Disasters, emergencies, incidents, and major incidents - they all come back to the same thing regardless of what they are called. The common denominator is that there is loss of life, injury to people and animals and damage and destruction of property. The management of such events relies on four phases: 1. Prevention 2. Preparation 3. Response 4. Recovery Each of these phases is managed in a different way and often by different teams. Here, concentration has been given to phases 2 and 3, with particular emphasis on phase 3, Response. The words used to describe such events are often related to legislation. The terminology is detailed later. However, whatever the description, whenever prevention is not possible, or fails, then the need is to respond. Response is always better when the responders are prepared. Training is a major part of response preparation and this book is designed to assist those in the health industry who need to be ready when something happens. One of the training packages for responders is the Major Incident Medical Management and Support (MIMMS) Course and this work was designed to supplement the manual prepared by Hodgetts and Macway-Jones(87) in the UK. Included is what the health services responder, who may be sent to an event in which the main concern is trauma, should know. Concentration is on the initial response and does not deal in any detail with hospital reaction, the public health aspects, or the mental health support that provides psychological help to victims and responders, and which are also essential parts of disaster management. People, in times of disaster, have always been quick to offer assistance. It is now well recognised however, that the 'enthusiastic amateur', whilst being a well meaning volunteer, isn't always what is needed. All too often such people have made things worse and have sometimes ended up as victims themselves. There is a place now for volunteers and there probably always will be. The big difference is that these people must be well informed, well trained and well practiced if they are to be effective. Fortunately such people and organisations do exist. Without the work of the St John Ambulance, the State Emergency Service, the Rural Fire Service the Red Cross and the Volunteer Rescue Association, to mention only a few, our response to disasters would be far less effective. There is a strong history of individuals being available to help the community in times of crisis. Mostly these people were volunteers but there has also always been the need for a core of professional support. In the recent past, professional support mechanisms have been developed from lessons learned, particularly to situations that need a rapid and well organised response. As lessons are learned from an analysis of events, philosophy and methods have changed. Our present system is not perfect and perhaps never will be. The need for an 'all-hazards approach' makes detailed planning very difficult and so there will probably always be criticisms about the way an event was handled. Hindsight is a wonderful thing, provided we learn from it. That means that this text is certainly not the 'last word' and revisions as we learn from experience will be inevitable. Because the author works primarily in New South Wales, many of the explanations and examples are specific to that state. In Australia disaster response is a State, rather than a Commonwealth, responsibility and consequently, and inevitably, there are differences in management between the states and territories within Australia. With the influence of Emergency Management Australia, these differences are being reduced. This means that across state and territory boundaries, assistance is common and interstate teams can be deployed and assimilated into the response rapidly, safely, effectively and with minimum explanation. This text sets out to increase the understanding of what is required, what is in place and how the processes of response are managed. By way of introduction and background, examples are given of those situations that have occurred, or could happen. Man Made Disasters has been divided into two distinct sections. Those which are related to structures or transport and those related directly to people. The first section, Chapter 3, includes: • Transport accidents involving land, rail, sea or air vehicles. • Collapse of buildings for reasons other than earthquakes or storms. • Industrial accidents, including the release of hazardous substances and nuclear events. A second section dealing with the consequences of the direct actions of people is separated as Chapter 4, entitled 'People Disasters'. Included are: • Crowd incidents involving sports and entertainment venues. • Terrorism From Chapter 4 on, the emphasis is on the Response phase and deals with organisation and response techniques in detail. Finally there is a section on terminology and abbreviations. An appendix details a typical disaster pack content. War, the greatest of all man made disasters is not considered in this text.

