scholarly journals A Comprehensive Coalition Based Regional Approach to Pediatric Disaster Planning

2019 ◽  
Vol 34 (s1) ◽  
pp. s58-s58
Author(s):  
Michael Frogel ◽  
Arthur Cooper ◽  
George Foltin
Keyword(s):  
Special Needs ◽  
Process Model ◽  
Large Scale ◽  
Disaster Planning ◽  
Lessons Learned ◽  
Urgent Care ◽  
Team Approach ◽  
Disaster Plan ◽  
Term Care ◽  
Regional Approach

Introduction:Children, who comprise 25% of the US population, are frequently victims of disasters and have special needs during these events.Aim:To prepare NYC for a large-scale pediatric disaster, NYCPDC has worked with an increasing number of providers that initially included a small number of hospitals and agencies. Through a cooperative team approach, stakeholders now include public health, emergency management, and emergency medical services, 28 hospitals, community-based providers, and the Medical Reserve Corps.Methods:The NYCPDC utilized an inclusive iterative process model whereby a desired plan was achieved by stakeholders reviewing the literature and current practice through discussion and consensus building. NYCPDC used this model in developing a comprehensive regional pediatric disaster plan.Results:The Plan included disaster scene triage (adapted for pediatric use) to transport (with prioritization) to surge and evacuation. Additionally, site-specific plans utilizing Guidelines and Templates now include Pediatric Long-Term Care Facilities, Hospital Pediatric Departments, Pediatric and Ob/Newborn/Neonatal Intensive Care Services and Outpatient/Urgent Care Centers. A force multiplier course in critical care for non-intensivists is provided. An extensive Pediatric Exercise program has been used to develop, operationalize and revise plans based on lessons learned. This includes pediatric tabletop, functional and full-scale exercises at individual hospitals leading to citywide exercises at 13 and subsequently all 28 hospitals caring for children.Discussion:The NYCPDC has comprehensively planned for the special needs of children during disasters utilizing a pediatric coalition based regional approach that matches pediatric resources to needs to provide best outcomes.The NYCPDC has responded to real-time events (H1N1, Haiti Earthquake, Superstorm Sandy, Ebola), and participated in local (NYC boroughs and executive leadership) and nationwide coalitions (National Pediatric Disaster Coalition). The NYCPDC has had the opportunity to present their Pediatric Disaster Planning and Response efforts at local, national and International conferences.

scholarly journals Interior Design of Care Homes for People with Alzheimer's Disease: A Comparative Study

2016 ◽  
Vol 2016 ◽  
pp. 1-198
Author(s):  
Tina Krliu
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Special Needs ◽  
Interior Design ◽  
Developed Countries ◽  
Lessons Learned ◽  
Care Homes ◽  
Term Care ◽  
Design Elements ◽  
Interior Environment

BACKGROUND: The population of people with Alzheimer’s disease (AD) is rapidly increasing worldwide. While in Republic of Macedonia there is no formal special care for people with AD, developed countries are expanding on both the typology of their care homes and services they offer for people with AD. The Macedonian aging population is in need of long-term care (LTC) options tailored to meet the special needs of people with AD.AIM: The aims of this study are (i) to explore the Macedonian approach to the problem of creating LTC environments for people with AD, as compared to the approach of a developed country through the example of Canada, and (ii) to identify successful interior design characteristics that would meet the special needs of people with AD. METHODS: The study begins by reviewing existing literature with the purpose of obtaining knowledge about the common clinical symptoms of AD (i.e. memory problems and behavior) and how these changes have an impact on the interaction between AD individuals and the physical environment they live in. For the purposes of the study, a fieldtrip was conducted in two LTC homes in Toronto (Canada) offering special 24 hour care for people with AD, and one LTC home in Skopje (Macedonia) that includes people with AD in their care program. The interior design of LTC homes was described through photographs, plans, observations and a description of the spaces used by people with AD. For a controlled analysis of the recorded environments, the 'Evaluation of Older People's Living Environments (EVOLVE)' questionnaire was used. RESULTS: The identified qualities from the case studies, and the lessons learned throughout the analysis of the key design elements, were used towards developing a list of suggestions for modifying the interior of the Macedonian LTC home. The developed suggestions were classified into two groups: (1) proposals for minimal constructional modifications of the interior environment, and (2) proposals for major constructional modifications of the interior environment. CONCLUSION: While the suggested modifications are not final changes of the LTC environment, they are an important step towards developing a design strategy for providing 24 hour care for people with AD in Macedonia.

