Disaster Preparedness among Service Dog Puppy- Raisers (Human Subject Sample)

Little is known about the ways in which puppy raisers engage in disaster preparedness for their puppies (or “guide dogs in training”). The aim of this research is to understand disaster preparedness among service dog puppy raisers. A web-based survey was distributed to people raising puppies in a service dog training program (n = 53 complete survey responses). Questions in the survey included items about disaster preparedness and plans for canine safety in hazards events. Out of those who said they had an evacuation plan for their puppy in training, 59% stated they would put the dog in their vehicles for evacuating to safety in the event of a hurricane or other disaster. The odds of first-time puppy raisers who considered evacuation for Hurricane Irma in 2017 was 15.3 times the odds of repeat raisers. Over half the raisers reported that they did not have a disaster kit. Additionally, 82% of respondents indicated that having a service puppy in training makes them feel safer. These results can be used as a foundation for service dog organizations in disaster preparedness among their puppy raiser volunteers and in designing recruitment messages for new volunteers.

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A tabletop school bus rollover: Connecticut-wide drills to build pediatric disaster preparedness and promote a novel hospital disaster readiness checklist

American Journal of Disaster Medicine ◽

10.5055/ajdm.2019.0318 ◽

2019 ◽

Vol 14 (2) ◽

pp. 75-87

Author(s):

Mark X. Cicero, MD ◽

Klevi Golloshi, BS ◽

Marcie Gawel, MSN ◽

James Parker, MD ◽

Marc Auerbach, MD, MSci ◽

...

Keyword(s):

Disaster Preparedness ◽

Disaster Response ◽

Coalition Building ◽

National Guidelines ◽

School Bus ◽

Surge Capacity ◽

Preparedness Plan ◽

Public Health Officials ◽

Complete Survey ◽

Survey Responses

Objective: To assess emergency medical services (EMS) and hospital disaster plans and communication and promote an integrated pediatric disaster response in the state of Connecticut, using tabletop exercises to promote education, collaboration, and planning among healthcare entities.Design: Using hospital-specific and national guidelines, a disaster preparedness plan consisting of pediatric guidelines and a hospital checklist was created by The Connecticut Coalition for Pediatric Disaster Preparedness.Setting: Five school bus rollover tabletop exercises were conducted, one in each of Connecticut’s five EMS regions. Action figures and playsets were used to depict patients, healthcare workers, vehicles, the school, and the hospital.Participants: EMS personnel, nurses, physicians and hospital administrators.Intervention: Participants had a facilitated debriefing of the EMS and prehospital response to disasters, communication among prehospital organizations, public health officials, hospitals, and schools, and surge capacity, capability, and alternate care sites. A checklist was completed for each exercise and was used with the facilitated debriefing to generate an after-action report. Additionally, each participant completed a postexercise survey.Main Outcome Measures: Each after-action report and postexercise survey was compared to established guidelines to address gaps in hospital specific pediatric readiness.Results: Exercises occurred at five hospitals, with inpatient capacity ranging 77-1,592 beds, and between 0 and 221 pediatric beds. There were 27 participants in the tabletop exercises, and 20 complete survey responses for analysis (74 percent). After the exercises, pediatric disaster preparedness aligned with coalition guidelines. However, methods of expanding surge capacity and methods of generating surge capacity and capability varied (p 0.031).Conclusion: Statewide tabletop exercises promoted coalition building and revealed gaps between actual and ideal practice. Generation of surge capacity and capability should be addressed in future disaster education.

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Disaster Preparedness: Creating a Web-based Deployment Kit

PsycEXTRA Dataset ◽

10.1037/e564112006-001 ◽

2006 ◽

Keyword(s):

Disaster Preparedness ◽

Web Based

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Association between Participation in an Intensive Longitudinal Assessment Program and Performance on a Cognitive Examination in the Maintenance of Certification in Anesthesiology Program®

Anesthesiology ◽

10.1097/aln.0000000000001301 ◽

2016 ◽

Vol 125 (5) ◽

pp. 1046-1055 ◽

Cited By ~ 13

Author(s):

Huaping Sun ◽

Yan Zhou ◽

Deborah J. Culley ◽

Cynthia A. Lien ◽

Ann E. Harman ◽

...