Šis baigiamasis darbas apibrėžia išsamios rizikos analizės ir efektyvaus rizikos valdymo svarbą sėkmingam vandentvarkos infrastruktūros rekonstrukcijos ir išplėtimo investicinių projektų įgyvendinimui. Darbo objektas – vandentvarkos sektoriaus infrastruktūros rekonstrukcijos ir išplėtimo investicinių projektų rizikos. Darbo tikslas – atlikti išsamią vandentvarkos sektoriaus infrastruktūros rekonstrukcijos ir išplėtimo investicinių projektų rizikos analizę ir pateikti rizikos valdymo vertinimą. Darbo struktūra: rizikos sąvokų ir charakteristikų apibrėžimas, rizikos identifikavimo, kokybinės ir kiekybinės analizės metodų apžvalga, pagrindinių rizikos valdymo strategijų pristatymas, dviejų etapų tyrimo imties suformavimas, identifikuojant 3 pasirinktų vandentvarkos infrastruktūros rekonstrukcijos ir išplėtimo investicinių projektų rizikas ir atliekant identifikuotų rizikų kokybinę analizę, projektų rizikos modelių analizė, naudojant Primavera Pertmaster kompiuterin�� rizikos analitikos programą su integruotomis kaštų ir tvarkaraščio analizėmis, darbo hipotezių analizavimas, remiantis tyrimo rezultatais, ir projetų rizikso valdymo rekomendacijų pateikimas. Darbo rezultatai rodo, kad išsami rizikos analizė ir aktyvus rizikos valdymas užtikrina didelių tvarkaraščio ir kaštų nukrypimų nuo planuotų išvengimą. Projektų sėkmės užtikrinimas rizikos valdymu, kitų metodų pritaikymas, detalių rizikos valdymo planų parengimas galėtų būti tolesnės šio darbo temos tyrimo kryptys. / This paperwork defines the importance of comprehensive risk analysis and efficient risk management for successful implementation of water sector infrastructure reconstruction and extention investment projects. The object of the work is risks of water sector infrastructure reconstruction and extention investment projects. The goal of the work is to prepare a comprehensive risk analysis of water sector infrastructure reconstruction and extention investment projects and their risk management evaluation. The structure of the workis following: risk terms and characteristics are defined, methods of risk identification, qualitative and quantitative analyses are overviewed, the main risk management strategies are presented, research data sample is formed of 3 selected water sector reconstruction and extension investment projects risks in two identification and qualitative analysis of identified risks stages, projects risk models are analysed using Primavera Pertmaster risk analytics tool with integrated shedule and costs analyses, the hypotheses of the work are analysed based on research results and risk management recomendations are prepared. The results of the work shows that comprehensive risk analysis and active risk management ensures avoidance of schedule and costs variations. The further work extention could be research on project success ensurance through risk management, adoption of other methods and preparation of detailed risk management plans.

Domestic violence is one of the most important issues about the public affairs. The incidents of domestic violence not only cause damage to the individual¡¦s mind, but depress the country¡¦s competition ability. The negative side effects also were hard to evaluate. Even the main spirit of the prevention of the domestic violence reveals as ¡§protection the right of victims and prevention of the behavior of domestic violence¡¨. This slogan gives its positive age meaning and attached with infinite wish of public. By the inspection and reflection of the increasing cases with days, it would corrode the individuals and the public eventually, then cause the malignant effects on the Social development of basic stock and flow conditions. Though the government endeavors to issue many protection and prevention system, the results were still not satisfied by the reason of the southern social conditions and the uneven levels population structure. The outcome is the breaks and leakages of policy connection. Based on the variety between the professional fields and the pertinent departments, the author try to integrate and observe the complex phenomena with various aspects. There are the reason-results relationships of multiple elements to each other. This study describes the PAM and SDM theoretical structure frame and conclude positively with the V.C.S methodology.,As a methodology the conclusions of the output, with an extension of a more positive point of view. The study explore with qualitative interview as major method. Then conclude the integrated results from the practical interviews with the networks practitioners. The prevention and protection of domestics violence is an extremely huge reconstruction engineer to the social. The achievement of value of justice is the critical catalyst to ignite the progress of the order of works. Pluralistic society in the face of the complex of environmental factors¡ACut from the PAM to do analysis of the problem can be drawn from a more complete picture. Sexual cognitive and sex equity are crucial value and the prevention and protection of domestic violence is also the most vital public value of the government. The immature of practitioners¡¦ concepts is the tremendous challenge. It also has the influence on the establishment of professional knowledge. IV The prevention and protection of domestics violence is an system problem among the social structure. The key is the basement of social condition during the development of Kaohsiung City's social conditions. Though the system of the professional prevention and protection is complete, the subjective cognitive of the party is most restricted with the traditional concepts. It contributes negative driving force. The construction of the order is to achieve the justice of the case. The inter-government prevention and protection system is absolutely important to the prevention of violence. But its pertinent policies, resources and strategies involved is deficient. The networks have no strength like the action of law and the inspection order across the vertical and horizontal. The authority should plan the integrated executing of the policies, the distribution of resources, personals, inspection managements, the evaluation and communication. The media inspection only focuses on the blockbuster report. The justice of disadvantaged majority of the society is damaged and need the support of the construct from the inspection system participated by the democracy society in the civic participation.

