scholarly journals Knowledge, Awareness, and Attitudes toward Tsunamis: A Local Survey in the Southern Coast of Iran

2021 ◽  
Vol 13 (2) ◽  
pp. 449
Author(s):  
Parastoo Salah ◽  
Jun Sasaki
Keyword(s):  
Risk Management ◽  
Disaster Preparedness ◽  
Field Survey ◽  
Cost Effective ◽  
Evidence Based ◽  
Southern Coast ◽  
Low Level ◽  
Evacuation Plans ◽  
Tsunami Risk ◽  
The Government

In regions with low tsunami risk probability, mitigation plans are unlikely to resonate with residents. Empirical data regarding people’s knowledge, awareness, and attitudes about tsunamis represent a keystone for better risk management and improved disaster preparedness. This study evaluated these factors on the southern coast of Iran, Makran, by conducting a field survey. The results presented in this paper indicate a low level of awareness and willingness to evacuate among residents and a low level of trust in the government in regard to risk management. Moreover, the results show a significant religious attribution affecting respondents’ risk perception and evacuation behavior that, along with the aforementioned factors, increases residents’ vulnerability. Based on our findings, we provide some recommendations to help policymakers understand how to shape mitigation and evacuation plans such that they will become more evidence-based, sensitive, informed, and cost-effective.

scholarly journals Tsunami evacuation modelling as a tool for risk management: application to the coastal area of El Salvador

2013 ◽  
Vol 1 (3) ◽  
pp. 2163-2205 ◽  
Author(s):  
P. González-Riancho ◽  
I. Aguirre-Ayerbe ◽  
I. Aniel-Quiroga ◽  
S. Abad ◽  
M. González ◽  
...  
Keyword(s):  
Risk Management ◽  
Management Options ◽  
Evacuation Modelling ◽  
Evacuation Plans ◽  
Reduction Strategies ◽  
Tsunami Risk ◽  
Evacuation Plan ◽  
Risk Reduction Strategies ◽  
Tsunami Vulnerability Assessment ◽  
Risk Assessment And Management

Abstract. Advances in the understanding and prediction of tsunami impacts allow the development of risk reduction strategies for tsunami-prone areas. This paper presents an integral framework for the formulation of tsunami evacuation plans based on tsunami vulnerability assessment and evacuation modelling. This methodology considers (i) the hazard aspects (tsunami flooding characteristics and arrival time), (ii) the characteristics of the exposed area (people, shelters and road network), (iii) the current tsunami risk management situation (time needed by the responsible authorities to warn the local communities), (iv) the time needed for evacuation of the population, and (v) the identification of measures to improve the evacuation. The proposed methodological framework aims to fill the gap between risk assessment and management in terms of tsunami evacuation, as it allows for an estimation of the degree of evacuation success of specific management options, as well as for the classification and prioritization of the gathered information, in order to formulate an optimal evacuation plan.

scholarly journals JABS FOR THE BOYS

2019 ◽  
Vol 2 (1) ◽  
pp. e22-e32
Author(s):  
Peter Baker ◽  
Gillian Prue ◽  
Jamie Rae ◽  
David Winterflood ◽  
Giampiero Favato
Keyword(s):  
Public Health ◽  
Sex Discrimination ◽  
Cost Effective ◽  
Recurrent Respiratory Papillomatosis ◽  
Evidence Based ◽  
The United Kingdom ◽  
The Government ◽  
Sex With Men ◽  
The Uk ◽  
Selective Vaccination

The human papillomavirus (HPV) can cause a range of cancers as well as genital warts and recurrent respiratory papillomatosis in men and women. Most cases can be prevented by vaccination in adolescence. Many countries vaccinate girls and an increasing number, although still a minority, vaccinate both boys and girls. The case for vaccinating boys is based on arguments of public health, equity, ethics and cost-effectiveness. The selective vaccination of females does not protect males sufficiently and provides no protection at all for men who have sex with men. In the United Kingdom (UK), the government’s vaccination advisory committee (Joint Committee on Vaccination and Immunisation [JCVI]) began to consider whether boys should be vaccinated as well as girls in 2013 and made clear in draft statements that it considered this not to be cost-effective. A campaign group, HPV Action, was established to advocate gender-neutral vaccination. This group became a coalition of over 50 organisations and used evidence-based arguments, political advocacy and media campaigning to make its case. One of its members initiated legal action against the government on the grounds of sex discrimination. In July 2018, the government agreed that boys in the UK should be vaccinated. The lessons for other campaigns in the men’s and public health fields include: be prepared for the long haul, focus on clear and specific goals, build alliances, align the objectives with existing policies, make a financial case for a change of policy, and use all legitimate means to exert pressure.

