International Relations Study Team Briefing Paper

Fifteen papers discussing post-war constructions in Afghanistan, Bosnia and Vietnam are included

Developing a Model for the Establishment of Pre-Hospital Emergency Medicine Bases in the Northern Provinces of Iran

BACKGROUND: The faster and more accurately Pre-Hospital Emergency Medicine as the first line of care and treatment is done, the less the mortality and disability rates are.AIM: The present study is an attempt to design a model for the establishment of pre-hospital emergency bases in the northern provinces of Iran.METHODS: This quantitative-qualitative (mixed-method) research was conducted in two parts: First, using the literature review, interviews with experts in the field, and a comparative study, the most important factors affecting the establishment were extracted. Second, the obtained data were employed to formulate the development model and to design the questionnaire. The required data for factor analysis were collected through a questionnaire distributed among 200 operational personnel in January 2018. The results were analyzed using confirmatory factor analysis and multiple regression.RESULTS: Five components were identified after the exploratory factor analysis and Varimax with an eigenvalue larger than 1. The effect coefficients calculated for human resources components, service speed, and information and communication system were 0.935, 0.765 and 0.752, respectively. The obtained goodness of fit was very close to one, indicating the one-dimensional strength of the model. The highest parameter estimation in this model was allocated to the human component as 0.935, which has a significant correlation with other components.CONCLUSIONS: In order to reduce the response time, more attention should be paid to the allocation of budget and organizational roles, education, participation from government departments, establishment of an independent medical emergency organization, and appropriate accessibility to reduce the rates of mortality and morbidity

A Software Engineered Voice-Enabled Job Recruitment Portal System

The inability of job seekers to get timely job information regarding the status of the application submitted via conventional job portal system which is usually dependent on accessibility to the Internet has made so many job applicants to lose their placements. Worse still, the epileptic services offered by Internet Service Providers and the poor infrastructures in most developing countries have greatly hindered the expected benefits from Internet usage. These have led to cases of online vacancies notifications unattended to simply because a job seeker is neither aware nor has access to the Internet. With an increasing patronage of mobile phones, a self-service job vacancy notification with audio functionality or an automated job vacancy notification to all qualified job seekers through mobile phones will simply provide a solution to these challenges. In this paper, we present a Voice-enabled Job Recruitment Portal (JRP) System. The system is accessed through two interfaces – the voice user’s interface (VUI) and web interface. The VUI was developed using VoiceXML and the web interface using PHP, and both interfaces integrated with Apache and MySQL as the middleware and back-end component respectively. The JRP proposed in this paper takes the hassle of job hunting from job seekers, provides job status information in real-time to the job seeker and offers other benefits such as, cost, effectiveness, speed, accuracy, ease of documentation, convenience and better logistics to the employer in seeking the right candidate for a job

Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach

BACKGROUND: Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals. METHODS: A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method. RESULTS: Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories. CONCLUSIONS: Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process

Assessing Iran’s health system according to the COVID-19 strategic preparedness and response plan of the World Health Organization: health policy and historical implications

Background: The role of health systems in the management of disasters including natural hazards like outbreaks and pandemics, is crucial and vital. Healthcare systems which are unprepared to properly deal with crises are much more likely to expose their public health workers and health personnel to harm and will not be able to deliver healthcare provisions in critical situations. This can lead to a drammatic toll of deaths, even in developed countries. The possible occurrence of global crises has prompted the WHO to devise instruments, guidelines and tools to assess the capacity of countries to deal with disasters. Iran’s health system has been hit hardly by the COVID-19 pandemic. In this study, we aimed to assess its preparedness and response to the outbreak. Methods: The present investigation was designed as a qualitative study. We utilized the “COVID-19 Strategic Preparedness and Response Plan” devised by WHO as a conceptual framework. Results: The dimension/pillars which scored the highest was national laboratories, followed by surveillance, rapid response teams and case investigations. Risk communication and community engagement was another pillar receiving a high score, followed by infection prevention and control and by country-level coordination, planning and monitoring. The pillar/dimensions receiving the lowest scores were operational support and logistics; case management; and points of entry. Discussion: The COVID-19 pandemic has represented an unprecedent event that has challenged healthcare systems and facilities worldwide, highlighting their weaknesses and the need for inter-sectoral cooperation and collaboration during the crisis. Analyzing these experiences and capitalizing on them, by strengthening them,will help countries to be more prepared to face opossible future crises

Emergency nurses' requirements for disaster preparedness

Background: Natural and man-made disasters affect people, communities, and health systems. Nurses play a key role in the health system and must be prepared for appropriate response in disasters. Objectives: This study was done to assess the current knowledge of nurses in emergency departments for disaster preparedness. Patients and Methods: This cross-sectional study was conducted on 110 emergency nurses working in teaching hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. A questionnaire was used to collect data and the data were then analyzed using descriptive and inferential statistics with SPSS software version 16.0. Results: Based on the findings, most of the participants (64.5) were aged 30 - 39 years old. 84 of the cases were female and 97.3 had a bachelor's degree. The average perceived knowledge of nurses was 2.43 ± 1.01. The nurses had the highest familiarity with triage and lowest knowledge in epidemiology and decision-making. Conclusions: Lack knowledge of nurses regarding response to disaster situations indicates inefficiencies in the current system. Therefore, it is recommended to organize more workshops, annual training courses, and maneuvers based on staff needs and formulate continuous education courses for nurses. Copyright © 2015, Trauma Monthly

Vulnerability of the Emirati Energy Sector for Disaster: A Critical Review

Infrastructure in all its forms is a valuable asset and vulnerable to any natural or manmade hazard. The protection of infrastructure is thus one of the most important and difficult tasks for any government. The energy sector dominates in the UAE and consists of various assets - electricity, oil and natural gas that are geographically dispersed and connected by systems and networks. The protection of these systems and assets and within the energy sector especially, the safeguarding of oil and gas infrastructure from any and all internal and external threats should become top priority in the UAE. Threats to geopolitical and economic stability that need to be considered and prepared for include tectonic activity, climate change, nuclear energy, terrorism and war. This paper explores the disaster vulnerability of the Emirati energy sector with specific focus on Abu Dhabi and Dubai cities. It is based on secondary data, taken from various academic and professional sources, and primary data from a questionnaire survey administered on site at two electricity-generating plants in Abu Dhabi and Dubai. Forty questionnaires were distributed and 35 were returned back- 20 Abu Dhabi and 15 Dubai. Oil and gas sectors were identified as the most vulnerable energy sources in both Abu-Dhabi and Dubai. Risk from terrorism was thought to be the greatest hazard with every single respondent choosing it. This was despite the fact that respondents believe it to be one of the threats that the energy sector is prepared for

Early Warning System for Disasters within Health Organizations: A Mandatory System for Developing Countries

Background: Disaster identification and alert systems can be processed in different ways. An early warning system is designed to detect impending danger and send appropriate and clear signals to at risk communities and organizations at the right time and in an unambiguous way. This study aimed to determine early warning system for disaster within health organization in Iran. Methods: This article presents the findings of a mixed-methods study of early warning systems for disaster management within the health organizations in Iran. During the years 2011 to 2012, a sample of 230 health managers was surveyed using a questionnaire and 65 semi-structured interviews were conducted with public health and therapeutic affairs managers who were responsible for disaster management. Results: A range of problems were identified. Although there is a multiagency alert system within the health organizations, other indicators of early warning system are not satisfactory. Furthermore, standard messages which are used to alert organizations are not used under the current system. Conclusion: Some activities such as memorandum of understanding among different stakeholders of disaster response and education of staff and communities could improve the response to disasters within the health organizations