Zen and the Art of Disaster Planning

2018 ◽  
pp. 214-238
Author(s):  
Alison Verplaetse ◽  
Paul Mascareñas ◽  
Kimberly O'Neill
Keyword(s):  
Disaster Preparedness ◽  
Planning Process ◽  
Zen Buddhism ◽  
Academic Library ◽  
Disaster Planning ◽  
Lessons Learned ◽  
Disaster Plan ◽  
Parent Institution ◽  
Institutional Communication ◽  
The Many

This chapter outlines the process through which an original disaster preparedness and recovery plan document was created at a mid-sized academic library with no dedicated preservation staff. A particular emphasis is placed on collaboration and advocacy with the library's parent institution in the formulation of the disaster plan, including the many challenges that arise when institutional communication is flawed and support for the library's goals is lacking. This chapter utilizes concepts adapted from Zen Buddhism to illustratively describe the ways in which the numerous pitfalls and challenges faced through the disaster-planning process were overcome. Taking lessons learned from one library's experience, recommendations are offered for garnering support and successfully completing a disaster plan document amid various pitfalls and constraints. This chapter is aimed at an audience of library professionals and cultural collections stakeholders in need of disaster preparedness documentation but who do not possess the requisite expertise and experience in writing such policies.

scholarly journals Pediatric Outpatient/Urgent-Care Emergency and Disaster Planning

2019 ◽  
Vol 34 (s1) ◽  
pp. s155-s156
Author(s):  
Michael Frogel ◽  
George Foltin ◽  
Arthur Cooper
Keyword(s):  
Iterative Process ◽  
Pediatric Patients ◽  
Medical Center ◽  
Disaster Planning ◽  
Urgent Care ◽  
Expert Committee ◽  
Term Care ◽  
Community Healthcare ◽  
Preparedness Planning ◽  
Care Facilities

Introduction:Children are frequently victims of disasters, however important gaps remain in pediatric disaster planning. This includes a lack of resources for pediatric preparedness planning for patients in outpatient/urgent-care facilities. The New York City Pediatric Disaster Coalition (NYCPDC) is funded by the NYC Department of Health and Mental Hygiene (DOHMH) to improve NYC’s pediatric disaster preparedness and response.Aim:After creating planning resources in Pediatric Long-Term Care Facilities, Hospital Pediatric Departments, Pediatric and Neonatal Intensive Care Units and Obstetric/Newborn Services within NYC hospitals, the NYCPDC partnered with leaders and experts from outpatient/urgent-care facilities caring for pediatric patients and created the Pediatric Outpatient Disaster Planning Committee (PODPC). PODPC’s goal was to create guidelines and templates for use in disaster planning for pediatric patients at outpatient/urgent-care facilities.Methods:The PODPC includes physicians, nurses, administrators, and emergency planning experts who have experience working with outpatient facilities. There were 21 committee members from eight organizations (the NYCPDC, DOHMH, Community Healthcare Association of NY State, NY State DOH, NYC Health and Hospitals, Maimonides Medical Center and Presbyterian/Columbia University Medical Center). The committee met six times over a four-month period and shared information to create disaster planning tools that meet the specific pediatric challenges in the outpatient setting.Results:Utilizing an iterative process including literature review, participant presentations, discussions review, and improvement of working documents, the final guidelines and templates for surge and evacuation of pediatric patients in outpatient/urgent care facilities were created in February 2018. Subsequently, model plans were completed and implemented at five NYC outpatient/urgent-care facilities.Discussion:An expert committee utilizing an iterative process successfully created disaster guidelines and templates for pediatric outpatient/urgent care facilities. They addressed the importance of matching the special needs of children to available space, staff, and equipment needs and created model plans for site-specific use.

