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Designing user-centered decision support systems for climate disasters: What information do communities and rescue responders need during floods? 为气候灾害设计以用户为中心的决策支持系统:洪水期间,社区和救援人员需要哪些信息?
Q3 Medicine Pub Date : 2024-04-03 DOI: 10.5055/jem.0741
Julia Hillin, Bahareh Alizadeh, Diya Li, Courtney M. Thompson, Michelle A. Meyer, Zhe Zhang, Amir H. Behzadan
Flooding events are the most common natural hazard globally, resulting in vast destruction and loss of life. An effective flood emergency response is necessary to lessen the negative impacts of flood disasters. However, disaster management and response efforts face a complex scenario. Simultaneously, regular citizens attempt to navigate the various sources of information being distributed and determine their best course of action. One thing is evident across all disaster scenarios: having accurate information and clear communication between citizens and rescue personnel is critical. This research aims to identify the diverse needs of two groups, rescue operators and citizens, during flood disaster events by investigating the sources and types of information they rely on and information that would improve their responses in the future. This information can improve the design and implementation of existing and future spatial decision support systems (SDSSs) during flooding events. This research identifies information characteristics crucial for rescue operators and everyday citizens' response and possible evacuation to flooding events by qualitatively coding survey responses from rescue responders and the public. The results show that including local input in SDSS development is crucial for improving higher-resolution flood risk quantification models. Doing so democratizes data collection and analysis, creates transparency and trust between people and governments, and leads to transformative solutions for the broader scientific community.
洪水是全球最常见的自然灾害,造成了巨大的破坏和人员伤亡。为了减轻洪水灾害的负面影响,有必要采取有效的洪水应急措施。然而,灾害管理和应对工作面临着复杂的局面。与此同时,普通市民也在试图浏览各种信息来源,并确定自己的最佳行动方案。有一点在所有灾难场景中都是显而易见的:准确的信息以及市民与救援人员之间清晰的沟通至关重要。本研究旨在通过调查救援人员和市民所依赖的信息来源和类型,以及能够改善他们未来应对措施的信息,来确定他们在洪水灾害事件中的不同需求。这些信息可以改进洪灾事件中现有和未来空间决策支持系统(SDSS)的设计和实施。本研究通过对救援人员和公众的调查回答进行定性编码,确定了对救援人员和普通市民应对洪灾事件和可能的疏散至关重要的信息特征。研究结果表明,在 SDSS 开发过程中纳入地方意见对于改进更高分辨率的洪水风险量化模型至关重要。这样做可以使数据收集和分析民主化,在人们和政府之间建立透明度和信任,并为更广泛的科学界带来变革性的解决方案。
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引用次数: 0
Climate change and health: The case of mapping droughts and migration pattern in Iran (2011-2016). 气候变化与健康:绘制伊朗干旱和移民模式图(2011-2016 年)。
Q3 Medicine Pub Date : 2024-04-03 DOI: 10.5055/jem.0814
S. Sohrabizadeh, Iman Farahi-Ashtiani, Amirhosein Bahramzadeh, Zahra Eskandari, Aioub Moradi, A. Hanafi-Bojd
INTRODUCTIONMigration and mobility of population have been reported as a common reaction to drought. There is historical evidence to suggest the health effects of droughts and human migration linkage in Iran. This study aimed to map the drought and migration patterns in Iran in 2011 and 2016 and explore their possible health impacts.METHODSThis sequential explanatory mixed-method study was done in two stages of spatial analysis and qualitative study. Data mapping was conducted through the equal interval classification and using drought, migration, and agriculture occupation data based on provincial divisions in Iran in 2011 and 2016. This qualitative study was conducted using the content analysis approach.RESULTSThe in-migration rate was higher in 2011 rather than 2016. Migration to cities was much higher than migration to villages in both years. The frequency of male migrants was higher than females in all provinces in 2011 and 2016. Physical and mental diseases as well as economic, sociocultural, education, and environment effects on health were extracted from the qualitative data.CONCLUSIONA holistic picture of droughts and migration issues in Iran and their health consequences were achieved by the present research. Further research is needed to explore the determinants of health impacts of climate change in vulnerable groups. Public health problems can be prevented by adaptive and preventive policy-making and planning. This can improve the coping capacity of the population facing droughts and enforced migration.
导言据报道,人口迁移和流动是对干旱的常见反应。有历史证据表明,干旱对健康的影响与伊朗的人口迁移有关。本研究旨在绘制 2011 年和 2016 年伊朗的干旱和人口迁移模式图,并探讨其可能对健康产生的影响。方法本研究采用顺序解释混合方法,分空间分析和定性研究两个阶段进行。数据制图是通过等间隔分类法,利用 2011 年和 2016 年伊朗各省的干旱、移民和农业职业数据进行的。这项定性研究采用了内容分析法。结果2011 年的迁入率高于 2016 年。在这两年中,向城市移民的人数远远高于向乡村移民的人数。在 2011 年和 2016 年,所有省份的男性移民频率均高于女性。从定性数据中提取了身体和精神疾病以及经济、社会文化、教育和环境对健康的影响。需要进一步开展研究,探讨气候变化对弱势群体健康影响的决定因素。公共卫生问题可以通过适应性和预防性决策和规划加以预防。这可以提高面临干旱和被迫迁徙的人口的应对能力。
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引用次数: 0
A socio-technical systems approach of the accident analysis in Indonesian multiple train accident cases: An application of AcciMap methodology. 印度尼西亚多起列车事故案例中的事故分析社会技术系统方法:AcciMap 方法的应用。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0830
Tubagus Dwika Yuantoko, Zulkifli Djunaidi, Mufti Wirawan