The Issues and Challenges of Flood-related Agencies in Malaysia

2020 ◽  
Vol 5 (13) ◽  
pp. 285-290
Author(s):  
Nurul Ashikin Mabahwi ◽  
Hitoshi Nakamura
Keyword(s):  
Risk Management ◽  
Thematic Analysis ◽  
Flood Risk ◽  
Publishing House ◽  
Flood Risk Management ◽  
Communication Problems ◽  
Qualitative Thematic Analysis ◽  
International Publishing ◽  
The Government ◽  
Open Access Article

Objectives of this study is to identify the real issues and challenges of flood related agencies in Malaysia. By using qualitative thematic analysis, this study found that limited authorities, lack of enforcement power, lack of cooperation among agencies, lack of man-power and assets for logistics, insufficient funding for flood risk management and communication problems are the issues faced by the flood-related agencies. The government needs to solve the issues and challenges in order to strengthen the flood-related agencies capacities.Keywords: flood risk management; flood-related agencies; issues; authorityeISSN: 2398-4287 © 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v5i13.2069

Case Evidence: Conflict Trajectories in Indonesia, Ivory Coast, and Syria

2018 ◽  
Author(s):  
Jaroslav Tir ◽  
Johannes Karreth
Keyword(s):  
Civil War ◽  
Ivory Coast ◽  
Armed Conflicts ◽  
East Timor ◽  
Intergovernmental Organizations ◽  
Crisis Resolution ◽  
Low Level ◽  
Qualitative Evidence ◽  
The Government

Two low-level armed conflicts, Indonesia’s East Timor and Ivory Coast’s post-2010 election crises, provide detailed qualitative evidence of highly structured intergovernmental organizations (IGOs) engaging in effective civil warpreventing activities in member-states. Highly structured IGOs threatened and sanctioned each of these states and offered (long-term) benefits conditional on successful crisis resolution. The governments were aware of and responded to these IGOs’ concerns, as did the rebels in these respective cases. The early stages of the conflict in Syria in 2011 provide a counterpoint. With Syria’s limited engagement in only few highly structured IGOs, the Syrian government ignored international calls for peace. And, without highly structured IGOs’ counterweight to curtail the government, the rebels saw little reason to stop their armed resistance. The result was a brutal and deadly civil war that continues today.

The cost-effectiveness of insulin analogs and regular insulin for diabetes control: a case study in Iran

2020 ◽  
Vol 33 (4/5) ◽  
pp. 323-331
Author(s):  
Mohsen pakdaman ◽  
Raheleh akbari ◽  
Hamid reza Dehghan ◽  
Asra Asgharzadeh ◽  
Mahdieh Namayandeh
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Regular Insulin ◽  
Diabetes Control ◽  
Diabetic Patients ◽  
Insulin Analogs ◽  
Content Type ◽  
Patients With Diabetes ◽  
The Government ◽  
The Cost

PurposeFor years, traditional techniques have been used for diabetes treatment. There are two major types of insulin: insulin analogs and regular insulin. Insulin analogs are similar to regular insulin and lead to changes in pharmacokinetic and pharmacodynamic properties. The purpose of the present research was to determine the cost-effectiveness of insulin analogs versus regular insulin for diabetes control in Yazd Diabetes Center in 2017.Design/methodology/approachIn this descriptive–analytical research, the cost-effectiveness index was used to compare insulin analogs and regular insulin (pen/vial) for treatment of diabetes. Data were analyzed in the TreeAge Software and a decision tree was constructed. A 10% discount rate was used for ICER sensitivity analysis. Cost-effectiveness was examined from a provider's perspective.FindingsQALY was calculated to be 0.2 for diabetic patients using insulin analogs and 0.05 for those using regular insulin. The average cost was $3.228 for analog users and $1.826 for regular insulin users. An ICER of $0.093506/QALY was obtained. The present findings suggest that insulin analogs are more cost-effective than regular insulin.Originality/valueThis study was conducted using a cost-effectiveness analysis to evaluate insulin analogs versus regular insulin in controlling diabetes. The results of study are helpful to the government to allocate more resources to apply the cost-effective method of the treatment and to protect patients with diabetes from the high cost of treatment.

