scholarly journals Volunteer-Operated Field Medical Tents During Civilian Protests in Beirut, Lebanon: Challenges and Lessons

2020 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Emergency Services ◽  
First Aid ◽  
Lessons Learned ◽  
Team Coordination ◽  
Civil Unrest ◽  
Social Activists ◽  
Nurses And Physicians ◽  
Medical Volunteerism ◽  
Political Economic ◽  
And Storage

In October 2019, the worsening political, economic, and perceived corruption in Lebanon led to civil unrest. In anticipation of injuries, a group of healthcare professionals and social activists summoned paramedics, nurses, and physicians through social media, to provide medical assistance in the protest area. These volunteers established a physician-led advanced first-aid tent, whose aim was to reduce the patient load on Emergency Departments in local hospitals. We present the experience of volunteers, lessons learned, and challenges faced during the establishment of the physician-led first aid tent. In this manuscript, we discuss the following aspects of our efforts that can serve as relevant lessons we learned about medical volunteerism: spontaneity in volunteerism, operations, location and storage, supplies, roaming team, coordination with emergency services, safety, documentation, communication, special situations, and transition from acute to primary care.

Growing controversy over “wise international water governance”

2004 ◽  
Vol 49 (7) ◽  
pp. 61-66
Author(s):  
J.M. Trondalen
Keyword(s):  
Policy Development ◽  
Water Governance ◽  
Lessons Learned ◽  
Political Climate ◽  
Trade Offs ◽  
Political Relationships ◽  
External Power ◽  
International Water ◽  
Principles And Standards ◽  
Political Economic

This article takes the perspective that when political relationships are strained, there seem to be few examples of wise international water resources governance. The Middle East is a striking example. Much effort has been put into policy development and the design of international principles, but very little into the translation of those into concrete and lasting governance. One of the theses of the article is that politics - whether domestic or international- in most cases overrides these principles and standards. Moreover ready-made regional co-operation models of water managements are not directly applicable to every geographical, political, economic and social setting. Certain factors are often under-estimated in international water negotiations, such as:• the complexity of any hydro-political negotiations, and need to develop commonly accepted standards;• the difficulty of translating policy - either politically or legally - into an operational and realistic negotiations strategy;• the format of the procedures and meetings;• recognition that third parties should have a long-term perspective on any conflict they get involved in.With reservations, the lessons learned indicate that the following factors have an impact on grid locked situations, such as: new substantive information; new trade-offs between the parties; and changed political climate or relationship with external power-brokers.

scholarly journals Implications of the GC-HARMS Fishermen’s Citizen Science Network: Issues Raised, Lessons Learned, and Next Steps for the Network and Citizen Science

2018 ◽  
Vol 28 (4) ◽  
pp. 570-598 ◽  
Author(s):  
John Sullivan ◽  
Sharon Croisant ◽  
Marilyn Howarth ◽  
Wilma Subra ◽  
Marylee Orr ◽  
...  
Keyword(s):  
Citizen Science ◽  
Social Dynamics ◽  
Gulf Coast ◽  
Community Based Participatory Research ◽  
Community Outreach ◽  
Lessons Learned ◽  
Project Outcomes ◽  
Participatory Science ◽  
Cultural Fluency ◽  
Political Economic

This paper is intended to complement our extended documentation and analysis of the activities of the Gulf Coast Health Alliance: Health Risks related to the Macondo Spill project Community Outreach and Dissemination Core entitled, “Building and maintaining a citizen science network with fishermen and fishing communities after the Deepwater Horizon oil disaster using a Community-Based Participatory Research (CBPR) approach.” We discuss nuances of CBPR practice, including trust-building, clarification of stakeholder expectations, balancing timelines and agendas, cultural fluency, and the importance of regional history—political-economic context, regulatory practices, and cultural life-ways—in creating social dynamics that overarch and underpin the entire process. We examine the unique role of knowledge-making hybrid structures like the project’s Fishermen’s citizen science network and compare/contrast this structure with other models of participatory science or deliberation. Finally, we reiterate the importance of environmental health literacy efforts, summarize project outcomes, and offer thoughts on the future roles of collaborative efforts among communities and institutional science in environmental public health.

