Role of mass gathering surveillance

2016 ◽  
pp. 155-178 ◽  
Author(s):  
Shraddha Patel
Keyword(s):  
Mass Gathering

Mass-gathering Events: The Role of Advanced Nurse Practitioners in Reducing Referrals to Local Health Care Agencies

2016 ◽  
Vol 31 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Anthony E. Kemp
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Nurse Practitioners ◽  
Health Care Services ◽  
Local Health ◽  
Medical Team ◽  
Mass Gathering ◽  
Care Services ◽  
Local Health Care

AbstractIntroductionThe introduction of advanced practitioner roles has challenged the traditional boundaries of health care. While studies have been undertaken to understand the role of physicians in respect of mass-gathering medicine, the role of advanced nurse practitioners (ANPs) has not been investigated.ProblemDoes the presence of an ANP reduce the referral rates of patients presenting for medical care at mass-gathering events to external health care resources?MethodsA prospective observational study was undertaken to determine whether the presence of an ANP would reduce the patient referral rate to external health care services by first aiders and paramedics working within an event medical team. Patients identified as requiring referral were reviewed by an ANP as part of the on-site medical provision for four mass-gathering events in the south of England. Additionally, information was gathered identifying which patients would have been transported to hospital by ambulance compared to those actually transported following ANP review. Statistical analysis was undertaken for three key measures (referrals to all local health resources, referrals to hospital-based acute services, and transfers to hospital by ambulance).ResultsA rounded total of 842,000 people attended four mass-gathering events held over 14 days. Of these, 652 presented for medical care, many self-referring.Using a one-tailed Fisher’s Exact Test and Phi analysis, this study demonstrated statistically significant reductions in the overall referral of patients to all external health care resources (P<.001; φ=0.44), to the emergency department (ED; P<.001; φ=0.43), and a reduction in ambulance transport (P<.001; φ=0.42). Effect size analysis demonstrated a medium-sized effect evident for all of the above, which was also demonstrated in economic terms.The event medical team would have referred 105 (16.3%) of the 652 patient presentations to external health care services; 47 (7.2%) would have been transported by ambulance. In comparison, the ANP referred 23 patients (3.5%) with 11 (1.7%) being transported by ambulance. It also was noted that the first aiders and paramedics could be more selective in their referral habits that were focused primarily on the ED.ConclusionsAppropriately trained and experienced ANPs working within event medical teams have a positive impact on referral rates from mass-gathering events.KempAE. Mass-gathering events: the role of advanced nurse practitioners in reducing referrals to local health care agencies. Prehosp Disaster Med. 2016;31(1):58–63.

scholarly journals Celebration of Đuren in Prizrenska Gora: A contribution to the research

2021 ◽  
Vol 51 (2) ◽  
pp. 159-189
Author(s):  
Aleksandar Pavlović
Keyword(s):  
Field Research ◽  
Mass Gathering ◽  
Paper Point ◽  
The Village

In this paper the author presents several main elements of the celebration of Đuren among the Gorani in Prizrenska Gora, an event which, according to the date of the event, coincides with the celebration of Ortodox St. George's Day. The elements of Đuren's celebration the author tries to present taking into account its actors, and the clear spatial and temporal frameworks in which they take place. With this approach, the aim of the paper is to offer a concrete, precise presentation of the main elements of Đuren's celebration, which could be used as an ethnographic material for repeated research of the same phenomenon and comparative monitoring of its duration and possible changes within its structure. The results presented in the paper were obtained from the field research conducted in Gorani village of Vraništa at the end of 2018 and during the celebration of Đuren in 2019. The results achieved by the research showed that the main elements of Đuren's celebration include phenomena of a public, collective character, which imply a mass gathering of members of the Gorani community, and which the Gorani in Prizrenska Gora perceive as a feature of their culture and part of their tradition. Viewed chronologically, the elements of a collective character on the occasion of the celebration of Đuren, recorded in the village of Vraništa, include muzika, tupani and korzo. The content of these elements indicates the solemn character of Đuren's celebration, by which it can be described as a festivity, composed of music and dance segments. Based on ethnographic material collected in 2018-2019, it can be seen that the characteristics of the celebration of Đuren, mentioned by researchers who have dealt with this phenomenon in previous years and decades, are noticeable even today, which testifies of the importance that this event still has for the Gorani. The results presented in the paper point to the conclusion about the continuity of the researched phenomena, which importance is reflected especially from the aspect of their role as a factor by which the Gorani express their belonging to their community. The presented material also indicates the importance of the elements of Đuren's celebration from the aspect of maintaining and establishing ties among the Gorani (especially among youth), but it also raises the question of the role of these elements as a way of expressing gender and generational structure within the Gorani community. The results of the research, finally, point out all the complexity of celebrating Đuren as an event. The elements of this event, the dynamics of their duration, the structure and the role they play in the life of the Gorani, not only in the village of Vraništa, but also in other villages in Prizrenska Gora, have yet to be researched in more detail.