Keyword(s):

North Carolina ◽

Learning Resources ◽

Longitudinal Assessment ◽

Immediate Feedback ◽

High Stakes ◽

Web Based ◽

Maintenance Of Certification ◽

Improved Performance ◽

And Performance ◽

First Time

Abstract Background As part of the Maintenance of Certification in Anesthesiology Program® (MOCA®), the American Board of Anesthesiology (Raleigh, North Carolina) developed the MOCA Minute program, a web-based intensive longitudinal assessment involving weekly questions with immediate feedback and links to learning resources. This observational study tested the hypothesis that individuals who participate in the MOCA Minute program perform better on the MOCA Cognitive Examination (CE) compared with those who do not participate. Methods Two separate cohorts of individuals eligible for July 2014 and January 2015 CEs were invited to participate in this pilot. The CE scores for each cohort were compared between those who did and did not participate, controlling for the factors known to affect performance. For the first cohort, examination performances for topics covered and not covered by the MOCA Minute were analyzed separately. Results Six hundred sixteen diplomates in July 2014 and 684 diplomates in January 2015 took the CE for the first time. In multiple regression analysis, those actively participating scored 9.9 points (95% CI, 0.8 to 18.9) and 9.3 points (95% CI, 2.3 to 16.3) higher when compared with those not enrolled, respectively. Compared to the group that did not enroll in MOCA Minute, those who enrolled but did not actively participate demonstrated no improvement in scores. MOCA Minute participation was associated with improvement in both questions covering topics included the MOCA Minute and questions not covering these topics. Conclusions This analysis provides evidence that voluntary active participation in a program featuring frequent knowledge assessments accompanied by targeted learning resources is associated with improved performance on a high-stakes CE.

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Prevalence and Predictors of Burnout in Athletic Training Students: A Comparison of Undergraduate and Graduate Students

Athletic Training Education Journal ◽

10.4085/1947-380x-20-22 ◽

2021 ◽

Vol 16 (2) ◽

pp. 101-111

Author(s):

Ashlyne Paige Vineyard ◽

Andrew Gallucci ◽

Kathleen Adair ◽

Leslie Oglesby ◽

Kristina White ◽

...

Keyword(s):

Graduate Students ◽

Athletic Training ◽

Social Stress ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Athletic Training Students ◽

Cross Sectional ◽

Web Based ◽

Survey Responses

Context Burnout is a psychological syndrome consisting of increased emotional exhaustion (EE), depersonalization (DP), and decreased personal accomplishment (PA). To date, examinations of burnout among athletic training students (ATS) is limited. Objective To determine prevalence and antecedents of burnout among ATS. Design Cross-sectional study. Setting Web-based survey. Patients or Other Participants Students enrolled in athletic training programs (ATP). Intervention(s) A survey assessed demographics, stressors, and burnout measured by the Maslach Burnout Inventory–Human Services Survey. Main Outcome Measure(s) Multiple regression analyses were used to determine relationships between variables. Results A total of 725 students participated. Most respondents were undergraduates (n = 582, 80%), female (n = 518, 71%), Caucasian (n = 564, 78%), and single (n = 422, 58%). Mean burnout scores for EE, DP, and PA were 33 ± 10, 17 ± 4.5, and 39 ± 5.8, respectively. Survey responses showed that 70.8% of undergraduate and 62.9% of graduate students reported high EE. All the students (100%) in both samples reported high DP. Undergraduates pursuing internships or residencies (b = −7.69, P < .001) and who were currently enrolled in non–Division I institutions (b = −2.90, P < .01) had decreased EE. Increased stress revealed increased EE (overall stress: b = 3.11, P < .001; social stress: b = 1.32, P < .05; class stress: b = 1.45, P < .05). Increases in clinical hours also related to increased EE (b = 1.49, P < .001). Those pursuing internships or residencies (b = −2.10, P < .05) and who were female (b = −2.10, P < .05) reported decreased DP. Being married (b = 2.87, P < .01), increased clinical hours (b = 0.77, P < .001), and social stress (b = 0.59, P < .05) resulted in increased DP. Increased PA was seen in students intending to pursue graduate education (b = 1.76, P < .05) and female students (b = 1.17, P < .05). Graduate students' stress levels revealed increased EE (b = 6.57, P < .01) and DP (b = 0.98, P < .05). Conclusions Differences exist between undergraduate and graduate burnout scores and associated predictors. Further research is needed to identify student responses to burnout.

