scholarly journals Typhoon Mangkhut Case Study: Household and Community Typhoon Preparedness in Hong Kong, a Densely Populated Urban City

2019 ◽  
Vol 34 (s1) ◽  
pp. s45-s45
Author(s):  
Asta YT Man ◽  
Emily Ying Yang Chan ◽  
Holly CY Lam
Keyword(s):  
Hong Kong ◽  
Univariate Analysis ◽  
Warning System ◽  
Population Based ◽  
Air Conditioners ◽  
Health And Wellbeing ◽  
Urban City ◽  
Socio Demographic Factors ◽  
The Impact

Introduction:As a subtropical urbanized city in Southeast Asia, Hong Kong is prone to frequent typhoons. With an increasing number of severe typhoons, usual preparedness measures should be explored to assess their adequacy to safeguard health and wellbeing. Typhoon Mangkhut (2018) serves as an example of the successes and limitations of community preparedness for a severe typhoon.Aim:To explore how Hong Kong residents prepared for Typhoon Mangkhut and whether their usual preparedness measures provided enough protection.Methods:A population-based randomized telephone survey of Hong Kong residents (n=521) was conducted soon after Typhoon Mangkhut’s landing. Only residents aged 18 or above and understood Cantonese were included. Socio-demographic factors, types of typhoon and general preparedness, risk perception, and impacts from the typhoon were asked. Descriptive characteristics and univariate analysis were used to describe the patterns and associations.Results:8.6% of respondents felt their home was at high risk of danger during typhoons although 33.4% reported some form of impact from Mangkhut. Over 70% reported doing at least one typhoon specific preparedness measure. Among those who practiced at least one typhoon specific preparedness measure, 37.2% (p=0.002) were affected by the typhoon.Discussion:Despite the high adaptation of preparedness measures, warranted by the frequent typhoons, Hong Kong residents were not adequately prepared for a severe typhoon. While the early warning system and evacuation of flood-prone areas mitigated some of the impact, unexpected effects such as flying air conditioners, roadblocks affecting employment, swaying buildings, and loss of power supply were not accounted for. Future preparedness for natural disasters which will become more extreme due to climate change and needs to account for unforeseen risks.

Creating Optimal Healing Environments

2018 ◽  
pp. 371-389
Author(s):  
Terri Zborowsky ◽  
Mary Jo Kreitzer
Keyword(s):  
Physical Environment ◽  
Community Hospital ◽  
Healing Environment ◽  
Ambient Environment ◽  
Health And Wellbeing ◽  
Designed Environment ◽  
Healing Environments ◽  
The Impact ◽  
Dynamic Interplay

An optimal healing environment is created through the deep and dynamic interplay between people, place, process and culture. Over 1,000 papers have been published linking the physical environment to outcomes related to patients and staff. Integrative nurses are well positioned to be leaders in the planning of healing spaces. This chapter defines “healing environment”; describes research on the impact of the designed environment; and discusses the effects of such factors as nature, daylight, positive distractions, aesthetics (including color), and an ambient environment on health and wellbeing. A case study of an optimal healing environment using North Hawaii Community Hospital is presented.

Surgical Management of Advanced Adrenocortical Carcinoma: A 21-year Population-based Analysis

2013 ◽  
Vol 79 (10) ◽  
pp. 1115-1118 ◽  
Author(s):  
Thuy B. Tran ◽  
Douglas Liou ◽  
Vijay G. Menon ◽  
Nicholas N. Nissen
Keyword(s):  
Surgical Resection ◽  
Adrenocortical Carcinoma ◽  
Univariate Analysis ◽  
Survival Rates ◽  
Stage Iv ◽  
Population Based ◽  
Stage Iii ◽  
Dismal Prognosis ◽  
Advanced Stages ◽  
The Impact

Adrenocortical carcinoma (ACC) is a rare endocrine malignancy with a dismal prognosis. When diagnosed in advanced stages of the disease, the outcomes of surgical resection are not well understood. The objective of this study is to determine the impact of surgery in patients with advanced ACC. Using the Surveillance, Epidemiology and End Results database, we identified patients diagnosed with Stage III and IVACC between 1988 and 2009. A total of 320 patients with Stage III and IV disease were included in our analysis. In patients treated with surgical resection, the Stage III 1- and 5-year survival rates were 77 and 40 per cent, respectively, whereas the Stage IV 1- and 5-year survival rates were 54 and 27.6 per cent, respectively. Patients treated without surgery had poor survival at 1 year for both Stage III (13%) and Stage IV (16%) ( P < 0.01 compared with the surgical groups). Lymph node dissection was performed in 26 per cent of the patients with advanced ACC and was associated with improved survival in univariate analysis of Stage IV patients. Overall, our results indicate that favorable survival outcomes can be achieved even in patients with Stage III and IV disease and surgery should be considered in patients with advanced ACC.

