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  • 1
    Electronic Resource
    Electronic Resource
    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 47-72 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract The dimensions, composition, and stiffness of the airway wall are important determinants of airway cross-sectional area during dynamic collapse in a forced expiration or when airway smooth muscle is constricted. Under these circumstances, airway caliber is determined by an interaction between the forces acting to open the airway (parenchymal tension and wall stiffness) and those acting to close it (smooth-muscle force and surface tension at the inner gas-liquid interface). Experimental measurements and theoretical models of the airway tube law (relationship between cross-sectional area and transmural pressure) are presented. Data are presented for the elastic properties of the wall tissue. Simulations of airway constriction in normal and asthmatic airways are discussed. To the extent possible, comparisons are presented between the various models and existing experimental data.
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  • 2
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 1-18 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Richard Skalak (1923-1997) played a leadership role in the formative decades of the discipline of biomedical engineering through his technical contributions in biomechanics, his educational influence on students, and his service to many developing societies and journals. But always, the distinguishing marks of his involvement with any activity or person were his generosity, respect and tolerance for others, integrity, and curiosity. These very qualities are what first brought him as a traditional engineer trained in engineering mechanics into the young field of biomedical engineering in the 1960s, and they are what led him to new approaches to cellular and molecular engineering, tissue engineering, and orthopedic biomechanics. His technical papers and lectures on blood cell mechanics, pulmonary circulation, dental implants, and tissue growth were models of clarity and often pointed the way to new areas of exploration, while his personal writings offer advice on life, academic organizations, and the pursuit of significant work. He would be deeply appreciative that this first volume of the Annual Review of Biomedical Engineering is dedicated to his memory.
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  • 3
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 19-46 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Because of an aging population and increased occurrence of sports-related injuries, musculoskeletal disorders have become one of the major health concerns in the United States. Current treatments, although fairly successful, do not provide the optimum therapy. These treatments typically rely on donor tissues obtained either from the patient or from another source. The former raises the issue of supply, whereas the latter poses the risk of rejection and disease transfer. This has prompted orthopedic surgeons and scientists to look for viable alternatives. In recent years, tissue engineering has gained increasing support as a method to treat orthopedic disorders. Because it uses principles of engineering, biology, and chemistry, tissue engineering may provide a more effective approach to the treatment of musculoskeletal disorders than traditional methods. This chapter presents a review of current methods and new tissue-engineering techniques for the treatment of disorders affecting bone, ligament, and cartilage.
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  • 4
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 103-127 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract The successful application and optimization of cell transplantation will require quantitative engineering design and analysis of cells and materials in which relevant biological processes remain complex and incompletely defined. This report primarily reviews the engineering and material considerations in islet cell transplantation, including established biological constraints and biohybrid devices for cell delivery, as well as available barrier materials and the associated processing strategies directed at the control of solute transport, barrier permeability, and host responses at the biological-material interface. Also described are current areas of investigation with particular promise as enabling technologies for accelerating the clinical effectiveness of islet cell transplantation.
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  • 5
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 129-152 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Hematopoietic cell culture, or ex vivo expansion of hematopoietic cells, is an enabling technology with many potential applications in bone-marrow transplantation, immunotherapy, gene therapy, and the production of blood products. Hematopoietic cultures are complex, with many different cell types at different stages of development present at any given point in time and never in steady state. Moreover, these cells interact strongly with each other and the environment through cytokines (growth factors) and adhesion molecules, as well as through their metabolism. Despite these significant challenges, cell products produced in bioreactors have shown promise in recent phase 1 clinical trials.
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  • 6
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 153-175 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract By maintaining a near normal (70-120 mg/dL) glucose concentration, diabetic patients can drastically reduce the likelihood of the occurrence of diabetes complications. In the near future, subcutaneously implanted electrochemical glucose sensors will be available to provide frequent or continuous information on which timely treatment decisions, such as insulin injection or glucose source intake, can be based, as well as timely alarm signals. The currently engineered devices are of three types: (a) innocuous microsensors, with actively mass-transporting areas 〈10-3 cm2, replaced twice a week by the patient; (b) self-contained, surgeon-implanted, transmitter-containing packages of 〉1 cm2 area, operating for 〉100 days; and (c) devices transporting subcutaneous fluid to an external sensor, based on implanted microfiltration or microdialysis fibers or on iontophoretic transport of the subcutaneous fluid through the skin.
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  • 7
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 241-263 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Extraordinary advances in molecular biology and biotechnology have led to the development of a vast number of therapeutic anti-cancer agents. To reach cancer cells in a tumor, a blood-borne therapeutic molecule, particle, or cell must make its way into the blood vessels of the tumor and across the vessel wall into the interstitium, which it then must migrate through. Unfortunately, tumors often develop in ways that hinder these steps. The goal of research in this area is to analyze each of these steps experimentally and theoretically and integrate the resulting information into a unified theoretical framework. This paradigm of analysis and synthesis has fostered a better understanding of physiological barriers in solid tumors and aided in the development of novel strategies to exploit and/or overcome these barriers for improved cancer detection and treatment.
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  • 8
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 177-209 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Historically, electronic devices such as pacemakers and neuromuscular stimulators have been surgically implanted into animals and humans. A new class of implants made possible by advances in monolithic electronic design and implant packaging is small enough to be implanted by percutaneous injection through large-gauge hypodermic needles and does not require surgical implantation. Among these, commercially available implants, known as radio frequency identification (RFID) tags, are used for livestock, pet, laboratory animal, and endangered-species identification. The RFID tag is a subminiature glass capsule containing a solenoidal coil and an integrated circuit. Acting as the implanted half of a transcutaneous magnetic link, the RFID tag is powered by and communicates with an extracorporeal magnetic reader. The tag transmits a unique identification code that serves the function of identifying the animal. Millions of RFID tags have been sold since the early 1980s. Based on the success of the RFID tags, research laboratories have developed injectable medical implants, known as micromodules. One type of micromodule, the microstimulator, is designed for use in functional-neuromuscular stimulation. Each microstimulator is uniquely addressable and could comprise one channel of a multichannel functional-neuromuscular stimulation system. Using bidirectional telemetry and commands, from a single extracorporeal transmitter, as many as 256 microstimulators could form the hardware basis for a complex functional-neuromuscular stimulation feedback-control system. Uses include stimulation of paralyzed muscle, therapeutic functional-neuromuscular stimulation, and neuromodulatory functions such as laryngeal stimulation and sleep apnea.
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  • 9
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 299-329 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract The cardiovascular system is an internal flow loop with multiple branches circulating a complex liquid. The hallmarks of blood flow in arteries are pulsatility and branches, which cause wall stresses to be cyclical and nonuniform. Normal arterial flow is laminar, with secondary flows generated at curves and branches. Arteries can adapt to and modify hemodynamic conditions, and unusual hemodynamic conditions may cause an abnormal biological response. Velocity profile skewing can create pockets in which the wall shear stress is low and oscillates in direction. Atherosclerosis tends to localize to these sites and creates a narrowing of the artery lumen-a stenosis. Plaque rupture or endothelial injury can stimulate thrombosis, which can block blood flow to heart or brain tissues, causing a heart attack or stroke. The small lumen and elevated shear rate in a stenosis create conditions that accelerate platelet accumulation and occlusion. The relationship between thrombosis and fluid mechanics is complex, especially in the post-stenotic flow field. New convection models have been developed to predict clinical occlusion from platelet thrombosis in diseased arteries. Future hemodynamic studies should address the complex mechanics of flow-induced, large-scale wall motion and convection of semisolid particles and cells in flowing blood.
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  • 10
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 463-503 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Ionic and molecular transfer among cells occurs by a variety of transport processes operative at different length scales. Cell membrane permeability and electrical conductance derive from channel proteins producing pores at the molecular (ultrastructural) scale. Intracellular mobility involves the dynamics of motion through the complex ultrastructure of the cytoplasm. These phenomena unite in the larger-scale (microscopic) process of gross intercellular transfer. When such movement occurs among sufficiently many cells, it in turn begins to reflect their average collective (macroscopic) behavior as bulk tissue. This article surveys selected aspects of intercellular and intracellular transport, with emphasis on detailed mechanistic theory, experimental probes of cellular permeability, and systematic transcendence from small to large length scales.
