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1

Cronan, Karl, and Linda Winn. "Development of an Evacuation Exercise for Residential Aged Care Facilities Using the Emergo Train System (ETS)." Prehospital and Disaster Medicine 34, s1 (2019): s1—s2. http://dx.doi.org/10.1017/s1049023x19000232.

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Introduction:Events such as the Sydney Quakers Hill Nursing Home fire highlighted the great need for robust evacuation plans for Residential Aged Care Facilities (RACFs). However, plans alone are not sufficient and routine exercises are necessary to test the capability of a facility’s emergency plan. Current methods of exercising facility evacuations, such as live drills, are limited and only test isolated elements of the evacuation process, which fall drastically short of being able to simulate the real-time resources and procedures required to perform a large scale evacuation of a RACF.Aim:T
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Inacio, Maria C., Catherine Lang, Gillian E. Caughey, et al. "The Registry of Senior Australians outcome monitoring system: quality and safety indicators for residential aged care." International Journal for Quality in Health Care 32, no. 8 (2020): 502–10. http://dx.doi.org/10.1093/intqhc/mzaa078.

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Abstract Objectives To introduce the Registry of Senior Australians (ROSA) Outcome Monitoring System, which can monitor the quality and safety of care provided to individuals accessing residential aged care. Development and examination of 12 quality and safety indicators of care and their 2016 prevalence estimates are presented. Design Retrospective. Setting 2690 national and 254 South Australian (SA) aged care facilities. Participants 208 355 unique residents nationally and 18 956 in SA. Main Outcome Measures Risk-adjusted prevalence of high sedative load, antipsychotic use, chronic opioid us
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Choi, Jisook, Hyeki Park, Soomin Kim, Areum Kim, and Choon-Seon Park. "A Review of COVID-19 Initial Response Systems and A Proposal to Adjust the Operation of Residential treatment centers." Public Health Affairs 5, no. 1 (2021): e13. http://dx.doi.org/10.29339/pha.21.13.

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Objective: The COVID-19 pandemic has caused a periodic shortage of quarantine beds, medical personnel, and medical equipment in South Korea. Asthe pandemic is expected to continue, a need existsto readjust the capacities of residentialtreatment centersfor asymptomatic ormild cases. Thisstudy aimed to identify howother countriestreat asymptomatic or have mild COVID-19 patients, and suggest a effective operation plan of residential treatment centers.Methods: A literature review was conducted to examine how policies on asymptomatic or mild COVID-19 cases have changed at different phases of the pa
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Mimura, Seiji, Yoshiki Toyokuni, Akinori Wakai, Hisayoshi Kondo, and Yuichi Koido. "Japan DAMT COVID-19 response. The Temporary Medical Facility for Hospitalization Waiting and Doctor Home Response System in Sapporo City, Hokkaido." Prehospital and Disaster Medicine 38, S1 (2023): s162. http://dx.doi.org/10.1017/s1049023x23004223.

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Introduction:In Japan, the response to COVID-19 has been a disaster response. In May 2021, the number of patients requiring hospitalization increased rapidly in Sapporo City, Hokkaido. Almost all medical institutions and clinics were overcrowded, and patients were forced to wait at home. Sapporo City requested a response from the Japan Disaster Medical Assistance Team (DMAT).Method:DMAT collaborated with the Sapporo City Public Health Center to set up a patient waiting station (The Temporary Medical Facility for Hospitalization Waiting) utilizing an unused hotel. DMAT placed the patient under
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Jang, Won Mo, Juyeon Lee, Sang Jun Eun, Jun Yim, Yoon Kim, and Mi Young Kwak. "Travel time to emergency care not by geographic time, but by optimal time: A nationwide cross-sectional study for establishing optimal hospital access time to emergency medical care in South Korea." PLOS ONE 16, no. 5 (2021): e0251116. http://dx.doi.org/10.1371/journal.pone.0251116.

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Increase in travel time, beyond a critical point, to emergency care may lead to a residential disparity in the outcome of patients with acute conditions. However, few studies have evaluated the evidence of travel time benchmarks in view of the association between travel time and outcome. Thus, this study aimed to establish the optimal hospital access time (OHAT) for emergency care in South Korea. We used nationwide healthcare claims data collected by the National Health Insurance System database of South Korea. Claims data of 445,548 patients who had visited emergency centers between January 1
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Guillermo, Vanessa, Sully Santos de Ucles, and Kelley Bunkers. "The critical intersection between child reintegration and community connectedness: An experience from Guatemala." Global Studies of Childhood 12, no. 1 (2022): 70–82. http://dx.doi.org/10.1177/20436106221082666.