Post-Communism's First Decade: A Primer for Non-Specialists

2003 ◽  
Vol 36 (2) ◽  
pp. 417-437 ◽  
Author(s):  
Barbara J. Falk
Keyword(s):  
Eastern Europe ◽  
Large Scale ◽  
Central And Eastern Europe ◽  
Lessons Learned ◽  
Grand Narrative ◽  
Social Experimentation ◽  
Political Economic

This article examines the lessons "learned" and the legacies inherent in the downfall of authoritarian communism in central and eastern Europe in view of post-communism's first decade. It is argued that the events of 1989-1991 were revolutionary in dramatically and unexpectedly establishing new regimes and ushering in simultaneous and multilateral (political, economic, social, national) change. Furthermore, 1989-1991 represents a rejection of "grand narrative" large-scale social experimentation in political arrangements in favour of hybridism and incrementalism. Ten key maxims are introduced as a means of analyzing this historical rupture and understanding the variety of experiences across the region.

scholarly journals Improving Risk Assessment for Transporting Dangerous Goods through European Road Tunnels: A Delphi Study

Systems ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 80
Author(s):  
Marianna Kalogeraki ◽  
Fani Antoniou
Keyword(s):  
Risk Assessment ◽  
Delphi Method ◽  
Delphi Study ◽  
Emergency Services ◽  
Lessons Learned ◽  
Quantitative Risk Assessment ◽  
Modified Delphi ◽  
Dangerous Goods ◽  
Road Tunnels ◽  
Open Road

Managing the transportation of dangerous goods (DG) through road tunnels is of great importance since it is associated with a serious risk of accidents. The consequences of an accident involving DG, especially in the closed tunnel environment, might be more significant and even more catastrophic compared to the same accident occurring on an open road. This article presents the Greek experience regarding the application of quantitative risk assessment (QRA) methods for the transportation of DG through Greek road tunnels. The modified Delphi method, with the participation of nine experts, is employed to investigate the obstacles to successfully conforming with the mandatory European Union regulatory framework that applies to transport operations within the Trans-European road network. Recommendations are made to improve the applied QRA approach, to facilitate the cooperation between tunnel managers and emergency services, to communicate lessons learned and to enhance the training of risk assessors.

scholarly journals Simple Emergency Triage (SET) – the new perspective on mass casualty incident triage

2020 ◽  
Vol 7 (2) ◽  
pp. 120-123
Author(s):  
Jerzy Jaskuła ◽  
Marek Siuta
Keyword(s):  
Personal Experience ◽  
Emergency Services ◽  
Statistical Data ◽  
First Aid ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Starting Point ◽  
Analysis And Synthesis ◽  
The Subject ◽  
New Perspective

The aim: Incidents with large number of casualties present a major challenge for the emergency services. Incident witnesses are always the first on scene. Authors aim at giving them an algorithm arranging the widely known first aid rules in such way, that the number of potential fatalities before the services’ arrival may be decreased. Material and methods: The authors’ main aim was creating an algorithm for mass casualty incident action, comprising elements not exceeding first aid skill level. Proceedings have been systematized, which led to creation of mass casualty incident algorithm. The analysis was based on the subject matter literature, legal acts and regulations, statistical data and author’s personal experience. Results: The analysis and synthesis of data from various sources allowed for the creation of Simple Emergency Triage (SET) algorithm. It has been proven – on theoretical level – that introducing an organized way of proceeding in mass casualty incident on the first aid level is justified. Conclusions: The SET algorithm presented in the article is of an implemental character. It may be a supplement to basic first aid skills. Algorithm may also be the starting point for further empirical research aimed at verifying its effectiveness.

scholarly journals Building Tools to Support Active Curation: Lessons Learned from SEAD

2018 ◽  
Vol 12 (2) ◽  
pp. 76-85
Author(s):  
Dharma Akmon ◽  
Margaret Hedstrom ◽  
James D. Myers ◽  
Anna Ovchinnikova ◽  
Inna Kouper
Keyword(s):  
Lessons Learned ◽  
Infrastructure Development ◽  
Opportunities To Learn ◽  
Data Repositories ◽  
Team Coordination ◽  
Data Infrastructure ◽  
Data Life Cycle ◽  
The Us ◽  
National Science ◽  
Future Data

