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In major emergencies or disaster situations it can be anticipated that the normal emergency services will be severely strained, or exceeded, and assistance which is routinely provided by municipal or provincial agencies may not be available. In such abnormal circumstances, there is a need for an expandable emergency response capability, designed to supplement the established agencies. This may involve a number of different agencies, both governmental and private, in a coordinated effort to respond to the increased demands of the situation. This thesis focuses on the component of emergency response known in Canada as 'Emergency Social Services' (ESS) which is based primarily on the involvement of community-based agencies and individual volunteers. ESS is frequently referred to as the 'volunteer component', or the informal sector, as distinct from the formal, day-to-day, emergency response agencies: the police, fire, ambulance, and social services. However, as discussed in Chapter 2, the term 'Emergency Social Services' is not part of the accepted lexicon of the professional literature, and the distinction between ESS and other emergency response agencies, is not the norm in other parts of North America. Chapter 3 reviews the volunteerism literature and concludes that volunteer-based organizations require professional management to be successful, and that without such formal management and support the ESS model is most likely to fall short of its objectives, or may fail completely. In Chapter 4 the evolution of the governing legislation is examined to determine the origins of the isolation of Emergency Social Services from the mainstream of emergency planning, as distinct from a more integrated approach. Chapter 5 describes the ESS model, as presently espoused by the Ministry of Social Services, and analyzes the role of the ESS Director, arguing that this model relies heavily on the personal qualities of the individual ESS Director. Chapter 6 is a case study based on the flooding at Parksville on Vancouver Island. This particular event was selected because it was known to be a case where things had gone wrong and, therefore, merited further investigation. The case study demonstrates that, although Parksville was better prepared than many other municipalities in British Columbia, there were jurisdictional, administrative and perceptual problems which exacerbated the situation. Most particularly, the role of the ESS component, which was well represented by a local service organization, was minimal, and its potential contribution to the multiple needs of the evacuees (e.g., counselling and other personal services) was discounted by the local authorities. Chapter 7 examines some of the major issues identified in the thesis and the case study to determine what lessons can be learned from the event, including the following: perceptual differences between the formal and informal sectors; the need to amend the obsolete legislation; problems related to the respective roles of the Ministry and ESS; the need for professional management for ESS; the ambivalent relationship between the Ministry and the Provincial Emergency Program; and the need for, and the trend towards, a more integrated, holistic, approach to emergency planning. Chapter 8 reviews the thesis, lists the major conclusions, and makes recommendations for changes including: amending the emergency legislation to require municipalities to plan for emergencies which occur within their geographic jurisdiction; transferring formal responsibility for Emergency Social Services from the Ministry of Social Services to the municipalities; and providing professional management and support for Emergency Social Services as an integral part of the emergency preparedness capability of municipalities throughout British Columbia.