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A 2019 census of residential care facilities in Guatemala found 3863 children in residential care and that 97% of these children had at least one living relative. The census clearly indicates that children in the facilities are not orphans and the possibility of reunification, if appropriate processes and services are in place to support the child and parent/caregiver before, during, and after reunification, is possible. We (the authors) played a key role in designing a case management process to support the reunification of children from residential care back into families with the end goal b
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Markiewicz, Anne. "The child welfare system in Victoria: Changing context and perspectives 1945-1995." Children Australia 21, no. 3 (1996): 32–41. http://dx.doi.org/10.1017/s1035077200007185.

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This paper traces the history of child welfare in Victoria, from the formation of the Children's Welfare Department to the present time. It draws principally upon the Annual Reports of the responsible state government department, to illustrate trends in out-of-home placement for children and young people admitted to care. It describes substantial shifts in direction to the institutions in the 1960s, deinstitutionalisation of the 1980s, and the re-emergence of home-based care as a favoured, economical option.The paper traces the ebbs and flows in numbers, periods of overcrowding and the current
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S. Frank Veronic, Dr.M.V. Rajee, and Dr.M.V.R.S. Mani. "IOT Based Automated Paralysis Patient Healthcare System using Arduino and GSM." International Research Journal on Advanced Engineering Hub (IRJAEH) 3, no. 04 (2025): 1274–79. https://doi.org/10.47392/irjaeh.2025.0180.

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The purpose of the Arduino and GSM-Powered Internet of Things-Based Automated Paralysis Patient Healthcare System is to monitor paralysis patients effectively and in real time. To improve patient care, this system combines wireless connectivity, sensor-based automation, and Internet of Things technology. It uses biomedical sensors to continuously monitor vital indications like body temperature, mobility activity, and heart rate. GSM modules are used to send the gathered data to caregivers and healthcare professionals. Patients can use voice commands or push buttons to convey distress signals t
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Tozer, April P., Paul Belanger, Kieran Moore, and Jaelyn Caudle. "Socioeconomic status of emergency department users in Ontario, 2003 to 2009." CJEM 16, no. 03 (2014): 220–25. http://dx.doi.org/10.2310/8000.2013.131048.

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ABSTRACT Objective: Emergency department (ED) overcrowding in Canada is an ongoing problem resulting in prolonged wait times, service declines, increased patient suffering, and adverse patient outcomes. We explored the relationship between socioeconomic status (SES) and ED use in Canada's universal health care system to improve our understanding of the nature of ED users to both improve health care to the most deprived populations and reduce ED patient input. Methods: This retrospective study took information from the National Ambulatory Care Reporting System (NACRS) database for all ED visits
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Hagg, Emily, Danielle H. Fuchko, Shyla K. Bharadia, and Vincent Gabriel. "541 In-Process Quality Improvement Action Following an Urban Residential Explosion." Journal of Burn Care & Research 45, Supplement_1 (2024): 138–39. http://dx.doi.org/10.1093/jbcr/irae036.175.

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Abstract Introduction Burn centers need specialized plans for the management of burn mass casualty incidents for best outcomes. The ABA burn disaster response plan distributed in 2023 provides a communication plan for the association and burn centers. However, individual centers must develop local response plans. In this case, a Level 1 trauma and burn center with an institutional all-hazards, non-burn specific disaster plan responded to a home explosion in a city of 1.1 million. This event prompted a quality improvement project to assess the opportunities for development of burn-specific disa
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Altukhova, Anna N. "In Case of Emergency: Why it is so Hard to Normalize Intellectual Disability in Russia." Sociology of power 35, no. 3 (2023): 135–51. https://doi.org/10.22394/2074-0492-2003-3-135-151.

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The article analyzes attempts to "normalize” disabilities, particularly intellectual disabilities, in contemporary Russia. The NGOs that emerged in the 1990s put a lot of work into reforming the long-term state residential care system and changing the principles of care for people with disabilities. They offered so-called assisted living as an alternative - specially created conditions in which people who have no experience of living outside the state institutions can become familiar with a "normal” life. However, as the author shows, due to the depoliticization of their activities
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Garrido, Juan, Victor Penichet, María Lozano, and José A. F. Valls. "Automatic Detection of Falls and Fainting." JUCS - Journal of Universal Computer Science 19, no. (8) (2013): 1105–22. https://doi.org/10.3217/jucs-019-08-1105.

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Healthcare environments have always been considered an important scenario in which to apply new technologies to improve residents and employees conditions, solve problems and facilitate the performance of tasks. In this way, the use of sensors based on user movement interaction allows solving complicated situations that should be immediately addressed, such as controlling falls and fainting spells in residential care homes. However, ensuring that all the residents are always visually controlled by at least one employee is quite complicated. In this paper, we present a ubiquitous and context-aw
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Purahong, Boonchana, Thanavit Anuwongpinit, Aniwat Juhong, Isoon Kanjanasurat, and Chuchart Pintaviooj. "Medical Drone Managing System for Automated External Defibrillator Delivery Service." Drones 6, no. 4 (2022): 93. http://dx.doi.org/10.3390/drones6040093.

