Impact on Hospital Functions Following the 2010 Chilean Earthquake

2010 ◽  
Vol 4 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Thomas D. Kirsch ◽  
Judith Mitrani-Reiser ◽  
Richard Bissell ◽  
Lauren M. Sauer ◽  
Michael Mahoney ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Structural Damage ◽  
Electrical Power ◽  
Physical Structure ◽  
Hospital Data ◽  
Physical Damage ◽  
Nonstructural Components ◽  
Hospital Administrators ◽  
The Impact ◽  
Chilean Earthquake

ABSTRACTObjective: The objective of this study was to assess the impact of the 2010 Chilean earthquake on hospital functions and services. Hospitals functioning in a post-disaster environment must provide emergency medical care related to the event, in addition to providing standard community health services. This study focused on damage to both structural and nonstructural components, as well as to utility services.Methods: Site visits were made to every hospital in a single province (Bio-Bio). Engineers conducted damage assessments while interviews of hospital administrators were conducted. The survey was requested by the Chilean Ministry of Health (MOH) to assess the impact of the earthquake on hospital operations and facility responses to those effects. Other important regional and hospital data were gathered from hospital administrators and the MOH.Results: Seven government hospitals were surveyed. All hospitals in the region lost communications, municipal electrical power and water for several days. All reported some physical damage although only one suffered significant structural damage. All lost some functional capacity as a result of the earthquake. The loss of telephones and cellular service was identified as the most difficult problem by administrators. An average of 3 physical areas per hospital lost some degree of functional capacity following the earthquake.Conclusion: Even in an earthquake-prone and very well-prepared country such as Chile hospital functions were widely disrupted by the event. The loss of hospital functions can occur even with minimal damage to the physical structure. The loss of communications can impede or halt response efforts at all levels. Hospitals should be prepared to self-sustain following a disaster for 2-3 days regardless of the level of structural damage. Understanding the details of these impacts is essential to hospital preparedness and plans for continuing services after a disaster.(Disaster Med Public Health Preparedness. 2010;4:122-128)

A Functional Loss Assessment of a Hospital System in the Bío-Bío Province

2012 ◽  
Vol 28 (1_suppl1) ◽  
pp. 473-502 ◽  
Author(s):  
Judith Mitrani-Reiser ◽  
Michael Mahoney ◽  
William T. Holmes ◽  
Juan Carlos de la Llera ◽  
Rick Bissell ◽  
...  
Keyword(s):  
Structural Damage ◽  
Hospital Performance ◽  
Lessons Learned ◽  
Loss Of Function ◽  
Loss Assessment ◽  
Physical Damage ◽  
Hospital System ◽  
Nonstructural Components ◽  
Survey Tool ◽  
The Impact

The objectives of this study were to introduce a damage and loss-of-function survey tool that can be used to standardize future assessment of hospital performance, to assess the impact of the 2010 Chilean earthquake on the functions of the public hospital system in the Bío-Bío Province, and to translate these results as lessons that can be applied to U.S. hospitals. This study focused on damage to structural and nonstructural components, utility services, and equipment, as well as loss of supplies and personnel. Structural engineers completed a visual inspection of facilities, and hospital administrators were surveyed to assess the overall impact on operations. All hospitals lost communications, electrical power, and water for several days. All hospitals reported some physical damage although only one suffered significant structural damage. The lessons learned from Chile are applied to U.S. practice of hospital seismic mitigation.

ASSESSMENT OF HYDROLOGICAL CHANGES IN THE ŠUŠVĖ RIVER

2015 ◽  
Author(s):  
Gražina ŽIBIENĖ ◽  
Alvydas ŽIBAS ◽  
Goda BLAŽAITYTĖ
Keyword(s):  
Hydrological Regime ◽  
Maximum Flow ◽  
Environmental Flow ◽  
Physical Structure ◽  
River Channels ◽  
Hydrologic Alteration ◽  
Water Conditions ◽  
Flow Components ◽  
The Impact ◽  
Large Floods

The construction of dams in rivers negatively affects ecosystems because dams violate the continuity of rivers, transform the biological and physical structure of the river channels, and the most importantly – alter the hydrological regime. The impact on the hydrology of the river can occur through reducing or increasing flows, altering seasonality of flows, changing the frequency, duration and timing of flow events, etc. In order to determine the extent of the mentioned changes, The Indicators of Hydrologic Alteration (IHA) software was used in this paper. The results showed that after the construction of Angiriai dam, such changes occurred in IHA Parameters group as: the water conditions of April month decreased by 31 %; 1-day, 3-days, 7-days and 30-days maximum flow decreased; the date of minimum flow occurred 21 days later; duration of high and low pulses and the frequency of low pulses decreased, but the frequency of high pulses increased, etc. The analysis of the Environmental Flow Components showed, that the essential differences were recorded in groups of the small and large floods, when, after the establishment of the Šušvė Reservoir, the large floods no longer took place and the probability of frequency of the small floods didn’t exceed 1 time per year.