SEAD – a project funded by the US National Science Foundation’s DataNet program – has spent the last five years designing, building, and deploying an integrated set of services to better connect scientists’ research workflows to data publication and preservation activities. Throughout the project, SEAD has promoted the concept and practice of “active curation,” which consists of capturing data and metadata early and refining it throughout the data life cycle. In promoting active curation, our team saw an opportunity to develop tools that would help scientists better manage data for their own use, improve team coordination around data, implement practices that would serve the data better over time, and seamlessly connect with data repositories to ease the burden of sharing and publishing. SEAD has worked with 30 projects, dozens of researchers, and hundreds of thousands of files, providing us with ample opportunities to learn about data and metadata, integrating with researchers’ workflows, and building tools and services for data. In this paper, we discuss the lessons we have learned and suggest how this might guide future data infrastructure development efforts.

Experience With Damaged Spent Nuclear Fuel at U.S. DOE Facilities

2006 ◽  
Author(s):  
Brett Carlsen ◽  
Denzel Fillmore ◽  
Roger L. McCormack ◽  
Robert Sindelar ◽  
Timothy Spieker ◽  
...  
Keyword(s):  
Nuclear Fuel ◽  
Spent Nuclear Fuel ◽  
National Laboratory ◽  
Equipment Design ◽  
Lessons Learned ◽  
Nuclear Fuels ◽  
Idaho National Laboratory ◽  
Safe Storage ◽  
And Storage ◽  
Storage Facilities

This report summarizes some of the challenges encountered and solutions implemented to ensure safe storage and handling of damaged spent nuclear fuels (SNF). It includes a brief summary of some SNF storage environments and resulting SNF degradation, experience with handling and repackaging significantly degraded SNFs, and the associated lessons learned. This work provides useful insight and resolutions to many engineering challenges facing SNF handling and storage facilities. The context of this report is taken from a report produced at Idaho National Laboratory and further detailed information, such as equipment design and usage, can be found in the appendices to that report.

Leaving the Lecture Hall

2012 ◽  
Vol 20 (3) ◽  
pp. 23-26
Author(s):  
Cara Bailey Fausset ◽  
Keith R. Bujak ◽  
Keith A. Kline ◽  
Jenay M. Beer ◽  
Smarr Cory-Ann ◽  
...  
Keyword(s):  
Research Methods ◽  
Lessons Learned ◽  
Management Team ◽  
Lecture Hall ◽  
Classroom Setting ◽  
Georgia Tech ◽  
Team Coordination ◽  
Team Members ◽  
Design Changes ◽  
Classroom Project

Georgia Tech HF/E students initiated and managed a multisemester project to experience the nuances of conducting HF/E outside the classroom setting. This article focuses on the lessons learned beyond the classroom: project management, team coordination, communication with non-HF/E team members, application of research methods, and integration of data to prioritize and guide design changes. The goal of this article is to help guide other HF/E students and educators when implementing similar projects by providing the lessons we learned from this experience.

scholarly journals Research on the design of emergency services for nursing homes

2020 ◽  
Vol 179 ◽  
pp. 02039
Author(s):  
Jiawei Liu ◽  
Hao Qian ◽  
Dongming Ma
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Nursing Homes ◽  
Swot Analysis ◽  
Emergency Services ◽  
Service System ◽  
Healthy Lifestyle ◽  
The Elderly ◽  
First Aid ◽  
Analysis Method

In order to improve the efficiency of medical treatment for the elderly during sudden illness and optimize the first-aid service process in nursing homes, this paper uses the SET analysis method to obtain the design gap of the existing nursing-home emergency service system. Taking the elderly with coronary heart disease as an example, focus on their service acceptance and healthy lifestyle. Use the method of user journey map to visualize the daily behavior of the elderly, followed by the SWOT analysis method to obtain the market competitive advantage, and finally establish a coronary heart disease first-aid service system for nursing homes. It is hoped that this study will provide emergency medical service plans for elderly patients with sudden acute illness and provide a reference for the emergency treatment process of other types of diseases.

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