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One of the common causes of a heart attack is fibrillation, a condition that causes an irregular and often abnormally fast heart rate. There is scientific evidence that the survival rate of sudden cardiac arrest patients who are rescued with cardiopulmonary resuscitation (CPR) and with the use of an automated external defibrillator (AED) is significantly increased. Despite the recommendation that automated external defibrillators should be installed in the workplace, along with a proper management system and training for employees on how to use the device, less than 70% of non-residential area
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Inacio, Maria C., Robert N. Jorissen, Steve Wesselingh, et al. "Predictors of hospitalisations and emergency department presentations shortly after entering a residential aged care facility in Australia: a retrospective cohort study." BMJ Open 11, no. 11 (2021): e057247. http://dx.doi.org/10.1136/bmjopen-2021-057247.

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ObjectivesTo: (1) examine the 90-day incidence of unplanned hospitalisation and emergency department (ED) presentations after residential aged care facility (RACF) entry, (2) examine individual-related, facility-related, medication-related, system-related and healthcare-related predictors of these outcomes and (3) create individual risk profiles.DesignRetrospective cohort study using the Registry of Senior Australians. Fine-Gray models estimated subdistribution HRs and 95% CIs. Harrell’s C-index assessed risk models’ predictive ability.Setting and participantsIndividuals aged ≥65 years old ent
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Abraham, Kristen M., Ming-Un Myron Chang, Tony Van, Sandra G. Resnick, and Kara Zivin. "Employment After Vocational Rehabilitation Predicts Decreased Health Care Utilization in Veterans With Mental Health Diagnoses." Military Medicine 186, no. 9-10 (2021): 850–57. http://dx.doi.org/10.1093/milmed/usab113.

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ABSTRACT Introduction Although the benefits of employment for veterans with mental health conditions are well-known, the effect of veterans’ employment on a health system has not been evaluated. The purpose of this study was to evaluate the effect of veterans’ employment (versus unemployment) on subsequent health care utilization in the Veterans Health Administration (VHA). Materials and Methods This study used a sample of 29,022 veterans with mental health and substance use disorders who were discharged from VHA’s employment services programs between fiscal years 2006 and 2010. Veterans’ empl
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Silverstein, Martin E. "National Disaster Medical System (NDMS) Planning for the USA: A Unique Opportunity for the Peaceful use of Military Assets." Journal of the World Association for Emergency and Disaster Medicine 1, no. 1 (1985): 39–42. http://dx.doi.org/10.1017/s1049023x00032672.

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Magnitude and Configuration of Disasters. The increasing number of disasters and consequent casualties in an era of growing sophistication of care for the emergency patient mandates a systematized disaster response utilizing all of a nation's resources in optimum fashion. Life in the second half of this century has grown more complicated and in so doing has laid the basis for more complex disasters. Larger groups of people are vulnerable to individual catastrophic events. Population increases and sociopolitical alterations have accelerated the trend toward the establishment of residential and
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Palladino, Lauren, Katherine Yun, Shraddha Mittal, et al. "Health needs of a large cohort of newly arrived Afghan evacuee children following arrival in the United States." Journal of Emergency Management 23, no. 2 (2024): 277–85. https://doi.org/10.5055/jem.0883.

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Objective: In 2021, approximately 82,000 Afghan civilians were emergently evacuated to the United States (US). Almost half of them were children. This study describes the healthcare needs of all evacuee children referred for urgent or emergent care in two large health systems in the months following the evacuation, highlighting important considerations for emergency response in pediatric evacuee populations. Methods: This is a descriptive cross-sectional study of all Afghan evacuee children referred for care at an urban quaternary care children’s hospital and an affiliated community hospital s
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Deolmi, Michela, Emanuela Claudia Turco, Pietro Pellegrini, Carlo Marchesi, and Francesco Pisani. "Psychiatric Emergency in Children and Adolescents: A Retrospective Study in Parma Local Health Unit." Behavioural Neurology 2021 (October 25, 2021): 1–7. http://dx.doi.org/10.1155/2021/8848387.

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The mental health care system in Italy is based on Law 180/70 which leaves great regional autonomy about the management of adolescent patients suffering from psychiatric diseases. The aim of this study is the evaluation of demographic, social, and clinical features of minors admitted to psychiatric wards, as starting point to improve individualized services for them. Data about all under 18s consecutively admitted to Parma’s psychiatric wards from 2013 to 2015 were retrospectively collected from medical records. Diagnoses were classified according to ICD-10 criteria, and statistical analysis w
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Osman, Shawbo, and Vian Naqshbandi. "Assessment and Clinical Outcomes of Fall Related Injuries at Emergency." Erbil Journal of Nursing and Midwifery 4, no. 1 (2021): 50–59. http://dx.doi.org/10.15218/ejnm.2021.06.

