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Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik 2016 Bond University

Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik

Rob Marc Orr

Tactical operators, encompassing military, law enforcement, fire and other emergency personnel, can be found in all climatic zones. These tactical operators may be deployed at short notice to tropical environments, often with limited time to acclimatise if based in more temperate zones. They are then expected to undertake arduous tactical tasks, often repeatedly and for extended periods in the tropical area. These demands combine with harsh environments, personal protective equipment (PPE), tactical loads, threats to life, and responsibility for the safety and survival of others to place immense physical and mental stresses on tactical operators. Managing the resulting risks is ...


Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik 2016 Bond University

Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik

Tactical Research Unit Conference papers

Tactical operators, encompassing military, law enforcement, fire and other emergency personnel, can be found in all climatic zones. These tactical operators may be deployed at short notice to tropical environments, often with limited time to acclimatise if based in more temperate zones. They are then expected to undertake arduous tactical tasks, often repeatedly and for extended periods in the tropical area. These demands combine with harsh environments, personal protective equipment (PPE), tactical loads, threats to life, and responsibility for the safety and survival of others to place immense physical and mental stresses on tactical operators. Managing the resulting risks is ...


Filling In The Blanks On Reducing Tobacco Product Addictiveness In The Fctc Partial Guidelines For Articles 9 & 10, Eric N. Lindblom 2016 Georgetown University Law Center

Filling In The Blanks On Reducing Tobacco Product Addictiveness In The Fctc Partial Guidelines For Articles 9 & 10, Eric N. Lindblom

Eric Lindblom

The existing Partial Guidelines for Implementation of Articles 9 & 10 of the WHO Framework Convention for Tobacco Control includes a strategy for regulating tobacco products to reduce their attractiveness, but does not yet provide any guidance for reducing either the toxicity or the addictiveness of tobacco products. Section 1.2.1.2, “Addictiveness (dependence liability),” states only that: “This section has been left blank intentionally to indicate that guidance will be proposed at a later stage.” A related footnote says that the blanks will be filled “as new country experience, and scientific, medical and other evidence become available. . . [and] will ...


Medicaid Expansion And Its Value In Rural Economic Development In Tennessee, Madison S. Kahl 2016 University of Tennessee, Knoxville

Medicaid Expansion And Its Value In Rural Economic Development In Tennessee, Madison S. Kahl

University of Tennessee Honors Thesis Projects

No abstract provided.


A Study Of Claim Resolution Structured Settlement Agreements: Final Report, Marcus Dillender, Kevin Hollenbeck, H. Allan Hunt 2016 W.E. Upjohn Institute

A Study Of Claim Resolution Structured Settlement Agreements: Final Report, Marcus Dillender, Kevin Hollenbeck, H. Allan Hunt

Kevin Hollenbeck

No abstract provided.


A Study Of Claim Resolution Structured Settlement Agreements: Final Report, Marcus Dillender, Kevin Hollenbeck, H. Allan Hunt 2016 W.E. Upjohn Institute

A Study Of Claim Resolution Structured Settlement Agreements: Final Report, Marcus Dillender, Kevin Hollenbeck, H. Allan Hunt

H. Allan Hunt

No abstract provided.


A Study Of Claim Resolution Structured Settlement Agreements: Final Report, Marcus Dillender, Kevin Hollenbeck, H. Allan Hunt 2016 W.E. Upjohn Institute

A Study Of Claim Resolution Structured Settlement Agreements: Final Report, Marcus Dillender, Kevin Hollenbeck, H. Allan Hunt

Marcus Dillender

No abstract provided.


Addressing The Ethical, Legal, And Social Issues Raised By Voting By Persons With Dementia, Jason H. Karlawish, Richard J. Bonnie, Paul S. Appelbaum, Constantine Lyketsos, Bryan James, David Knopman, Christopher Patusky, Rosalie A. Kane, Pamela S. Karlan 2016 University of Pennsylvania

Addressing The Ethical, Legal, And Social Issues Raised By Voting By Persons With Dementia, Jason H. Karlawish, Richard J. Bonnie, Paul S. Appelbaum, Constantine Lyketsos, Bryan James, David Knopman, Christopher Patusky, Rosalie A. Kane, Pamela S. Karlan

Bryan G Kane MD

This article addresses an emerging policy problem in the United States participation in the electoral process by citizens with dementia. At present, health care professionals, family caregivers, and long-term care staff lack adequate guidance to decide whether individuals with dementia should be precluded from or assisted in casting a ballot. Voting by persons with dementia raises a series of important questions about the autonomy of individuals with dementia, the integrity of the electoral process, and the prevention of fraud. Three subsidiary issues warrant special attention: development of a method to assess capacity to vote; identification of appropriate kinds of assistance ...


