This document provides an overview of resources for disaster health information. It describes a training session that covers locating peer-reviewed literature, grey literature, surveillance data and tools from organizations like NLM, CDC and WHO. The document discusses classifying disaster-related topics in subject headings and evaluating sources. It also demonstrates NLM's WISER, REMM and CHEMM applications for hazardous materials, radiation and chemical incidents. Finally, it explores using social media, apps and alerts to stay updated on disaster health issues.
Webinar - Disaster Health Information Sources: The BasicsRobin Featherstone
Webinar workshop given on September 14th and 15th to members of the Medical Library Association (MLA). Disaster Health Information Sources: The Basics is the foundational course in MLA's Disaster Information Specialization. For more info see: http://www.mlanet.org/education/dis/
3 Round Stones at the New England Health Datapalooza Oct 3, 20123 Round Stones
3 Round Stones' co-founder Bernadette Hyland discusses a new mobile application that uses federal open government data about weather and healthcare to improve management of chronic health conditions including asthma and COPD.
Webinar - Disaster Health Information Sources: The BasicsRobin Featherstone
Webinar workshop given on September 14th and 15th to members of the Medical Library Association (MLA). Disaster Health Information Sources: The Basics is the foundational course in MLA's Disaster Information Specialization. For more info see: http://www.mlanet.org/education/dis/
3 Round Stones at the New England Health Datapalooza Oct 3, 20123 Round Stones
3 Round Stones' co-founder Bernadette Hyland discusses a new mobile application that uses federal open government data about weather and healthcare to improve management of chronic health conditions including asthma and COPD.
Presented at the Diploma and Master Programs in Biomedical and Health Informatics, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand on October 5, 2021
Medical technologies and data protection issues - food for thoughtRenato Monteiro
Document prepared towards the modernization procedure of Council of Europe´s Convention 108 on the Protection of Personal Data. Available at: http://www.coe.int/t/dghl/standardsetting/dataprotection/TPD_documents/T-PD-BUR%282014%2904Rev%20-%20Medical%20Data%20%28By%20Renato%20Leite%29.pdf
Dr. Tristen Nguyen, presents an overview of his program, Science of Information, Computation and Fusion, at the AFOSR 2013 Spring Review. At this review, Program Officers from AFOSR Technical Divisions will present briefings that highlight basic research programs beneficial to the Air Force.
Information sources and the use of media in Italy (1)Quattrogatti.info
What are the most used media in Italy, and where do Italians mostly get information? Notwithstanding the penetration of the internet and the new ways young people search for information, recent data shows that the Italian media landscape is still dominated by television.
This slide-show is part of the project "Media in Italy and the digital challenge", which quattrogatti.info has carried out with the support of the Open Society Foundation. To know more: www.quattrogatti.info.
Semantic 3D City Models are the basis of a new generation of virtual reality. The most relevant objects within a city including manmade and natural objects are mapped to objects within a semantic 3D city model. These objects are classified, further substructured (e.g. a building is decomposed into roof and wall parts etc.), attributed, and have spatial and semantic relations to other objects. The international standard CityGML issued by the Open Geospatial Consortium provides a common vocabulary and definitions for describing and managing urban entities which enables interoperability over the many different cities all over the world.
This presentation shows how CityGML based semantic 3D city models are used to link data from diverse application fields like energy planning, disaster management, and environmental analyses on a stable ground. Special focus is on the support of strategic energy planning, demonstrated for the research project "Energy Atlas Berlin" that was funded by the "Climate KIC" of the European Institute for Innovation and Technology (EIT). We show the city-wide estimation of the energy demands of buildings including heating, electricity and warm water energy in the city of Berlin using available official geobase and statistical data integrated within the Energy Atlas Berlin.
The tools have been mostly developed at the chair of Geoinformatics at Technische Universität München (TUM). They are now being further developed in follow-up projects and applied with housing companies, energy suppliers, and urban retrofitting initiatives. For further information see the references on the last two slides.
