Underwater military munitions sites — Lessons learned while conducting remedial investigation/feasibility study and time critical removal action projects

2021 ◽  
Author(s):  
Susan Burtnett ◽  
Nicholas Stolte
Keyword(s):  
Feasibility Study ◽  
Lessons Learned ◽  
Action Projects ◽  
Time Critical

scholarly journals Mobile pediatric neurosurgery: rapid response neurosurgery for remote or urgent pediatric patients

2015 ◽  
Vol 16 (3) ◽  
pp. 340-345 ◽  
Author(s):  
Brian K. Owler ◽  
Kathryn A. Browning Carmo ◽  
Wendy Bladwell ◽  
T. Arieta Fa’asalele ◽  
Jane Roxburgh ◽  
...  
Keyword(s):  
Head Injuries ◽  
Pediatric Neurosurgery ◽  
Lessons Learned ◽  
Neurological Deficits ◽  
Pediatric Care ◽  
Start Time ◽  
Tertiary Center ◽  
Metropolitan Hospital ◽  
Time Critical ◽  
Median Interval

OBJECT Time-critical neurosurgical conditions require urgent operative treatment to prevent death or neurological deficits. In New South Wales/Australian Capital Territory patients’ distance from neurosurgical care is often great, presenting a challenge in achieving timely care for patients with acute neurosurgical conditions. METHODS A protocol was developed to facilitate consultant neurosurgery locally. Children with acute, time-critical neurosurgical emergencies underwent operations in hospitals that do not normally offer neurosurgery. The authors describe the developed protocol, the outcome of its use, and the lessons learned in the 9 initial cases where the protocol has been used. Three cases are discussed in detail. RESULTS Nine children were treated by a neurosurgeon at 5 rural hospitals, and 2 children were treated at a smaller metropolitan hospital. Road ambulance, fixed wing aircraft, and medical helicopters were used to transport the Newborn and Paediatric Emergency Transport Service (NETS) team, neurosurgeon, and patients. In each case, the time to definitive neurosurgical intervention was significantly reduced. The median interval from triage at the initial hospital to surgical start time was 3:55 hours, (interquartile range [IQR] 03:29–05:20 hours). The median distance traveled to reach a patient was 232 km (range 23–637 km). The median interval from the initial NETS call requesting patient retrieval to surgical start time was 3:15 hours (IQR 00:47–03:37 hours). The estimated median “time saved” was approximately 3:00 hours (IQR 1:44–3:15 hours) compared with the travel time to retrieve the child to the tertiary center: 8:31 hours (IQR 6:56–10:08 hours). CONCLUSIONS Remote urgent neurosurgical interventions can be performed safely and effectively. This practice is relevant to countries where distance limits urgent access for patients to tertiary pediatric care. This practice is lifesaving for some children with head injuries and other acute neurosurgical conditions.

Weight management program for first responders: Feasibility study and lessons learned

Work ◽  
2020 ◽  
Vol 65 (1) ◽  
pp. 161-166
Author(s):  
Gerald J. Jerome ◽  
Peter J. Lisman ◽  
Arlene T. Dalcin ◽  
Austin Clark
Keyword(s):  
Weight Management ◽  
Feasibility Study ◽  
First Responders ◽  
Management Program ◽  
Lessons Learned ◽  
Weight Management Program

Field Experiment Report for Verification of Abandoned Lignite Mines by Robotic Exploration System

2018 ◽  
Vol 30 (6) ◽  
pp. 1004-1013 ◽  
Author(s):  
Hiroyasu Miura ◽  
Ayaka Watanabe ◽  
Masayuki Okugawa ◽  
Susumu Kurahashi ◽  
Masamitsu Kurisu ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Local Governments ◽  
Lessons Learned ◽  
Test Field ◽  
Filling Material ◽  
Robotic Exploration ◽  
Lignite Mine ◽  
Cavity Filling ◽  
Tokai Region ◽  
Lignite Mines

The risk of collapse and subsidence of abandoned lignite mines has been noted in the Tokai region of Japan. The cavity-filling process by local governments has been ongoing. There is no cavity map in the abandoned lignite mines, and it is necessary to understand and explore the underground space in order to estimate the amount of filling material needed. By request from Mitake-cho in Gifu Prefecture, we received the opportunity to explore the inside of an abandoned lignite mine using our robotic system. Prior to the exploration of the actual abandoned lignite mine, as a feasibility study, an experimental test field that simulated the elements of the abandoned lignite mine was prepared outdoors. Some experiments were performed and the robotic exploration system was evaluated in this study. This paper describes the lessons learned from the feasibility study.

scholarly journals Regionalized Care for Time-critical Conditions: Lessons Learned From Existing Networks

2010 ◽  
Vol 17 (12) ◽  
pp. 1354-1358 ◽  
Author(s):  
Brendan G. Carr ◽  
J. Matthew Edwards ◽  
Ricardo Martinez
Keyword(s):  
Lessons Learned ◽  
Critical Conditions ◽  
Time Critical

scholarly journals Web-Based Specialist Support for Spinal Cord Injury Person’s Care: Lessons Learned

2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Vincenzo Della Mea ◽  
Dario Marin ◽  
Claudio Rosin ◽  
Agostino Zampa
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Feasibility Study ◽  
Lessons Learned ◽  
Phone Call ◽  
Web Based ◽  
Rehabilitation Hospital ◽  
Healthcare Network ◽  
Cord Injury ◽  
Training Courses

Persons with disability from spinal cord injury (SCI) are subject to high risk of pathological events and need a regular followup even after discharge from the rehabilitation hospital. To help in followup, we developed a web portal for providing online specialist as well as GP support to SCI persons. After a feasibility study with 13 subjects, the portal has been introduced in the regional healthcare network in order to make it compliant with current legal regulations on data protection, including smartcard authentication. Although a number of training courses have been made to introduce SCI persons to portal use (up to 50 users), the number of accesses remained very low. Reasons for that have been investigated by means of a questionnaire submitted to the initial feasibility study subjects and included the still easier use of telephone versus our web-based smartcard-authenticated portal, in particular, because online communications are still perceived as an unusual way of interacting with the doctor. To summarize, the overall project has been appreciated by the users, but when it is time to ask for help to, the specialist, it is still much easier to make a phone call.

International Community Psychology Development

2017 ◽  
Author(s):  
Mary Gloria C. Njoku
Keyword(s):  
Community Psychology ◽  
Social Research ◽  
Private University ◽  
International Community ◽  
Lessons Learned ◽  
Development Work ◽  
Action Projects ◽  
The University ◽  
University Setting ◽  
Practice Community

As a psychologist working in an academic setting in Nigeria, the author had the opportunity to develop a variety of social research and action projects both within the university setting and in the surrounding community. In addition, her participation in starting a new private university and implementing educational reformation has given the author the platform to practice community principles. There are challenges to international community psychology development work in Nigeria that include her reintegration into the Nigerian cultural system and recognition of the dynamics in operation and provision of relevant interventions. This chapter presents the reader with the author’s path to doing community psychology in Nigeria and offers suggestions and lessons learned for readers interested in doing international work.

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