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  • 11
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 427-461 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Blood clots form under hemodynamic conditions and can obstruct flow during angina, acute myocardial infarction, stroke, deep vein thrombosis, pulmonary embolism, peripheral thrombosis, or dialysis access graft thrombosis. Therapies to remove these clots through enzymatic and/or mechanical approaches require consideration of the biochemistry and structure of blood clots in conjunction with local transport phenomena. Because blood clots are porous objects exposed to local hemodynamic forces, pressure-driven interstitial permeation often controls drug penetration and the overall lysis rate of an occlusive thrombus. Reaction engineering and transport phenomena provide a framework to relate dosage of a given agent to potential outcomes. The design and testing of thrombolytic agents and the design of therapies must account for (a) the binding, catalytic, and systemic clearance properties of the therapeutic enzyme; (b) the dose and delivery regimen; (c) the biochemical and structural aspects of the thrombotic occlusion; (d) the prevailing hemodynamics and anatomical location of the thrombus; and (e) therapeutic constraints and risks of side effects. These principles also impact the design and analysis of local delivery devices.
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  • 12
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 559-588 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Since the introduction of medical ultrasound in the 1950s, modern diagnostic ultrasound has progressed to see many major diagnostic tools come into widespread clinical use, such as B-mode imaging, color-flow imaging, and spectral Doppler. New applications, such as panoramic imaging, three-dimensional imaging, and quantitative imaging, are now beginning to be offered on some commercial ultrasound machines and are expected to grow in popularity. In this review, we focus on the various algorithms, their processing requirements, and the challenges of these ultrasound modes. Whereas the older, mature B and color-flow modes could be systolically implemented using hardwired components and boards, new applications, such as three-dimensional imaging and image feature extraction, are being implemented more by using programmable processors. This trend toward programmable ultrasound machines will continue, because the programmable approach offers the advantages of quick implementation of new applications without any additional hardware and the flexibility to adapt to the changing requirements of these dynamic new applications.
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  • 13
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 649-678 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Much of the recent rapid progress in large-scale genomic sequencing has been driven by the dramatic improvements both in the area of biological protocols and in the availability of improved laboratory instrumentation and automation platforms. We discuss recent developments in the area of bioinstrumentation that are contributing to the current revolution in genetic analysis. Examples of systems for laboratory automation are described together with specific single-purpose instruments. Emphasis is placed on those tools that are contributing significantly to the scale-up of genomic mapping and sequencing efforts. In addition, we present a selection of more advanced measurement techniques and instrumentation developments that are likely to contribute significantly to future advances in sequencing and genome analysis.
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  • 14
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    Annual Review of Biomedical Engineering 1 (1999), S. 331-346 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Ventricular fibrillation, a loss of synchronus electrical activity in the heart which leads to hemodynamic collapse, is a leading cause of death. Because of the devastating personal and societal effects of this phenomenon, the automatic cardioverter-defibrillator has been developed for automatic detection and termination of the arrhythmia and is in widespread clinical use. Advances in circuits, leads, waveforms, and signal processing along with increased knowledge of the mechanisms of fibrillation have led to continuing improvements in this device, extending its use to many patients. A device has also been developed for the automatic or semiautomatic treatment of atrial fibrillation, an arrhythmia less life-threatening than ventricular fibrillation, but still a serious health problem. Continued improvement of these devices and the development of qualitatively new approaches hold great promise for exciting therapeutic advances in this area.
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  • 15
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    Palo Alto, Calif. : Annual Reviews
    Annual Review of Biomedical Engineering 1 (1999), S. 401-425 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Microfabrication uses integrated-circuit manufacturing technology supplemented by its own processes to create objects with dimensions in the range of micrometers to millimeters. These objects can have miniature moving parts, stationary structures, or both. Microfabrication has been used for many applications in biology and medicine. These applications fall into four domains: tools for molecular biology and biochemistry, tools for cell biology, medical devices, and biosensors. Microfabricated device structures may provide significantly enhanced function with respect to a conventional device. Sometimes microfabrication can enable devices with novel capabilities. These enhancing and enabling qualities are conferred when microfabrication is used appropriately to address the right types of problems. Herein, we describe microfabrication technology and its application to biology and medicine. We detail several classes of advantages conferred by microfabrication and how these advantages have been used to date.
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  • 16
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    Annual Review of Biomedical Engineering 1 (1999), S. 505-534 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Protein crystallization is the most difficult and time-consuming step in the determination of a protein's atomic structure. As X-ray diffraction becomes a commonly available tool in structural biology, the necessity for rational methodologies and protocols to produce single, high-quality protein crystals has come to the forefront. The basics of protein crystallization conform to the classical understanding of crystallization of small molecules. Understanding the effect of solution variables such as pH, temperature, pressure, and ionicity on protein solubility allows the proper evaluation of the degree of supersaturation present in protein crystallization experiments. Physicochemical measurements such as laser light scattering, X-ray scattering, X-ray diffraction, and atomic force microscopy provide a clearer picture of protein crystal nucleation and growth. This ever deepening knowledge base is generating rational methods to produce protein crystals as well as means to improve the diffraction quality of such protein crystals. Yet, much remains unclear, and the protein crystallization research community will be quite active for many years to come.
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  • 17
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    Annual Review of Biomedical Engineering 1 (1999), S. 611-648 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Transgenic and eugenic animals as small as 30 g can be studied noninvasively by radionuclides with resolutions of 1-2 mm, by MRI with resolution of 100 mum and by light fluorescence and bioluminescence with high sensitivities. The technologies of radionuclide emission, magnetic resonance imaging, magnetic resonance spectroscopy, optical tomography, optical fluorescence and optical bioluminescence are currently being applied to small-animal studies. These technologies and examples of their applications are reviewed in this chapter.
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  • 18
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    Annual Review of Biomedical Engineering 1 (1999), S. 377-399 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Visualizable objects in biology and medicine extend across a vast range of scale, from individual molecules and cells through the varieties of tissue and interstitial interfaces to complete organs, organ systems, and body parts. These objects include functional attributes of these systems, such as biophysical, biomechanical, and physiological properties. Visualization in three dimensions of such objects and their functions is now possible with the advent of high-resolution tomographic scanners and imaging systems. Medical applications include accurate anatomy and function mapping, enhanced diagnosis, accurate treatment planning and rehearsal, and education/training. Biologic applications include study and analysis of structure-to-function relationships in individual cells and organelles. The potential for revolutionary innovation in the practice of medicine and in biologic investigations lies in direct, fully immersive, real-time multisensory fusion of real and virtual information data streams into online, real-time visualizations available during actual clinical procedures or biological experiments. Current high-performance computing, advanced image processing, and high-fidelity rendering capabilities have facilitated major progress toward realization of these goals. With these advances in hand, there are several important applications of three-dimensional visualization that will have a significant impact on the practice of medicine and on biological research.
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  • 19
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    Annual Review of Biomedical Engineering 1 (1999), S. 535-557 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Metabolic engineering is the science that combines systematic analysis of metabolic and other pathways with molecular biological techniques to improve cellular properties by designing and implementing rational genetic modifications. As such, metabolic engineering deals with the measurement of metabolic fluxes and elucidation of their control as determinants of metabolic function and cell physiology. A novel aspect of metabolic engineering is that it departs from the traditional reductionist paradigm of cellular metabolism, taking instead a holistic view. In this sense, metabolic engineering is well suited as a framework for the analysis of genome-wide differential gene expression data, in combination with data on protein content and in vivo metabolic fluxes. The insights of the integrated view of metabolism generated by metabolic engineering will have profound implications in biotechnological applications, as well as in devising rational strategies for target selection for screening candidate drugs or designing gene therapies. In this article we review basic concepts of metabolic engineering and provide examples of applications in the production of primary and secondary metabolites, improving cellular properties, and biomedical engineering.
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  • 20
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    Annual Review of Biomedical Engineering 1 (1999), S. 589-610 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract This paper reviews the emergence of telemedicine and its recent expansion and use within the healthcare industry. Through this review, several examples of telemedicine within a variety of applications provide a broad context to discuss the challenges and opportunities facing the emergence of e-medicine. These examples provide snapshots of a teleradiology system used by the military, teleconsultations used in neurosurgery and hemodialysis, and home telemedicine used in diabetes care. Based on the discussion of telemedicine's history and expansion and the examples provided, a framework is offered for understanding the evolution of telemedicine applications through four stages. These stages include: (a) development of basic technological capabilities, (b) development of relevant applications, (c) the integration of technical applications within a complex environment, and (d) transformation of the operating environment. Implications for this framework are discussed.