An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications

2021 ◽  
pp. 1-8
Author(s):  
Emily Kell ◽  
John A. Hammond ◽  
Sophie Andrews ◽  
Christina Germeni ◽  
Helen Hingston ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Shoulder Pain ◽  
Management Strategies ◽  
Cost Effective ◽  
Rehabilitation Programme ◽  
Patient Specific ◽  
Satisfaction Survey ◽  
Evidence Based ◽  
Patient Satisfaction Survey ◽  
Significant Difference

OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and self-management strategies have been shown to be cost-effective, offer psycho-social benefits and promote self-efficacy. This study aimed to examine the effectiveness of an 8-week educational and exercise-based shoulder rehabilitation programme following the introduction of evidence-based modifications. METHODS: A retrospective evaluation of a shoulder rehabilitation programme at X Trust was conducted, comparing existing anonymised Shoulder Pain and Disability Index (SPADI) and Patient-Specific Functional Scale (PSFS) scores from two cohorts of class participants from 2017-18 and 2018-19 that were previously collected by the physiotherapy team. Data from the two cohorts were analysed separately, and in comparison, to assess class efficacy. Descriptive data were also analysed from a patient satisfaction survey from the 2018-19 cohort. RESULTS: A total of 47 patients completed the 8-week shoulder rehabilitation programme during the period of data collection (2018-2019). The 2018-19 cohort showed significant improvements in SPADI (p 0.001) and PSFS scores (p 0.001). No significant difference was found between the improvements seen in the 2017-18 cohort and the 2018-19 cohort. 96% of the 31 respondents who completed the patient satisfaction survey felt the class helped to achieve their goals. CONCLUSION: A group-based shoulder rehabilitation class, which included loaded exercises and patient education, led to improvements in pain, disability and function for patients with rotator cuff related shoulder pain (RCRSP) in this outpatient setting, but anticipated additional benefits based on evidence were not observed.

scholarly journals Multi-Risk Assessment and Management—A Comparative Study of the Current State of Affairs in Chile and Ecuador

2021 ◽  
Vol 13 (3) ◽  
pp. 1366
Author(s):  
Stefan Greiving ◽  
Leonie Schödl ◽  
Karl-Heinz Gaudry ◽  
Iris Katherine Quintana Miralles ◽  
Benjamín Prado Larraín ◽  
...  
Keyword(s):  
Risk Management ◽  
Disaster Preparedness ◽  
Disaster Risk ◽  
International Strategy ◽  
Metropolitan Regions ◽  
Current State ◽  
Policy Goals ◽  
Development Goals ◽  
State Of Affairs ◽  
Output Indicators

In Chile and Ecuador, multiple hazards and dynamic processes in vulnerability pose a high risk. Spatial planning and emergency management can contribute to disaster risk management but they follow different goals. However, global goals, such as from UN-ISDR (United Nations International Strategy for Disaster Risk Reduction) and UN SDGs (Sustainable Development Goals) can potentially support cities and regions in defining concerted action. This paper aims at measuring the performance of Chile and Ecuador in regard to the aforementioned policy goals. Although both countries show considerable progresses in the implementation of the UN strategies, it is doubtful that the existing global monitoring approach is appropriately designed for measuring the real situation on the ground. Our paper is based on a desktop research combined with stakeholder workshops and expert interviews. Overall, both countries made considerable progress in regard to disaster preparedness and monitoring. However, multi-risks are rarely considered and there is still increasing vulnerability due to the expansion of informal settlements. The risk management is characterized by an imbalanced distribution of financial resources and institutional capacities between the metropolitan regions and smaller municipalities, and by low public participation and hardly community-based approaches. The paper underlines the importance for more qualitative, in-depth studies on the root causes of disaster risk which could complement the global monitoring which is very much focused on quantitative data and shows inconsistency between input and output indicators.

scholarly journals Health Workforce Development in Health Emergency and Disaster Risk Management: The Need for Evidence-Based Recommendations