Power, accidents, and institutional changes: the case of a Chinese hospital in Hong Kong

2012 ◽  
Vol 27 (1) ◽  
pp. 151-174
Author(s):  
SHU-YUN MA
Keyword(s):  
Hong Kong ◽  
Theoretical Perspective ◽  
Historical Institutionalism ◽  
Institutional Setting ◽  
Institutional Changes ◽  
Political Sovereignty ◽  
Windows Of Opportunity ◽  
The Impact

ABSTRACTIn response to the call for more investigation on ‘institutional dynamism’, this article examines the role of power and accidents in causing institutional changes, employing the theoretical perspective of historical institutionalism. The impact of two ‘accidents’ (epidemics) on the institutional setting of a hospital in Hong Kong under different power contexts (changes of political sovereignty) is analysed as a case study. The finding is that power matters more than accidents. This is not to deny the importance of accidents. Accidents matter because they produce windows of opportunity for institutional changes to take place. Through political manoeuvres powerful actors may decide which accidents should cause change.

scholarly journals COVID-19: Implications for Food, Water, Hygiene, Sanitation, and Environmental Safety in Africa: A Case Study in Ghana

2020 ◽  
Author(s):  
Courage Kosi Setsoafia Saba
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Environmental Safety ◽  
Population Based ◽  
World Health ◽  
Limited Information ◽  
Long Run ◽  
The World ◽  
Health Organization ◽  
The Impact

Governments all over the world are currently grappling with the COVID-19 pandemic. While some countries were very hard hit, others were only mildly hit but all are still taking measures to mitigate the consequences. The virus emerged in December 2019 in Wuhan, China and spread to most continents by the beginning of March 2020, which led to the World Health Organization declaring it as a pandemic on the 11th of March 2020. Since it was a novel disease, there was limited information on the virus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) belongs to the same family as the Severe Acute Respiratory Syndrome Coronavirus 1 (SARS-CoV-1) and the Middle East Respiratory Syndrome Coronavirus (MERS-CoV). Researchers all over the world started working simultaneously to understand the virus to provide the necessary treatment regime or vaccine in order to reduce the impact of the virus on its victims. Africa and other developing countries with limited resources and poor planning and management are expected to be among the worst hit in the long run. The implications of the COVID-19 on food, water, hygiene, sanitation, and the environment in Africa have been reviewed in this paper, as well as possible implications they may pose to the population, based on the existing common practices and their immediate impacts. This information can assist policymakers in Africa to adequately plan the management of the COVID-19 in order to lessen its impact on the population.

Championing Health Promoting Schools: A secondary school case study from Victoria, Australia

2020 ◽  
pp. 001789692096112
Author(s):  
Sarah Meiklejohn ◽  
Anna Peeters ◽  
Claire Palermo
Keyword(s):  
Secondary School ◽  
Secondary Schools ◽  
Document Retrieval ◽  
World Health ◽  
Successful Implementation ◽  
Observation Data ◽  
Health And Wellbeing ◽  
Health Promoting ◽  
The Impact

Objective: School-based prevention interventions informed by the World Health Organization Health Promoting School (HPS) framework aim to improve the health and wellbeing of school-aged children, yet few studies describe factors influencing the successful implementation of this framework in secondary schools. This study sought to explore why and how secondary schools might implement the HPS framework and factors contributing to success. Design: Qualitative case study. Setting: A single secondary school in Victoria, Australia, purposefully selected due to local recognition of an HPS policy. Method: Data collection included semi-structured interviews, document retrieval, drawings and ethnographic observation. Data were analysed using framework analysis. Results: The school had elected to implement the policy as it aligned with its existing health and wellbeing policy framework and provided a flexible yet evidence-based framework to guide a whole-of-school approach to promoting health and wellbeing. Success was perceived to be dependent on selecting easier health priority areas to address initially, the allocation of a designated team to guide policy implementation and access to a skilled health promotion worker to assist implementation. Conclusion: Study findings highlight potential reasons why and how secondary schools might implement the HPS framework and factors contributing to success. Further research is warranted to enhance the transferability of these findings and explore the impact of the HPS framework in secondary schools.

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