Predicting Substance Use at a Youth Mass Gathering Event: The Role of Norms and the Importance of Their Source

2021 ◽  
Vol 82 (3) ◽  
pp. 320-329
Author(s):  
Mark Stevens ◽  
Tegan Cruwys ◽  
Joanne A. Rathbone ◽  
Laura Ferris ◽  
Scott Graupensperger
Keyword(s):  
Substance Use ◽  
Mass Gathering

scholarly journals Mass gathering medical planning: An overview of the Australian Surf Life Saving Championships

2015 ◽  
Vol 12 (2) ◽  
Author(s):  
David Reid ◽  
Stephen Leahy ◽  
Anne-Marie Widermanski
Keyword(s):  
Western Australia ◽  
Support Staff ◽  
Medical Team ◽  
Mass Gathering ◽  
Team Structure ◽  
Life Saving ◽  
The Future ◽  
Medical Planning

The Australian Surf Life Saving Championships (the ‘Aussies’) were held between 31 March and 6 April 2014, at Scarborough Beach in Western Australia. The event attracted 6,000 persons including competitors, support staff and officials. It is estimated that 70,000 spectators attended the event over the seven days of competition.This article provides an overview of the Aussies, outlines its medical planning and role of the medical team, and describes the team structure. Equipment and team deployment is described. This article also identifies some of the challenges that the Aussies present to medical planners because of the unique factors which influence the number and type of patient presentations. Finally, improvement recommendations are made which outline a number of simple, yet key strategies which will improve medical planning in the future.

scholarly journals The Contribution of Wastewater to the Transmission of Antimicrobial Resistance in the Environment: Implications of Mass Gathering Settings

2020 ◽  
Vol 5 (1) ◽  
pp. 33 ◽  
Author(s):  
Nour Fouz ◽  
Krisna N. A. Pangesti ◽  
Muhammad Yasir ◽  
Abdulrahman L. Al-Malki ◽  
Esam I. Azhar ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Resistance Mechanism ◽  
Animal Husbandry ◽  
Gram Negative Bacteria ◽  
Mass Gathering ◽  
Middle Income ◽  
Middle Income Countries ◽  
Complex Interactions ◽  
Environmental Reservoir

Antimicrobial resistance (AMR) is the major issue posing a serious global health threat. Low- and middle-income countries are likely to be the most affected, both in terms of impact on public health and economic burden. Recent studies highlighted the role of resistance networks on the transmission of AMR organisms, with this network being driven by complex interactions between clinical (e.g., human health, animal husbandry and veterinary medicine) and other components, including environmental factors (e.g., persistence of AMR in wastewater). Many studies have highlighted the role of wastewater as a significant environmental reservoir of AMR as it represents an ideal environment for AMR bacteria (ARB) and antimicrobial resistant genes (ARGs) to persist. Although the treatment process can help in removing or reducing the ARB load, it has limited impact on ARGs. ARGs are not degradable; therefore, they can be spread among microbial communities in the environment through horizontal gene transfer, which is the main resistance mechanism in most Gram-negative bacteria. Here we analysed the recent literature to highlight the contribution of wastewater to the emergence, persistence and transmission of AMR under different settings, particularly those associated with mass gathering events (e.g., Hajj and Kumbh Mela).