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Background and objectives: Falls are significant cause of mortality and morbidity with a considerable burden on societies, families and victims. The study aims to determine the interventions and outcomes of fall-related injuries, and the association between injury se-verity and fall height. Methods: A descriptive cross-sectional study was conducted among 322 fall-related in-jured persons in West and East emergency hospitals in Erbil City from September 2020 to February 2021. Study sample demography, location of injury, place of affected body re-gions, outcome, and hospital stay were analyzed.
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Клепикова, Анна Александровна. "Residential Care Institutions for People with Disabilities in Russia: Questioning Totality." Journal of Social Policy Studies 17, no. 3 (2019): 453–64. http://dx.doi.org/10.17323/727-0634-2019-17-3-453-464.

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This paper applies the concept of total institutions, introduced by Erving Goffman, to the case of special care institutions for people with intellectual disabilities in present-day Russia. These institutions represent a classic type of organization that could be studied through the lenses of the total institutions theory and demonstrate the typical features of such institutions, among them the crowded conditions in which the inmates live, a lack of privacy, universal scheduling of daily routines, strict hierarchy, a system of punishments and privileges as an instrument of control, and exploit
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McNeil, Julie, Catherine Johnson, and Dean Krahn. "Implementation and outcomes of a pharmacy managed clinic for veterans in a substance abuse residential rehabilitation treatment program." Mental Health Clinician 1, no. 2 (2011): 25–28. http://dx.doi.org/10.9740/mhc.n77171.

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ABSTRACT Purpose: The purpose of this study is to evaluate the impact of a newly implemented pharmacy managed service in a Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) within a Veterans Medical Center setting. Patients receiving residential treatment may have a lapse in primary care services if their primary care provider is based out of a different facility. This can result in undesirable outcomes, including unnecessary emergency department (ED) visits or unaddressed medical needs. Additionally, these patients have often made significant lifestyle modifications that c
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Harbak, Jonathan. "Effect of partial closure of an emergency department on utilization of emergency departments." Dansk Tidsskrift for Akutmedicin 5, no. 1 (2022): 13. http://dx.doi.org/10.7146/akut.v5i1.132155.

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Background: As a result of multiple recommendations from the Danish Health Authority during 2005-2006, the structure of emergency care was reconfigured, including a reduction in the number of entry points in the form of EDs. The reconfiguration process was set to start in 2007, with a goal of completion within 5-10 years. The aim of this study is to shed light on the effect of partial closure of an ED on the utilization of EDs.
 Methods: Our population-based historic cohort study was based on data from Statistics Denmark and from Danish health registries, including the Danish Civil Regist
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Hendrie, Delia, Sonja E. Hall, Gina Arena, and Matthew Legge. "Health system costs of falls of older adults in Western Australia." Australian Health Review 28, no. 3 (2004): 363. http://dx.doi.org/10.1071/ah040363.

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The aim of this study was to determine the health system costs associated with falls in older adults who had attended an emergency department (ED) in Western Australia. The data relating to the ED presentations and hospital admissions were obtained from population-based hospital administrative records for 2001?2002. The type of other health services (eg, outpatient, medical, community, ancillary and residential care), the quantity, and their cost were estimated from the literature. In adults aged 65 years and above, there were 18 706 ED presentations and 6222 hospital admissions for fall-relat
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Mohammad, Sohail. "Neuropsychiatric Manifestations of Wildfire Exposure." Prehospital and Disaster Medicine 34, s1 (2019): s152. http://dx.doi.org/10.1017/s1049023x19003418.

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Introduction:Wildfires are life threatening incessant fires in thickly vegetated areas that spread extremely rapidly to human habitat and are difficult to control by human force. The impact of wildfires is enormous on population health and causes tremendous financial burden to individuals and communities.Aim:The aim is to understand the potential disease burden secondary to wildfires both at an individual and population level and reflect upon the immediate and delayed neuropsychiatric manifestations of smoke exposure.Methods:Data on wildfires associated direct and indirect costs on individual
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Sagué Vilavella, M., A. Giménez Palomo, A. Àvila-Parcet, et al. "A tale of excess: the curious case of the woman with 1447 emergency visits." European Psychiatry 66, S1 (2023): S286. http://dx.doi.org/10.1192/j.eurpsy.2023.644.