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  • 21
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    Annual Review of Biomedical Engineering 1 (1999), S. 73-102 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract The microcirculation represents a region of the circulation in which blood vessels are directly surrounded by the tissue and cells to which they supply nutrients and from which they collect metabolites. The cellular elements that make up the microcirculation have now been identified, and a large body of evidence has become available that provides molecular definitions of these elements. The blood flow is in a domain in which viscous stresses dominate, but the viscoelastic and active properties of cells lead to nonlinear problems. The ability of cells to actively control cytoplasmic mechanical properties and shape, as well as their membrane adhesion, leads to unique cell behavior in microvessels that has a direct influence on organ transport and function. There is also increasing evidence that the properties of the cells are in turn influenced by fluid shear stresses. These issues have greatly expanded the scope of microvascular analysis. The microcirculation is one of the sites in which diseases manifest themselves at an early stage. The application of biomechanical analysis of the microcirculation is starting to focus on diseases. The field is rich with problems of high significance.
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  • 22
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    Annual Review of Biomedical Engineering 1 (1999), S. 265-297 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Driven by advances in the acquisition of genetic sequence information and the ability to manipulate small quantities of nucleic acid, a number of technologies are emerging that exploit nucleic acids for research, diagnostic, and therapeutic utility. In this review, we cover three technologies based on nucleic acids-DNA microarrays, antisense technology, and gene therapy-that are especially promising and may make a substantial impact in the laboratory and in the clinic during the coming years. For each of these areas, an overview of the current status and applications is provided, followed by a discussion of critical issues and challenges to be faced for further advancement of the technology; an emphasis is placed on quantitative and engineering aspects.
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  • 23
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    Annual Review of Biomedical Engineering 1 (1999), S. 211-240 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract Robotic technology is enhancing surgery through improved precision, stability, and dexterity. In image-guided procedures, robots use magnetic resonance and computed tomography image data to guide instruments to the treatment site. This requires new algorithms and user interfaces for planning procedures; it also requires sensors for registering the patient's anatomy with the preoperative image data. Minimally invasive procedures use remotely controlled robots that allow the surgeon to work inside the patient's body without making large incisions. Specialized mechanical designs and sensing technologies are needed to maximize dexterity under these access constraints. Robots have applications in many surgical specialties. In neurosurgery, image-guided robots can biopsy brain lesions with minimal damage to adjacent tissue. In orthopedic surgery, robots are routinely used to shape the femur to precisely fit prosthetic hip joint replacements. Robotic systems are also under development for closed-chest heart bypass, for microsurgical procedures in ophthalmology, and for surgical training and simulation. Although results from initial clinical experience is positive, issues of clinician acceptance, high capital costs, performance validation, and safety remain to be addressed.
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  • 24
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    Annual Review of Biomedical Engineering 1 (1999), S. 347-376 
    ISSN: 1523-9829
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Technology , Medicine
    Notes: Abstract The continuing accrual of positive results in clinical cancer trials of adjunctive, synergistic hyperthermia therapy remains a strong motivation for the development of improved hyperthermia equipment and software. Indeed, the lack of needed engineering tools can be viewed as the major stumbling block to hyperthermia's effective clinical implementation. Developing clinically effective systems will be difficult, however, because (a) it requires solving several complex engineering problems, for which (b) setting appropriate design and evaluation goals is currently difficult owing to a lack of critical biological, physiological, and clinical knowledge, two tasks which must (c) be accomplished within a complicated social/political structure.
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    Bradford : Emerald
    Disaster prevention and management 4 (1995), S. 6-11 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Assumes acceptance of the argument that, as the world has become amere village owing to modern communications systems, trading patternsand the like, it is no longer possible for any individual, community orstate to seek to pull down the blinds and ignore what is happening inother parts of the world. This is not merely an ethical issue –although believes that the morality of caring is much in need of anuplift, both in British society and elsewhere - it is a pragmaticand political necessity. Confines discussion to looking at conflicts atthe levels where they involve communities or whole states, rather thanindividuals alone.
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    Bradford : Emerald
    Disaster prevention and management 4 (1995), S. 27-31 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Based on the experience of five years of work in the midst of theongoing civil war in Afghanistan, outlines a number of ideas aboutinvolving communities in measures to provide emergency relief or supportrehabilitation, in order to encourage and assist an indigenous processof social and physical recovery.
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    Bradford : Emerald
    Disaster prevention and management 4 (1995), S. 4-13 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Reports on research carried out under the aegis of the EuropeanCommunity as part of the Step Programme. Researchers from the followinguniversities contributed: Berlin (Germany), Grenoble (France), Lancaster(Great Britain), Liège (Belgium), and The Catholic University(Milan, Italy). Aims to evaluate public perception of individuals andorganizations as informers in situations where there is a high levelindustrial risk. Discusses the following: the clarity of communication,the degree of professionalism of the information sources, the extent towhich the message attributed to each of the important informers wascredible. Treats this as a comparative study under the terms of Article8 of the Seveso Directive which invites public authorities, as well asso-called "risk" industries, to keep the population informedof the potential dangers to which they are exposed as a result ofindustrial activity.
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    Bradford : Emerald
    Disaster prevention and management 4 (1995), S. 38-46 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Examines the relationship between sources and functions of supportin the context of an evolving stressful event - the Gulf War. Datawere obtained through questionnaires filled out by 261 parents sampledthroughout comprehensive schools located in two different areas ofIsrael (damaged and undamaged by missile attacks). Respondents assessedthe extent of support received from a list of sources, designated threepreferred sources, and rated the amount of informational, instrumentaland/or emotional support provided by these referred sources, at threedifferent periods of the event: waiting, impact and recovery. Findingsindicate that different sources of support, fulfilling differentfunctions, were utilized over the course of the event, and that changesin sources and functions were related to the changing circumstances ofthe war. Gives empirical validation to the concept of matching theevolution of a stressful event to specific uses of social support.Considers implications for social work practice.
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    Disaster prevention and management 4 (1995), S. 43-53 
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    Notes: The terms "sheltering" and "housing" areused in a variety of unclear and inconsistent ways in the disasterliterature. Proposes a differentiation among emergency sheltering,temporary sheltering, temporary housing and permanent housing. Indicateshow they are paid differential attention in American disaster planningand gives specific observations about the four patterns, notingespecially how they differ from one another. Suggests there will be afuture increase in problems in all the patterns, and that it is not yetfully established to what extent these patterns are applicable in alltypes of societies.
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    Disaster prevention and management 4 (1995), S. 32-42 
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    Notes: Discusses the results of evaluations of flood forecasting, warningand response systems in England, Wales, Scotland and Northern Ireland.Reveals that in England and Wales flood warning systems oftenunderperform. Despite technical sophistication and their elevation tohigh priority in central government's flood defence strategy,arrangements for flood warnings are now under considerable stressbecause of lack of agreement over organizational roles andresponsibilities. Legal ambiguities, funding difficulties andideological positions lie behind these problems. Flood warning systemsare developing in Scotland, and there is now a "fledgling"system in Northern Ireland, but both lag behind England and Wales.Examines implications for the future.
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    Notes: Evacuation is commonly used to mitigate the ill effects of avariety of disaster agents. It is important that authorities gain anaccurate understanding of the circumstances under which citizens willevacuate. Tests the efficacy of evacuation message clarity andfrequency, authority type, the accuracy of past warnings, and the impactof the presence of children in the home as viable variables in effectingan evacuation response. Finds the evacuation response was more likely tooccur if the potential victim was ordered to do so, if the potentialvictim was contacted frequently (more than once) by the proper authority(as perceived by the potential victim), if past warnings were perceivedas being accurate, and dependent children were in the home. Interviewsrespondents from 83 households in Ephrata, Pennsylvania, USA, after amajor fire emergency threatened residents of three neighbourhoodscontiguous to the site.
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    Disaster prevention and management 4 (1995), S. 37-41 
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    Notes: Addresses the issue of the structure and function of the communityemergency operations centre (EOC). There is some confusion among someemergency responders and particularly among public officials regardingthe role and function of the EOC. In part this emerges because many EOCsat different levels operate in conjunction with any given disaster. Itis argued that the community EOC is best seen as an over-archingorganization into which information from more specialized EOCs –such as those operated by fire and police departments - flows, andfrom which the overall response to the disaster is directed. There isalso a tendency to define the functions of the community EOC narrowly.Such definitions typically understate the importance of such activitiesas damage assessment and public information, and consequently leave theresponsibility for these and related critical functions somewhatambiguous. Seeks to achieve an explicit definition of the range andcontent of disaster responsibilities associated with the community EOCand thereby to clarify and contribute more to effective community-widedisaster response.
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    Disaster prevention and management 5 (1996), S. 11-18 
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    Notes: Describes the use of schema theory to conceptualize how disaster experience can undermine well-being and operational performance and discusses how this approach provides a basis for the development of preparatory strategies for promoting worker wellbeing and response effectiveness. Defines specific characteristics of the disaster experience - disaster stressors. Discusses their role in mediating disaster impact and their potential for facilitating the identification of high risk situations, training needs analysis and disaster simulation design. Also discusses selection, training and operational practices in relation to aspects of the disaster experience that elicit a positive and adaptive response.