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COVID-19 and autoinflammatory diseases: prevalence and outcomes of infection and early experience of vaccination in patients on biologics

Rheumatology Advances in Practice ◽

10.1093/rap/rkab043 ◽

2021 ◽

Vol 5 (2) ◽

Author(s):

Claire J Peet ◽

Charalampia Papadopoulou ◽

Bella Ruth M Sombrito ◽

Michael R Wood ◽

Helen J Lachmann

Keyword(s):

Messenger Rna ◽

Autoinflammatory Disease ◽

Hospital Admissions ◽

Biologic Therapy ◽

Safety Data ◽

Underlying Disease ◽

Autoinflammatory Diseases ◽

Serious Adverse Events ◽

Web Based ◽

Survey Responses

Abstract Objectives The systemic autoinflammatory diseases are rare conditions; to date, data on coronavirus disease 2019 (COVID-19) infection and vaccination safety are scarce. Agents targeting innate immune pathways have transformed the management of affected patients, and their outcomes are of wider interest given the role of inflammation in both viral clearance and severe COVID-19 disease. We surveyed patients with systemic autoinflammatory disease on biologic therapy to determine the prevalence and outcomes of COVID-19 infection and to gather early safety data on vaccination. Methods Electronic medical records of 248 patients with systemic autoinflammatory disease on biologic therapy at a national centre were reviewed. Patients were then surveyed in clinic or using a Web-based survey. Results In the cohort of 248 patients, no deaths were recorded. One hundred and seventy-five survey responses were received. Among the respondents, 27 reported suspected COVID-19 infection, of which 14 were confirmed by testing (8.0%). Two patients required hospital admission owing to dehydration. No patient required respiratory support or intensive care. One hundred and thirty-eight doses of COVID-19 vaccine had been administered to 130 patients. Side effects were reported after 71 of 138 (51.4%) administrations and were consistent with a flare of the underlying disease in 26 of 138 (18.8%) instances. No serious adverse events or hospital admissions were reported after vaccination. Conclusion These data, including the largest published series of patients on anti-IL-1/6 biologics to receive any adenoviral vector or messenger RNA vaccine, show no serious early concerns regarding vaccination and will provide an urgently needed resource to inform decision-making of these patients and their clinicians.

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Current practices in clinical neurofeedback with functional MRI—Analysis of a survey using the TIDieR checklist

European Psychiatry ◽

10.1016/j.eurpsy.2017.10.011 ◽

2018 ◽

Vol 50 ◽

pp. 28-33 ◽

Cited By ~ 7

Author(s):

Elizabeth Randell ◽

Rachel McNamara ◽

Leena Subramanian ◽

Kerenza Hood ◽

David Linden

Keyword(s):

Functional Mri ◽

Online Survey ◽

Scientific Evidence ◽

Complex Interventions ◽

Evidence Base ◽

Web Based ◽

Study Protocols ◽

Survey Responses ◽

Intervention Description ◽

Standard Terms

AbstractBackgroundA core principle of creating a scientific evidence base is that results can be replicated in independent experiments and in health intervention research. The TIDieR (Template for Intervention Description and Replication) checklist has been developed to aid in summarising key items needed when reporting clinical trials and other well designed evaluations of complex interventions in order that findings can be replicated or built on reliably. Neurofeedback (NF) using functional MRI (fMRI) is a multicomponent intervention that should be considered a complex intervention. The TIDieR checklist (with minor modification to increase applicability in this context) was distributed to NF researchers as a survey of current practice in the design and conduct of clinical studies. The aim was to document practice and convergence between research groups, highlighting areas for discussion and providing a basis for recommendations for harmonisation and standardisation.MethodsThe TIDieR checklist was interpreted and expanded (21 questions) to make it applicable to neurofeedback research studies. Using the web-based Bristol Online Survey (BOS) tool, the revised checklist was disseminated to researchers in the BRAINTRAIN European research collaborative network (supported by the European Commission) and others in the fMRI-neurofeedback community.ResultsThere were 16 responses to the survey. Responses were reported under eight main headings which covered the six domains of the TIDieR checklist: What, Why, When, How, Where and Who.ConclusionsThis piece of work provides encouraging insight into the ability to be able to map neuroimaging interventions to a structured framework for reporting purposes. Regardless of the considerable variability of design components, all studies could be described in standard terms of diagnostic groups, dose/duration, targeted areas/signals, and psychological strategies and learning models. Recommendations are made which include providing detailed rationale of intervention design in study protocols.

