RESUMO
Background: Hospital preparedness is critical for the early detection and management of public health emergency (PHE). Understandig the current status of PHE preparedness is the first steep in planning to enhance hospitals capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods: Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diangnosis and management; staff training; and risk communication were collected and analyzed. Results: Valid responses were received from 318 (79.5%) of the 400 hospitals surveyed. Of the valid responses, 264 (85.2%) hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity (See appendix). Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institutions PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5NI avian flu and SARS. Staff training or drill programs were reported in 94.5% of the instituions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their modical staff to assess PHE-related stress. All of the above capacities...
Assuntos
Hospitais , Saúde Pública , Planejamento Hospitalar , Administração Hospitalar , ChinaAssuntos
Secas , 34628 , Alerta Rápido , Medição de Risco , 35229 , Agricultura , China , África , Portugal , AustráliaAssuntos
Inundações , Rios , Lagos , Planejamento em Desastres , China , 34661 , Cooperação Internacional , Reabilitação , ReciclagemRESUMO
This paper presents the implementation of geographic information system (GIS) technology in Urban Flood Dynamic Simulation Model (UFDSM). The method of melting UFDSM models into one integrated system model base is discussed too. It shows in detail the steps of acquiring, storing, updating, analyzing, and displaying these data in conjunction with UFDSM. The viability of the GIS/UFDSM linkage in a microcomputing environment is demonstrated on a case study area in the Liuhuahu subdivision in Guangzhou City, China
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Inundações , Controle de Cheias , Simulação por Computador , Software , Bases de Dados como Assunto , ChinaRESUMO
Each Emergency Medical Services (EMS) system is unique in its development and scope od practice. In many instances. It is important to the intellectual growth of the Emergency Medical Technicians that they visualize EMS design from an international perspective. This article describe the EMS system that exists ion Hong Kong. It explores the changes that are occurring, defines the relationship between. Hong Kong and China and considers the influence that this evolving model might have on China after 1997 (AU)
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Serviços Médicos de Emergência , Atenção à Saúde , Pesquisa sobre Serviços de Saúde , Sistemas de Saúde , Planejamento em Desastres , Hong Kong , China , Ambulâncias , Pessoal de Saúde , Educação em SaúdeRESUMO
After the medical handling of a patient exposed to extremely uneven total body irradiation from an 192ir source (the activity was 2.765 TBq) on January 5, 1996 in Jilin City in order to afford new experience and information for similar case in the future. The authors emphasize the early amputation as the key to success, the importance of rhG-CSF effect and the significance of rational nutrition for the support of the patient, who had total body irradiation, massive local radiation injury and extensive surgical intervention to sustain. The document describe the accident, early clinical manifestation and posterior clinical manifestations (peripheral blood changes and bone marrow examination), evolution of local radiation injury; the assay of myocardial and musculature enzymes; assay of hemopoietic activity in the patient's sera and the treatment
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Liberação Nociva de Radioativos , Lesões por Radiação , Efeitos da Radiação , Aberrações Cromossômicas , China , Relação Dose-Resposta à Radiação , Transplante de Medula ÓsseaRESUMO
Comparing an estimated death toll in the reconstructed environment of Tangshan in 1991 with the actual deaths in the 1976 earthquake, we evaluated the enhancements in seismic safety attained during the recontruction. It was found that while the most severely affected area was remarkably improved, the less severely affected ara was not rebuilt to the standards of the most severely affected area. The increased safety of the most severely affected area can be attributed to the reinforced concrete elements of the buildings. The hazardous situation in the less severely affected area is due the collapsible nature of the unreinforced masonry construction (AU)