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IntroductionFrequent attenders to emergency services are challenging and costly. We report the case of a woman in her mid-twenties who stands out for a total of 1447 emergency visits.ObjectivesOur primary objective was to describe the emergency visits of our patient. Secondary objectives were to assess her use of other healthcare services and to calculate her health expenditure.MethodsThis is a clinical case report. We reviewed the patient’s electronic medical records for sociodemographic and clinical data. We obtained detailed information of psychiatric ED visits (length, most frequent times
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Orlov, E. A., and K. A. Chernov. "RESULTS OF EMERGENCY RECOVERY WORK AND ANALYSIS OF MEDICAL SUPPORT DURING THE FLOOD ELIMINATION IN THE TERRITORY OF THE IRKUTSK REGION BY THE AIRMOBILE GROUP OF THE TULA RESCUE CENTER OF EMERCOM OF RUSSIA (FROM JULY 6 TO AUGUST 15, 2019)." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 3 (October 15, 2019): 52–58. http://dx.doi.org/10.25016/2541-7487-2019-0-3-52-58.

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Relevance. Heavy rainfall in June July 2019 and a rise of water levels in rivers caused flooding in the Irkutsk region. About 11 thousand houses, 49 road sections were flooded, 22 bridges were destroyed and damaged. Over 45 thousand people were affected by the flood, 25 people died, 6 went missing. In the areas of disaster, emergency regime was declared. 10 meter dam on the Iya River was broken, the most dangerous flood was in the Tulun town, Irkutsk Region. The powerful pressure of the river, sweeping and destroying everything in its path, surged into the town. Residential houses and farm bui
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Grebenyuk, A. N., P. S. Datsko, and S. V. Osokina. "Organizacija okazanija medicinskoj pomoshhi rabotnikam krupnogo stroitel’nogo proekta v Arkticheskoj zone Rossii." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 2 (May 30, 2024): 5–13. http://dx.doi.org/10.25016/2541-7487-2024-0-2-05-13.

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Relevance. Providing medical services to shift workers is always associated with significant difficulties due to specific conditions of work, accommodation, catering, regular relocations from place of residence to work sites. Harsh Arctic environment, with its long winters, extreme air temperatures, strong winds, polar night, and short spans of cool, overcast, and rainy summers, makes provision of medical care to shift workers an extremely complex problem. This compels public healthcare and emergency medicine to implement both well-known and new robust approaches.Objective. The objective is to
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Sinnarajah, Aynharan, Philip Akude, Mahmood Zarrabi, et al. "The PaCES Study: Cost effectiveness of an early palliative care intervention in patients with advanced colorectal cancer." JCO Oncology Practice 19, no. 11_suppl (2023): 20. http://dx.doi.org/10.1200/op.2023.19.11_suppl.20.

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20 Background: An early palliative care (PC) pragmatic trial conducted in outpatient cancer clinics for patients living with advanced colorectal cancer (CRC), led to a 17% increase in early referrals (more than 3 months before death). This study evaluates the cost effectiveness of this trial. A lack of timely palliative care is associated with poorer quality of life, poorer symptom control and fewer days spent at home. Improving on this time toxicity is an important part of early palliative care. Methods: This pragmatic controlled before-and-after study was performed in 18 outpatient cancer cl
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Hidalgo, José, Melissa Culhane Maravić, René C. Milet, and James C. Beck. "Erratum to: Promoting Collaborative Relationships in Residential Care of Vulnerable and Traumatized Youth: A Playfulness Approach Integrated with Trauma Systems Therapy." Journal of Child & Adolescent Trauma 9, no. 1 (2016): 29. http://dx.doi.org/10.1007/s40653-016-0083-2.

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Gottlieb, Larry. "Ethics Committees in Community Mental Health Settings?" Cambridge Quarterly of Healthcare Ethics 9, no. 4 (2000): 566–67. http://dx.doi.org/10.1017/s0963180100004151.

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I am in the process of trying to organize an ethics committee at a large community mental health center in Central Massachusetts and am seeking advice from anyone with experience in this or a similar milieu. The agency is a large (almost 700 employees), nonprofit, community-based program that operates under the auspices of a broad, academically affiliated, behavioral health system. An independent board of trustees, responsible to the parent organization governs the agency. The agency primarily provides outpatient care and treatment to adults and children with mental health, substance abuse, de
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Scott, Ian A. "Public hospital bed crisis: too few or too misused?" Australian Health Review 34, no. 3 (2010): 317. http://dx.doi.org/10.1071/ah09821.