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    Disaster prevention and management 6 (1997), S. 4-10 
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    Notes: Crises are hitting our industries with alarming regularity. Yet the word crisis is usually used with little thought to its meaning. Examines the various meanings which have been proposed by authors in the field of crisis management, and contends that for a situation to develop into a crisis three elements must be present: a triggering event causing significant change or having the potential to cause significant change; the perceived inability to cope with this change; and a threat to the existence of the foundation of the organization.
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    Disaster prevention and management 6 (1997), S. 43-49 
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    Notes: The recognition that disaster workers may be victimized as a consequence of fulfilling their disaster relief role has resulted in the development of several interventions to assist their recovery. Psychological debriefing is a prominent support resource. Uses recent concerns over the effectiveness of debriefing to frame a discussion of the nature of recovery and the longer-term determinants of its effectiveness. Focuses on the role of social, psychological, familial and organizational factors as determinants of the quality of recovery. Discusses the implications of these factors for the design and delivery of support resources for disaster workers.
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    Disaster prevention and management 6 (1997), S. 107-117 
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    Notes: The significance of operational human errors in shipping safety has widely been recognized. The accumulation of many shipboard operations on the bridge of the ship demands that a high level of efficiency must be ensured. Discusses the efficiency of the interface which depends on the success of incorporating the human factor in the engineering systems of ship control. At the time of diminishing crew quality, the bridge operator's confidence, competence and communication capability must be in co-ordination with the technology provided by these systems. Suggests that the areas of limitation in the bridge-operator interface must be identified and the course of action for optimizing this critical relationship for safety must be determined.
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    Disaster prevention and management 6 (1997), S. 176-185 
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    Notes: In the USA, the Federal Emergency Management Agency (FEMA) provides support to State and local governments in fulfilment of their responsibilities for preparedness, response, recovery and mitigation of disasters. One method FEMA has used to support State and local emergency communication functions was to sign and implement a Memorandum of Understanding with the American Radio Relay League (ARRL) for amateur radio operators to provide electronic communications for State and local governments in disasters. The Federal Communications Commission (FCC) has licensed more than 600,000 amateur radio operators in the USA. The national organization of amateur radio operators called the American Radio Relay League (ARRL) was formed in 1914. More than 80,000 of these amateurs have registered their availability for emergency communications in disasters in the ARRL's Amateur Radio Emergency Service (ARES). Amateur radio operators have been providing communications in natural disasters such as floods, hurricanes and earthquakes since 1910. Since amateur radio operation was prohibited during the years of both World Wars I and II, FEMA has sponsored a new branch of the amateur service called Radio Amateur Civil Emergency Service (RACES). RACES operators are authorized to operate if the President invokes his War Emergency Powers while all other amateur operation would be silenced. Examines the role of amateur radio in providing emergency electronic communications for disaster management and explores future contributions.
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    Disaster prevention and management 5 (1996), S. 31-33 
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    Notes: Discusses the background of the First Internet Disaster Conference. Debates the advantages and disadvantages of Internet conferencing, and covers the lessons learnt and experiences gained from this conference.
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    Disaster prevention and management 6 (1997), S. 22-32 
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    Notes: The date of 19 April 1995 will be remembered as a day on which a tragic event took place in Oklahoma. Argues that we need to go beyond a mere reading of the passionate convictions, the "rational" rhetoric and ideological arguments in trying to understand this act of terrorism and the aftermath reactions. In highly emotionally charged and anxiety-producing environments of social conflict, one can also expect to encounter a number of psychodynamic processes - such as projection, projective identification, splitting, idealization, stereotyping, narcissistic desire for the ego (group) ideal, denial and other defence mechanisms. Presents a representative text from the reporting of the Oklahoma bombing and its aftermath which is then read through the conceptual lenses of psychoanalytic theory. Highlights issues and behaviours that seem typically to arise in such disaster situations.
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    Disaster prevention and management 6 (1997), S. 160-164 
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    Notes: Describes a study of trends in the use of keywords (risk, hazard and crisis) in the media having accessed a large commercial on-line database for this purpose. Allowing for several assumptions, finds mainly rising trends in the usage of each of the keywords, and in the proportion of articles classified under related categories (insolvency, terrorism, environment/ecology, and air transport crash).
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    Disaster prevention and management 6 (1997), S. 221-233 
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    Notes: As the end of the United Nations International Decade for Natural Disaster Reduction approaches it is necessary to review what is known about global responses to catastrophes. Discusses four major weaknesses of the relief and mitigation community that are frequently identified in the disaster studies literature: the violation of human rights, a low degree of relief co-ordination, difficulties and drawbacks of providing aid, and dilemmas of development. Offers possible solutions for these challenges and also highlights the implications of the findings for research and application. Gives direction to both academics and practitioners who are interested in disaster relief and prevention around the world.
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    Disaster prevention and management 6 (1997), S. 252-262 
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    Notes: Proposes the establishment of a management information system (MIS) for the promotion of safety in shipping. Considers the information technology in shipping to be the combination of satellite systems and computers onboard and ashore. In this combination, which enables the provision of an optimum selection and management of data for automatic or human decision making, the role of satcoms is information transfer and that of computers is information processing. Acknowledges the importance of the human factor in shipping safety. Human decisions affecting shipping safety often depend on the quantity and quality of the available information. In the proposed MIS the need to improve the limited ability of humans to receive, store, process and interpret information, which is usually vast and complex, is acknowledged and fulfilled. Among the available maritime satcom systems and computer services, the proposal reveals those services which satisfy the criteria of useful, interactive, flexible, fast, reliable and low-cost transfer and management of information in support of safety-oriented decision making in shipping operations. The proposed MIS integrates the information resources of shipping office(s), the ship(s) and the maritime-related industry as a whole and provides the shipping company with the capability to document, monitor and control the safety-critical aspect of "technical reliability" towards promotion of safety in shipping and compliance with the International Safety Management Code.
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    Disaster prevention and management 6 (1997), S. 343-348 
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    Notes: Suggests that sources of data on human failure, particularly case studies of specific disasters, have not been able to offer a generalized theory. Suggests that this can best be effected at the level of middle range theory based on analysis of the comparative structure of a workplace organization. Offers an adaptation of an approach from anthropology and cultural theory, that supplies four distinct, exclusive and archetypal workplace structures. Each is associated with a distinct cluster of sustaining and justifying values and attitudes that are manifest as four associated patterns of behaviours. Particular attention is directed at the normal kinds of workplace deviance, including sabotage, shown to be typical of each of the four archetypes. Their incumbent attitudes to risk are delineated, as are their typical patterns of industrial relationships.
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    Disaster prevention and management 7 (1998), S. 5-13 
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    Notes: This paper reports on the findings of a survey of organisational responses to the 1995 eruptions at Ruapehu volcano, New Zealand. The survey identified co-ordination, communication, training and management issues that had implications for the quality and effectiveness of an integrated organisational response to hazard impacts. This paper explores the implications of organisational structure and social (professional) identity for developing and sustaining integrated emergency management capability. It also discusses the implications of decision-making processes and group dynamics for response effectiveness. These issues are used to illustrate the nature and origin of the problems observed in the survey and to define strategies for their resolution and for promoting effective inter-organisational relationships and integrated emergency management capability.
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    Disaster prevention and management 7 (1998), S. 92-102 
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    Notes: So much attention is devoted to the cost of industrial disasters in financial terms and to the technologies that fail at times, that it is possible to lose sight of the fact that disasters involve people, individually and in societal groups. Although awareness and concern about the human factor in industrial disaster has grown considerably over the last 15-20 years, many continue to see human error in a very narrow perspective. People, however, play a key role in causing disasters, must cope with them when they occur, and bear the consequences in their aftermath. Consideration of the human factor in industrial disaster has focused primarily on input in causing disasters. Two additional phases of human involvement in industrial disaster, their coping and their reaction to the outcome, must be included. At every stage of its occurrence, industrial disaster is truly about people and their behaviour.
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    Disaster prevention and management 7 (1998), S. 188-194 
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    Notes: Presents the status of public policy on protecting ports and ships and describes Greek law and practice regarding combating ship fires. Also "best practices" are identified with regard to preventing and suppressing fires on ships. Authors believe that a neglected topic is the protection of the port sea environment, a problem which made ESPO (European Sea Ports Organisation) create a code of practice for protecting the port environment and DG VII to implement it but are these sufficient for the protection of ports and ships?