The number of cases of train accidents in Indonesia continues to be large in the past few years. This paper analyzes train accident cases in Indonesia using a socio-technical system approach accident model called AcciMap, developed by Jens Rasmussen. The source of data comes from train accident investigation reports from 2015 to 2021 published by the National Transportation Safety Committee. This study uses a qualitative approach with thematic analysis to identify contributing factors and their interactions within the reports. Based on the socio-technical system approach, there are roles and contributions from the five levels of the socio-technical railway transportation system in Indonesia that interact with each other in the occurrence of accidents, including the railway regulatory bodies; other organizations; management of railway service company; processes and physical actions by staff; and condition of equipment and environment. This study has shown that the AcciMap methodology can provide a comprehensive view of the problems and their interactions across the socio-technical levels that influence each other in the occurrence of train accidents in Indonesia. The results also suggest that the socio-technical system approach is expected to be applied in the accident investigation process for the related industry to get more comprehensive insights into the accident.

在过去几年中,印度尼西亚的火车事故数量持续上升。本文利用延斯-拉斯穆森(Jens Rasmussen)开发的名为 "AcciMap "的社会技术系统方法事故模型,对印尼的火车事故案例进行了分析。数据来源于国家运输安全委员会发布的 2015 年至 2021 年火车事故调查报告。本研究采用主题分析的定性方法来识别报告中的诱因及其相互作用。根据社会技术系统方法,印尼铁路运输社会技术系统的五个层面在事故发生中相互影响,包括铁路监管机构、其他组织、铁路服务公司管理层、员工的流程和实际行动以及设备和环境状况。研究结果表明,AcciMap 方法可以全面反映印尼火车事故发生过程中相互影响的社会技术层面的问题及其相互作用。研究结果还表明,社会-技术系统方法有望应用于相关行业的事故调查过程中,以更全面地了解事故。
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引用次数: 0
Developing, engaging, and sustaining CERT programs in low-risk communities. 在低风险社区开发、参与和维持 CERT 计划。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0853
Michael S Mitchell
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引用次数: 0
Experiences from a COVID-19 vaccination center at a tertiary care teaching hospital in Delhi, India: Challenges and solutions. 印度德里一家三级医疗教学医院 COVID-19 疫苗接种中心的经验:挑战与解决方案。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0822
Priyanka Sharma, Geeta Pardeshi

India began its nationwide coronavirus disease 2019 (COVID-19) vaccination program on January 16, 2021, in a phased manner. In this paper, we have discussed our experience at one of the COVID-19 vaccination centers in the country and have identified a few of the major challenges and their implications. The guidelines for COVID-19 vaccination in the country were changing frequently, leading to ambiguity among the beneficiaries. Co-WIN software, used for program implementation, had some glitches, which caused dissatisfaction among the service providers and beneficiaries. Vaccine hesitancy and eagerness caused low vaccine uptake initially and overcrowding at vaccination centers later. Some of the vaccination centers had the potential to become hot spots for further spread of the virus due to insufficient infrastructure. The disparity in access to vaccines for the homeless and other vulnerable groups was another hurdle for adequate vaccination coverage. These challenges could have been addressed by pretesting the information technology platform, long-term planning with a vision for handling vaccine hesitancy and eagerness, strong communication systems, removing disparities in vaccine access, and maintaining uniformity in messages for frequently updating guidelines.