Orientador: Gastão Wagner de Sousa Campos / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-22T19:19:04Z (GMT). No. of bitstreams: 1 PereiraJunior_Nilton_M.pdf: 1589559 bytes, checksum: 9019648a52e9c50562109a7f08b97026 (MD5) Previous issue date: 2013 / Resumo: Este estudo objetiva compreender a formulação do Apoio Institucional pelo Ministério da Saúde do Brasil, e como esta estratégia do Método da Roda vem sendo incorporada ao discurso oficial da gestão federal do SUS. Investigamos o contexto político-institucional que condicionou a incorporação do Método da Roda na instituição, buscamos identificar especificidades e singularidades da construção do Apoio em diferentes Secretarias e Departamentos do Ministério da Saúde; e propusemos uma matriz analítica com os modos de organização e de operação do Apoio Institucional na gestão federal. O estudo situa-se na categoria de pesquisa qualitativa, dentro do campo da pesquisa social em saúde. Definimos a Hermenêutica-Dialética como abordagem metodológica por considerarmos coerente com o referencial teórico utilizado - Apoio Paidéia e Dialética Marxista - e com os objetivos desta investigação. Analisamos documentos oficiais, Diretrizes Nacionais, Cadernos de Formação, Políticas e Programas que tratam do Apoio Institucional no Ministério da Saúde, produzidos por vários setores. Concluímos que o estudo mais aprofundado sobre o Estado é necessário para compreendermos o mundo da gestão e do trabalho em saúde. Entendemos que os sujeitos (individuais e coletivos) são influenciados e determinados pela macroestrutura, inclusive estatal, com disputa de hegemonia no conjunto de instituições, nas práticas sociais, na ideologia, na cultura, na política, na educação etc. Identificamos dilemas decorrentes de dificuldades, limites e contradições que os gestores do SUS vivenciam cotidianamente ao buscarem estratégias de mudança da lógica tradicional de governo (racionalidade gerencial hegemônica), seja na gestão democrática e participativa, seja na relação entre entes federados. Os documentos analisados expressam desejo da mudança, consistência teórica-política adequada a esse desejo e priorização de parte dos dirigentes. Entretanto, apresentam contradições dentro das mesmas equipes dirigentes, entre secretarias e políticas distintas, mostram dificuldade de integração entre as áreas do Ministério da Saúde e deste com os gestores descentralizados (estados e municípios) / Abstract: This study aims to understand the formulation of the Institutional Support by the Ministry of Health of Brazil and how this strategy of Paideia Method has been incorporated in the official discourse of the federal management of the SUS. We have researched the political and institutional context which led to the incorporation of the Paideia Method in the institution, also have tried to identify the specificities and peculiarities of the Support construction in different Secretaries and Departments of the Ministry of Health. Besides, we have proposed an analytical matrix with the manners of organization and operation of the Support Institutional of the federal management. The study is a qualitative research within the social research on health. We have defined the Dialectical Hermeneutics as the methodological approach as we consider it coherent to the theoretical framework which was used- Paideia Support and Marxist Dialectic - and also to the goals of this research. We have analyzed official documents, National Guidelines, Training Booklets and Policies and Programs which are concerned with the Institutional Support of the Ministry of Health produced by various sectors. We have concluded that a deeper study on the State is necessary to understand the world of management and furthermore the work on