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    Disaster prevention and management 7 (1998), S. 281-287 
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    Notes: This article presents the status of public policy on title's matters and makes recommendation thereto. Describes Greek law and practice combating ship fires. Also "best practices" are identified with regard to preventing and suppressing fires on ships. Ship fires are thought to be by the authors an important topic. The authors also believe that an equally important, but neglected topic, is the protection of the port sea environment. This problem made the ESPO (European Sea Ports Organisation) produce a code of practice for protecting port environments and DG VII to support that. But are these sufficient for the protection of ports and ships?
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    Disaster prevention and management 7 (1998), S. 305-318 
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    Notes: Increasingly, land is a scarce resource which is much sought after in Penang Island, Malaysia. This is because Penang is largely made up of steep topography and much of the lowland areas are already developed. Penang is one of the many rapidly industrialising states in Malaysia with a largely urban populace. In recent decades, efforts at industrialisation and the development of other economic sectors have been intensified, leading to greater urbanisation and greater pressures on land. Although land reclamation has eased the pressures somewhat, it is not enough to satisfy the high demand for land on the island. As such, developers have turned to the remaining hill land on the island. Many hills and their environs are already being developed and many hill projects are in the pipe line. This has led to many environmental problems such as deforestation, decimation of water catchments, destruction of endangered fauna and flora, soil erosion, landslides, water pollution, sedimentation and downstream flooding. Some of these problems have been exacerbated and turned into disasters due to the extremely fragile and sensitive nature of hill ecosystems. Despite such problems, the State Government has decided to lift the freeze on development of hill land since January 1998, and this has effectively opened up all hill land for development on the island. Therefore, hill land needs to be protected and conserved by other means and this study recommends the adoption of a policy of "No development in all ecologically and environmentally sensitive areas", the setting up of a Hill Land Technical Committee (HLTC) to manage all developments pertaining to hill land and to gazette all hill land in the State, and the use of state-of-the-art remote sensing and Geographic Information System (GIS) technology to monitor and control development activities on hill land in Penang.
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    Disaster prevention and management 4 (1995), S. 38-44 
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    Notes: In Britain in 1945, the politics of peace steered reconstructiontowards a static socio-economic base from which stemmed many laterplanning and social problems. Britain had emerged from six years of wareconomically weakened but with a clear social vision, an effectiveadministration and fully evolved plans for the transition from war topeace. The social vision including the ideal of full employment and theright to a local job and a local home. This placed the economy in aspatial stranglehold and denied it the flexibility needed to adapt tochanging global conditions. Draws on the British experience to suggestthat the understandable desire to replace in situ what has beendestroyed is doomed to fail and can prejudice the ability of futuregenerations to meet their own needs.
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    Disaster prevention and management 4 (1995), S. 21-26 
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    Notes: Owing to the nature of their funding, hardly any NGO projects inAfghanistan have been long term or geared to the future development ofthe country. "Donor fatigue" and the fact that much of theprevious aid was politically motivated, has led NGOs to begin toquestion the value of their existing work and to consider whether andhow they might do more to promote peace and longterm reconstruction anddevelopment. In an attempt to address some of the questions, theNorwegian Church Aid, the Norwegian Refugee Council and Oxfam jointlysupported the organization of a workshop aimed at exploring the role ofNGOs in peace building. Based on the findings of that workshop, as wellas on A. Strand's five years of field experience.
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    Disaster prevention and management 4 (1995), S. 14-24 
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    Notes: Presents the Mohonk Criteria for Humanitarian Assistance inComplex Emergencies, produced by the Task Force on Ethical and LegalIssues in Humanitarian Assistance, convened by the Program onHumanitarian Assistance at the World Conference on Religion and Peace,as guidelines for co-operative relationships between political,humanitarian and military actors in complex humanitarian emergenciescreated by armed conflict.
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    Disaster prevention and management 8 (1999), S. 190-195 
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    Notes: The Year 2000 (Y2K) problem threatens the effective functioning of all Information Technology-enabled organizations. This paper illustrates the Y2K preparedness at Firstlogic, a software company in Wisconsin, USA. At Firstlogic, products have been tested for Y2K compliance, solutions have been suggested for non-compliant systems, resources have been allocated to modify or replace affected systems, and relevant legal issues have been addressed to protect the company from Y2K-related lawsuits.
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    Disaster prevention and management 8 (1999), S. 261-267 
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    Notes: This paper examines the sources of stress likely to be encountered by emergency managers when responding to a disaster. Stressors relating to environmental (e.g. time pressure, level of risk, heat), organisational (e.g. bureaucracy, appropriateness of information, decision support and management systems) and operational (e.g. incident command, decision making, interagency liaison, team and media management) demands are considered. The mediating role of personality and transient states of physical (e.g. fitness and fatigue) and psychological (e.g. high levels of occupational stress) states are reviewed in terms of their influence on stress, judgement and decision making. Strategies for identifying which of these potential stress factors can be controlled or reduced and for training emergency managers to deal with the others are discussed.
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    Disaster prevention and management 6 (1997), S. 245-251 
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    Notes: Explains that while some non-governmental organization (NGO) managers report that international staff are more difficult to manage than national staff, others report the opposite. Such different perceptions stem from different expectations of staff from different cultures. Describes a study in which NGO managers working in field programmes were surveyed on their perceptions of the differences between national and international staff. International staff were regarded by respondents as being: more likely to act on their own initiative; less likely to need close supervision; and more demanding of themselves and of others. Those reporting that international staff were more difficult to manage were more likely to have more than five years' work experience in developing countries. This may be explained by managers adapting to the culture in which they work. Such a cultural adaptation on the part of managers may in turn explain why relief workers often report that they are dissatisfied with their managers.
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    Disaster prevention and management 6 (1997), S. 318-335 
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    Notes: For many years there has been increasing concern about the effects of human error in complex system safety and reliability. This concern has been increased owing to accidents such as Chernobyl, Bhopal, Herald of Free Enterprise, Three Mile Island and the Kegworth air disaster. In the vast majority of these accidents, human error has played a critical role in the events precipitating the accident. Such accidents can in theory be predicted and prevented by risk assessment, in particular assessing the human contribution to risk. However, the collection of human-error data has proved a difficult field for the past 30 years, and yet industry would benefit from the existence of a robust human-error database. Provides therefore a brief historical résumé of past human-error databases, and discusses data collection and the inherent problems associated with data-collection schemes. Goes on to outline a human-error database currently being developed at Birmingham University, and presents information on regularly quantified human-error types. Finally, gives a general synopsis of the research and provides a selection of real human-error data points.
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    Disaster prevention and management 6 (1997), S. 356-361 
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    Notes: Investigates the effects of earthquakes in the Victoria region of Australia. Looks at how they can be predicted by the use of seismology, and how this information can be used to protect buildings from major damage. Examines a system developed by the Seismology Research Centre, Bundoora, Australia, to provide alarm, damage scenario and response information after moderate or large earthquakes.
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    Disaster prevention and management 7 (1998), S. 14-27 
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    Notes: Malaysia is an ex-colonial, newly-industrialising country, with a sustained high economic growth rate averaging eight per cent GDP per annum over the past ten years. Within such a rapidly booming economy, the pace of social, economic and political change is fast, as is the pace of technological change. Other things being equal, these are the changes in which environmental hazards can be magnified. As a result of rapid economic development, physical systems are disturbed and changed. For example, the modification of the hydrological cycle due to deforestation, urbanisation, development of hill slopes and other human land use have given rise to increased risks of landslides. In recent years, the collapse of a block of luxury condominiums in Kuala Lumpur, the Genting Highland and Pos Dipang landslide tragedies as well as other landslide disasters have caused substantial loss of life and damage to property and infrastructure. Combined with intensive development of hill slopes and hill land for housing, recreation, tourism, agriculture, highway and dam construction, and other human induced land use changes, the exposure and vulnerability of human populations to landslide hazards have also increased. Other reasons, largely structural, such as persistent poverty, low residential and occupational mobility, and landlessness, manifested in illegal squatting and farming on hill slopes and foothills have also contributed to increased vulnerability of large communities to landslide hazards in many parts of the country. As Malaysia pushes ahead to meet its target of becoming a fully industrialised country by the year 2020, further environmental degradation is expected to occur. Notwithstanding other aspects of environmental degradation, the occurrence of landslide hazards is expected to become a common feature of Malaysian life.
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    Disaster prevention and management 7 (1998), S. 176-182 
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    Notes: This paper describes the phenomenon of tsunamis within the European Seas and explains how tsunami research has developed during the last 40 years as a response to a large tsunami which occurred in the Aegean Sea region of Greece in 1956. The paper states that specific tsunami hazard maps have been established for particular coastal areas of Greece and that these maps and any associated disaster management plans have been developed as a tool to mitigate the effects of future tsunamis in the region. The author provides the results of new investigations of the effects of a past tsunami in Greece and shows that the magnitude of this event has been overestimated. The results imply that revisions of the urban hazard maps and associated disaster preparedness plans should be considered.