印度于 2021 年 1 月 16 日开始在全国范围内分阶段实施 2019 年冠状病毒病(COVID-19)疫苗接种计划。本文讨论了我们在该国一个 COVID-19 疫苗接种中心的经验,并指出了一些主要挑战及其影响。该国的 COVID-19 疫苗接种指南经常变化,导致受益者不明确。用于计划实施的 Co-WIN 软件存在一些故障,引起了服务提供者和受益者的不满。疫苗接种的犹豫不决和急切心情导致最初的疫苗接种率很低,后来疫苗接种中心人满为患。由于基础设施不足,一些疫苗接种中心有可能成为病毒进一步传播的热点。无家可归者和其他弱势群体在获得疫苗方面的差异是实现充分疫苗接种的另一个障碍。这些挑战本可以通过以下方式解决:对信息技术平台进行预先测试;制定具有处理疫苗犹豫不决和渴望接种问题的远景的长期规划;建立强大的通信系统;消除疫苗接种机会方面的差异;以及保持经常更新的指导方针所传达信息的统一性。
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引用次数: 0
Protective factors of psychological vulnerability in Rescue 1122 workers with vicarious traumatization. 1122 号救援人员心理脆弱性的保护因素。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0806
Bushra Shafiq, Hidna Iqbal, Anam Ali

Objectives: This study aimed to determine the protective factors of psychological vulnerability in Rescue 1122 workers and to find out the difference in work mattering, coping, grittiness, and psychological vulnerability between rescue workers of fire service and ambulance service department with vicarious traumatization.

Method: A cross-sectional design was used in this study. A sample of 112 male rescue workers was collected from Rescue 1122 department, including participants from the ambulance service (n = 56) and fire service (n = 56) departments through a purposive sampling technique. Rescue workers who experienced vicarious trauma were enrolled in this study after screening through the secondary traumatic stress tool. Work mattering scale, coping strategies questionnaire, short grit scale, and the four-dimensional symptom questionnaire were used.

Results: Age, marital status, spouse age, and father's age were significantly positively correlated with distress. Colleagues becoming a target of violence and death of a colleague during duty were significantly positively correlated with somatization. The number of children was a significant positive predictor, and members requiring financial support were a significant negative predictor of psychological vulnerability. Interpersonal mattering, active focused, and active distracting coping emerged as significant negative predictors of distress, anxiety, and depression after controlling for covariates. A significant difference was found in active distraction coping between the fire service and ambulance service departments.

Conclusion: Rescue workers who considered that their work mattered used religious coping and distraction or adopted a practical approach toward dealing with stress, and those who were grittier were less vulnerable to psychological symptoms. So, these can be considered as protective factors of psychological vulnerability.

研究目的本研究旨在确定 1122 名救援人员心理脆弱性的保护因素,并找出存在替代性创伤的消防部门和救护部门救援人员在工作事务性、应对性、坚毅性和心理脆弱性方面的差异:本研究采用横断面设计。本研究采用横断面设计,通过目的性抽样技术从救援1122部门收集了112名男性救援人员样本,其中包括来自救护部门(56人)和消防部门(56人)的参与者。通过二次创伤压力工具进行筛选后,经历过替代性创伤的救援人员被纳入本研究。研究中使用了工作重要性量表、应对策略问卷、简短沙砾量表和四维症状问卷:结果:年龄、婚姻状况、配偶年龄和父亲年龄与心理压力呈显著正相关。同事成为暴力目标和同事因公殉职与躯体化呈显著正相关。子女数量与心理脆弱性呈显著正相关,需要经济支持的成员与心理脆弱性呈显著负相关。在控制了协变量之后,人际关系、积极专注和积极分散注意力的应对方式成为困扰、焦虑和抑郁的重要负向预测因素。消防部门和救护部门在主动分散注意力应对方面存在明显差异:结论:那些认为自己的工作很重要的救援人员会使用宗教应对和转移注意力的方法,或采用实用的方法来应对压力,而那些比较坚毅的救援人员则不容易出现心理症状。因此,这些因素可被视为心理脆弱性的保护因素。
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引用次数: 0
AI and crisis leadership: Using the POP-DOC Loop to explore potential implications and opportunities for leaders. 人工智能与危机领导力:利用 POP-DOC 循环来探索对领导者的潜在影响和机遇。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0836
Eric J McNulty, Brian R Spisak, Leonard J Marcus, Amal Cheema, Ravi Dhawan, Attila Hertelendy, Shawna Novak

