated to this topic that increasing the number of potential members of the public who could intervene if necessary will lead to an increase in the survival rate in the case of cardiac arrest. To achieve this goal, offering effective training courses to as many individuals as possible, on a large scale and at a low cost, is recommended. Schools are by nature one of the ideal places for implementing this type of large-scale training programme. With this study the authors aim to measure how open students and teachers are to basic life-support training in their school and how this can improve their confidence levels in performing basic life-support if needed.

scholarly journals A meta-modeling framework in public health emergency management

SIMULATION ◽  
2017 ◽  
Vol 94 (5) ◽  
pp. 401-419
Author(s):  
Bin Chen ◽  
Peng Zhang
Keyword(s):  
Public Health ◽  
Emergency Management ◽  
Code Generation ◽  
Large Scale ◽  
Public Health Emergency ◽  
Modeling Framework ◽  
Artificial Society ◽  
Novel Approach ◽  
Meta Modeling ◽  
Emergency Scenarios

Epidemic transmission is a common type of public health emergency that is difficult to forecast and often causes substantial harm. Artificial societal models provide a novel approach to the study of public health problems. However, public health emergency management (PHEM) always involves multi-disciplinary and multi-hierarchical models that complicate the work of modeling. Models are also made more complex by the consideration of new requirements and interactions. Therefore, we propose a domain-specific methodology to guide the modeling process in PHEM. By analyzing domain characteristics and modeling requirements, a meta-modeling framework can be constructed, containing the basic elements with which to construct an artificial society to study epidemic transmission. In this paper, the designs of meta-models are discussed in detail, and domain models are implemented by code generation, which enables the support of large-scale, agent-based computational experiments on the KD-ACP platform. Case studies of Ebola are outlined, emergency scenarios are reconstructed based on pre-designed meta-models, and “scenario-response” experiments are presented. This study provides a valuable framework and methodology with which to study complex social problems in PHEM. The proposed method has been verified effectively and efficiently.

Multilevel evaluation process use in large-scale multisite evaluation

2007 ◽  
Vol 2007 (116) ◽  
pp. 75-85 ◽  
Author(s):  
Frances Lawrenz ◽  
Douglas Huffman ◽  
J. Randy McGinnis
Keyword(s):  
Large Scale ◽  
Evaluation Process ◽  
Process Use
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