Media and Information Literacy (MIL) - 5. Media and Information SourcesArniel Ping
I- Media and Information Sources
A. Sources of Information
Indigenous Knowledge
1.Library
2. Internet
3. Mass Media
B. Pros and Cons of the Different Types of Media as Sources of Information
C. Evaluating Information Sources
Learning Competencies
1. compare potential sources of media and information (MIL11/12MIS-IIIe-13)
2. assess information quality by studying the pros and cons of different types of media as sources of information (SSHS)
3. interview an elder from the community regarding indigenous media and information resource (MIL11/12MIS-IIIe-14)
Presented at the Diploma and Master Programs in Biomedical and Health Informatics, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand on October 5, 2021
Medical technologies and data protection issues - food for thoughtRenato Monteiro
Document prepared towards the modernization procedure of Council of Europe´s Convention 108 on the Protection of Personal Data. Available at: http://www.coe.int/t/dghl/standardsetting/dataprotection/TPD_documents/T-PD-BUR%282014%2904Rev%20-%20Medical%20Data%20%28By%20Renato%20Leite%29.pdf
Dr. Tristen Nguyen, presents an overview of his program, Science of Information, Computation and Fusion, at the AFOSR 2013 Spring Review. At this review, Program Officers from AFOSR Technical Divisions will present briefings that highlight basic research programs beneficial to the Air Force.
Information sources and the use of media in Italy (1)Quattrogatti.info
What are the most used media in Italy, and where do Italians mostly get information? Notwithstanding the penetration of the internet and the new ways young people search for information, recent data shows that the Italian media landscape is still dominated by television.
This slide-show is part of the project "Media in Italy and the digital challenge", which quattrogatti.info has carried out with the support of the Open Society Foundation. To know more: www.quattrogatti.info.
Semantic 3D City Models are the basis of a new generation of virtual reality. The most relevant objects within a city including manmade and natural objects are mapped to objects within a semantic 3D city model. These objects are classified, further substructured (e.g. a building is decomposed into roof and wall parts etc.), attributed, and have spatial and semantic relations to other objects. The international standard CityGML issued by the Open Geospatial Consortium provides a common vocabulary and definitions for describing and managing urban entities which enables interoperability over the many different cities all over the world.
This presentation shows how CityGML based semantic 3D city models are used to link data from diverse application fields like energy planning, disaster management, and environmental analyses on a stable ground. Special focus is on the support of strategic energy planning, demonstrated for the research project "Energy Atlas Berlin" that was funded by the "Climate KIC" of the European Institute for Innovation and Technology (EIT). We show the city-wide estimation of the energy demands of buildings including heating, electricity and warm water energy in the city of Berlin using available official geobase and statistical data integrated within the Energy Atlas Berlin.
The tools have been mostly developed at the chair of Geoinformatics at Technische Universität München (TUM). They are now being further developed in follow-up projects and applied with housing companies, energy suppliers, and urban retrofitting initiatives. For further information see the references on the last two slides.
Media and Information Literacy (MIL) - 5. Media and Information SourcesArniel Ping
I- Media and Information Sources
A. Sources of Information
Indigenous Knowledge
1.Library
2. Internet
3. Mass Media
B. Pros and Cons of the Different Types of Media as Sources of Information
C. Evaluating Information Sources
Learning Competencies
1. compare potential sources of media and information (MIL11/12MIS-IIIe-13)
2. assess information quality by studying the pros and cons of different types of media as sources of information (SSHS)
3. interview an elder from the community regarding indigenous media and information resource (MIL11/12MIS-IIIe-14)
Eysenbach AMIA Keynote: From Patient Needs to Personal Health ApplicationsGunther Eysenbach
AMIA Spring Conference, May 29th-31st, 2008, Phoenix/AZ. PHR Track Keynote covers: An international perspective on the importance of PHR/PHA development & research; patient needs (and other drivers of Personal Health Records); Emerging technological trends, with an emphasis on what Eysenbach calls PHR 2.0 – impact of Web 2.0 approaches e.g. to reduce attrition in ehealth applications
Eysenbach: Personal Health Applications and Personal Health RecordsGunther Eysenbach
Keynote talk at the AMIA Spring Conference in the PHR track (Personal Health Records), focussing on international develoments and a new paradigm which I call PHR 2.0
Riff: A Social Network and Collaborative Platform for Public Health Disease S...Taha Kass-Hout, MD, MS
A hybrid (event-based and indicator-based) platform designed to streamline the collaboration between domain experts and machine learning algorithms for detection, prediction and response to health-related events (such as disease outbreaks or pandemics). The platform helps synthesize health-related event indicators from a wide variety of information sources (structured and unstructured) into a consolidated picture for analysis, maintenance of “community-wide coherence”, and collaboration processes. The platform offers features to detect anomalies, visualize clusters of potential events, predict the rate and spread of a disease outbreak and provide decision makers with tools, methodologies and processes to investigate the event.