In the evolving landscape of crisis leadership and emergency management, artificial intelligence (AI) emerges as a potentially transformative force with far-reaching implications. Utilizing the POP-DOC Loop, a comprehensive framework for crisis leadership analysis and decision-making, this paper delves into the diverse roles that AI is poised to play in shaping the future of crisis planning and response. The POP-DOC Loop serves as a structured methodology, encompassing key elements such as information gathering, contextual analysis informed by social determinants, enhanced predictive modeling, guided decision-making, strategic action implementation, and appropriate communication. Rather than offer definitive predictions, this review aims to catalyze exploration and discussion, equipping researchers and practitioners to anticipate future contingencies. The paper concludes by examining the limitations and challenges posed by AI within this specialized context.

在不断发展的危机领导和应急管理领域,人工智能(AI)成为一种具有深远影响的潜在变革力量。POP-DOC Loop 是一个用于危机领导分析和决策的综合框架,本文利用这一框架,深入探讨了人工智能在塑造未来危机规划和响应中将发挥的各种作用。POP-DOC Loop 是一种结构化方法,包含信息收集、社会决定因素背景分析、增强预测建模、指导决策、战略行动实施和适当沟通等关键要素。本综述的目的不是提供明确的预测,而是促进探索和讨论,使研究人员和从业人员能够预测未来的突发事件。最后,本文探讨了人工智能在这一专业背景下的局限性和挑战。
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引用次数: 0
Measuring team situation awareness through team communication: A study on nuclear main control room crews. 通过团队交流衡量团队状况意识:对核电主控室工作人员的研究。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0815
Veronika Klara Takacs, Marta Juhasz

Situation awareness (SA) in complex socio-technical systems is considered a key cognitive activity, as control crews are often engaged in simultaneous task processes and are required to monitor and evaluate system parameters, making decisions and projections for the future accordingly. However, measuring SA at the team level is still a challenging area of research within the topic. In our research, we applied verbal protocol analysis as an alternative method to assess nuclear power plant control room crews' team SA. We conducted a study of 10 control room crews, examining their intrateam communication and its relatedness to team performance. We have found that communication categories related to the second and third levels of team SA increased significantly after the onset of an emergency event. Furthermore, while none of the team communication categories was related to team performance before the emergency event, all of them showed a strong positive correlation with team performance after the emergency situation occurred. Our results underline the importance of adequate verbalization of key information within the team, so as to support the rapid and accurate development of team SA during emergency situations.

复杂的社会技术系统中的态势感知(SA)被认为是一种关键的认知活动,因为控制人员通常同时参与任务进程,并需要监控和评估系统参数,据此做出决策和对未来进行预测。然而,团队层面的 SA 测量仍然是该课题中具有挑战性的研究领域。在研究中,我们采用了口头协议分析作为评估核电站控制室工作人员团队 SA 的替代方法。我们对 10 名控制室工作人员进行了研究,考察了他们的团队内部沟通及其与团队绩效的相关性。我们发现,在紧急事件发生后,与团队安全等级第二和第三级相关的沟通类别明显增加。此外,虽然在紧急事件发生前,没有一个团队沟通类别与团队绩效相关,但在紧急情况发生后,所有这些类别都与团队绩效呈现出很强的正相关性。我们的研究结果凸显了在团队内部充分口头传达关键信息的重要性,从而有助于在紧急情况下快速、准确地发展团队自救能力。
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引用次数: 0
Factors that support public health infrastructure recovery in Puerto Rico and US Virgin Islands after Hurricanes Irma and Maria. 飓风 "艾玛 "和 "玛丽亚 "过后,支持波多黎各和美属维尔京群岛公共卫生基础设施恢复的因素。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0841
S Carolina Luna-Pinto, Jessica Irizarry Ramos, Yanelis Gonzalez, Nairimer Berrios Cartagena, Samuel Taveras