The Carefirst Patient-Centered Medical Home Program: Cost And Utilization Effects In Its First Three Years, Alison Cuellar, Lorens A. Helmchen, Gilbert Gimm, Jay Want, Sriteja Burla, Bradley Kells, Iwona Kicinger, Len M. Nichols 2016 George Washington University

The Carefirst Patient-Centered Medical Home Program: Cost And Utilization Effects In Its First Three Years, Alison Cuellar, Lorens A. Helmchen, Gilbert Gimm, Jay Want, Sriteja Burla, Bradley Kells, Iwona Kicinger, Len M. Nichols

Health Policy and Management Faculty Publications

Background

Enhanced primary care models have diffused slowly and shown uneven results. Because their structural features are costly and challenging for small practices to implement, they offer modest rewards for improved performance, and improvement takes time.

Objective

To test whether a patient-centered medical home (PCMH) model that significantly rewarded cost savings and accommodated small primary care practices was associated with lower spending, fewer hospital admissions, and fewer emergency room visits.

Design

We compared medical care expenditures and utilization among adults who participated in the PCMH program to adults who did not participate. We computed difference-in-difference estimates using two-part multivariate generalized ...


The Relationship Between Personal Factors, Work Factors, Ptsd, And Suicide Ideation In Emergency Medical Service Providers, Faith Joy Boldt 2016 Western Kentucky University

The Relationship Between Personal Factors, Work Factors, Ptsd, And Suicide Ideation In Emergency Medical Service Providers, Faith Joy Boldt

Masters Theses & Specialist Projects

EMS providers work in a high-stress environment and are routinely exposed to critical incidents. Many providers are left to deal with the chronic stress on their own, either because of lack of effective employer-based programs or a culture that discourages its use. The extent to which these factors -- as well as personal characteristics such as resilience, PTG, and coping skills -- influence PTSD and suicide ideation among EMS providers has not been well studied among EMS providers. An online survey was administered to a convenience sample of EMS providers. Of the 2,683 respondents, more than one quarter (27.7%) met ...


Survival Rates In Trauma Patients Following Health Care Reform In Massachusetts, Turner Osler, Laurent G. Glance, Wenjun Li, Jeffery S. Buzas, David W. Hosmer 2016 University of Vermont Medical Center

Survival Rates In Trauma Patients Following Health Care Reform In Massachusetts, Turner Osler, Laurent G. Glance, Wenjun Li, Jeffery S. Buzas, David W. Hosmer

Wenjun Li

IMPORTANCE: Massachusetts introduced health care reform (HCR) in 2006, expecting to expand health insurance coverage and improve outcomes. Because traumatic injury is a common acute condition with important health, disability, and economic consequences, examination of the effect of HCR on patients hospitalized following injury may help inform the national HCR debate. OBJECTIVE: To examine the effect of Massachusetts HCR on survival rates of injured patients. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of 1,520,599 patients hospitalized following traumatic injury in Massachusetts or New York during the 10 years (2002-2011) surrounding Massachusetts HCR using data from the State Inpatient ...


Best Practices For Self-Exclusion Reinstatement And Renewal, Alex Price 2016 Responsible Gambling Council

Best Practices For Self-Exclusion Reinstatement And Renewal, Alex Price

International Conference on Gambling and Risk Taking

While many studies have examined self-exclusion few have focused on the processes through which gamblers return at the end of their agreements. In 2014, the RGC Centre for the Advancement of Best Practices examined voluntary self-exclusion reinstatement and renewal in an effort to develop evidence-informed best-practices for both land-based and online gambling operations. The presentation outlines the findings of the study and the recommended best practices for reintegration and ban renewal.

The study examined a range of practices around the world. In the end the study recommended an active reinstatement process in which all participants are required to apply to ...


The South African Elderly: Neglect, Social Contribution And The Hiv/Aids Epidemic, Alessia Frisoli 2016 Graduate Center, City University of New York

The South African Elderly: Neglect, Social Contribution And The Hiv/Aids Epidemic, Alessia Frisoli

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

With a slowing fertility rate and an increasing longevity, the world population is aging. Both developed and developing countries have seen their elderly become more numerous with an increasing burden on their financial, medical and social system. Many scholars have suggested immediate change of policies to contain the predicted crisis that will affect the health care and the pension schemes in the next decades. However, few have investigated the positive role that the seniors play contributing to society, beyond the complications caused to the economy and welfare system. This thesis will support the argument that the elderly, if appropriately cared ...


Neoliberalism Redux: The Global Health Policy Agenda And The Politics Of Cooptation In Latin America And Beyond .Pdf, Anne E. Birn, Laura Nervi, Carlos Eduardo Siqueira 2016 University of Toronto

Neoliberalism Redux: The Global Health Policy Agenda And The Politics Of Cooptation In Latin America And Beyond .Pdf, Anne E. Birn, Laura Nervi, Carlos Eduardo Siqueira

C. Eduardo Siqueira

This article explores the neoliberal cooptation of social justice-oriented
global health policies over the last three decades, from primary health care and ‘health for all’ to various contemporary so-called ‘health equity’ initiatives, such as Universal Health Coverage and ‘health convergence’. The authors illustrate and contextualize the different periods and approaches with examples from a range of Latin American countries, drawing on diverse political experiences and social struggles in the health arena. The analysis concludes with reflections about the region’s experiences of resisting and challenging the neoliberal health agenda, in spite of domestic and global environments that have constrained these ...