Free Health and Safety Resources for Your Communityevardell
This is a presentation that was given to a group of public library directors. This presentation outlines some of the top free health and safety resources available from the National Library of Medicine, including PubMed, MedlinePlus, ToxMystery, ToxTown, Household Products Database, NIH Senior Health, LactMed, AIDSinfo, and others.
Emergency Preparedness for Health Commissioners: An Orientation Program for P...James Garrow
A poster presented at 2009 Public Health Preparedness Summit on developing a curriculum for introducing emergency preparedness and response to new public health executives
Thematic Platform for Emergency and Disaster Risk Management Health and the ...Global Risk Forum GRFDavos
Presentation at the Consultion Day event about: Scientific and Technical Platforms / Networks: Achievements and Future Goals during the Global Platform for Disaster Risk Reduction GPDRR 2013 in Geneva
Risk assessment of potential health threats – Enhancing disease surveillance ...Global Risk Forum GRFDavos
GRF One Health Summit 2012, Davos: Presentation by Nicole ROSENKÖTTER,
Maastricht University, Faculty of Health, Medicine and Life Sciences, CAPHRI School of Public Health, Netherlands, Kingdom of the
There has been a health outbreak! Choose an at-risk population, an e.docxrelaine1
There has been a health outbreak! Choose an at-risk population, an epidemic, and respond to the following objectives from the CDC Epidemic Intelligence Service. You are to write a 2- 3 page paper, in APA format, include at least 5 references, and address the objectives below. You will include the primary NCHEC Area of Responsibility and Competency you are addressing in this assignment as a title on the first page of your document. What is the epidemic, who does it adversely affect, what is the first response to this epidemic, etc.
After you complete the paper, create a 1-page outbreak communication flyer, radio announcement, commercial transcript, etc. to release to the public (this is the presentation portion and is a separate submission) (follow the CDC and WHO outline for help, located in the Module 5 Resources).
Possible Epidemics in the US:
Salmonella
Lung injury associated with e-cigarette use or vaping
Listeria
Brucella
Measles
Hepatitis A
Hurricane
Possible Epidemics Outside the US:
Dengue
Polio
Chikungunya
Typhoid fever (drug-resistant)
Hurricane
Situational Awareness
At the start of an investigation, you will need to assess the situation (
11
). The following steps will help you perform this task quickly:
Identify affected or potentially affected populations (i.e., target audiences)
. Ask yourself, “Who is most at risk by the outbreak or public health threat?” “What populations are most vulnerable or at the highest risk and need to be reached first?”
Identify behavioral factors that might place persons at risk.
Ask yourself, “Are behavioral factors placing persons at risk?” If so, “What are they?” Can you recommend actions that persons and healthcare providers can take to confront these behavioral factors and thus reduce their risk (e.g., get vaccinated or wash their hands frequently)? If the risk is unknown, can you provide information to the public and media about what is being done in the investigation to identify what places persons at risk?
Identify partners who might be able to reach affected persons or populations.
In an ideal situation, strong relationships will exist. However, if such relationships do not yet exist, quickly identify what relationships are crucial for containing and stopping the outbreak. Ask yourself, “Are healthcare providers available who might reach the affected persons or populations quickly?” “Who are the community leaders who can help reach the affected persons or populations?” “Will the public look to specific partners or persons for advice or direction (e.g., religious leaders or local thought leaders)?” Decide who should talk with those influential persons and what the timing should be for doing so.
Identify perceptions in the community that might affect communications
. Listen to community members. Work to get a better understanding of how local authorities, affected persons, and community leaders perceive the situation (
7
). Listen to concerns, critiques, and fears..