scholarly journals KUALITAS AIR SUNGAI DI KAWASAN WISATA PANTAI PETITENGET, KEROBOKAN KABUPATEN BADUNG BALI

2018 ◽  
Vol 12 (2) ◽  
pp. 226
Author(s):  
Wayan Budiarsa Suyasa ◽  
Sri Kunti Pancadewi G. A ◽  
Iryanti E. Suprihatin ◽  
Dwi Adi Suastuti G. A.
Keyword(s):  
Water Quality ◽  
Structural Changes ◽  
Pollution Index ◽  
Basic Structure ◽  
Physical Damage ◽  
E Coli ◽  
Pollutant Source ◽  
Quality Category ◽  
Index Value ◽  
The Impact

In order to maintain the environmental carrying capacity of coastal tourism, this research was conducted to determine the condition of river water environmental pollution in the Petitenget beach area and pollutant source activities. Determination of water quality is carried out by analyzing the water quality taken at several sampling points in the four rivers that lead to the Petitenget beach. Determined the pollution index value (IP) of the physical chemical and biological pollution parameters. The results showed that the four rivers that flow into the Petitenget Beach area had been contaminated with indications of pH, BOD, COD, ammonia, Coliform and E. coli which exceeded water quality category III class quality (PerGub Bali No 16 Year 2016). The four rivers are included in the criteria of severe contamination. The four rivers have experienced physical damage or structural changes that have very high discharge fluctuations both in quantity and quality. Slimy basic structure, smelly and slum aesthetic waters. While the indication of the impact of pollution is waste water which is directly discharged into the river from hotels, restaurants, homestays, commercial centers and settlements.

scholarly journals Management of a parenteral opioid shortage using ASHP guidelines

2021 ◽  
Vol 78 (5) ◽  
pp. 426-435
Author(s):  
Peter Vo ◽  
Daniel A Sylvia ◽  
Loay Milibari ◽  
John Ryan Stackhouse ◽  
Paul Szumita ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Drug Product ◽  
Health Record ◽  
Large Hospital ◽  
Hospital Administrators ◽  
Utilization Data ◽  
Electronic Health ◽  
Opioid Medications ◽  
American Society ◽  
The Impact

Abstract Purpose Management of an acute shortage of parenteral opioid products at a large hospital through prescribing interventions and other guideline-recommended actions is described. Summary In early 2018, many hospitals were faced with a shortage of parenteral opioids that was predicted to last an entire year. The American Society of Health-System Pharmacists (ASHP) has published guidelines on managing drug product shortages. This article describes the application of these guidelines to manage the parenteral opioid shortage and the impact on opioid dispensing that occurred in 2018. Our approach paralleled that recommended in the ASHP guidelines. Daily dispensing reports generated from automated dispensing cabinets and from the electronic health record were used to capture dispenses of opioid medications. Opioid prescribing and utilization data were converted to morphine milligram equivalents (MME) to allow clinical leaders and hospital administrators to quickly evaluate opioid inventories and consumption. Action steps included utilization of substitute opioid therapies and conversion of opioid patient-controlled analgesia (PCA) and opioid infusions to intravenous bolus dose administration. Parenteral opioid supplies were successfully rationed so that surgical and elective procedures were not canceled or delayed. During the shortage, opioid dispensing decreased in the inpatient care areas from approximately 2.0 million MME to 1.4 million MME and in the operating rooms from 0.56 MME to 0.29 million MME. The combination of electronic health record alerts, increased utilization of intravenous acetaminophen and liposomal bupivacaine, and pharmacist interventions resulted in a 67% decline in PCA use and a 65% decline in opioid infusions. Conclusion A multidisciplinary response is necessary for effective management of drug shortages through implementation of strategies and practices for notifying clinicians of shortages and identifying optimal alternative therapies.

Stock Market Volatility and Terrorism: New Evidence from the Markov Switching Model

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Faheem Aslam ◽  
Hyoung-Goo Kang ◽  
Khurrum Shahzad Mughal ◽  
Tahir Mumtaz Awan ◽  
Yasir Tariq Mohmand
Keyword(s):  
Stock Market ◽  
Significant Risk ◽  
Market Volatility ◽  
Terrorist Attacks ◽  
Stock Market Volatility ◽  
Markov Switching Model ◽  
Physical Damage ◽  
Stock Market Returns ◽  
Switching Model ◽  
The Impact

AbstractTerrorism in Pakistan poses a significant risk towards the lives of people by violent destruction and physical damage. In addition to human loss, such catastrophic activities also affect the financial markets. The purpose of this study is to examine the impact of terrorism on the volatility of the Pakistan stock market. The financial impact of 339 terrorist attacks for a period of 18 years (2000–2018) is estimated w.r.t. target type, days of the week, and surprise factor. Three important macroeconomic variables namely exchange rate, gold, and oil were also considered. The findings of the EGARCH (1, 1) model revealed that the terrorist attacks targeting the security forces and commercial facilities significantly increased the stock market volatility. The significant impact of terrorist attacks on Monday, Tuesday, and Thursday confirms the overreaction of investors to terrorist news. Furthermore, the results confirmed the negative linkage between the surprise factor and stock market returns. The findings of this study have significant implications for investors and policymakers.

