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Comprehensive Planning (comprehensive + planning)

Distribution by Scientific Domains

Medical Sciences	40%

Selected Abstracts

Understanding Surge Capacity: Essential Elements

ACADEMIC EMERGENCY MEDICINE, Issue 11 2006
Donna F. Barbisch RN
As economic forces have reduced immediately available resources, the need to surge to meet patient care needs that exceed expectations has become an increasing challenge to the health care community. The potential patient care needs projected by pandemic influenza and bioterrorism catapulted medical surge to a critical capability in the list of national priorities, making it front-page news. Proposals to improve surge capacity are abundant; however, surge capacity is poorly defined and there is little evidence-based comprehensive planning. There are no validated measures of effectiveness to assess the efficacy of interventions. Before implementing programs and processes to manage surge capacity, it is imperative to validate assumptions and define the underlying components of surge. The functional components of health care and what is needed to rapidly increase capacity must be identified by all involved. Appropriate resources must be put into place to support planning factors. Using well-grounded scientific principles, the health care community can develop comprehensive programs to prioritize activities and link the necessary resources. Building seamless surge capacity will minimize loss and optimize outcomes regardless of the degree to which patient care needs exceed capability. [source]

Protecting cultural assets from bushfires: a question of comprehensive planning

DISASTERS, Issue 1 2008
Prue Laidlaw
Cultural heritage sites form an unrenewable asset that is threatened by natural disasters. Given the high bushfire risk, mandatory Bush Fire Risk Management Plans have been drawn up throughout New South Wales, Australia. We compared their mandatory provisions for the protection of heritage assets with an,Ideal Heritage Disaster Plan', containing a series of non-negotiable elements. The examined plans fell well short of the ideal. Preparedness Plans generally lacked a discussion of suppression techniques (for historic heritage), prevention, prescribed drills and communication procedures. None of the Response Plans or Recovery Plans contained any of the required core elements, such as rapid suppression techniques and stabilisation procedures. Where aspects were covered, they were addressed in an inadequate level of detail. The overall quality of the cultural heritage components of the plans is judged to be poor. Suggestions are made on how to improve the situation if heritage assets are to have a future following bushfire events. [source]

Planning Environmental Sanitation Programmes in Emergencies

DISASTERS, Issue 2 2005
Peter A. Harvey
Environmental sanitation programmes are vital for tackling environmental-related disease and ensuring human dignity in emergency situations. If they are to have maximum impact they must be planned in a rapid but systematic manner. An appropriate planning process comprises five key stages: rapid assessment and priority setting; outline programme design; immediate action; detailed programme design; and implementation. The assessment should be based on carefully selected data, which are analysed via comparison with suitable minimum objectives. How the intervention should be prioritised is determined through objective ranking of different environmental sanitation sector needs. Next, a programme design outline is produced to identify immediate and longer-term intervention activities and to guarantee that apposite resources are made available. Immediate action is taken to meet acute emergency needs while the detailed programme design takes shape. This entails in-depth consultation with the affected community and comprehensive planning of activities and resource requirements. Implementation can then begin, which should involve pertinent management and monitoring strategies. [source]

Contradictions, Law, and State Socialism

LAW & SOCIAL INQUIRY, Issue 4 2000
Joachim J. Savelsberg
The relationship of law to antagonisms and contradictions within state socialism is explored from a Weberian and a Marxian perspective. Examining legislation, court decision making, legal control of economic behavior, and law enforcement reveals contradictions between (I) a radical participatory ideology versus muted or extinct civil society; (2) the ideology of comprehensive planning versus the impotence of law; (3) strategies aiming at total control of public life versus the emergence of a niche society outside the reach of the state; (4) regulatory norms versus the functional necessity of norm-breaking behavior; (5) reliance on a revolutionary sense of justice versus the cultivation of "doublethought"; (6) a program of total control of economic behavior versus the emergence of deviant, even criminal, forms of organization to fulfill functionally necessary but ideologically unapproved economic tasks; and finally, (7) two distinct practices of law, responsive or postliberal versus repressive. Yet, contradictions typically did not lead through conflict to subsequent reform during the state socialist era, as conflicts were repressed. When reforms were attempted, they furthered conflict and system breakdown. [source]

Developing tools for the safety specification in risk management plans: lessons learned from a pilot project,

PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 5 2008
Andrew J. P. Cooper BSc
Abstract Purpose Following the adoption of the ICH E2E guideline, risk management plans (RMP) defining the cumulative safety experience and identifying limitations in safety information are now required for marketing authorisation applications (MAA). A collaborative research project was conducted to gain experience with tools for presenting and evaluating data in the safety specification. This paper presents those tools found to be useful and the lessons learned from their use. Methods Archive data from a successful MAA were utilised. Methods were assessed for demonstrating the extent of clinical safety experience, evaluating the sensitivity of the clinical trial data to detect treatment differences and identifying safety signals from adverse event and laboratory data to define the extent of safety knowledge with the drug. Results The extent of clinical safety experience was demonstrated by plots of patient exposure over time. Adverse event data were presented using dot plots, which display the percentages of patients with the events of interest, the odds ratio, and 95% confidence interval. Power and confidence interval plots were utilised for evaluating the sensitivity of the clinical database to detect treatment differences. Box and whisker plots were used to display laboratory data. Conclusions This project enabled us to identify new evidence-based methods for presenting and evaluating clinical safety data. These methods represent an advance in the way safety data from clinical trials can be analysed and presented. This project emphasises the importance of early and comprehensive planning of the safety package, including evaluation of the use of epidemiology data. Copyright © 2008 John Wiley & Sons, Ltd. [source]