Similar to Workshop - Disaster Health Information Sources: The Basics (20)
Tweet Your Pubs: How Altmetrics are Changing the Way We Measure Research ImpactRobin Featherstone
Presentation given to the Northern Alberta Health Libraries Association (NAHLA) Trends Mini Conference in Edmonton at the University of Alberta on May 2, 2014
Lecture given to Unit 8 (INDS 208) -- Pathobiology Treatment and Prevention of Disease -- in the undergraduate medical curriculum at McGill University on September 10, 2012.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
4. Timeline created using dipity: http://www.dipity.com/ H1N1 Web Activity: March – June, 2009
5. Objectives By the end of the course, you will: 1.Be comfortable locating disaster health information 2.Be confident using a variety of disaster health databases, tools and websites 3.Be knowledgeable about initiatives and technologies for accessing disaster health information
6. Agenda Intro - DisasterMedicine & DisasterWorkforce Case Discussion Disaster Literature Search Exercises BREAK NLM Resources for Disaster Health Information Search Exercises BREAK Tools – Apps, Email Lists, RSS, Widgets Summary Practice Exercises
7. What is a Health Disaster? A precipitous or gradual decline in overall health status of a community for which the community is unable to cope without outside assistance. WADEM, 2003
8. Related Terms Disaster: a serious disruption of the functioning of society, causing widespread human, material or environmental losses which exceed the ability of affected society to cope using only its own resources. Emergency: a situation that is out of control and requires immediate attention. Event: an occurrence that has the potential to affect living beings and/or their environment; a realization of a hazard. http://www.wadem.org/guidelines/glossary.pdf IDNDR, 1992 WADEM, 2003
10. Disaster Workforce Licensed or trained Paid or volunteer Permanent or as-needed workers … who play a defined role in… All-hazards preparedness, response and recovery In implementing Emergency Support Functions 6 & 8: Mass care, Emergency Assistance, Disaster Housing & Human Services; Public Health and Medical Services
13. Case Discussion: Pandemic At the end of April, 2009, an administrator from a hospital critical incident planning team asks you to find information to answer the question: What is the effectiveness of antiviral agents for H1N1? What are some specific challenges related to finding information in this case? How would you approach this question?
31. Exercise: Information for Professionals A child psychiatrist asks you to find articles to answer the question: What is the post-hurricane pattern of behavioral and emotional problems in children? HazLit: http://ibs.colorado.edu/hazards/library/hazlit/NatHazSearch.php PubMed: http://www.ncbi.nlm.nih.gov/pubmed NCBI Bookshelf: http://www.ncbi.nlm.nih.gov/books
32. Exercise: Information for Professionals Find documents outlining procedures for preparing hospitals for an earthquake 1. DIMRC (Disaster Information Management Research Center) - Resource Guide for Public Health Preparedness: http://phpreparedness.nlm.nih.gov 2. PAHO (Pan American Health Organization) – Area on Emergency Preparedness and Disaster Relief: http://new.paho.org/disasters/ 3. PubMed: http://www.ncbi.nlm.nih.gov/pubmed
33. Other Sources of Professional Information - Federal AHRQ’s (Agency for Healthcare Research & Quality) Archive – Public Health Emergency Preparedness: http://archive.ahrq.gov/prep/ ASPR’s (Office of the Assistant Secretary for Preparedness and Response) Public Health Emergency: http://www.phe.gov/ CDC’s Emergency Preparedness and Response – Pages for Professionals: http://emergency.cdc.gov/
36. Exercise: Disaster Health Information for the Public Use the following resources to find information on health hazards after a flood for a consumer audience. 1. CDC 2. DIMRC 3. FEMA 4. MedlinePlus 5. PHE.gov
37. Surveillance Exercise Find recent incidence figures for Influenza 1. CDC – MMWR State Health Statistics: http://www.cdc.gov 2. ECDC – Surveillance: http://ecdc.europa.eu 3. WHO – Global Alert and Response: http://www.who.int/en
38. Exercise A hospital’s critical incident planning team is developing an all hazards preparedness training program on medical surge. Find best quality evidence to assist their planning.
45. NLM’s Disaster Information Tools & Mobile Applications: WISER HazMat/CBRN Information -~420 Chemical Agents -~20 Radiological Agents -CDC Category A Biological Agents Includes -Substance characteristics/properties -Department of Transportation (DOT) Emergency Response Guidebook (ERG) data: Fire-fighting procedures, safe protective distance, etc. -Human health/medical treatment data Features/Capabilities -Chemical identification support – via chemical properties, signs/symptoms, transportation, etc. -Safe protective distance mapping - GIS -Chemical reactivity feature
47. WISER Exercise* 1. Search WISER http://wiser.nlm.nih.gov/to answer the question: What type of personal protective equipment (PPE) & protective distance is required for a large spill of xylenes?
48.
49. For health care workers diagnosing and treating patients during radiological/nuclear events
59. Includes identification tools and medical management guidelines for chemical groups and syndromeshttp://chemm.nlm.nih.gov/
60. CHEMM Exercise: http://chemm.nlm.nih.gov/ 1. Search CHEMM to answer the question: Identify the syndrome for an unconscious patient who has been exposed to an unknown chemical and presents with pinpoint pupils, arrhythmia and is sweaty? 2. What is the recommended treatment for this patient in the emergency department?
