Basic Plan of Medi-Float on Big Disaster Installed in the River

Author(s):  
Hiroaki Eto ◽  
Chiaki Sato ◽  
Koichi Masuda ◽  
Tomoki Ikoma ◽  
Ken Shimizu ◽  
...  

An innumerable number of buildings in the coastal part of the east side of Japan were devastated by the Great East Japan Earthquake and Tsunami. Medical institutions also suffered the damage caused by tsunami, and the function to carry out the medical act has been spoiled. And the disabled concentrated on the medical institution which avoided tsunami damage. Under such circumstances, assistance from the water area began three days after the earthquake disaster, and much support supplies reached the stricken area. It was revealed that the support from the water area including the river was extremely effective against the stricken area. And then, the Tokyo Inland Earthquake disaster was assumed, floating medical support system (hereafter, Medi-Float) installed in the quay of Arakawa River in Tokyo was proposed. Medi-Float is movable; furthermore, it is built in the structural system of having very high isolation characteristics. The float proposed in this study is a facility based on a completely new concept and hence it is difficult to get approval as simply a hardware structure or facility, even if it is safe. Our study considers the constraints with respect to installing the system on the river as the basic plan of the specific Medi-Float. It takes into account the floor planning and flow planning based on operational methods, considers scale planning and weight calculation and the structural strength of the float foundation. The study conducts basic plan of the feasibility of the first-of-its-kind medical float as a marine structure. As the next step, the research on dynamic behavior of Medi-Float will be started, and the validity of this design is verified, technical issues in the design of the Medi-Float should be clarified.

1983 ◽  
Vol 13 (3) ◽  
pp. 487-513 ◽  
Author(s):  

This report, drafted by members of a discussion group (Experience and the Future) consisting primarily of Polish physicians, concerns the problems of personal health and of the health care system in Poland in recent years. Data are presented on key indicators of the health of the Polish population, including mortality, incidence rates of viral and infectious diseases, child health, occupational health, care of the disabled, and alcohol consumption, and a program for improving these indicators is set forth. In addition, achievable short- and long-term goals for the health sector are suggested. It is maintained that many of the unsolved problems in Poland's health sector result from its structure. The foundation on which the health pyramid should rest—primary care in local medical institutions—is the weakest element in the system, whereas the top of the pyramid—specialized, technologically oriented hospitals—is given highest priority.


Author(s):  
Amos G. Winter, V

The purpose of this assessment was to determine the current state of wheelchair technology in Tanzania and the factors that prevent Tanzania’s disabled from utilizing wheelchair technology. Ninety-nine interviews of wheelchair and tricycle users, wheelchair and tricycle manufacturers, and advocacy groups for the disabled were conducted throughout Tanzania during the summer of 2005. Technical issues identified included: tricycles are more popular and much less expensive than wheelchairs; most disabled people rely on donations to buy a mobility aid; production costs can be decreased by using bicycle components and outsourcing tasks; bicycle components are available in rural areas and are attractive for use in wheelchairs; and donated wheelchairs are often irresponsibly distributed and poorly designed for their operating environment. The assessment was conducted under the supervision of the Tanzania Training Center for Orthopedic Technologists and Whirlwind Wheelchair International.


Author(s):  
Diane L. Kendall

Purpose The purpose of this article was to extend the concepts of systems of oppression in higher education to the clinical setting where communication and swallowing services are delivered to geriatric persons, and to begin a conversation as to how clinicians can disrupt oppression in their workplace. Conclusions As clinical service providers to geriatric persons, it is imperative to understand systems of oppression to affect meaningful change. As trained speech-language pathologists and audiologists, we hold power and privilege in the medical institutions in which we work and are therefore obligated to do the hard work. Suggestions offered in this article are only the start of this important work.


2017 ◽  
Vol 2 (17) ◽  
pp. 63-72
Author(s):  
Suzanna Bright ◽  
Chisomo Selemani

Functional approaches to disability measurement in Zambia reveals an overall disability prevalence rate of 13.4%, 4% of whom are recorded as having “speech impairment” (Zambia Federation of the Disabled [ZAFOD], 2006). Further, multidimensional poverty assessments indicate that 48.6% of Zambia's approximately 16 million citizens are impoverished. Currently, there are three internationally qualified speech-language pathologists (SLPs) providing services within Zambia's capital city, Lusaka. Given these statistics, it follows that a significant number of Zambian's, experiencing communication disability, are unable to access specialist assessment and support. Over the past decade, Zambia has seen two very different approaches to address this service gap—firstly, a larger scale top-down approach through the implementation of a formal master's degree program and more recently a smaller scale, bottom-up approach, building the capacity of existing professionals working in the field of communication disability. This article provides an overview of both programs and the context, unique to Zambia, in which they have developed. Authors describe the implementation challenges encountered and program successes leading to a discussion of the weakness and merits to both programs, in an attempt to draw lessons from which future efforts to support communication disability and SLP service development in Majority World contexts may benefit.


1980 ◽  
Vol 25 (1) ◽  
pp. 67-68
Author(s):  
George Szasz
Keyword(s):  

1990 ◽  
Vol 35 (2) ◽  
pp. 159-160
Author(s):  
Nita Sundbye
Keyword(s):  

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