Zen and the Art of Disaster Planning

2016 ◽  
pp. 96-119
Author(s):  
Alison Verplaetse ◽  
Paul Mascareñas ◽  
Kimberly O'Neill
Keyword(s):  
Disaster Preparedness ◽  
Planning Process ◽  
Zen Buddhism ◽  
Academic Library ◽  
Disaster Planning ◽  
Lessons Learned ◽  
Disaster Plan ◽  
Parent Institution ◽  
Institutional Communication ◽  
The Many

This chapter outlines the process through which an original disaster preparedness and recovery plan document was created at a mid-sized academic library with no dedicated preservation staff. A particular emphasis is placed on collaboration and advocacy with the library's parent institution in the formulation of the disaster plan, including the many challenges that arise when institutional communication is flawed and support for the library's goals is lacking. This chapter utilizes concepts adapted from Zen Buddhism to illustratively describe the ways in which the numerous pitfalls and challenges faced through the disaster-planning process were overcome. Taking lessons learned from one library's experience, recommendations are offered for garnering support and successfully completing a disaster plan document amid various pitfalls and constraints. This chapter is aimed at an audience of library professionals and cultural collections stakeholders in need of disaster preparedness documentation but who do not possess the requisite expertise and experience in writing such policies.

scholarly journals Developing multimedia collaboratively: Practical approaches for large-scale online curriculum development

2019 ◽  
Vol 16 (1) ◽  
pp. 109-121
Author(s):  
Richard McInnes ◽  
Keyword(s):  
Curriculum Development ◽  
Large Scale ◽  
Lessons Learned ◽  
Teaching Presence ◽  
Team Approach ◽  
Collaborative Approach ◽  
Collaborative Development ◽  
Development Team ◽  
Online Curriculum ◽  
Multimedia Development

Transformations in contemporary higher education have led to an explosion in the number of degrees delivered online, a significant characteristic of which is the incorporation of multimedia to support learning. Despite the proliferation of multimedia and growing literature about the affordances of various technologies, there are relatively few examples of how judgements are made regarding choosing and actioning multimedia development decisions for educational developers. The case study presented here is framed within an institution-wide project for the development of fully online degrees that utilised a collaborative approach to curriculum and multimedia development. This example focuses on the establishment and operation of a collaborative approach to curriculum development in which multidisciplinary development teams invested considerable resources in researching improvements to their multimedia practices and processes. This article reflects on the collaborative team approach to multimedia design and development by examining the team’s experiences and practices through the lens of existing multimedia research, in order to understand the convergence between multimedia theory and the practicalities of developing multimedia within the constraints of large-scale online curriculum development. Through these reflections, four lessons learned will be explicated which will inform those engaged in employing similar approaches in other contexts. These lessons learned identify the benefits and potential issues associated with: 1. the approach used by the collaborative development team to support the production of multimedia, 2. the practices and process used by the collaborative development team to facilitate the creation of concise multimedia presentations, 3. the impacts of establishing teaching presence through videos created by the course writer and online course facilitator, and 4. the presentation styles used by course writers and the tools they used during multimedia production.