2021 ◽  
Vol 18 (7) ◽  
pp. 3382
Author(s):  
Kevin K. C. Hung ◽  
Sonoe Mashino ◽  
Emily Y. Y. Chan ◽  
Makiko K. MacDermot ◽  
Satchit Balsari ◽  
...  
Keyword(s):  
Risk Management ◽  
Risk Reduction ◽  
Case Studies ◽  
Workforce Development ◽  
Health Workforce ◽  
Disaster Risk Reduction ◽  
Disaster Risk ◽  
Disaster Risk Management ◽  
Evidence Based ◽  
Literature Reviews

The Sendai Framework for Disaster Risk Reduction 2015–2030 placed human health at the centre of disaster risk reduction, calling for the global community to enhance local and national health emergency and disaster risk management (Health EDRM). The Health EDRM Framework, published in 2019, describes the functions required for comprehensive disaster risk management across prevention, preparedness, readiness, response, and recovery to improve the resilience and health security of communities, countries, and health systems. Evidence-based Health EDRM workforce development is vital. However, there are still significant gaps in the evidence identifying common competencies for training and education programmes, and the clarification of strategies for workforce retention, motivation, deployment, and coordination. Initiated in June 2020, this project includes literature reviews, case studies, and an expert consensus (modified Delphi) study. Literature reviews in English, Japanese, and Chinese aim to identify research gaps and explore core competencies for Health EDRM workforce training. Thirteen Health EDRM related case studies from six WHO regions will illustrate best practices (and pitfalls) and inform the consensus study. Consensus will be sought from global experts in emergency and disaster medicine, nursing, public health and related disciplines. Recommendations for developing effective health workforce strategies for low- and middle-income countries and high-income countries will then be disseminated.

How the United Kingdom Controls Pharmaceutical Prices and Spending: Learning From Its Experience

2021 ◽  
pp. 002073142199709
Author(s):  
Marc A. Rodwin
Keyword(s):  
United Kingdom ◽  
Cost Effective ◽  
Market Prices ◽  
The United Kingdom ◽  
Generic Market ◽  
Pharmaceutical Spending ◽  
The Difference ◽  
The Government ◽  
Pharmaceutical Prices ◽  
Limit Access

To control costs and improve access, nations can adopt strategies employed in the United Kingdom to control pharmaceutical prices and spending. Current policy evolved from a system created in 1957 that allowed manufacturers to set launch prices, capped manufacturers’ rates of return, and later cut list prices. These policies did not effectively control spending and had limited effects on purchase prices. The United Kingdom currently controls pharmaceutical spending in 4 ways. (a) Since 1999, it has typically paid no more than is cost-effective. (b) Since 2017, for medicines that will have a significant budget impact, National Health Service England seeks discounts from cost-effective prices or seeks to limit access for 2 years to patients with the greatest need. (c) Since 2014, statutes and a voluntary scheme have required branded manufacturers to pay the government rebates to recoup the difference between the global pharmaceutical budget and actual spending. (d) For hospitals, generics and some patented drugs are procured through competitive bidding; community pharmacies are reimbursed through a system that provides an incentive to beat average generic market prices. These policies controlled the growth of spending, with the largest effects following budget controls in 2014. Changes since 2008 have reduced savings, first by paying more than is cost-effective for cancer drugs and then by applying higher cost-effectiveness thresholds for some drugs used to treat cancer and certain other drugs.

scholarly journals The Point Bonitation Method and Its Adaptation in Risk Studies: A Case Study in Sri Lanka’s Cities in the Coastal Zone

2021 ◽  
Vol 18 (4) ◽  
pp. 2060
Author(s):  
Dorota Rucińska ◽  
Martyna Zagrzejewska
Keyword(s):  
Risk Management ◽  
High Risk ◽  
Sri Lanka ◽  
Natural Disasters ◽  
Economic Geography ◽  
Disaster Risk ◽  
Specific Result ◽  
Weighting Method ◽  
Tsunami Risk

Article proposes using weighting method named the Point Bonitation Method, a popular interdisciplinary method, especially in the tourism and socio-economic geography, for giving optional direction to further researching tsunami risk. This method qualifies and quantifies those factors that lead to natural disasters so that it is possible to make comparisons with their roles in disaster areas. This case study in Sri Lanka shows a specific result that is quantification of vulnerability by regions and can be used and developed locally for disaster risk management and reduction. This paper presents discussion about other possible reasons of high risk in regions.

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