scholarly journals Developing a Knowledge Program for Large Scale Prehospital Assistance During Disasters and Big Incidents

2019 ◽  
Vol 34 (s1) ◽  
pp. s115-s116
Author(s):  
Will Van Roessel ◽  
Carian Cools
Keyword(s):  
The Netherlands ◽  
Large Scale ◽  
Scientific Literature ◽  
Practical Experience ◽  
Disaster Medicine ◽  
Medical Assistance ◽  
Standard Procedures ◽  
Emergency Workers ◽  
International Knowledge ◽  
Stay And Play

Introduction:In the Netherlands, we started in 2016 with a new procedure for large scale medical assistance during a crisis. The normal daily assistance in the Netherlands is organized on a regional level, and we have 25 regions. These regions are far too small to handle big incidents, and cooperation is needed on a higher level to generate enough capacity. However, the Aim is that most emergency workers continue to do their own work in standard procedures, we also need more coordination, information management, transition of “stay and play” to “scoop and run” and deploying volunteers and citizens.Aim:We developed the model practice-based, however, we have little big incidents. We feel the urgency to compare this practice to international knowledge.Methods:The goal is twofold: validation of the starting points of our model, but also further improvement: speeding up the transport and treatment of patients, improvement of capacity, safety of the ambulance staff – especially with terrorist attacks or contamination, civil participation. We held the first survey on scientific literature in English, related to items in our prehospital assistance model. (the article is not yet published).Results:The conclusion was, that scientific articles are rare, however, a lot of information is given about the practical course of incidents. Scientific research to explore these experiences is rare, partly due to a missing universal terminology on disaster medicine.Discussion:We want to contribute to enlarging the scientific knowledge on large scale prehospital assistance. We expect that a lot of practical experience can be unlocked by bringing together experts in this field. We want to present the Dutch model, with a focus and invitation to compare this with the models in other countries, to compare experiences, to deepen them and to stimulate international research. We want to commit ourselves to facilitate this.

scholarly journals (P1-39) Support for Functionally Insufficient Key Disaster Hospitals by Dmat for Large-Scale Disaster in Japan

2011 ◽  
Vol 26 (S1) ◽  
pp. s111-s111
Author(s):  
T. Kodama ◽  
H. Ohara ◽  
D. Jinbo ◽  
H. Shiozawa ◽  
T. Fujino ◽  
...  
Keyword(s):  
Medical Practice ◽  
Large Scale ◽  
Local Area ◽  
Disaster Medicine ◽  
Red Cross ◽  
Mutual Trust ◽  
Medical Assistance ◽  
Knowledge And Skills ◽  
High Knowledge ◽  
And Control

BackgroundJapanese Disaster Medical Assistance Team (DMAT) has important duties to support and reinforce functionally insufficient key disaster hospitals in the large-scale disasters. However, it is difficult for Japanese DMAT to fulfill these duties in the current circumstances, because the DMAT consists of individual institutions and Teams have less experience to work in the other institutions. To resolve the issues, disaster drills for some DMATs which consist of several institutions have been held since 2008. We evaluated the effectiveness of the drills and educational system.MethodsInvestigation was performed by surveillance questionnaires to 129 participants in the drill (staffs from DMATs, Red Cross and local government, and sham patients). The questionnaires are: A. Was the cooperative medical practice performed smoothly? B. Was the support for hospitals conducted effectively?, C. Was the medical record for wide-area transportation completed? (for our staffs only), D. Was our activity enough? (for participants excluding us), and E. Was the drill beneficial?Results85 participants including 30 staffs in our institution answered the questionnaires (65.9%). The number of participants who answered ‘Yes’ was as follows: A. 48 (56.5%), B. 64 (75.3%), C. 8 (26.7%), D. 44 (83.0%) and E. 81 (95.3%).DiscussionAlthough the cooperative medical practice was not so smooth, it was recognized that members in DMATs got mutual trust by their high knowledge and skills. And it was suggested that DMAT could not command and control the hospital staffs without their understanding the equipments and documentations used by DMAT. And it is ideal to change the mindset of hospital top managements towards the disaster medicine through the repeated drills.ConclusionThe repeated disaster drills at the local area is essential to make DMAT function sufficiently.