health. We have understood that the subjects (individual and collective) are influenced and determined by the macrostructure, including state, with fight for hegemony in the set of institutions, social practices, ideology, culture, politics, education etc. We have identified dilemmas which come from the difficulties, limits and contradictions that SUS managers experience daily while seeking strategies of changes of the government traditional logic (hegemonic managerial rationality), either in democratic and participative management or in the relationship between federal entities. The documents analyzed reflect a desire for change, political-theoretical consistency which suits this desire and priority of the leaders. However, they show contradictions within the same management teams, between secretaries and distinct policies and show difficulty of integration between the Ministry of Health and this Ministry with decentralized managers (states and municipalities) / Mestrado / Política, Planejamento e Gestão em Saúde / Mestre em Saude Coletiva

Sammanfattning Mobilitetsplaneringen har växt fram från globala trender som stärks av urbaniseringen, den tekniska utvecklingen och nya mobilitetsbehov. Mobilitetsplaneringen framför nya krav gällande sociala, ekonomiska och hållbara aspekter och är i behov av nya mobilitetslösningar. Bäst praktik, används inom internationella och nationella nätverk, för att dela nya lösningar, processer och innovationer. En mobilitetslösning som delas genom kunskapsdelningsmetoden bäst praktik, är det nya fenomenet mobilitetshus. Idag saknas en gemensam definition av mobilitetshus, vilket skapar oklarhet för mobilitetsplaneringen. Syftet med studien är att undersöka fenomenet mobilitetshus; dels vilken funktion ett mobilitetshus är tänkt att fylla och vilka transportbehov det är tänkt att adressera och dels att undersöka planeringen av bäst praktik angående mobilitetshus i Sverige. Studien undersöker exempel på befintliga och planerade mobilitetshus i Sverige. Studiens valda metoder grundas av befintlig teori och metodologi gällande bäst praktik. Kunskapsdelningen av bäst praktik kommer att förstås som en diskursiv process. Metoderna har ett förhållningssätt till befintlig data som innefattar Sveriges planering av det nya fenomenet mobilitetshus. Genom dokumentstudie, litteraturstudie och platsbesök, samlas en omfattande data för bäst praktik angående mobilitetshus i Sverige. Studiens resultat för de empiriska frågeställningarna delger att det finns en otydlighet av mobilitetshus definition och innehåll. Studien konstaterar att det saknas uppföljningsdokument, som redogör mobilitetshusens inverkan, resultat och funktion i staden. Studien rekommenderar att planeringen med bäst praktik angående mobilitetshus skulle kunna underlättas, genom att skapagemensamma förståelser av vad för “problem” mobilitetshus ska förväntas lösa i staden. I studien framkommer även att bäst praktik som kunskapsdelningsmetod, bidrar till en läroprocess. Lärprocessen tydliggörs vid undersökningen av befintliga och planerade mobilitetshus i Sverige.

由於國內市場競爭激烈與本業成熟化，我國集團企業的多角化程度高，且跨業的意願也高，但是這些跨業多角化的績效卻不如預期的理想。本研究認為集團跨業多角化時應該發揮 「知識」的範疇經濟，也就是善用集團現有的核心知識，將這些知識帶入新產業內，並使用適當的知識管理模式管理集團內與集團外的知識，進而創造出新的核心知識與競爭優勢，以提升集團跨業多角化的成功績效。 本研究以 「知識理論」為基礎，探討集團跨業多角化中，知識流通、知識蓄積、知識整合與知識創造及產業創新間的關連，並以個案研究的方式推導出相關的命題與結論。主要的研究發現與結論如下： (一)知識的特性會影響集團企業跨業多角化的知識流通方式。 本研究將知識分為兩個特性，即專屬性與內隱性，跨業多角化所流通的核心知識中，專屬性高的知識流通來源主要來自集團內，而內隱性高的知識流通媒介主要以人員移轉或引進的方式。 (二)多角化的知識管理模式會影響新核心知識的創造。 本研究認為知識管理模式包括知識流通、知識蓄積與知識整合，得出以下的結論： 1.跨業多角化的知識創造都需要有集團外的知識流通。 2.跨業多角化的知識創造會將專屬性低、內隱性高的知識轉化為專屬性高、內隱性低的知識，也就是將蓄積在個人的知識，外顯化成為蓄積在實體系統的知識。 3.跨業多角化過程中，知識的整合會建構新的核心知識。 4．集團外與集團內知識的整合成功是集團跨業多角化知識創造的主因。 (三)集團多角化企業的知識創造將會影響產業創新。 本研究發現，集團跨業多角化的創新來自於新核心知識的創造，而該企業應用新核心知識的創新將促成該產業的創新。