62. Exercises Use NLM’s resources to answer the following questions: 1. What are guidelines for setting up a chemical decontamination area outside a hospital emergency department? 2. What disaster triage category should be assigned to a patient who cannot walk, exhibits spontaneous breathing and a respiratory rate greater than 30?
64. Role of Social Media “Clearly, social media are changing the way people communicate not only in their day-to-day lives, but also during disasters that threaten public health.” (Merchant, 2011)
70. Stay Informed - RSS CDC: http://www2c.cdc.gov/podcasts/rss.asp Contains dozens of RSS feeds on disaster topics Includes the MMWR ECDC: http://ecdc.europa.eu/en/Pages/rssfeeds.aspx Includes epidemiological updates, influenza surveillance data and other public health news FEMA:http://www.fema.gov/help/rss.shtm Contains disaster declarations by state, mitigation best practices, information on disaster recovery centers, and more NLM: http://sis.nlm.nih.gov/sisrssfeed.html Includes updates from NLM’s division of Specialized Information Services, which includes DIMRC WHO: http://www.who.int/about/licensing/rss/en/ Contains Disease Outbreak, and Emergencies and Disasters news feeds
86. Stay Informed - Widgets CDC Widgets - http://www.cdc.gov/widgets/ DIRLINE for state disaster organizations - http://disasterinfo.nlm.nih.gov/dimrc/widgetdimrc.html#dirline FEMA Widgets - http://www.fema.gov/help/widgets/
87. Summary 1. NLM’s ________ gives free access to literature to areas affected by disasters. 2. Some topics under the subject “Disaster Medicine” include _________, _________, __________. 3. Use ________ to find peer-reviewed journal articles and books on disaster health topics. 4. _________ includes diagnostic information for chemical exposure? 5. First responders use ________ to identify unknown toxic agents. 6. _________ are examples of a surveillance tools.
88. Key Points 1. An influx of information and research interest will commonly occur shortly after a major disaster. Be prepared to answer questions and consider using tools like RSS and email lists to monitor information as it is being produced.
89. Key Points 2. The “disaster workforce” is very large and contains both licensed professionals and volunteers. Consider using sources for both a professional and public/consumer audience when proving disaster health information.
90. Key Points 3. There are more “Grey Literature” sources of disaster health information than peer-reviewed, indexed sources. Use a combination of bibliographic databases, federal websites and aggregators, surveillance tools, professional associations, and academic centers to locate disaster health literature.
91. Key Points 4. NLM’s tools contain specialized information for first responders and receivers. Consider the nature of the disaster/emergency when recommending a tool. WISER for Haz/Mat, CBRNE REMM for radiological CHEMM for chemical
92. Key Points 5. Social software is revolutionizing the method of delivering disaster health information. Use apps, email lists, RSS, Twitter & widgets to stay informed.
93. Practice Exercises Answer the question: What are recommendations regarding hospital oxygen supplies for an influenza pandemic? Find recent incidence figures for cholera Find consumer information on the health effects of wild fires Answer the question: How do you diagnose for wound contamination from radioactive shrapnel? Find best evidence on facemask use by children during respiratory infectious disease outbreaks
94. References & Further Reading Barbisch, D., Haik, J., Tessone, A., & Hanfling, D. (2010). Surge Capacity. In Koenig and Schultz’s Disaster Medicine: Comprehensive Principles and Practice. New York: Cambridge University Press. 33-49. CDC. (2011). Preparedness for All Hazards. Accessed August 13, 2011 from: http://www.bt.cdc.gov/hazards-all.asp DMORT (Disaster Mortuary Operational Response Teams). (2011). Who Makes Up a DMORT Team? Accessed August 13, 2011 from: http://www.dmort.org/DNPages/DMORTPeople.htm ESAR-VHP (The Emergency System for Advance Registration of Volunteer Health Professionals). (2011). Who is Eligble? Accessed August 13, 2011 from: http://www.phe.gov/esarvhp/pages/registration.aspx FEMA. (2008). Emergency Support Function Annexes: Introduction. Accessed August 6, 2011 from: http://www.fema.gov/pdf/emergency/nrf/nrf-esf-intro.pdf IDNDR (International Decade of Natural Disaster Reduction). 1992. Internationally agreed glossary of basic terms. Kaji, A., Koenig, K., Bey, T. (2006). Surge capacity for healthcare systems: a conceptual framework. Acad Emerg Med. 13(11). 1157-1159. Koenig, K.L., & Schultz, C.H, (Eds.). (2010). Koenig and Schultz’s Disaster Medicine: Comprehensive Principles and Practice. New York: Cambridge University Press. Merchant, R.M., Elmer, S. & Lurie, N. (2011). Integrating Social Media into Emergency-Preparedness Efforts. NEJM. 365(4). 289-291. WADEM (World Association for Disaster and Emergency Medicine). (2003). Glossary of Terminology. In Health Disaster Management: Guidelines for Evaluation and Research. Vol. 1. Madison: Prehospital and Disaster Medicine. Accessed September 8, 2011 from http://www.wadem.org/guidelines/glossary.pdf Yong, E. (2011). Disease Trackers. BMJ. 343(7814). 70-71.
