Kriser avlöser varandra i världen. Klimatförändringar leder till extrema väderfenomen såsom långvarig torka men också översvämningar och stormar, pandemier som lamslår stora delar av världen samt krig både i mellanöstern men också i Sveriges omedelbara närhet. Omvärldssituationen gör att kris- och krigsberedskap återigen är ett aktuellt ämne som prioriteras högt av den svenska regeringen. Syftet med denna studie är att konkretisera och medvetandegöra svenska fastighetsägares ansvar under kris och krig samt att presentera åtgärdsförslag för svenska fastighetsägare att vidta för att effektivt höja beredskapen i sina organisationer. Studien är avgränsad till att avhandla bostadsbolag men många av de slutsatser och åtgärder som presenteras går att tillämpa också på annat fastighetsbestånd. Studien är av kvalitativ sort där den teoretiska referensramen bygger på ett kanadensisk ramverk/ process  för “emergency management”, den lagstadgade ansvarsfördelningen, skyddsrummet och fastighetsägaren ur ett försörjningsperspektiv samt tidigare och nuvarande beredskapsarbete i Sverige. Insamlingen har skett med semistrukturerade intervjuer som följt fyra huvudteman: Sveriges civila beredskap, offentliga- och privata organisationers ansvar, beredskapsarbete i fastighetsbranschen samt framtida beredskapsarbete. Den teoretiska referensramen bygger på den lagstadgade ansvarsfördelningen, skyddsrummet och fastighetsägaren ur ett försörjningsperspektiv samt tidigare och nuvarande beredskapsarbete i Sverige. Slutsatsen i studien är att fastighetsbolag har få krav kopplade till hanteringen av kris- och krigsberedskap. I Sverige tar det offentliga en central roll i hanteringen av uppkomna situationer men man efterlyser samtidigt ett större ansvarstagande från näringslivet, något som näringslivet just nu håller på att göra men man ser hellre ett större ansvarstagande genom ekonomiska incitament hellre än utökade lagstadgade krav eftersom beredskap anses vara en statlig angelägenhet, slutligen presenteras ett åtgärdsförslag. / Crises follow one another in the world. Climate change leads to extreme weather phenomena such as droughts, but also floods and storms, pandemics that paralyze large parts of the world, as well as wars both in the Middle East and in Sweden's geographical proximity. The international situation makes crisis- and wartime preparedness once again a relevant topic that is highly prioritized by the Swedish government. The purpose of this study is to concretize and raise awareness of the responsibility of Swedish property owners during crises and wartime, as well as to present proposals for measures that Swedish property owners can take to effectively enhance preparedness in their organizations. The study is limited to discussing housing companies, but many of the conclusions and actions presented can also be applied to other real estate portfolios. The study is of a qualitative nature, with the theoretical framework based on a canadian process of emergency management, the statutory allocation of responsibilities, sheltering, and the property owner from a supply perspective, as well as previous and current preparedness efforts in Sweden. Data collection has been conducted through semi-structured interviews following four main themes: Sweden's civilian preparedness, the responsibilities of public and private organizations, preparedness efforts in the real estate industry, and future preparedness work. The conclusion of the study is that property owners have few requirements related to the handling of crisis and wartime preparedness. In Sweden, the public sector plays a central role in managing emerging situations, but at the same time, there is a call for greater responsibility from the business sector, something that the business sector is currently addressing, but would prefer to see a greater sense of responsibility through economic incentives rather than expanded statutory requirements, as preparedness is considered a matter for the state. Finally, a proposal for measures is presented.

<p dir="ltr">Timely hemorrhage control is critical for preventing fatalities during active shooter incidents, particularly when interventions occur before hemorrhagic shock. Agent-Based Modeling (ABM) has been widely used to inform safety policies in such scenarios and is a well-researched domain. However, a major limitation in existing studies is the assumption that all injuries are fatal, oversimplifying the complex dynamics of injury outcomes. Real-world data paints a more nuanced picture: for example, a study of 1,226 gunshot wound patients in St. Louis emergency departments reported a 93% survival rate when victims received timely care (de Anda et al., 2018). In specific incidents, such as the 2019 Gilroy Garlic Festival shooting, rapid on-site response resulted in only 3 fatalities, while in the 2016 Orlando Pulse Nightclub shooting, studies suggest that 16 lives could have been saved with timely medical intervention (C. P. Smith et al., 2020a; E. R. Smith et al., 2018).</p><p dir="ltr">This study employed ABM to explore strategies for minimizing casualties by analyzing factors such as the spatial distribution and quantity of Hemorrhage Control Kits (HCKs), the number of trained responders, and the impact of their placement—in corridors, classrooms, or go-bags—on accessibility during lockdowns. It seeks to address the following research questions: How can survival rates in active shooter situations be improved? What impact do hemorrhage control training and the use of HCKs have on outcomes? How does the availability and distribution of medical supplies influence outcomes?</p><p dir="ltr">By incorporating models of injury progression and the stabilizing effects of timely treatment, the research revealed that increasing the number of trained responders significantly improves survival rates, with optimal results achieved when all teachers are trained in hemorrhage control. The most effective strategy combined HCKs in go-bags or on responders’ persons with well-distributed corridor stations, ensuring compatibility with lockdowns and faster response times. External responders, including tactical medics and EMTs, also benefited from these strategies due to the accessibility of medical supplies. Conversely, placing kits in individual rooms was less effective, as accessibility challenges often delayed critical interventions. This study underscores the importance of strategic planning in hemorrhage control and provides actionable insights and simulation tools to guide tailored emergency preparedness and response planning.</p>