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    Disaster prevention and management 8 (1999), S. 27-32 
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    Notes: The emergence of biological weapons of mass destruction as likely terrorist means of reigning terror on domestic urban populations is outlined. The dimensions of such a possible future catastrophe are described. The lack of preparedness to mitigate and respond to such an event is noted and it is argued that the disaster research literature should be consulted as a guide to help develop effective mitigation and response plans.
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    Disaster prevention and management 8 (1999), S. 101-110 
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    Notes: As information systems (IS) become indispensable, EDP disaster recovery has to become an essential IS function. In this paper, after discussing the criticality of sound planning for information systems disaster recovery in banks, the approach to contingency planning adopted by Banca Commerciale Italiana, one of the largest banks of Italy, is presented. The most crucial point of the whole decision-making process was the selection of the most reliable layout configuration. Hence, the steps and the simulation methodology followed to such a purpose are illustrated. Finally the benefits and pitfalls of the solution adopted in Banca Commerciale Italiana are discussed.
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    Disaster prevention and management 4 (1995), S. 12-20 
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    Notes: Recent experience in many conflict areas has shown thatreconstruction and development assistance can be used to support peaceinitiatives before a final resolution to conflict is achieved. Initself, spot reconstruction will not bring about peace, but it can makea contribution towards reducing the scope of the conflict and providemuch-needed assistance to people who otherwise would be forced to leavetheir homes in search of relief and public welfare. Attempts to definespot reconstruction and outlines the key elements, prerequisites andguidelines for decision making when considering a spot reconstructionprogramme.
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    Disaster prevention and management 4 (1995), S. 55-60 
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    Notes: Firefighters completed a questionnaire which examined both positiveand negative reactions following major call-outs. Positive reactionswere more frequently checked than negative ones. Factor analysis ofpositive reactions resulted in four factors, suggesting that positivereactions after a call-out represented more than an increased sense ofgeneral wellbeing. The type of reactions reported were related to thetype of incident attended. Differences in reaction patterns were relatedto self-reported coping style and age of the firefighters.
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    Disaster prevention and management 4 (1995), S. 14-19 
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    Notes: When disasters, even natural ones, have a chemical or nucleardimension, scientists play a major role in their management. Presentsthe results of research on Canadian disasters, and includes other casesof disasters that occurred around the world. Discusses the experts' rolein decisions related to the response: how to identify a specificproduct, its impact on health, for example, in a climate of uncertainty;how to justify their methods, to the press, the politicians and thevictims as well as to the public. This "glass-house" workingatmosphere is very different from the one in which they carry out theirroutine analyses. Therefore their ability to communicate and theircredibility are very important aspects of their role.
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    Disaster prevention and management 4 (1995), S. 5-13 
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    Notes: Rapid assessment of a community's capacity to continue coping inthe aftermath of disaster could be of great value. Gradations ofcommunity consequences can provide emergency planners with criteria toguide them to realistic needs assessment and are invaluable toresearchers in classifying incidents by intensity. Conventional wisdommight lead us to view impact on community functioning in disasters as acontinuum, ranging from minimal to total collapse. Such a perceptionlacks clear-cut gradation, making administrative judgements difficultand contributing to the squandering of relief resources because of ourinaccurate assessment of the community's incapacity. The precise pointswhere communities cross damage thresholds resulting in the collapse ofinfrastructure appear at first, to vary inexplicably. Carefulconsideration suggests three sets of factors which interface to affectthese thresholds. Taken together, these will raise or lower communitycapacity to cope with adversity. The appropriate level of emergencyrelief could best be determined if we can strengthen our ability toassess rapidly the community's remaining capacity to provide for its ownpopulation. Proposes that this could be accomplished by the scaling ofthree sets of factors: community background, event factors and impactfactors. Although the need for scaling cannot be denied, the specificsof this suggestion will need to be tested to determine theirapplicability.
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    Disaster prevention and management 4 (1995), S. 5-12 
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    Notes: Although disasters remain statistically rare events, the lastdecade has seen an increase in the number of major incidents affectingthe UK. Concurrent with this increase have come clinical data, showinghow psycho-social health may be adversely affected by disasters. Aims togive the UK Department of Health a survey of the current provision ofpsycho-social care after disasters at English Regional Health Authoritylevel and to make recommendations regarding good practice in the care ofvictims of trauma by health care professionals. Uses varied methodology.Letters were sent to all the Regional Public Health Departments, askingfor information about the psychological care element within their majorincident plans. Shows that the provision for psycho-social carefollowing a disaster in England is extremely variable and although thereare undoubtedly regions with considerable expertise and interest, thereare also regions where provision appears to be minimal or non-existent.Recommends the provision of specialist traumatic stress services atregional level.
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    Disaster prevention and management 4 (1995), S. 11-24 
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    Notes: The response management of the Kobe earthquake in 1995 providespractitioners and theorists of crisis and disaster management with muchto consider. As in other efforts around the world the Kobe responsemanagement appeared slow and less than optimal in performance. Focuseson the effects of magnitude of impact and degree of strategicpreparedness that may affect response. Magnitude of impact is the degreeto which impact damage seems random in occurrence, the size of theimpact area, the severity of impact, the ratio of visible to invisibledamage, the number of major sub-event crises triggered by the impact ofthe event, and the degree of psychological distortion caused by (oraccelerated by) the impact of the event. The degree of strategicpreparedness depends on the degree to which response managers cansuccessfully translate meta-strategic missions and objectives intooperational strategies that are realistic and achievable in any givencrisis or disaster event. Components of strategic preparedness includethe provision of escalation triggers, establishing cascaded priorities,and having and maintaining a dynamic reserve. Planning and preparing forcrises and disasters needs to include cascade strategic priorityprofiles for communities, consideration of cultural features oforganizations and communities in developing plans and preparedness,establishing quantifiable escalation triggers for response management,and developing and maintaining a working dynamic reserve.
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    Disaster prevention and management 5 (1996), S. 22-29 
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    Notes: The recent increase in the use of military resources for foreign disaster assistance has raised questions about the appropriateness of this role for the military. Argues that using the military for foreign disaster assistance is inappropriate in most cases. The military's concepts and methods of operation are contrary to the supportive and participative concepts of disaster assistance. Without a significant change in the way the military functions, their involvement in foreign disaster assistance is justified in only the rare catastrophic disaster or where truly unique capabilities are required.
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    Disaster prevention and management 5 (1996), S. 27-35 
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    Notes: Examines attitudes to disasters in Arab countries and argues that they are frequently not reported and therefore not analysed in sufficient detail. Using data from the US Office of Foreign Disaster Assistance describes the types and frequency of natural disasters throughout the Arab world. Concentrates on drought as this is by far the largest cause of fatalities in the region. Outlines current policies regarding disaster prevention and management and concludes by suggesting ways in which the present situation could be improved.
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    Disaster prevention and management 5 (1996), S. 19-22 
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    Notes: There are over 400 nuclear reactors operating worldwide of which over 30 are in UK power stations. Describes the efforts made since Chernobyl to improve and control standards of safety in the UK's nuclear plants. Discusses the Health and Safety Executive's (HSE's) stringent imposition of its requirement to reduce risks as far as reasonably practical. Looks at safety requirements for older UK nuclear installations and the initiatives of the HSE, through its Nuclear Installations Inspectorate, towards improving safety standards internationally.
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    Disaster prevention and management 5 (1996), S. 41-46 
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    Notes: Technologists and the public look at risks in different ways: technologists try to find a way of estimating the size of each risk and then try to deal with the bigger ones first; their decisions may not be right but the reasons for them are usually made clear. In contrast, the reasons for the public's decisions are usually implicit, that is, they have to be deduced from their actions, but nevertheless they show a pattern. Tries to give each side a better understanding of the other's point of view.
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    Disaster prevention and management 5 (1996), S. 19-22 
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    Notes: Presents a method of analysis to obtain risk profiles for major adverse events. The method is based on a previously published method for probabilistically modelling historical data of past major accidents and disasters. Shows that insurable costs arising from such major events can be modelled using the two-parameter Weibull distribution. Values of parameters obtained using different data sets are seen to be comparable in value. Discusses the relevance of this work to risk analysis and identifies areas of research requiring future development.
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    Disaster prevention and management 8 (1999), S. 351-361 
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    Notes: What is the present state of international disaster relief? Seeks to answer this important inquiry because the increased emphasis on prevention does not make post-disaster response unnecessary. In so doing, this article will explore three important questions. Have practitioners overcome the obstacles to effective and efficient relief which have been identified in previous studies? What problems remain? What are the solutions to those issues which have not been resolved? Suggests numerous opportunities for improvement in both disaster management and scholarship.