Bottlenecks in the Implementation of On-Site Wastewater Treatment Plants on a Large Scale in The Netherlands

1990 ◽  
Vol 22 (3-4) ◽  
pp. 291-298
Author(s):  
Frits A. Fastenau ◽  
Jaap H. J. M. van der Graaf ◽  
Gerard Martijnse
Keyword(s):  
Wastewater Treatment ◽  
The Netherlands ◽  
Large Scale ◽  
Wastewater Treatment Plants ◽  
Housing Stock ◽  
Research Work ◽  
Field Research ◽  
Domestic Wastewater ◽  
Research Programme ◽  
Definition Of

More than 95 % of the total housing stock in the Netherlands is connected to central sewerage systems and in most cases the wastewater is treated biologically. As connection to central sewerage systems has reached its economic limits, interest in on-site treatment of the domestic wastewater of the remaining premises is increasing. A large scale research programme into on-site wastewater treatment up to population equivalents of 200 persons has therefore been initiated by the Dutch Ministry of Housing, Physical Planning and Environment. Intensive field-research work did establish that the technological features of most on-site biological treatment systems were satisfactory. A large scale implementation of these systems is however obstructed in different extents by problems of an organisational, financial and/or juridical nature and management difficulties. At present research is carried out to identify these bottlenecks and to analyse possible solutions. Some preliminary results are given which involve the following ‘bottlenecks':-legislation: absence of co-ordination and absence of a definition of ‘surface water';-absence of subsidies;-ownership: divisions in task-setting of Municipalities and Waterboards; divisions involved with cost-sharing;-inspection; operational control and maintenance; organisation of management;-discharge permits;-pollution levy;-sludge disposal. Final decisions and practical elaboration of policies towards on-site treatment will have to be formulated in a broad discussion with all the authorities and interest groups involved.

Experiments on high rate effluent filtration in the Netherlands

1998 ◽  
Vol 38 (3) ◽  
pp. 127-134
Author(s):  
Jaap H. J. M. van der Graaf ◽  
Arjen F. van Nieuwenhuijzen
Keyword(s):  
Wastewater Treatment ◽  
The Netherlands ◽  
Suspended Solids ◽  
Practical Experience ◽  
High Rate ◽  
Treated Water ◽  
Low Concentrations ◽  
Wastewater Treatment Effluent

As yet, filtration of wastewater treatment effluent has not been practised in the Netherlands. The main objections were the expected high costs. In order to gain practical experience an investigation programme studied the applicability and optimization of effluent filtration. Especially multi-layer filtration with the addition of ironchloride seemed to be very effective. Very low concentrations of suspended solids and phosphorus were achieved, even at high filtration rates (up to 30 m/h). This leads to an impressive reduction of expected costs, down to Dfl. 0.02/m3 (treated water).

Main topics and recent experiences for environmental monitoring and modelling diffuse pollution

1996 ◽  
Vol 33 (4-5) ◽  
pp. 63-72
Author(s):  
Federico Preti
Keyword(s):  
Groundwater Contamination ◽  
Scientific Literature ◽  
Practical Experience ◽  
Field Monitoring ◽  
Research Field ◽  
Scale Model ◽  
Nonpoint Pollution ◽  
Nonpoint Sources ◽  
Test Models ◽  
Basin Scale

Monitoring and modelling are two complementary instruments necessary for the analysis of pollution phenomena, such as groundwater contamination and lakes eutrophication, often generated by diffuse (nonpoint) sources (NPS). A review of scientific literature has been conducted to obtain the information necessary to develop a correct methodology relative to environmental field monitoring and modelling agricultural nonpoint pollution. A questionnaire has been handed out to several researchers who are involved in this research field in order to learn of other pertinent activities being undertaken and to facilitate the exchange of information. Testing and verification of a methodology for the analysis of contamination caused by the use of agrochemicals, based on field monitoring studies and the application of a distributed nonpoint pollution model, have been conducted in Italy. Based on the research developed and practical experience, some of the main guidelines for conducting studies of pollution processes caused by agriculture as well as a summary of theoretical and practical aspects encountered in the design of field and basin scale model validation studies and in the use of published experimental results to test models can be proposed.

scholarly journals Social Media in and Around a Temporary Large-Scale Refugee Shelter in the Netherlands

2021 ◽  
Vol 7 (2) ◽  
pp. 205630512110249
Author(s):  
Peer Smets ◽  
Younes Younes ◽  
Marinka Dohmen ◽  
Kees Boersma ◽  
Lenie Brouwer
Keyword(s):  
Social Media ◽  
The Netherlands ◽  
Crisis Communication ◽  
Asylum Seekers ◽  
Large Scale ◽  
State Policies ◽  
Refugee Crisis ◽  
Top Down ◽  
And Migration

During the 2015 refugee crisis in Europe, temporary refugee shelters arose in the Netherlands to shelter the large influx of asylum seekers. The largest shelter was located in the eastern part of the country. This shelter, where tents housed nearly 3,000 asylum seekers, was managed with a firm top-down approach. However, many residents of the shelter—mainly Syrians and Eritreans—developed horizontal relations with the local receiving society, using social media to establish contact and exchange services and goods. This case study shows how various types of crisis communication played a role and how the different worlds came together. Connectivity is discussed in relation to inclusion, based on resilient (non-)humanitarian approaches that link society with social media. Moreover, we argue that the refugee crisis can be better understood by looking through the lens of connectivity, practices, and migration infrastructure instead of focusing only on state policies.