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September 11, 2016

10.7591/cornell/9781501759123.003.0014 ◽

2021 ◽

pp. 208-217

Author(s):

Jessica DuLong

Keyword(s):

New York ◽

September 11 ◽

Coast Guard ◽

Port Security ◽

Security Systems ◽

Security Issues ◽

Port Of New York ◽

Security Operations ◽

Evacuation Plan ◽

First Time

This chapter assesses the overwhelming task of building up Coast Guard security operations after the 9/11 attacks. A decade and a half later, the new captain of the port, Captain Michael Day said that the current culture of vigilance combined with an even stronger “unity of purpose and effort” than that which he extolled in 2001 have created a far safer port. Today's security systems are much more integrated across agencies than they were before. These important, although somewhat intangible, differences between then and now have also been reinforced by the very tangible reality of infrastructure. The Port of New York and New Jersey has received what Day called the “enabling mechanism of fairly robust port security grants.” Not only does the Coast Guard have better tools and equipment, it also has better systems in place for addressing security issues with a multiagency approach. And now, for the first time, there is an actual maritime evacuation plan.

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Effects of a Court-Ordered Service Dog Training Program with U.S. Veterans: A Qualitative Study

Society and Animals ◽

10.1163/15685306-00001751 ◽

2020 ◽

pp. 1-20

Author(s):

Terry Crowe ◽

Victoria Sanchez ◽

Chardae Durden ◽

Margarita Ortega y Gomez ◽

Melissa Winkle ◽

...

Keyword(s):

Qualitative Study ◽

Focus Groups ◽

Training Program ◽

Self Regulation ◽

Service Dogs ◽

Civilian Life ◽

Daily Lives ◽

Dog Training ◽

Service Dog ◽

Emotional Isolation

Abstract This qualitative study investigated the impacts of a court-ordered service dog training program on justice-involved U.S. veterans. An experienced qualitative research team conducted three focus groups with nine veterans to explore how training service dogs influenced their daily lives. Focus groups were audio recorded, transcribed, and manually coded. Two graduate research assistants developed preliminary themes; the full team generated final themes. Themes illustrated how participation in the program: 1) decreased physical and emotional isolation; 2) assisted veterans with reintegrating into civilian life; 3) improved emotional self-regulation; and 4) helped veterans discover potential; 5) find camaraderie; 6) reconnect with community; and 7) create a sanctuary. In a follow-up session, several participants confirmed that the results accurately captured their experiences. The overall finding suggests the service dog training program served as a rehabilitative process for justice-involved veterans to rediscover their abilities and talents that existed before their experiences in the justice system.

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Demoralization in medical illness: Feasibility and acceptability of a pilot educational intervention for inpatient oncology nurses

Palliative & Supportive Care ◽

10.1017/s1478951517000657 ◽

2017 ◽

Vol 16 (5) ◽

pp. 503-510

Author(s):

Benjamin W. Brewer ◽

Jennifer M. Caspari ◽

Jean Youngwerth ◽

Leigh Nathan ◽

Izaskun Ripoll ◽

...

Keyword(s):

Educational Intervention ◽

Medical Illness ◽

Educational Training ◽

Post Intervention ◽

Web Based ◽

Training Video ◽

Before And After ◽

Medical Inpatients ◽

Survey Responses ◽

Pilot Intervention

ABSTRACTObjective:Demoralization is a common problem among medical inpatients with such serious health problems as cancer. An awareness of this syndrome, a knowledge of what defines it, and a plan for how to intervene are limited among nursing teams. Nurses are uniquely poised to efficiently provide brief interventions that address demoralization in their patients. To our knowledge, there are no interventions that train nurses to distinguish and treat demoralization in their patients. The objective of the present study was to determine the acceptability, feasibility, and impact of a novel educational intervention for nurses.Method:An educational training video was created and delivered to staff nurses (N = 31) at oncology staff meetings to test the feasibility and acceptability of this intervention. Assessments of nurses' knowledge about demoralization and intervention methods were administered immediately before and after the training intervention and through a web-based survey 6 weeks post-intervention. McNemar's test for dependent categorical data was utilized to evaluate change in survey responses at the three timepoints.Results:Nurses' understanding of the concept of demoralization and appropriate interventions significantly improved by 30.3% from pre- to posttest (p ≤ 0.0001). These improvements persisted at 6 weeks post-intervention (p ≤ 0.0001). At 6-week follow-up, 74.2% of participants agreed or strongly agreed that the training had positively changed their nursing practice, 96.8% reported that this training benefited their patients, and 100% felt that this training was important for the professional development of nurses.Significance of results:This pilot intervention appeared feasible and acceptable to nurses and resulted in increased understanding of demoralization, improved confidence to intervene in such cases, and an enhanced sense of professional satisfaction among inpatient oncology floor nurses.

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