Innovations For Vulnerable Populations In Massachusetts, Melissa A. Clark 2016 University of Massachusetts Medical School

Innovations For Vulnerable Populations In Massachusetts, Melissa A. Clark

UMass Center for Clinical and Translational Science Research Retreat

This is the moderator's introductory presentation for the mini-symposium entitled "Innovations for Vulnerable Populations in Massachusetts," in which she places the session presentations in the context of an ongoing collaboration between Commonwealth Medicine, a division of the University of Massachusetts Medical School, and MassHealth.


Medical, Social, And Other Determinants Of Health Care Costs In Masshealth, Arlene S. Ash 2016 University of Massachusetts Medical School

Medical, Social, And Other Determinants Of Health Care Costs In Masshealth, Arlene S. Ash

UMass Center for Clinical and Translational Science Research Retreat

As part of the mini-symposium entitled "Innovations for Vulnerable Populations in Massachusetts," this presentation explores research into expanding the State’s existing risk models to include social determinants of health variables. Potential variables for inclusion in payment models (such as unstable housing, defined as having three or more addresses during a calendar year) have been identified. These models are being developed in support of alternative payment mechanisms for integrated delivery systems.


Toward A Common Secure Future: Four Global Commissions In The Wake Of Ebola, Lawrence O. Gostin, Oyewale Tomori, Suwit Wibulpolprasert, Ashish K. Jha, Julio Frenk, Suerie Moon, Joy Phumpahpi, Peter Piot, Barbara Stocking, Victor J. Dzau, Gabriel M. Leung 2016 Georgetown University Law Center

Toward A Common Secure Future: Four Global Commissions In The Wake Of Ebola, Lawrence O. Gostin, Oyewale Tomori, Suwit Wibulpolprasert, Ashish K. Jha, Julio Frenk, Suerie Moon, Joy Phumpahpi, Peter Piot, Barbara Stocking, Victor J. Dzau, Gabriel M. Leung

Georgetown Law Faculty Publications and Other Works

The world is becoming increasingly vulnerable to pandemics resulting from globalization, urbanization, intense human/animal interchange, and climate change. A series of global health crises have emerged since 2000, ranging from Severe Acute Respiratory Syndrome (SARS) and its phylogenetic cousin Middle East Respiratory Syndrome (MERS), to pandemic Influenza A (H1N1), Ebola, and the ongoing Zika virus epidemic. The Ebola epidemic gave rise to four global commissions proposing a bold new agenda for global health preparedness and response for future infectious disease threats.

Four global commissions reviewing the recent Ebola virus disease epidemic response consistently recommended strengthening national health systems, consolidating ...


Public Health Spending And Its Contributions To The Total Spend On Health, Glen P. Mays 2016 University of Kentucky

Public Health Spending And Its Contributions To The Total Spend On Health, Glen P. Mays

Health Management and Policy Presentations

This presentation provides an overview of recent research on governmental public health expenditures and their interaction with medical spending, carried out through the Robert Wood Johnson Foundation supported initiatives on Public Health Services and Systems Research (PHSSR) and the new Systems for Action research program. This work illustrates the value of tracking resource use across multiple sectors that influence health and well-being in American communities. As such, this work can inform the ongoing dialogue about methodologies for summarizing total health spending for the U.S. and for state and local areas.


A Yellow Fever Epidemic: A New Global Health Emergency?, Lawrence O. Gostin, Daniel Lucey 2016 Georgetown University Law Center

A Yellow Fever Epidemic: A New Global Health Emergency?, Lawrence O. Gostin, Daniel Lucey

Georgetown Law Faculty Publications and Other Works

The worst yellow fever epidemic in Angola since 1986 is rapidly spreading, including the capital, Luanda. In Angola, the epidemic began in December 2015 and the laboratory-confirmed outbreak was reported to the World Health Organization (WHO) on January 21, 2016. Angola has had 2023 suspected cases and 258 deaths as of April 26, 2016. China, the Democratic Republic of Congo, and Kenya also have reported cases arising from infected travelers from Angola. Namibia and Zambia also share a long border with Angola, with considerable population movement between the countries. Similar to other recent epidemics, quick and effective action to stop ...


Local Health Department Engagement In Community Physical Activity Policy, Karin V. Goins, Jiali Ye, Carolyn J. Leep, Nathalie Robin, Stephenie C. Lemon 2016 University of Massachusetts Medical School

Local Health Department Engagement In Community Physical Activity Policy, Karin V. Goins, Jiali Ye, Carolyn J. Leep, Nathalie Robin, Stephenie C. Lemon

Stephenie C. Lemon

INTRODUCTION: This study assessed correlates of self-reported local health department (LHD) participation in community policy/advocacy activities that support physical activity.

METHODS: In 2014, cross-sectional data from the nationally representative 2013 National Profile of Local Health Departments study administered by the National Association of County and City Health Officials were analyzed. Outcomes were participation in policy/advocacy activities related to urban design/land use, active transportation, and access to recreational facilities. Independent variables included structural characteristics, performance improvement efforts, and collaboration. Multivariate logistic regression models were computed.

RESULTS: Representatives of 490 LHDs participated (79% response rate). Respondents reported similar participation ...


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