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    Disaster prevention and management 8 (1999), S. 362-369 
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    Notes: Discusses fire safety management in passenger terminals. Describes the design, development, implementation and validation of a fire safety management model for use in airports, railway and bus stations. The research carried out is based on a comprehensive analysis of 25 terminals (air, bus, rail and sea) in the UK and Europe. Develops the relationship existing between fire risk, people and fire safety management. Although the model is still being reviewed and augmented, it has already produced interesting results and has proved to be an efficient, robust and quantifiable tool for use by fire safety managers.
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    Disaster prevention and management 4 (1995), S. 25-36 
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    Notes: Tucson, Arizona, experienced two large-scale floods in October 1983and January 1993. In comparing these floods, examines both the naturalevents and the response of public safety organizations. A summary of thenatural events compares the weather, flooding and damages. Inconsideration of the human response to the 1983 event, finds that thecommunity's emergency co-ordination centre was ineffective and isolatedfrom the public safety response network. Furthermore, an organizationalstructure, suited to the management of large-scale, multi-organizationalresponse, failed to emerge. Concludes that local government mitigatedthese deficiencies before the January 1993 flood. This was accomplishedin two ways. First, the community's emergency management agency mergedinto the Sheriff's Department and second, through consensus building andtraining, the community institutionalized an effective disaster responseorganizational structure.
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    Disaster prevention and management 5 (1996), S. 32-46 
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    Notes: Focuses on three management developments for improving organizational performance, with specific reference to fire services. Claims to have applications for most organizations, including rescue services, emergency and disaster planning units. Suggests that opening minds and accepting new information will enable these services to access the benefits of benchmarking and teaming. Provides a literary review, and considers the subject areas as part of an individual vocational study of 15 organizations in three countries (the UK, the USA and Denmark).
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    Disaster prevention and management 5 (1996), S. 36-40 
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    Notes: The term "disaster subculture", was introduced in the 1960s and 1970s, but has since not been given a great deal of attention. Even though it is still referred to in passing, the elements of disaster subculture are rarely discussed. After considering some examples of the phenomenon and its characteristics, concludes that disaster or emergency subculture does not seem to be an appropriate application of the wider sociological concept of subculture. It is not an alternative to the mainstream culture of a society but represents an aspect of that dominant culture that only manifests itself under particular circumstances. Proposes that, like other aspects of culture, it is learned by society and its members from past experience, personal as well as societal. It entails many features typical of society's cultural heritage and often entails role and behaviour changes deemed appropriate in emergencies. Concludes that, in light of this discussion, it would seem reasonable to change the term subculture as applied to disaster behaviour to bring the name in line with generally accepted usage.
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    Disaster prevention and management 5 (1996), S. 23-30 
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    Notes: Presents a Swedish police chief's analysis of the operational command concept, defining different tactical situations and ways to improve command functions. Police activities either occur unexpectedly or are known beforehand. There is a difference if conditions are generally seen as calm, uncertain or turbulent. Some situations are static, others are dynamic. Stresses the need to maintain professional competence and be mentally prepared for the odd, difficult or different. Argues that information is power, therefore good intelligence gathering and information mediation are important in all police operations.
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    Disaster prevention and management 6 (1997), S. 72-86 
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    Notes: Discusses flood risk in Malaysia, which has increased alarmingly in recent decades largely due to changing physical characteristics of the hydrological system caused by human activities: continued development of already densely populated flood plains, encroachment on flood-prone areas, destruction of forests and hill slopes development. Flood losses are high but disastrous flood events which occurred in the past as a consequence of rapid development and environmental degradation are forgotten quickly, people choosing to see only the positive benefits of a booming economy while turning a blind eye to their negative effects. Suggests that, within a climate of sustained economic boom, policy makers as well as Malaysians from all walks of life are understandably less concerned about floods than they are about the financial gains that can be reaped from a booming economy. States that official solutions for flood control are largely engineering based and are ineffective to combat extensive monsoon floods.
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    Disaster prevention and management 6 (1997), S. 87-93 
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    Notes: "Safety is no accident." It is not a coincidence that this slogan appears often in FAA literature, correspondence and advisory circulars. It is a frequent reminder to all of us that reliability and safety in aviation is a team effort and that all individuals are responsible for doing their part towards the maintenance of a safe flying environment. Presents aviation safety in the TQM framework of customer focus, continuous process improvement and total involvement. Identifies customers at various levels and illustrates, with examples, how continuous improvement occurs. Highlights the mechanism in place which helps ensure these improvements. Shows that total involvement yields safety, reliability and quality in the aviation services that we receive today. Discusses the presence and prevalence of TQM in various sectors of aviation and suggests that further continual improvements are still needed in today's aviation.
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    Disaster prevention and management 7 (1998), S. 413-419 
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    Notes: Taking advantage of the breakdown of formal social control directly following Hurricane Andrew in Miami, Florida, this paper conducts a naturally occurring breaching experiment to examine the deeper structure of values about policing and police practices. Both citizens of the damaged neighborhoods and the attending police were interviewed to determine the degree of concensus/dissensus concerning ideal and actual priorities of policing during the crisis period. The findings reveal a remarkable degree of consensus among citizens and the police. The implications for a consensus versus a conflict view of policing are discussed.
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    Disaster prevention and management 8 (1999), S. 33-41 
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    Notes: The paper starts with a description of a risk management model more suited to the current business environment. Key to the introduction of the model is the success of organizational communication and culture. Aspects of culture are explained using cultural theory. This is followed by a discussion of the critical role of communication, and the theory of the social amplification of risk is presented and analysed. From here the paper moves to the development of a framework explaining communications behaviour during crisis. The notions of structural distortion and communications degradation during crises are used to explain behavioural (cultural changes) distortion. Total risk management is presented as a notional solution to these problems.
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    Disaster prevention and management 8 (1999), S. 127-133 
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    Notes: The object of business continuity planning is minimising loss after a disaster. Achieving this goal requires that management and information systems are available to facilitate the recovery of core business operations as soon as possible. While safeguarding systems and/or arranging for substitutes is vital, it is equally important to ensure the availability of staff capable of operating these system under adverse disaster conditions. Adopting a human resource perspective, this paper discusses the implications of staff vulnerability, hazard and risk assessment, organisational systems, training and recovery management for disaster business continuity.
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    Disaster prevention and management 8 (1999), S. 184-189 
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    Notes: Crisis management and organizational continuity have become increasingly critical areas of competence for managers in organizations. The approach of typical business organizations to the problems of business area impact analysis (BAIA) has been fragmented. In particular, the potential problem is the lack of an analytical capability to identify business functions/processes. The research objective is to describe how business functions/processes can be identified to analyze business area impact for corporate crisis management. In order to conduct the BAIA efficiently, it is first necessary to identify business functions/processes according to a scientific approach such as that described in the Information Engineering methodology for systems development. Next, to investigate the financial impacts on business functions/processes, which level of function/process hierarchy decomposition is used as a basis must be determined.
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    Disaster prevention and management 8 (1999), S. 342-350 
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    Notes: In a large scale survey of almost 2,500 medical professionals working in practice throughout Germany, a comprehensive questionnaire was designed to assess diverse socio-demographic factors, as well as job-related features such as occupational stress, work satisfaction and working climate, and attitudes towards safety and risk-taking. Clinical outcome risk variables were also monitored, including on-site accidents and driving accidents. An attempt was made to apply Lisrel analyses to provide a more detailed insight into the multidimensional nature of the interactions between the various categories of data. Background and personal variables (demographic and attitudes towards risk-taking and safety-consciousness) have differential effects on accident behaviour. Overall, on-site accidents (within the medical practice) were directly and exclusively related to risk-taking, in contrast to moving vehicle accidents, which were determined by gender, recklessness and safety consciousness. The results explained 6-7 per cent of the variance which, whilst small, was significant, and more importantly, offers information and implications for understanding accident-related behaviour.
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    Disaster prevention and management 4 (1995), S. 32-37 
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    Notes: Sarajevo is no longer the city it was and will, over the next fewyears, have to find a new role for itself. Based on a presentation atthe Rebuilding Sarajevo Workshop, held in York, UK in May 1994, seeks toexplore the four underlying principles that are likely to be relevant tothe city of Sarajevo and its rebirth.