This paper describes the factors that support recovery of public health infrastructure (PHI), including conditions that facilitated or hindered recovery in United States (US) territories impacted by hurricanes Irma and Maria. A deductive approach was used to categorize data from five organizations that received crisis hurricane recovery (CHR) funds from the Centers for Disease Control and Prevention.* Spending was grouped into five infrastructure gaps: (1) human resources, (2) informatic upgrades, (3) equipment, (4) minor repairs, and (5) preventive maintenance. Unanticipated PHI costs, facilitators, and hinderances to PHI recovery were identified. Most (72 percent) of the $53,529,823 CHR funding was used to address infrastructure gaps in (1) human resources (56 percent), (2) informatics (16 percent), (3) equipment (13 percent), (4) minor repairs (10 percent), and (5) preventive maintenance (5 percent). Most of the requests (56 percent) to redirect funds were associated with unanticipated costs in initial work plans and budgets. The use of administrative partners, planning tools, dedicated staff, streamlined procedures, eg, contracts, and cost sharing facilitated PHI recovery. The most common hindrance to PHI recovery were delays in procurement and shipping. In summary, investments in dedicated funding to upgrade, repair, or replace critical structures and systems for infectious disease surveillance, laboratory capacity, vector control, environmental health inspections, and vaccine storage and administration in Puerto Rico and the US Virgin Islands after Hurricanes Irma and Maria contributed to their recovery capacity. These findings may inform funding and resource allocation considerations for PHI recovery in the US territories.

本文介绍了支持公共卫生基础设施(PHI)恢复的因素,包括促进或阻碍受飓风 "艾玛 "和 "玛丽亚 "影响的美国领土恢复的条件。本文采用演绎法对从美国疾病控制和预防中心(Centers for Disease Control and Prevention)获得飓风危机恢复(CHR)资金的五个组织*的数据进行了分类,并将支出分为五个基础设施缺口:(1)人力资源;(2)信息化升级;(3)设备;(4)小型维修;(5)预防性维护。确定了 PHI 恢复的意外成本、促进因素和阻碍因素。CHR 53,529,823 美元资金中的大部分(72%)用于解决以下方面的基础设施缺口:(1) 人力资源(56%),(2) 信息学(16%),(3) 设备(13%),(4) 小型维修(10%)和 (5) 预防性维护(5%)。大部分(56%)资金转拨申请与最初工作计划和预算中的意外费用有关。使用行政合作伙伴、规划工具、专职工作人员、简化程序、电子版、合同和费用分担等方式都有助于 PHI 的恢复。最常见的 PHI 回收障碍是采购和运输延误。总之,在飓风 "艾玛 "和 "玛丽亚 "过后,波多黎各和美属维尔京群岛投入专项资金,用于升级、修复或更换传染病监测、实验室能力、病媒控制、环境卫生检查以及疫苗储存和管理的关键结构和系统,有助于提高其恢复能力。这些发现可为美国领土 PHI 恢复的资金和资源分配考虑提供参考。
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引用次数: 0
A higher education approach to active shooter incidents: Evidence from 40 United States university campuses. 高等教育应对主动枪击事件的方法:来自美国 40 所大学校园的证据。
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.5055/jem.0708
Rebecca Padot

In a post-9/11 environment with an increased United States (US) federal government emphasis on active shooter preparedness, this study seeks to understand how higher educational institutions have adapted to this changing policy environment. Furthermore, between 2000 and 2017, there were 15 active shooter incidents at US higher education institutions. This study provides data on how public and private higher education campuses are preparing for this increased active shooter threat. Interviews were conducted with higher education employees familiar with campus security policies from 40 higher education institutions across 18 states in the US. These colleges/universities also represented a range of institution type: community colleges (5), public institutions (9), and private institutions (26). Interviews were conducted with 18 Chief/Director of Campus Safety/Security, 14 members of campus police or security, seven Chiefs of Police, and one staff member familiar with campus security policies.

在 "9-11 "事件后的环境中,美国联邦政府越来越重视主动枪击事件的防备工作,本研究试图了解高等教育机构是如何适应这种不断变化的政策环境的。此外,在 2000 年至 2017 年期间,美国高等教育机构共发生了 15 起主动枪击事件。本研究提供数据,说明公立和私立高等教育校园是如何为这种日益严重的主动枪击威胁做好准备的。研究人员对美国 18 个州 40 所高等教育机构中熟悉校园安全政策的高等教育雇员进行了访谈。这些学院/大学也代表了不同的院校类型:社区学院(5 所)、公立院校(9 所)和私立院校(26 所)。访谈对象包括 18 名校园安全/安保主管/主任、14 名校园警察或安保成员、7 名警察局长和 1 名熟悉校园安保政策的工作人员。
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引用次数: 0
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Journal of Emergency Management
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