The Private Law of Emergency traces the development of the American law of contract in response to four emergencies that occurred between 1860-1940 – the Civil War, World War I, the 1918 pandemic, and the Great Depression. It traces the development of an idea – that the purpose of the law of contract is to preserve certain features of civil society and in this way guard against the corrosive effects of emergency on that society. The thesis explores three broad themes; first, that private law provides a means by which courts have managed the resolution of an emergency; second, that that the way courts have applied private law in response to emergency can tell us something about the true values underlying private law; and third, that the way courts have applied private law in response to emergency tells us something about the public law of emergency – and in particular, the capacity of emergency powers to affect private rights. The thesis considers these developments in the context of parallel developments in legal method – most particularly, the rise of formalism in private law – in the law of equity, and in the positioning of commerce as central to the maintenance of the legitimacy of the American constitutional system across this period. It demonstrates that these developments have suppressed the early tendency of the common law to operate as a form of emergency law.

No description available.

Understanding temporal relations among posttraumatic stress disorder (PTSD) symptom dimensions has received increasing attention in research. However, current findings in this area are limited by group-level approaches, which are based on inter-individual variation. PTSD is a heterogeneous syndrome and symptoms are likely to vary across individuals and time. Thus, it is important to examine temporal relations among PTSD symptom dimensions as dynamic processes and at the level of intra-individual variation. The aim of the present study was to capture temporal dynamics among PTSD symptom dimensions at an individual level using unified structural equation modeling (uSEM). World Trade Center (WTC) 9/11 responders (N = 202) oversampled for current PTSD (18.3% met criteria in past month) were recruited from the Long Island site of the WTC health program. Using ecological momentary assessment (EMA), PTSD symptoms were assessed three times a day over seven consecutive days. The person-specific temporal relations among PTSD symptom dimensions were estimated with individual-level uSEM. For the sample as a whole, hyperarousal played a key role in driving the other three symptom dimensions longitudinally, with the strongest effect in intrusive symptoms. However, daily temporal relations among PTSD symptoms were idiosyncratic. Although hyperarousal was a strong predictor of subsequent symptom severity, only 33.95% of the sample showed this predictive effect while others showed more evident temporal relations between intrusion and avoidance. Implications for personalized health care and recommendations for future research using individual-level uSEM in psychopathology are discussed.

In 2006, the United States Congress passed the Pandemic All-Hazards Preparedness Act (PAHPA) which mandated that all emergency preparedness planning shall address at-risk populations. Further, in 2013, the reauthorization of this act, known as PAHPRA, defined at-risk individuals as "children, older adults, pregnant women, and individuals who may need additional response assistance." This vague definition leaves emergency managers, planners, and public health officials with the difficult task of understanding what it means to be at-risk. Further, once identified, the geographic location of at-risk individuals must be obtained. This research first uses the concept of social vulnerability to enhance the understanding of what it means to be "at-risk." Then, by comparing two data disaggregation techniques, areal weighted interpolation and dasymetric mapping, I demonstrate how error of estimation is affected by different scenarios of population distribution and service area overlap. The results extend an existing framework of vulnerability by stratifying factors into quantifiable and subjective types. Also, dasymetric mapping was shown to be a superior technique of data disaggregation compared to areal weighted interpolation. However, the difference in error estimates is low, 5 percent or less in 72 percent of the test cases. Only through local collaboration with community entities can emergency planners access the appropriate data to both: 1) understand the nature of at-risk individuals in their service areas and 2) spatially target resources needed to ensure all individuals are planned for in case of a bio-emergency.