95. Photo Credits* Flu.gov Widgets Embedded on Public Website by FluPortal.org and the National Center for Media Engagement: http://www.fluportal.org/quick/ F5 tornado Elie Manitoba 2007 by Justin1569 at en.wikipedia: http://commons.wikimedia.org/wiki/File:F5_tornado_Elie_Manitoba_2007.jpg GDE Bridge Collapse by Richard, Enzyme05’s photostream: http://commons.wikimedia.org/wiki/File:GDE_Bridge_Collapse.jpg Radiologist in San Diege CA 2010 by Zackstarr: http://commons.wikimedia.org/wiki/File:Radiologist_in_San_Diego_CA_2010.jpg Tamiflu NOR by KEN: http://commons.wikimedia.org/wiki/File:Tamiflu_NOR.JPG * Public domain image files downloaded from Wikimedia Commons. Attribution given as indicated by creators where applicable.
Graph description: number of confirmed and probable cases of swine-origin influenza A (H1N1) virus (S-OIV) infection, by date of illness onset, in Mexico, during March 15 to April 26, 2009.
Following a disaster, an explosion of available online information occurs. One of the challenges of searching for disaster information is having to navigate an influx of information and select best quality evidence to meet the information needs of the disaster workforce during the “Response” phase of a disaster. But disaster information needs don’t only occur during the response, but also during the mitigation, planning and recovery phases. In this course, we’ll describe information sources to meet the needs of all of these phases.
“All Hazards Preparedness” - Emergency preparedness requires attention not just to specific types of hazards but also to steps that increase preparedness for any type of hazard. (CDC, 2011)
Disaster Workforce as “target audience” for disaster health information. Emergency Support Functions 6 & 8 – See: http://www.fema.gov/pdf/emergency/nrf/nrf-esf-intro.pdf
Photo 1 - Nurses: Advanced practice nurses (nurse practitioners, nurse anesthetists, certified nurse midwives, clinical nurses specialists) ; Licensed practical nurses and licensed vocational nurses ; Registered nursesPhoto 2 – Behavioral Health Professionals: Marriage and family therapists ; Medical and public health social workers ; Mental health and substance abuse social workers ; Psychologists ; Mental health counselorsPhoto 3 – EMTs: Emergency medical technicians (EMTs) and paramedicsPhoto 4 – VeterinariansPhoto 5 – DentistsPhoto 6 – PharmacistsPhoto 7 – Physicians: Physicians ; Physician assistants ; Emergency physicians and other “first receivers” Photo 8 – Radiologists: Radiologic technologists and techniciansOther: Cardiovascular technologist and technicians ; Medical and clinical laboratory technologists and technicians ; Respiratory therapistsSource: Who is Eligible? Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP). http://www.phe.gov/esarvhp/pages/registration.aspx
Photo 1 – Trained community volunteers: Red Cross, Community Emergency Response TeamsPhoto 2 – Firefighters: Firefighters, including hazardous materials respondersPhoto 3 – Emergency Managers: Hospital and other health center administrators ; Public Information Officers (as defined in Incident Command System)Photo 4 – Military and civilian humanitarian assistance workersPhoto 5 – Librarians: Librarians, library staff, informationists, information specialistsPhoto 6 – Support Staff: Administrative and support staff for Medical Reserve Corps (MRC), Disaster Medical Assistance Teams (DMAT), and Disaster Mortuary Teams (DMORT) ; Social work assistants ; Laboratory support staff, administratorsPhoto 7 – ClergyPhoto 8 – Disaster Mortuary Team Members: Medical Examiner/Coroners, Forensic Pathologists, Forensic Anthropologists, Fingerprint Specialists, Forensic Odontologists, Funeral Directors/Embalmers, Dental Assistants, X-ray Technicians, Mental Health Specialists, DNA Specialists, Medical Records Technicians, Evidence Specialists (DMORT, 2011)Other: Health educators, Toxicologists, Environmental Health Workforce, Epidemiologists, Public Health Workers, Health profession and allied health students,
Note: this is only a list of the disaster medicine focused journals indexed in PubMed. There are Emergency Medicine journals with significant content on disaster health as well. And peer-reviewed disaster literature appears across many disciplines, in many journals.