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    Disaster prevention and management 4 (1995), S. 45-54 
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    Notes: Disaster relief workers experience psychological and physical needsas a direct consequence of their disaster involvement. While this impacthas been acknowledged, relatively little is known about the nature ofthe psychosocial demands generated by prolonged exposure. Developingboth comprehensive preparatory and support programmes for relief workerswill require that the nature of these demands, their impact onpersonnel, and their implications for disaster management aredocumented. Describes the experiences of a group of nurses who providedrelief care in Romanian orphanages in the aftermath of the 1989revolution in that country. Suggests that prolonged disaster exposurecreates specific personal demands and operational problems. Problemswere described in relation to operational practices and national issues(e.g. political and cultural factors). Describes the implications ofthese factors for relief worker wellbeing and relief operationeffectiveness, together with suggestions for managing these demands.
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    Disaster prevention and management 4 (1995), S. 20-37 
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    Notes: Discusses the efficiency of disaster management policies andprogrammes in Australia. Argues that there are long-standingdeficiencies in strategic and operational planning and forecastingapproaches. Urges more co-operation and co-ordination between thevarious emergency services. Discusses the development of terrestrial andspace technologies which could be used in disaster management.
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    Disaster prevention and management 4 (1995), S. 25-31 
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    Notes: Presents a practical framework within which disaster responseoperational effectiveness can be balanced with cost efficiency. Thisbalancing is accomplished through a systematic proactive planning ofresponse requirements, costs projections, procurement and resourcemobilization. The framework is useful in general disaster responseplanning and in the development of cost-efficient procedures forsupporting disaster response efforts. It is generic and can be adaptedto local conditions and requirements.
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    Disaster prevention and management 4 (1995), S. 13-21 
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    Notes: Presents the findings from recent research into the management ofpublic safety risks in British sports grounds. Discusses the concept of"safety culture" and briefly sets out the methodologyadopted for the study. Reviews some previous work on "safetyculture" analysis, and then cultural theory, introduces and offersa socio-anthropological method of fourfold cultural categorization asthe theoretical orientation. Reveals the four contrasting, viable andarchetypical models of organizing the cross-organizational collaborationrequired for public safety risk management in British stadia and othersporting venues. Concludes by drawing out some implications for publicpolicy. Since there are four viable ways of organizing, and themanagement system at each venue will have evolved in response to itschanging local environment, it follows that there is no "one bestway" of managing safety at sports grounds.
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    Disaster prevention and management 4 (1995), S. 6-10 
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    Notes: A major earthquake causes massive destruction, high mortality, manycasualties and protracted health problems. The impact creates immediatemedical needs at the epicentre, while secondary health-related problemsare likely to arise in the areas to which the stricken population hasmoved for safety, or even afar in time and space, should the country'ssocio-economic destabilization cause further deterioration of the healthconditions. Epidemiological studies have shed light on the diseasepatterns following disasters, including earthquakes, and preparednessmeasures are possible. Discusses hospitals, injury, patient transport,logistics, communications, and disease and treatment problems arisingfrom recent earthquakes, including Kobe.
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    Disaster prevention and management 5 (1996), S. 6-21 
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    Notes: Shows a framework to assess urban and regional vulnerability. Starting from the first attempts to measure the vulnerability component of risk (the latter given as the combination of hazard and vulnerability) which have been carried out in Italy but which considered only single buildings, the method used until now is broadened to take into account also the vulnerability of the subsystems which are part of regional systems as well as social and economic vulnerabilities. Some important parameters have been identified to evaluate these vulnerabilities, and put in a framework which aids the assessment of overall regional and urban vulnerability. According to the authors' opinion such a framework can be very useful in addressing planners' and public administrators' decisions both on preventive strategies and during the preparation of reconstruction plans. This framework has been applied to a small seismic settlement in Lombardy, Toscolano Maderno.
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    Disaster prevention and management 5 (1996), S. 5-11 
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    Notes: Systems in the natural resource industry vary in their tolerance of human errors. Such operations are open to fallible decisions resulting from the way in which the organization deals with information. Organizations must therefore improve on their ability to learn from incidents in order to reduce the frequency and severity of errors. Presents information on fallible decisions from the management and cognitive sciences, as well as major disasters (for example Challenger; Herald of Free Enterprise). Describes a framework for increasing organizational learning through incident analysis and presents a five-step method for systematically analysing incidents.
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    Disaster prevention and management 5 (1996), S. 5-15 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: At 9 a.m. on 31 August 1988, Delta Flight 1141 crashed on take-off, killing 13 people and leaving 94 survivors. Existing research has furthered our insight into media coverage of disasters but it has not broadened our understanding of disaster narrative interpretations and disaster behaviour education. In total, 24 in-depth interviews explore reader interpretations of print-mediated disaster reality and the Delta 1141 disaster. Disaster news stories provide the frames people use to interpret aeroplane disaster behaviour. Concludes the media need to recognize that their pedagogical role extends beyond disaster reporting and includes disaster behaviour information.
    Type of Medium: Electronic Resource
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  • 94
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 5 (1996), S. 16-23 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Examines, through examples of disasters cited in the text, how response and assistance is given and at what speed, with particular reference to oceans, when applicable. Looks particularly at the part played by the Canadian Navy in many of these events.
    Type of Medium: Electronic Resource
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  • 95
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    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 5 (1996), S. 5-18 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Argues that, while the Commonwealth of Pennsylvania (USA) is found to be a low to moderate risk area in terms of seismic vulnerability, it is vulnerable to future episodes which could be quite threatening to a sizeable population. Degree of seismic vulnerability varies across the Commonwealth. Pursuant to assessing Pennsylvania's earthquake preparedness, the Commonwealth's various state agencies (n = 12) and the campuses comprising Pennsylvania's State System of Higher Education (n = 14) were asked to complete a mail-questionnaire which sought to determine their degree of earthquake experience, risk assessment activity, mitigation activity, and planning for response and recovery. A response rate of 78 per cent was attained. The experience, activity, and planning levels were found to be consistently low. These findings are consistent with research literature which describes the circumstances under which hazard reduction is likely to occur.
    Type of Medium: Electronic Resource
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  • 96
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 5 (1996), S. 23-27 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Charts the career of the author through the fire service and the subsequent major disasters which occurred during that time. Advocates the importance of adequate disaster plans, and explains the development of Lincolnshire's civil contingency plan.
    Type of Medium: Electronic Resource
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  • 97
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 5 (1996), S. 5-10 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Summarizes, under 12 general propositions, the findings from a series of field studies by the Disaster Research Center about the operations of the local mass media in disasters in the USA. The topics covered range from the disaster planning undertaken by mass media organizations, to the content of the news reported, and about differences among the electronic and print media involved, to the input of citizens into stories about disasters. Additionally, raises questions about the extent to which the findings can be extrapolated to other than US society.
    Type of Medium: Electronic Resource
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  • 98
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 6 (1997), S. 11-21 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Investigates what people are prepared to do in the way of disaster preparation, and examines how these assessments may be related to personal factors and attitudes. Draws on a theoretical model of the area, developed in a previous study using a qualitative grounded theory approach. Surveys 925 persons representative of the Swedish population between the ages of 16 and 74. Data were collected in a postal questionnaire. Shows that the preparations for disasters which had been carried out by the greatest number were installation of smoke detectors, participating in practice at school or work, and learning first aid. The least performed preparations included joining a voluntary organization or training programme, stocking up with tinned food at home, taking extra insurance, and learning how to deal with psychological crisis reactions. Finds considerable subgroup differences; and that the two key dimensions of the model - sense of personal meaningfulness and societal commitment - account for the differences. Suggests actions to be taken by the Swedish authorities.
    Type of Medium: Electronic Resource
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  • 99
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 6 (1997), S. 33-42 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: Data sets were compiled from the MHIDAS data bank for incidents where there had been five or more fatalities, ten or more injuries, 50 evacuations, or US$1 million damage. The data were converted to magnitudes on the Bradford Disaster Scale and analysed using maximum likelihood. Parameters determined from the estimation procedures were compared for compatibility between themselves and the results of analyses using other data.
    Type of Medium: Electronic Resource
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  • 100
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    Disaster prevention and management 6 (1997), S. 94-106 
    ISSN: 0965-3562
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Technology
    Notes: An information/communication revolution is being brought about by recent developments and innovations in computer and related technologies. Recognizes that many of the consequences will be very positive for all aspects of social life, but focuses on probable and possible negative effects of the currently accelerating cyberspace revolution. Discusses ten problematical aspects for disaster planning, management and research ranging, for example, from the creation of a new kind of disaster - computer-related system failures - and the increased difficulties that will be generated for intra- and inter-organizational communication and co-ordination, to the problems that will come from an inevitable information overload and the diffusion of inappropriate or incorrect disaster relevant "facts" and "ideas".
    Type of Medium: Electronic Resource
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