Made available in DSpace on 2014-06-11T19:33:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-07-14Bitstream added on 2014-06-13T20:05:12Z : No. of bitstreams: 1 polettini_j_dr_botfm.pdf: 1866040 bytes, checksum: 9dbb3227206b84a722980f020a71aeba (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / A rotura prematura de membranas pré-termo (RPM-PT) é uma importante intercorrência obstétrica e a infecção da cavidade amniótica advinda do trato genital inferior é um dos principais fatores associados à sua fisiopatologia. As membranas corioamnióticas são barreiras mecânicas contra a ascensão de micro-organismos e possuem papel fundamental no sistema imune, pois são importantes fontes de mediadores inflamatórios como as citocinas e também de antimicrobianos naturais, como as defensinas. Em resposta à infecção, ocorrem recrutamento e ativação de leucócitos para as membranas fetais, o que caracteriza a corioamnionite histológica, que ativa a cascata inflamatória na interface materno-fetal e contribui com os mecanismos de enfraquecimento e rotura das membranas. Além acometer os tecidos gestacionais de gestações complicadas por RPM-PT, a corioamnionite histológica é um fator de risco para resultados adversos maternos e morbidades neonatais. 1) Quantificar a expressão de β defensinas (HBD1, 3 e 4) por membranas corioamnióticas de gestações complicadas por prematuridade associada à corioamnionite histológica; 2) Quantificar a expressão de RNA mensageiro (RNAm) e proteína de IL-18 em membranas corioamnióticas de mulheres com RPM-PT e correlacionar a expressão com a presença de corioamnionite histológica; 3) Avaliar os resultados neonatais adversos de gestações prétermo complicadas por corioamnionite histológica. Foram incluídas no estudo, gestantes com parto pré-termo e diagnóstico histológico de corioamnionite. Para o estudo da expressão de β defensinas, 40 fragmentos de membranas corioamnióticas, com diagnóstico histológico de corioamnionite, provenientes de gestações complicadas por rotura prematura de membranas pré-termo (RPM-PT) ou trabalho de parto prematuro com bolsa íntegra (TPP), que apresentaram parto... / The preterm premature rupture of membranes (PPROM) is an important obstetric issue, and infection in the amniotic cavity from the lower genital tract is one of the main factors associated with its physiology. Chorioamniotic membranes are mechanical barriers against the microorganism’s ascension, and they play a fundamental role in the immune system, since they are important sources of inflammatory mediators, such as cytokines, and of natural antimicrobials, like as defensins. In response to infection, leukocytes are recruited and activated in fetal membranes, which characterizes histological chorioamnionitis. This condition activates the inflammatory cascade on the maternal-fetal interface and contributes to weakening mechanisms and membrane rupture. In addition to affecting the gestational tissues of pregnancies complicated by PPROM, histological chorioamnionitis is a risk factor for adverse maternal outcomes and neonatal morbidities. 1) To quantify the expression of β defensins (HBD1, 3 and 4) by chorioamniotic membranes of pregnancies complicated by prematurity associated with histological chorioamnionitis; 2) To quantify the expression of IL-18 mRNA and protein in the chorioamniotic membranes of pregnant women with PPROM and correlate expression with histological chorioamnionitis; 3) To evaluate adverse neonatal outcomes in preterm pregnancies complicated by histological chorioamnionitis. Pregnant women with preterm delivery and histological diagnosis of chorioamnionitis were included in the study. In order to study the expression of β defensins, 40 fragments of chorioamniotic membranes with histological diagnosis of chorioamnionitis from pregnancies complicated by PPROM or preterm labor with intact membranes (PTL), and with preterm labor as a gestational outcome, comprised the study group. As a control group, 40 chorioamniotic membranes without chorioamnionitis and paired... (Complete abstract click electronic access below)

In major emergencies or disaster situations it can be anticipated that the normal emergency services will be severely strained, or exceeded, and assistance which is routinely provided by municipal or provincial agencies may not be available. In such abnormal circumstances, there is a need for an expandable emergency response capability, designed to supplement the established agencies. This may involve a number of different agencies, both governmental and private, in a coordinated effort to respond to the increased demands of the situation. This thesis focuses on the component of emergency response known in Canada as 'Emergency Social Services' (ESS) which is based primarily on the involvement of community-based agencies and individual volunteers. ESS is frequently referred to as the 'volunteer component', or the informal sector, as distinct from the formal, day-to-day, emergency response agencies: the police, fire, ambulance, and social services. However, as discussed in Chapter 2, the term 'Emergency Social Services' is not part of the accepted lexicon of the professional literature, and the distinction between ESS and other emergency response agencies, is not the norm in other parts of North America. Chapter 3 reviews the volunteerism literature and concludes that volunteer-based organizations require professional management to be successful, and that without such formal management and support the ESS model is most likely to fall short of its objectives, or may fail completely. In Chapter 4 the evolution of the governing legislation is examined to determine the origins of the isolation of Emergency Social Services from the mainstream of emergency planning, as distinct from a more integrated approach. Chapter 5 describes the ESS model, as presently espoused by the Ministry of Social Services, and analyzes the role of the ESS Director, arguing that this model relies heavily on the personal qualities of the individual ESS Director. Chapter 6 is a case study based on the flooding at Parksville on Vancouver Island. This particular event was selected because it was known to be a case where things had gone wrong and, therefore, merited further investigation. The case study demonstrates that, although Parksville was better prepared than many other municipalities in British Columbia, there were jurisdictional, administrative and perceptual problems which exacerbated the situation. Most particularly, the role of the ESS component, which was well represented by a local service organization, was minimal, and its potential contribution to the multiple needs of the evacuees (e.g., counselling and other personal services) was discounted by the local authorities. Chapter 7 examines some of the major issues identified in the thesis and the case study to determine what lessons can be learned from the event, including the following: perceptual differences between the formal and informal sectors; the need to amend the obsolete legislation; problems related to the respective roles of the Ministry and ESS; the need for professional management for ESS; the ambivalent relationship between the Ministry and the Provincial Emergency Program; and the need for, and the trend towards, a more integrated, holistic, approach to emergency planning. Chapter 8 reviews the thesis, lists the major conclusions, and makes recommendations for changes including: amending the emergency legislation to require municipalities to plan for emergencies which occur within their geographic jurisdiction; transferring formal responsibility for Emergency Social Services from the Ministry of Social Services to the municipalities; and providing professional management and support for Emergency Social Services as an integral part of the emergency preparedness capability of municipalities throughout British Columbia. / Applied Science, Faculty of / Community and Regional Planning (SCARP), School of / Graduate