Not all journal literature is publicly available at no cost. Many publishers require an individual or institutional subscription to access content. An opportunity to access disaster literature during the recovery period following a disaster event is NLM’s Emergency Access Initiative.Handbooks and guidebooks – very important references during the response phase (ex. Drug handbooks – many physicians practicing outside of their specialty areas). See NN/LM Toolkit for a “one shelf” reference library.
(1.) HazLit: The HazLit database part of the Natural Hazards Center Library at the University of Colorado, Boulder. HazLit contains citations to journal articles, books, and reports, in bound and electronic form. The Hazards Center Library does not provide a document delivery service and the center does not loan its holdings to the general public. Please contact your local library to determine how to obtain publications identified in the HazLit database: http://ibs.colorado.edu/hazards/library/hazlit/(2.) PubMed – The National Library of Medicine’s database of published biomedical literature. Full text articles may only be available to subscribers. Search PubMedCentral to find all full-text articles.(3.) NCBI Bookshelf - A collection of freely available, downloadable, on-line versions of selected biomedical books.
(1.) DIMRC (Disaster Information Management Research Center) – Resource Guide for Public Health: gateway to grey literature resources that are freely available on the web.(2.) PAHO (Pan American Health Organization) – Area on Emergency Preparedness and Disaster Relief - PAHO generates and disseminates knowledge about all aspects of disaster preparedness, risk reduction and management by: Producing and distributing technical guidelines and publications on public health and disastersMaking up-to-date information available for decision making through the Emergency Operations Center and multiple web pagesIdentifying, collecting and disseminating lessons learned and evidence-based informationDeveloping information tools, services and centers, such as the Regional Disaster Information Center—CRIDCreating information networks and promoting the use of new ways to communicate, learn and share information among key actors. (3.) PubMed – The National Library of Medicine’s database of published biomedical literature. Full text articles may only be available to subscribers. Search PubMedCentral to find all full-text articles.
(1.) ASPR, which will talk about in a moment, is the new office that was created in the past few years and was given the responsibility to act as the Dept. of Health and Human Services arm to lead the preparation and response to public health emergencies. Previously many of the information pages concerning public health emergencies was housed on AHRQ’s website. They have archived that material and there are still many relevant planning and guidelines documents accessible through this source. (2.) ASPR’s Public Health Emergency website (phe.gov): Contains content mostly drawn from the CDC. It is more of an aggregator site (like DIMRC), but is intended to be a first stop for news about large-scale disasters. (3.) CDC’s Emergency Preparedness and Response: Many summary pages include information for both the general public and for professionals. The section on “Mass Casualties,” for example, has information on medical response to large-scale events. Pages on “surge capacity” and “blast injuries,” include fact sheets and treatment protocols.
(1.) The American College of Emergency Physicians has a page on Emergency Medical Services and Disaster Preparedness. The content changes based on current events, but it has information about how emergency physicians can volunteer and fact sheets that present relevant medical information in a quick format. One document linked here that is worth a look is “Unsolicited Medical Personnel Volunteering at Disaster Scenes,” which is a policy paper that basically directs medical professionals to only respond when asked by local incident management.(2.) The American Medical Association has a Center for Public Health Preparedness and Disaster Response. On this page you can find information related to the latest emergencies and disasters, mostly links to resources we’ve already discussed. They publish the journal, Disaster Medicine and Public Health Preparedness, and sometimes offer webinars for CME credit that may be of interest to members of the disaster workforce.(3.) The American Red Cross is certainly a familiar organization, but worth a reminder here because of their leading role in responding to emergencies here in the US.(4.) The World Association for Disaster and Emergency Medicine (WADEM) is an interdisciplinary NGO that includes doctors, nurses, emergency planners, dentists, first responders, and many other members of the disaster workforce. WADEM publishes the journal Prehospital and Disaster Medicine and a textbook called International Disaster Nursing. On their site, you can read another book online, called Health Disaster Management: Guidelines for Evaluation and Research, which aims to offer a common framework to do research in this area.