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Pharmacology Issues Related to Dementia Syndrome of Depression in Elderly Residents of Long-Term Care Settings

2015 ◽  
Vol 25 (2) ◽  
pp. 61-69
Author(s):  
Angel L. Ball ◽  
Adina S. Gray
Keyword(s):  
Depressive Symptoms ◽  
The Elderly ◽  
Environmental Communication ◽  
Pharmacological Intervention ◽  
Team Approach ◽  
Discussion Paper ◽  
Term Care ◽  
Anticholinergic Medications ◽  
Inappropriate Treatment ◽  
Dementia Syndrome

Pharmacological intervention for depressive symptoms in institutionalized elderly is higher than the population average. Among the patients on such medications are those with a puzzling mix of symptoms, diagnosed as “dementia syndrome of depression,” formerly termed “pseudodementia”. Cognitive-communicative changes, potentially due to medications, complicate the diagnosis even further. This discussion paper reviews the history of the terminology of “pseudodementia,” and examines the pharmacology given as treatment for depressive symptoms in the elderly population that can affect cognition and communication. Clinicians can reduce the risk of misdiagnosis or inappropriate treatment by having an awareness of potential side effects, including decreased attention, memory, and reasoning capacities, particularly due to some anticholinergic medications. A team approach to care should include a cohesive effort directed at caution against over-medication, informed management of polypharmacology, enhancement of environmental/communication supports and quality of life, and recognizing the typical nature of some depressive signs in elderly institutionalized individuals.

scholarly journals Using a multidisciplinary approach to reveal decision-making capacity within acute care for an individual with aphasia

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110270
Author(s):  
Ruth Maxwell ◽  
Michelle O’Brien ◽  
Deirdre O’Donnell ◽  
Lauren Christophers ◽  
Thilo Kroll
Keyword(s):  
Decision Making ◽  
Multidisciplinary Team ◽  
Team Approach ◽  
Term Care ◽  
Multidisciplinary Team Approach ◽  
Decision Making Capacity ◽  
Health And Social Care ◽  
Functional Assessments ◽  
Health Nursing ◽  
Communication Approach

Formal assessments of cognition that rely on language may conceal the non-linguistic cognitive function of people with aphasia. This may have detrimental consequences for how people with aphasia are supported to reveal communicative and decision-making competence. This case report demonstrates a multidisciplinary team approach to supporting the health and social care decision-making of people with aphasia. The case is a 67-year-old woman with Wernicke’s type aphasia. As the issue of long-term care arose, the speech and language therapist used a supported communication approach with the patient who expressed her wish to go home. A multidisciplinary team functional assessment of capacity was undertaken which involved functional assessments and observations of everyday tasks by allied health, nursing, catering and medical staff. In this way, the patient’s decision-making capacity was revealed and she was discharged home. A collaborative multidisciplinary team approach using supported communication and functional capacity assessments may be essential for scaffolding the decision-making capacity of people with aphasia.

scholarly journals The graph neural networking challenge

2021 ◽  
Vol 51 (3) ◽  
pp. 9-16
Author(s):  
José Suárez-Varela ◽  
Miquel Ferriol-Galmés ◽  
Albert López ◽  
Paul Almasan ◽  
Guillermo Bernárdez ◽  
...  
Keyword(s):  
Machine Learning ◽  
Computer Networks ◽  
Real World ◽  
Large Scale ◽  
Lessons Learned ◽  
Educational Resources ◽  
Global Competition ◽  
International Telecommunication Union ◽  
International Telecommunication ◽  
Broad Audience

During the last decade, Machine Learning (ML) has increasingly become a hot topic in the field of Computer Networks and is expected to be gradually adopted for a plethora of control, monitoring and management tasks in real-world deployments. This poses the need to count on new generations of students, researchers and practitioners with a solid background in ML applied to networks. During 2020, the International Telecommunication Union (ITU) has organized the "ITU AI/ML in 5G challenge", an open global competition that has introduced to a broad audience some of the current main challenges in ML for networks. This large-scale initiative has gathered 23 different challenges proposed by network operators, equipment manufacturers and academia, and has attracted a total of 1300+ participants from 60+ countries. This paper narrates our experience organizing one of the proposed challenges: the "Graph Neural Networking Challenge 2020". We describe the problem presented to participants, the tools and resources provided, some organization aspects and participation statistics, an outline of the top-3 awarded solutions, and a summary with some lessons learned during all this journey. As a result, this challenge leaves a curated set of educational resources openly available to anyone interested in the topic.

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