scholarly journals The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters

2016 ◽  
Vol 96 (11) ◽  
pp. 1714-1723 ◽  
Author(s):  
Michel D. Landry ◽  
Phillip S. Sheppard ◽  
Kit Leung ◽  
Chiara Retis ◽  
Edwin C. Salvador ◽  
...  

Abstract The frequency of natural disasters appears to be mounting at an alarming rate, and the degree to which people are surviving such traumatic events also is increasing. Postdisaster survival often triggers increases in population and individual disability-related outcomes in the form of impairments, activity limitations, and participation restrictions, all of which have an important impact on the individual, his or her family, and their community. The increase in postdisaster disability-related outcomes has provided a rationale for the increased role of the disability and rehabilitation sector's involvement in emergency response, including physical therapists. A recent major earthquake that has drawn the world's attention occurred in the spring of 2015 in Nepal. The response of the local and international communities was large and significant, and although the collection of complex health and disability issues have yet to be fully resolved, there has been a series of important lessons learned from the 2015 Nepal earthquake(s). This perspective article outlines lessons learned from Nepal that can be applied to future disasters to reduce overall disability-related outcomes and more fully integrate rehabilitation in preparation and planning. First, information is presented on disasters in general, and then information is presented that focuses on the earthquake(s) in Nepal. Next, field experience in Nepal before, during, and after the earthquake is described, and actions that can and should be adopted prior to disasters as part of disability preparedness planning are examined. Then, the emerging roles of rehabilitation providers such as physical therapists during the immediate and postdisaster recovery phases are discussed. Finally, approaches are suggested that can be adopted to “build back better” for, and with, people with disabilities in postdisaster settings such as Nepal.

Author(s):  
Marwa M. Hafez

This chapter includes discussions pertaining to the role of culture in influencing electronic business diffusion in developing countries. In this chapter, the author discusses specific cultural factors and their influences on the individual components required for Internet rollout and use in developing countries. Cases from developing countries are also presented to illustrate the effects culture produces on the levels of electronic business technology usage. The discussions of the lessons learned from those cases along with the theoretical foundations presented throughout the chapter, culminate in the author’s provision of recommendations to the reader, deemed necessary for effectively increasing the diffusion of electronic business in developing countries as well as for reaping the potential benefits generated from its use.


2010 ◽  
Vol 1 (4) ◽  
pp. 427-431
Author(s):  
Francisco Bombillar

This section updates readers on the latest developments in pharmaceutical law, giving information on legislation and case law on various matters (such as clinical and pre-clinical trials, drug approval and marketing authorisation, the role of regulatory agencies) and providing analysis on how and to what extent they might affect health and security of the individual as well as in industry.


2008 ◽  
pp. 3328-3344
Author(s):  
Marwa M. Hafez

This chapter includes discussions pertaining to the role of culture in influencing electronic business diffusion in developing countries. In this chapter, the author discusses specific cultural factors and their influences on the individual components required for Internet rollout and use in developing countries. Cases from developing countries are also presented to illustrate the effects culture produces on the levels of electronic business technology usage. The discussions of the lessons learned from those cases along with the theoretical foundations presented throughout the chapter, culminate in the author’s provision of recommendations to the reader, deemed necessary for effectively increasing the diffusion of electronic business in developing countries as well as for reaping the potential benefits generated from its use.


2018 ◽  
Vol 144 (8) ◽  
pp. 04018044 ◽  
Author(s):  
Rakibul Khan ◽  
Thanh H. Nguyen ◽  
Joanna Shisler ◽  
Lian-Shin Lin ◽  
Antarpreet Jutla ◽  
...  

2016 ◽  
Vol 12 (3) ◽  
pp. 325-343 ◽  
Author(s):  
Bernadette Bartlam ◽  
Jacqueline Waterfield ◽  
Annette Bishop ◽  
Melanie A. Holden ◽  
Panos Barlas ◽  
...  

This article outlines the rationale for adopting a mixed methods approach within randomized controlled trials (RCTs) and explores challenges associated in doing so. Taking the example of the EASE Back feasibility and pilot study ( Evaluating Acupuncture and Standard care for pregnant wom En with BACK pain: ISRCTN49955124), we detail why and how we operationalized a concurrent-sequential mixed methods research design. We present key findings from the exploratory research (focus groups and interviews) and explain how these were integrated with descriptive findings (a national survey of physical therapists) in order to inform and refine the design of the explanatory phase (the pilot RCT). We conclude with a discussion of lessons learned and implications for future research design and conduct.


2020 ◽  
Vol 48 (1) ◽  
Author(s):  
Bhim Gopal Dhoubhadel ◽  
Ganendra Bhakta Raya ◽  
Dhruba Shrestha ◽  
Raj Kumar Shrestha ◽  
Yogendra Dhungel ◽  
...  

Abstract Background The nutritional status of children may deteriorate after natural disasters such as earthquakes. A 7.8 Richter scale earthquake struck Nepal in 2015 that affected 1.1 million children. Children whose homes were destroyed and had to live in temporary shelters were at risk of malnutrition. With the support of Nagasaki University School of Tropical Medicine and Global Health (TMGH) and Siddhi Memorial Hospital (SMH), we conducted a nutritional survey of under-5 children living in temporary shelters in Bhaktapur Municipality in 2015 immediately after the earthquake and a follow-up survey in 2017. Results We found 591 under-5 children living in 22 temporary shelters in 2015. A total of 285 children were followed up and re-assessed in 2017. In a paired analysis (n = 285), the prevalence of underweight children increased from 10.9% in 2015 to 14.0% in 2017 (P < 0.001), stunting increased from 26.7 to 31.9% (P = 0.07), and wasting decreased from 4.2 to 2.5% (P = 0.19). Conclusions Children who lived in temporary shelters after the 2015 Nepal earthquake might be at increased risk of a deterioration in nutritional status.


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