scholarly journals Current Advances in Robotics for Head and Neck Surgery—A Systematic Review

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1398
Author(s):  
Felix Boehm ◽  
Rene Graesslin ◽  
Marie-Nicole Theodoraki ◽  
Leon Schild ◽  
Jens Greve ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Large Scale ◽  
Case Series ◽  
Clinical Effectiveness ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Daily Routine ◽  
Surgical Robots ◽  
Standard Procedures

Background. In the past few years, surgical robots have recently entered the medical field, particularly in urology, gynecology, and general surgery. However, the clinical effectiveness and safety of robot-assisted surgery (RAS) in the field of head and neck surgery has not been clearly established. In this review, we evaluate to what extent RAS can potentially be applied in head and neck surgery, in which fields it is already daily routine and what advantages can be seen in comparison to conventional surgery. Data sources. For this purpose, we conducted a systematic review of trials published between 2000 and 2021, as well as currently ongoing trials registered in clinicaltrials.gov. The results were structured according to anatomical regions, for the topics “Costs,” “current clinical trials,” and “robotic research” we added separate sections for the sake of clarity. Results. Our findings show a lack of large-scale systematic randomized trials on the use of robots in head and neck surgery. Most studies include small case series or lack a control arm which enables a comparison with established standard procedures. Conclusion. The question of financial reimbursement is still not answered and the systems on the market still require some specific improvements for the use in head and neck surgery.

Form Follows Experience - Notes on the Functionality of Footbridges

2021 ◽  
Author(s):  
Michel Schreinemachers ◽  
Wiebe Strick
Keyword(s):  
The Netherlands ◽  
Large Scale ◽  
Water Levels ◽  
Added Value ◽  
Highway Bridge ◽  
Or Efficiency ◽  
Pedestrian Bridges ◽  
The City ◽  
Prime Location ◽  
Natural Way

<p>Should a bridge always be functional and accessible? Should it always fulfil its purpose? This seemingly self- evident question is a key question in footbridge design that is oriented towards creating experiences.</p><p>Footbridges are able to successfully enriches our experience of a certain context or landscape, it cannot be functional all the time, under all environmental conditions, weather and seasons. A good example is the Zalige bridge designed as part of the Room for the River, a large-scale national program for inland flood- protection in the Netherlands. Build upon the floodplains within a newly created river-park by the city of Nijmegen, the Zalige bridge’s curved shape stands in direct relationship to the fluctuating water levels of the river. When water levels rise, the bridge partially submerges, becoming only accessible through steppingstones. At peak heights, the bridge disappears completely, becoming a metaphor for our relationship to the water.</p><p>“Building a bridge that fails to fulfil its sole purpose of containing the water; this can only be pulled off in the Netherlands.” – jury Dutch Design Awards about the Zalige bridge.</p><p>The loss of functionality is directly related to the creation of an experience. When the water levels rose in January 2018, the bridge became the prime location to experience the changing landscape. It shows that engineering a bridge is not solely focussed on the most efficient engineering, but for the purpose it fulfils as for society. For most pedestrian bridges where the perception of the user is on a different level as for a highway bridge, functionality provides more than just cost driven or efficiency driven parameters. It is more related to the added value for the community. When design not solemnly derives from the sheer taste and predilection of the designer but is based on the user’s experience, it generates a durable relation with a feeling of ownership of its users. The key is to create this experience in an elegant and natural way and not forced or dictated. It should be people's own unique discovery and should not be imposed.</p>

God’s Marketeer

2021 ◽  
Vol 30 (2) ◽  
Author(s):  
Jan Martijn Abrahamse
Keyword(s):  
The Netherlands ◽  
Large Scale ◽  
Social Groups ◽  
Press Coverage ◽  
Significant Shift ◽  
Dutch Society ◽  
Content Type ◽  
Billy Graham ◽  
The Way ◽  
Newspaper Articles

Summary This article deals with the reception of Billy Graham and modern evangelicalism in the fragmented society of the Netherlands in 1954. It takes its departure from the stream of newspaper articles published between February and June in response to the Greater London Crusade and Graham’s first large scale rally in Amsterdam’s Olympic Stadium. The analysis of the reports in different newspapers, which represent the different social groups (catholic, protestant, socialist and liberal) in Dutch society, reveals a significant shift in the way Billy Graham was perceived: from initial scepticism to mild appreciation. This change in press coverage, it is concluded, is mainly due to the different way in which Billy Graham presented himself compared with the large-scale publicity which surrounded his campaign.

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