Impacts of the 2018 M7.1 Anchorage earthquake on schools

2021 ◽  
pp. 875529302098802
Author(s):  
Janise Rodgers ◽  
Wael Hassan ◽  
Christopher Motter ◽  
John Thornley
Keyword(s):  
School Districts ◽  
Structural Damage ◽  
Protective Action ◽  
School Buildings ◽  
Seismic Safety ◽  
Nonstructural Components ◽  
Student Preparedness ◽  
Utility Systems ◽  
Media Reports ◽  
Observed Damage

The 2018 M7.1 Anchorage earthquake damaged over 120 schools in the Anchorage and Matanuska-Susitna (Mat-Su) School Districts. Many remained closed for a week or more for cleanup and repairs, primarily due to nonstructural damage. Major structural damage occurred in three of 132 school buildings across both districts, and a number of additional schools had minor to moderate damage. Most observed damage was to nonstructural components, including suspended ceilings, lighting, architectural finishes, building utility systems, and equipment. Middle and high schools were in session at the time of the earthquake. Despite ceiling damage and fallen ceiling tiles, books, and supplies (heavy furniture was anchored) and objects swinging from the ceiling, both districts reported very few injuries. Statements by the school districts and administrators, media reports, and available video indicate that most students dropped, covered, and held on as practiced in regular drills. The combination of life-safety structural performance (with a few exceptions) due in part to moderate shaking, as well as anchoring of heavy furnishings, and student preparedness and drills to practice protective action, appears to have protected students. Both districts’ experiences provide evidence that school seismic safety programs are valuable, even if efforts to mitigate risks from older, vulnerable schools are in process and more work remains.

scholarly journals Investigation of the Impact of Large-Scale Integration of Electric Vehicles for a Swedish Distribution Network

Energies ◽  
2019 ◽  
Vol 12 (24) ◽  
pp. 4717 ◽  
Author(s):  
Sylvester Johansson ◽  
Jonas Persson ◽  
Stavros Lazarou ◽  
Andreas Theocharis
Keyword(s):  
Electric Vehicles ◽  
Power Distribution ◽  
Large Scale ◽  
Electrical Power ◽  
Distribution Network ◽  
Transport Sector ◽  
Smart Charging ◽  
Large Scale Integration ◽  
Scale Integration ◽  
The Impact

Social considerations for a sustainable future lead to market demands for electromobility. Hence, electrical power distribution operators are concerned about the real ongoing problem of the electrification of the transport sector. In this regard, the paper aims to investigate the large-scale integration of electric vehicles in a Swedish distribution network. To this end, the integration pattern is taken into consideration as appears in the literature for other countries and applies to the Swedish culture. Moreover, different charging power levels including smart charging techniques are examined for several percentages of electric vehicles penetration. Industrial simulation tools proven for their accuracy are used for the study. The results indicate that the grid can manage about 50% electric vehicles penetration at its current capacity. This percentage decreases when higher charging power levels apply, while the transformers appear overloaded in many cases. The investigation of alternatives to increase the grid’s capabilities reveal that smart techniques are comparable to the conventional re-dimension of the grid. At present, the increased integration of electric vehicles is manageable by implementing a combination of smart gird and upgrade investments in comparison to technically expensive alternatives based on grid digitalization and algorithms that need to be further confirmed for their reliability for power sharing and energy management.

Experimental Investigation on Improving Electromechanical Impedance Based Damage Detection by Temperature Compensation

2013 ◽  
Vol 569-570 ◽  
pp. 1132-1139 ◽  
Author(s):  
Thomas Siebel ◽  
Mihail Lilov
Keyword(s):  
Damage Detection ◽  
Structural Damage ◽  
Temperature Compensation ◽  
Impact Damage ◽  
Correlation Coefficients ◽  
Electromechanical Impedance ◽  
Reinforced Plastic ◽  
Influence Of Temperature On ◽  
Compensation Approach ◽  
The Impact

The sensitivity of the electromechanical impedance to structural damage under varying temperature is investigated in this paper. An approach based on maximizing cross-correlation coefficients is used to compensate temperature effects. The experiments are carried out on an air plane conform carbon fiber reinforced plastic (CFRP) panel (500mm x 500mm x 5mm) instrumented with 26 piezoelectric transducers of two different sizes. In a first step, the panel is stepwise subjected to temperatures between-50 °C and 100 °C. The influence of varying temperatures on the measured impedances and the capability of the temperature compensation approach are analyzed. Next, the sensitivity to a 200 J impact damage is analyzed and it is set in relation to the influence of a temperature change. It becomes apparent the impact of the transducer size and location on the quality of the damage detection. The results further indicate a significant influence of temperature on the measured spectra. However, applying the temperature compensation algorithm can reduce the temperature effect at the same time increasing the transducer sensitivity within its measuring area. The paper concludes with a discussion about the trade-off between the sensing area, where damage should be detected, and the temperature range, in which damage within this area can reliably be detected.

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