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•Increasing demand on public hospital beds has led to what many see as a hospital bed crisis requiring substantial increases in bed numbers. By 2050, if current bed use trends persist and as the numbers of frail older patients rise exponentially, a 62% increase in hospital beds will be required to meet expected demand, at a cost almost equal to the entire current Australian healthcare budget. •This article provides an overview of the effectiveness of different strategies for reducing hospital demand that may be viewed as primarily (although not exclusively) targeting the hospital sector – incr
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Yu, Miao, Dimitrios Kollias, James Wingate, Niro Siriwardena, and Stefanos Kollias. "Machine Learning for Predictive Modelling of Ambulance Calls." Electronics 10, no. 4 (2021): 482. http://dx.doi.org/10.3390/electronics10040482.

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A novel machine learning approach is presented in this paper, based on extracting latent information and using it to assist decision making on ambulance attendance and conveyance to a hospital. The approach includes two steps: in the first, a forward model analyzes the clinical and, possibly, non-clinical factors (explanatory variables), predicting whether positive decisions (response variables) should be given to the ambulance call, or not; in the second, a backward model analyzes the latent variables extracted from the forward model to infer the decision making procedure. The forward model i
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Strum, Ryan P., Fabrice I. Mowbray, Manaf Zargoush, and Aaron P. Jones. "Prehospital prediction of hospital admission for emergent acuity patients transported by paramedics: A population-based cohort study using machine learning." PLOS ONE 18, no. 8 (2023): e0289429. http://dx.doi.org/10.1371/journal.pone.0289429.

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Introduction The closest emergency department (ED) may not always be the optimal hospital for certain stable high acuity patients if further distanced ED’s can provide specialized care or are less overcrowded. Machine learning (ML) predictions may support paramedic decision-making to transport a subgroup of emergent patients to a more suitable, albeit more distanced, ED if hospital admission is unlikely. We examined whether characteristics known to paramedics in the prehospital setting were predictive of hospital admission in emergent acuity patients. Materials and methods We conducted a popul
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Aminian, Parmis, Estie Kruger, and Marc Tennant. "Association between Western Australian children’s unplanned dental presentations and the socioeconomic status of their residential area." Australian Health Review 46, no. 2 (2021): 217–21. http://dx.doi.org/10.1071/ah21006.

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Objective This study investigated the link between socioeconomic status and unplanned dental presentations at the Perth Children’s Hospital (PCH), as well as the link between the socioeconomic status of unplanned dental patients and any previous admissions to the PCH. Methods Records of 351 unplanned visits to the PCH were collected, including reason for attendance (infection, trauma, other), the patient’s residential location (suburb) and the history of any previous presentations at the PCH. The socioeconomic status of each patient was based on the Index of Relative Socio-Economic Disadvantag
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Mortazavi, S. M. J. "Exposure to indoor radon can be a concern in studies on the role of short-term exposure to air pollution and mortality." Reviews on Environmental Health 33, no. 3 (2018): 315–17. http://dx.doi.org/10.1515/reveh-2018-0016.

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Abstract Recent studies show that short-term exposure to ambient particulate matter is associated with more emergency department visits and hospitalizations for pneumonia as well as increased mortality and increased health care costs among older adults. Moreover, exposure to ambient particulate matter is shown to be connected with an increased rate of daily mortality and hospitalizations due to cardiovascular diseases (CVDs). The association between short-term exposures to particulate matter with a diameter less than 2.5 µm (PM2.5) and ozone [at levels below the current daily National Ambient
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Aversa, Giuseppe, and Petra Filistrucchi. "Why Didn’t Anyone Understand? Why Didn’t Anyone Ever Stand in the Way? Detecting Child Abuse in Out-of-Home care Setting: The Role of Safeguard and Protection Systems and Social Workers." British Journal of Social Work 53, no. 3 (2023): 1465–82. http://dx.doi.org/10.1093/bjsw/bcad064.

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Abstract The issue of institutional abuse (IA) in out-of-home care services is a difficult one, which we struggle to think about and which is slow to find attention and recognition: the victims are those children who, after experiencing maltreatment and abuse in the family, still suffer violence in the residential care services that should protect them. It represents the failure of the public system in protecting children, and it is often the result of institutions and professionals who allow, collude, cover, justify and minimise violence against children. Starting from a recent and paradigmat
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Wilk, Sławomir, and Monika Szpoczek. "Social workers in times of the Sars-CoV-2 coronavirus epidemic. First Polish experiences." Praca Socjalna 35, no. 2 (2020): 84–105. http://dx.doi.org/10.5604/01.3001.0014.1490.

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The spread of the epidemic of the SARS-CoV-2 coronavirus and the announcement of the state of epidemic emergency determined the necessity of the changes in the functioning of the social welfare units. This article is an analysis of the literature sources related to the functioning of the social workers during natural disasters, that have served as the basis for conclusions. In addition, twelve pilot interviews with social workers were conducted. Previously the institutions were not prepared for such a threat, did not have procedures nor regulations and means of self-protection. In the times of
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Houben, Famke, Mitch van Hensbergen, Casper D. J. Den Heijer, Nicole H. T. M. Dukers-Muijrers, and Christian J. P. A. Hoebe. "Barriers and facilitators to infection prevention and control in Dutch residential care facilities for people with intellectual and developmental disabilities: A theory-informed qualitative study." PLOS ONE 16, no. 10 (2021): e0258701. http://dx.doi.org/10.1371/journal.pone.0258701.