This work addresses hurricane preparedness in Escambia County, Florida. It explores preparing for hurricanes as an informal learning process occurring within personal networks and embedded in beliefs, values, and attitudes. Findings reveal that participants learned to prepare from their parents in childhood and improved upon that knowledge through direct experience in adulthood. Later, they passed this knowledge on to their children as well as co-workers. These preparations are embedded in beliefs of self-determination and attitudes of endurance. However, this body of knowledge and their respective practices are not equally accessible to all. Recommendations are provided so local organizations can incorporate local knowledge and practices with preparedness improvement efforts and foster social cohesion as well.

The use of wireless sensor networks for a myriad of applications is increasing. They can be used in healthcare for emergency management. In Florida, hurricanes are the main source of natural disasters. There has been a high incidence of hurricanes over the past decade. When a hurricane warning is issued it is important that people who live in potentially dangerous areas, such as along the coast, evacuate for their safety. Nursing homes and other care facilities for elderly or disabled people experience difficulty with the evacuation as their residents require additional assistance. The characteristics and challenges of a hurricane evacuation are investigated. A patient-centric hurricane evacuation management system is proposed to allow healthcare providers the ability to continuously monitor and track patients. During a hurricane there are usually scarce energy resources and a loss of basic communication services such as cellular service and Internet access. We propose the architecture of the system that allows it to operate in the absence of these services. The hardware and software architectures are also presented along with the main phases of operation. The system was then validated and the performance evaluated via simulation using the OPNET Modeler. / by Arny Isonja Ambrose. / Vita. / Thesis (Ph.D.)--Florida Atlantic University, 2011. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2011. Mode of access: World Wide Web.

Chan Ying Yang Emily. / Thesis (M.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 217-234). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Some appendixes in Chinese.

Med anledning av att flera kriser av extraordinära slag har inträffat i fredstid har förmågan att hantera dessa fått stor uppmärksamhet. Ett exempel är stormen Gudrun som lamslog delar av Sverige i januari 2005. För att kunna hantera sådana kriser behövs en fungerande beredskap och här har kommunerna en viktig roll. Om kommunerna har en väl utvecklad krisberedskap kan samhället bättre klara av en kris. Genom utvärderingar och erfarenheter från kriser har det visat sig att samverkan mellan kommuner är av stor betydelse för en god krisberedskap. Därmed är det av intresse att studera hur en sådan kan utvecklas mellan kommuner. Vilka faktorer är viktiga för att samverkan ska utvecklas? Är ömsesidig förståelse mellan kommunerna av betydelse? Vilken vikt har förtroende och tillit för samverkan? Inverkar geografin och demografin på kommuners samverkan? Påverkas samverkan av resursberoende och ekonomiska faktorer? Vilken betydelse har politiska beslut för kommuners samverkan? Detta är uppsatsens fokus där samverkan mellan fem kommuner kring krisberedskap studeras med stöd av policynätverksteori med kollektiv handling. Studien visade bland annat att faktorer såsom geografisk närhet, demografi, ekonomi och resursutbyte var viktiga för samverkan och skapandet av policynätverk bland de fem kommunerna. Även en samstämmig problemdefinition, förtroende och en ömsesidig förståelse mellan aktörerna inbegreps som betydelsefulla liksom regelverk samt Krisberedskapsmyndigheten (KBM) och Länsstyrelsen i Östergötland. / Through several crises of extraordinary nature in peacetime the capacity of emergency management has been brought up on to the agenda. Recently, in year 2005, Sweden faced a big storm named Gudrun that caused total devastation. In order to cope with crises like Gudrun a proficient emergency management has shown to be essential in which municipalities have a fundamental function. With a well developed emergency management at the local level society is better equipped to manage crises. According to research on and experiences from crises, cooperation and networking among municipalities is crucial for an efficient emergency management. Consequently there is an interest in studying how cooperation between municipalities can develop within the area of emergency management. Which factors are important for the development of cooperation? Is mutual understanding among the actors important? Which implications do trust and confidence have upon cooperation? Are resource dependencies and economic factors central for the shaping of policy network? Do the geographic and the demographic characterise municipalities’ cooperation? Do political decisions have any significant role in the shaping of policy network? This is the focus of the essay where cooperation between five municipalities in emergency management is studied using policy network theory with collective action. The essay shows that geographical, demographically and economical factors as well as resource dependencies are important for cooperation and the development of policy networks among the five municipalities. Also important were a common foundation, trust and a mutual understanding between the actors. Additionally, new regulations and two authorities – Swedish Emergency Management Authority (SEMA) and the County administrative board of Östergötland – also influenced the cooperation in a positive way.