M.Sc. (Med.), Faculty of Health Sciences, University of the Witwatersrand, 2011 / There is no clear list of indications for endotracheal intubation in the emergency centre. Current indications are derived from studies done in other disciplines, such as anaesthesiology (1, 2). The emergency centre is unique due to the presence of clinically undifferentiated patients as well as the urgency accompanying the management of critically ill or injured patients. A consensus statement for South African emergency centres was developed using a modified Delphi approach. The statement makes recommendations for a list of indications for endotracheal intubation in the emergency centre. This retrospective record review looks at indications used for endotracheal intubation in a private emergency centre during 2006. These indications were then measured against the consensus document derived from indications suggested by experts. The study evaluated 183 critically ill or injured patients during the study period of which 56 were intubated. Of all the critically ill or injured patients, only three were not intubated that should have been, according to the consensus document. The study found that the emergency doctors in the specific emergency centre used similar indications to intubate as suggested by the consensus document.

Thesis (M.S.)--University of Michigan, 1989.

Thesis (M.A.)--Northern Kentucky University, 2009. / Made available through ProQuest. Publication number: AAT 1465608. ProQuest document ID: 1814846251. Includes bibliographical references (p. 23)

Thesis (M.S.)--University of Michigan, 1989.

CHDS State/Local / Today's security environment has changed dramatically and the institutions, which defend our continent against common threats, must adapt to remain viable. Otherwise, the safety, security, and economic prosperity of North America will be in jeopardy. The World Trade Center attack demonstrated that asymmetric threats can approach the U.S. from any direction. This attack also reinforced that natural and technological disasters can have binational consequences and continental impact. Given this, a noticeable missing element in the defense relationship with Canada and Mexico is the absence of a formal policy for bilateral military cooperation in support of civil authorities. Also missing is a Mexican defense coordinating presence at NORAD and USNORTHCOM. This thesis examines U.S.-Mexican security challenges and argues that a bilateral transnational emergency management framework that incorporates a civil-military partnership can serve as the cornerstone upon which North American defense can be built. / Maj - Plans Division Chief, Bi-National Planning Group (NORAD-NORTHCOM)

Generally in the past, after initial funding was provided by supplemental appropriations, the continuing costs of long-term military operations were built into the annual baseline budget. After four and a half years fighting the Global War on Terror, funding the U.S. military effort remains under emergency designation, funded with supplemental appropriations, despite clear congressional directive to build it in the annual baseline budget request. The factors affecting this decision are examined through a comparative analysis of the current conflict and other long-term military operations in the past 60 years. The results show that planning, timing, accountability, visibility, politics and policy, stakeholder influence, military objectives, and fear of change are the most important factors. These findings can help stakeholders shape funding strategy.