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Background Care institutions are recognised to be a high-risk setting for the emergence and spread of infections and antimicrobial-resistant organisms, which stresses the importance of infection prevention and control (IPC). Accurate implementation is crucial for optimal IPC practice. Despite the wide promotion of IPC and research thereof in the hospital and nursing home setting, similar efforts are lacking in disability care settings. Therefore, this study aimed to assess perceived barriers and facilitators to IPC among professionals working at residential care facilities (RCFs) for people wi
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Yan, Charles, Jemal Mohamed, Manik Saini, Robert Bacigalupo, Selva Bayat, and Jeff Round. "OP173 Estimating The Marginal Productivity Of Health Technology Adoption." International Journal of Technology Assessment in Health Care 39, S1 (2023): S51. http://dx.doi.org/10.1017/s0266462323001642.

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IntroductionDecisions to adopt health technologies rely, in part, on judgements about cost effectiveness. Cost effectiveness is commonly assessed against a willingness-to-pay threshold for health gains. Building an evidence base on the marginal productivity of health spending to inform the value of the threshold is increasingly of interest for resource allocation decision-making and technology implementation. We report on an in-progress analysis to inform a threshold for policy purposes in British Columbia, Canada.MethodsWe developed a ten-year panel-data model with instrumental variables, whi
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Hong, Michin, and Kyungmin Kim. "NAVIGATING AGING ACROSS CULTURES: THE FORTITUDE IN PERSPECTIVES FROM KOREANS AND BEYOND." Innovation in Aging 8, Supplement_1 (2024): 510. https://doi.org/10.1093/geroni/igae098.1667.

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Abstract The symposium aims to provide a multifaceted examination about aging related issues within different cultural contexts with a particular focus on the Korean population. The first study conducted a cross-cultural examination on financial satisfaction during the retirement transition period between South Kore and the U.S., highlighting the needs for culturally tailored interventions to support individuals’ financial wellbeing in retirement. The second study focused on Korean middle-aged adults’ residential preferences after retirement, emphasizing the importance of understanding evolvin
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Bahroos, Neil, Subhash Kumar Kolar Rajanna, Stephen B. Brown, Padma Thangaraj, David Melnick, and Angela Freeman. "2545." Journal of Clinical and Translational Science 1, S1 (2017): 21–22. http://dx.doi.org/10.1017/cts.2017.88.

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OBJECTIVES/SPECIFIC AIMS: This research project envisions the integration of Homeless Management Information System (HMIS) and UI Health Cerner electronic medical record (EMR) system with the following goals: (1) enable sharing of data about the status of the housing insecure and homeless. (2) Identify and match patient record accurately. (3) Record housing insecurity or homelessness information with structured data elements in the EMR. METHODS/STUDY POPULATION: We created a Master Person Index (MPI) of the homeless individuals from HMSI using OpenEMPI software package, which is an open source
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Chan, Derek, Fiona Kouyoumdjian, Uma Athale, Jacob Pendergrast, and Madeleine Verhovsek. "Emergency Department Quality of Care for Sickle Cell Disease in Ontario, Canada: A Population-Based Matched Cohort Study." Blood 136, Supplement 1 (2020): 38–39. http://dx.doi.org/10.1182/blood-2020-143472.

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Background: Acute vaso-occlusive crisis (VOC) in sickle cell disease (SCD) frequently leads patients to seek emergency department (ED) care. Whether or not health inequities exist, and their exact nature, is poorly understood in ED visits for SCD VOC within a universal publicly funded healthcare system. In this study, we aimed to address this knowledge gap by characterizing the landscape of ED care burden and quality indicators for SCD VOC management in the province of Ontario, Canada. Methods: We used population-level health administrative data to identify patients with SCD in Ontario who pre
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Fridawati, Priska ‘Illiyina, Fizal Gustian Widianto, Donny Maulana, and Heni Masruroh. "Pemberdayaan potensi masyarakat padat penduduk sebagai upaya memperkuat perekonomian dan ketahanan pangan di Kelurahan Tanjungrejo pada masa pandemi COVID-19." Jurnal Integrasi dan Harmoni Inovatif Ilmu-Ilmu Sosial (JIHI3S) 2, no. 8 (2022): 768–75. http://dx.doi.org/10.17977/um063v2i8p768-775.