COVID-19 and Change

2020 ◽  
Vol 8 (7) ◽  
pp. 311-370 ◽  
Author(s):  
Miguel Goede
Keyword(s):  
Food Security ◽  
World Order ◽  
Mass Gathering ◽  
Daily Lives ◽  
Family Structures ◽  
Role Of Government ◽  
Short Period ◽  
The World ◽  
The Impact

Purpose – The purpose of this article is to identify and describe the changes that have taken place or are taking place throughout our societal structures as a consequence of the COVID-19 pandemic crisis. Methodology – The paper draws from published articles and papers that have reported on the changes caused by the COVID-19 pandemic in many different areas of research to assemble a larger picture of the overall impact. Findings – The onset and evolution of the COVID-19 pandemic has revealed systemic vulnerabilities in a wide variety of areas, from the world order and the economy to the delivery of health care and the way families function. Given the size and magnitude of the disruptions, returning to pre-COVID-19 conditions is not an alternative. The crisis has accelerated many trends, while muting or slowing others. It has enhanced the shift of the centrum of power from the West to the East. Many countries have begun to think locally again, especially regarding supply chains and food security. The role of government has increased on a range of fronts. Digitalization has increased as the concept of ‘social distancing’ and functioning remotely has become the new normal. Originality – Over a relatively short period since the pandemic began, many studies on the impact of the pandemic have been published, though they have been largely focused on specific topics. By contrast, the aim of this research was to compile these various impacts to better understand the bigger picture as these dramatic changes are interwoven into our daily lives. Keywords – COVID-19, World Order, Globalization, Capitalism, Neoliberalism, Governance, Civil right, Climate change, Economy, Science, Food security, Future of Work, Cryptocurrency, Healthcare, Family structures, Learning, Travel, Mass gathering Conclusions – The pandemic has and will continue to change the world in many areas and in many ways.

scholarly journals Role of Emergency Physicians Stationed in Mass-Gathering Area

2019 ◽  
Vol 65 (3) ◽  
pp. 261-267
Author(s):  
SATOSHI TAKIZAWA ◽  
KEN OKAMOTO ◽  
MIWA SUGINAKA ◽  
YUKI NAKAMURA ◽  
TADASHI ISHIHARA ◽  
...  
Keyword(s):  
Mass Gathering ◽  
Emergency Physicians

Role of dactinomycin in the improved survival of children with Wilms' tumor

JAMA ◽  
1966 ◽  
Vol 195 (12) ◽  
pp. 1005-1009 ◽  
Author(s):  
D. J. Fernbach
Keyword(s):  
Wilms Tumor

Role of the allergist in diagnosis and management of patients with uveitis

JAMA ◽  
1966 ◽  
Vol 195 (3) ◽  
pp. 167-172 ◽  
Author(s):  
T. E. Van Metre
Keyword(s):  
Diagnosis And Management

The power of norms to sway fused group members

2018 ◽  
Vol 41 ◽  
Author(s):  
Winnifred R. Louis ◽  
Craig McGarty ◽  
Emma F. Thomas ◽  
Catherine E. Amiot ◽  
Fathali M. Moghaddam
Keyword(s):  
Evolutionary Anthropology ◽  
Normative Systems ◽  
Violent Extremism ◽  
Identity Fusion ◽  
Group Members

AbstractWhitehouse adapts insights from evolutionary anthropology to interpret extreme self-sacrifice through the concept of identity fusion. The model neglects the role of normative systems in shaping behaviors, especially in relation to violent extremism. In peaceful groups, increasing fusion will actually decrease extremism. Groups collectively appraise threats and opportunities, actively debate action options, and rarely choose violence toward self or others.

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