In Addition to the Natural Hazards Center, at the University of Colorado at Boulder, which produces HazLit, there are other academic centers that are potential sources of disaster health information for a professional audience. (1.) In contrast to the Natural Hazards Center which narrows its focus on non-manmade events, the Center for Biosecurity looks at biological weapons attacks and large-scale epidemics. Their site presents a lot of articles on threat assessment and mitigation, but one area that may be especially handy is under BioAgents, where there are fact sheets on agents that have been identified as particular threats. The fact sheets have background information and citations for you to go into deeper information about them. (2.) The Center for Infectious Disease Research and Policy is based at the University of Minnesota and focuses on response to emerging infectious diseases and preparedness, especially pandemic flu. One interesting aspect of their work is that they look at business preparedness, in short, how to keep the nation operating if there is a pandemic flu. For example, they have news articles about efforts to require employers to offer sick leave so that workers do not report for duty while they have the flu(3.) The Center for the Study of Traumatic Stress is part of the Uniformed Services University. On their website, look under Resources for a collection of PDF fact sheets having to do with the psychological consequences of situations, including disasters. Some of the resources are available in Creole and Chinese. This would be a very good resource for answering the question about children’s psychology following a hurricane.(4.) The Institute of Medicine is part of National Academies, a private nonprofit. So far they’ve offered 14 live workshops in different parts of the country about different aspects of public health preparedness.
The CDC website contains information on specific disaster events for a consumer audience. The slant of their information is towards health effects and containing infectious agents. Floods page: http://emergency.cdc.gov/disasters/floods/DIMRC is a portal to information sources for multiple audiences – a good place to being your search. DIMRC is an aggregator resource (not a content resource). Floods page: http://sis.nlm.nih.gov/dimrc/floods.htmlFEMA also contains information on specific disaster events for a consumer audience. The scope of their information is more broad and will include non-health related topics, like insurance and other financial considerations for disaster victims. Floods page: http://www.fema.gov/hazard/flood/MedlinePlus is specifically designed for a consumer audience. It contains some overview information and also links to other sites: http://www.nlm.nih.gov/medlineplus/floods.htmlPHE.gov – Public Health Emergency website from ASPR (Office of the Assistant Secretary for Preparedness and Response). A portal page to government information on preparedness and response to public health emergencies (a lot of it is drawn from the CDC). Intended to be the first place you should look for breaking news about an emergency.
Notes - What you will find in REMM:Radiation principles (e.g., exposure vs contamination)Patient management algorithmsInitial onsite activitiesDecontamination proceduresAssess internal contaminationCountermeasures
“These tools can also be used to improve preparedness by linking the public with day-to-day, real-time information about how their community’s health care system is functioning. For example, emergency room and clinic waiting times are already available in some areas of the country through mobile-phone applications, billboard Really Simple Syndication (RSS) feeds, or hospital tweets. Routine collection and rapid dissemination of these measures of strain on a health care system can inform decision making by patients and health care providers and administrators. Monitoring this important information through the same social channels during an actual disaster may help responders verify whether certain facilities are over-loaded and determine which ones can offer needed medical care.” (Merchant, 2011)
Note: would be ideal for a disaster relief worker traveling to a foreign country and needing to acclimatize quickly to an unfamiliar environment.
ISID (International Society for Infectious Diseases) ProMED-mail (Program for MonitoringEmerging Diseases). ProMED-Mail is also a surveillance tool.
RSS: Really Simple SyndicationSubscribe to “feeds” from websites (look for the orange RSS icon)Use a feed reader (or aggregator) to read and organize your subscriptions. Many disaster health information sources produce RSS feeds. Subscribe to their feeds to monitor all web activity from a single site. So rather than visiting every site to see if there are any updates, just go to your feed reader.
Here is a sample of some RSS feeds producing disaster health information, news, and surveillance data.
Twitter is a microblogging service, which means that people can use it to post very short messages. Some people might think of Twitter as a source for trivial news, but it tends to have very up to date information because it doesn’t take long to compose a short message. Also, it is indexed by Google in real-time which means that it is a good place to look for breaking news. You may see news from emergency managers and first responders before an event has been covered by journalists. Just remember that the information isn’t fact-checked the way a news article would be. Many government institutions are now using it, and tweets are being archived by the Library of Congress. Some institutions use Twitter to post a link to each new piece of content that they post, which makes it kind of like an RSS feed, too. You can usually find an institution’s Twitter account by looking for a blue T or a blue bird on their website—the symbols aren’t as consistent as they are for RSS.
Widgets display third party content on your website. They are an effective way to share information on your library’s website, blog or wiki.
Also mention the MLA’s Moodle page for the course.