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Since the outbreak of the COVID-19 virus, the government has often made policies that are quite felt by the effect of all levels of society, be it regarding social restrictions, PSBB, PPKM, emergency PPKM, etc. This certainly has a serious impact on the people in the Malang City area itself, especially for the lower middle class. Tanjungrejo Village is a densely populated residential area that is also affected by the pandemic. Seeing the condition of the community, the service team seeks to develop community potential through catfish farming and processed food products from catfish as an effor
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Hayes, Derren. "RESIDENTIAL CARE." Children and Young People Now 2016, no. 12 (2016): 17–20. http://dx.doi.org/10.12968/cypn.2016.12.17.

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Hayes, Derren. "RESIDENTIAL CARE." Children and Young People Now 2019, no. 2 (2019): 31–34. http://dx.doi.org/10.12968/cypn.2019.2.31.

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Standards of residential child care have never been higher, but a shortage of provision and rising demand due to more traumatised children coming into the system is stretching local authority budgets to the limit
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Lloyd, Therese, Stefano Conti, Filipe Santos, and Adam Steventon. "Effect on secondary care of providing enhanced support to residential and nursing home residents: a subgroup analysis of a retrospective matched cohort study." BMJ Quality & Safety 28, no. 7 (2019): 534–46. http://dx.doi.org/10.1136/bmjqs-2018-009130.

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BackgroundThirteen residential care homes and 10 nursing homes specialising in older people in Rushcliffe, England, participated in an improvement programme. The enhanced support provided included regular visits from named general practitioners and additional training for care home staff. We assessed and compared the effect on hospital use for residents in residential and nursing homes, respectively.MethodsUsing linked care home and administrative hospital data, we examined people aged 65 years or over who moved to a participating care home between 2014 and 2016 (n=568). We selected matched co
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Bergin, Anne, Sandra G. Leggat, David Webb, and Koh Ai Lane. "A case study on easing an institutional bottleneck in aged care." Australian Health Review 29, no. 3 (2005): 327. http://dx.doi.org/10.1071/ah050327.

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This is a case study about a cross-sector Interim Health Care Strategy (IHCS) developed by a Victorian metropolitan health service in partnership with a private residential facility and a community agency to provide a range of transitional or interim care initiatives for public hospital patients awaiting permanent residential care after completing acute or subacute treatment. The aims were to improve access to emergency and acute inpatient services, while meeting the needs of residential care clients in the metropolitan suburbs. The components included care within a residential care facility,
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Cusack, L., L. Siegloff, P. Arbon, A. Hutton, and L. Mayner. "(A227) Tension between Emergency Management Policy Decisions and Aged Care Facilities in Australia: A Case Study." Prehospital and Disaster Medicine 26, S1 (2011): s61—s62. http://dx.doi.org/10.1017/s1049023x11002135.

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This paper considers the impact that a number of Australian emergency management policy and operational decisions are having on residential aged care facilities located in the community. For example, all residential aged care facilities applying for new federal government funded aged care places are required to demonstrate a plan for environmental disaster threats such as bushfires and floods. Another example is the adoption of new fire danger rating scale, with the inclusion of an extreme level called “catastrophic”-code red. This inclusion requires all services and community members, living
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Crowe, Sarah, A. Fuchsia Howard, and Gregory Haljan. "Understanding Acute Care Usage by Adult Chronically Critically Ill Ventilated Patients: A Chart Review." Connect: The World of Critical Care Nursing 14, no. 3 (2020): 123–29. http://dx.doi.org/10.1891/wfccn-d-20-00016.

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ObjectivesTo better understand the rationale for acute care usage among long term care ventilated residents.BackgroundChronically critically ill ventilated individuals experience complex health challenges, with many not surviving one year post initial hospitalization discharge. Recent research reports high acute care readmission rates for chronically critically ill patients, yet most studies have not examined the reasons patients are readmitted, nor the treatment and care provided during these stays.MethodA retrospective medical chart reviews of all emergency department visits and acute care a
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Vafaeva, Khristina Maksudovna, Denis Fedorovich Karpov, Mikhail Vasilyevich Pavlov, et al. "Analysis of the Thermal Regime of a Residential Building Premises after an Emergency Shutdown of the Heating System." E3S Web of Conferences 581 (2024): 01046. http://dx.doi.org/10.1051/e3sconf/202458101046.

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Maintaining favorable microclimatic conditions in a residential dwelling is directly related to the stable operation of the heating system. An emergency shutdown of the heating system, especially in the winter season, can lead to serious negative consequences: disruption of thermal comfort for people in the residential building, rupture of pipelines and heating devices, flooding of adjacent premises, etc. Thus, the issue of predicting the thermal regime of a residential dwelling after the termination of heat supply is of practical relevance. The object of study: Residential premises in buildin
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