5,791 research outputs found

    Mapping Current and Potential Sources of Routine Data Capture on New Psychoactive Substances in Scotland

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    The paper maps the data currently being captured on NPS, and provides a starting point for exploring the strengths and weaknesses of a number of existing data systems in Scotland, and opportunities for data sharing

    Policy into practice: Adoption of hazard mitigation measures by local government in Queensland:A collaborative research project between Queensland University of Technology and Emergency Management Queensland in association with Local Government of Queensland Disaster Management Alliance

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    The focus of the present research was to investigate how Local Governments in Queensland were progressing with the adoption of delineated DM policies and supporting guidelines. The study consulted Local Government representatives and hence, the results reflect their views on these issues. Is adoption occurring? To what degree? Are policies and guidelines being effectively implemented so that the objective of a safer, more resilient community is being achieved? If not, what are the current barriers to achieving this, and can recommendations be made to overcome these barriers? These questions defined the basis on which the present study was designed and the survey tools developed.\ud \ud While it was recognised that LGAQ and Emergency Management Queensland (EMQ) may have differing views on some reported issues, it was beyond the scope of the present study to canvass those views.\ud \ud The study resolved to document and analyse these questions under the broad themes of: \ud \ud • Building community capacity (notably via community awareness).\ud • Council operationalisation of DM. \ud • Regional partnerships (in mitigation/adaptation).\ud \ud Data was collected via a survey tool comprising two components: \ud \ud • An online questionnaire survey distributed via the LGAQ Disaster Management Alliance (hereafter referred to as the “Alliance”) to DM sections of all Queensland Local Government Councils; and\ud • a series of focus groups with selected Queensland Councils\u

    The 1995 Attempted Derailing of the French TGV (High-Speed Train) and a Quantitative Analysis of 181 Rail Sabotage Attempts, MTI Report 09-12

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    On August 26, 1995, the Saturday of the final and busiest weekend of France’s summer holiday season, terrorists attempted to derail the TGV (Train à Grande Vitesse) between Lyon and Paris by planting a bomb. Fortunately, their crude triggering mechanism failed to detonate the bomb, and subsequent analysis indicates that even had the bomb gone off, the explosion would not have derailed the train. The TGV episode, one of a continuing series of case studies by the Mineta Transportation Institute, points to a continuing problem: Since 1995, terrorists have attempted to derail trains on at least 144 occasions. Because of the expansion of high-speed rail systems in Europe, Asia, and North America, where 15 high-speed rail projects are in preparation or under way in the United States alone, this case study has been expanded to include a chronology and statistical analysis of attempted derailments worldwide. This analysis examines the geographic distribution of the attempts, the methods used by the saboteurs, and the outcomes. Although based on a small universe of events, it underscores both the attractiveness to terrorists of attacking transportation systems—a successful attack can result in high body counts, significant disruption, dramatic images, and enormous publicity, all things sought by terrorists—and the difficulties of achieving success

    Protocols and strategies to use emergency psychology in the face of an emergency: A systematic review

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    Background: Trauma survivors are at a high risk of developing mental health problems. Hence, mental help in the form of emergency psychology has to be availed in the aftermath of a traumatizing event. When studied in-depth, emergency psychology comprises protocols, strategies, and techniques that establish it as an interventional activity. Objective: The main of this review is to analyze how emergency psychology services are provided to people, to verify to what extent these interventions are homogeneous in the delivery methods and consequently, facilitate the creation of relevant measures. Consequently, the general view of emergency psychology is reviewed and analyzed to identify the protocols, guidelines, and strategies used. Methods: A search was done on the ScienceDirect, APA PsycINFO, Emerald, and Scopus databases for articles published from 1st January 2017 to 1st April 2022. The reference lists of the identified studies were also screened. Results: After the non-duplicate articles were removed and after filtering the articles according to inclusion criteria, 20 articles were included for the thematic analysis: nine research articles, 10 case study reports, and one randomized controlled trial (RCT). During the analysis, different aspects of emergency psychology were categorized: Responders, Crisis Management and Structure, and types of psychological interventions. This categorization led to the identification of protocols, guidelines, and strategies that can be placed in a sequence to give a general direction of how an emergency psychology intervention is supposed to be carried out. Conclusions: The adopted protocols, guidelines and strategies may vary from one disaster management to another but the main goal will always remain the same

    Emergency Response: A Systemic Approach to Diaper Rash, Chest Pain, and Medicaid in the ED

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    In an effort to rein in health care costs, states have focused on non-emergent use of the Emergency Department (ED) by people with Medicaid coverage, although this is an issue that cuts across payor groups. Particularly in light of the Affordable Care Act insurance expansions, I argue for a system-based approach that views ER overutilization as less a reflection of poor judgment on the part of patients and more a consequence of poor access to primary care and poor systems for managing the complex circumstances of high utilizers. I describe a state program of seven “best practices,” and argue that sustainably reducing non-emergent ED use — by those with Medicaid and those with private insurance — will require effective implementation of primary care supports found in the ACA and in other initiatives, public and private. This systemic approach is in contrast to the misguided, individualistic approach reflected in proposed state policies that would restrict payment based on the urgency of the diagnosis. The legal, ethical and practical problems of payment-restriction policies are compounded by their failure to directly target the root causes of ED overuse or support transition to a health care system that does
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