Context Of Public Health Emergency Research Articles

The Ethical Case for Decentralized Clinical Trials.

The recent pandemic spurred interest in innovative design for clinical trials. In particular, constraints on the public's ability to gather led to an increase in remote or decentralized clinical trials (DCTs). DCTs present an opportunity to extend the benefits of research to underserved populations, decrease burdens, increase access to trials, and fill knowledge gaps surrounding rare conditions, though they are not without their own unique challenges and risks. These risks are far from irremediable, and the advantages are significant enough to merit attention. There is a scientific and moral case to increase the use of DCTs beyond the context of public health emergencies.

The Study of an Urban Social Resilience Evaluation Index System under the Context of Public Health Emergencies

This paper focuses on urban social resilience under the context of public health emergencies. It constructs an evaluation index system based on the theories of resilience and urban resilience, urban and social vulnerability, system coupling and coordination, risk and chaos, as well as a review of the current state of domestic and international research. A BP comprehensive evaluation model was established and applied. The study found that among 21 cities, except for Shanghai, Beijing, Shenzhen, Chengdu, Nanjing, and Hangzhou, the social resilience levels of the remaining 15 cities are below the average level.

The Study of an Urban Social Resilience Evaluation Index System under the Context of Public Health Emergencies

The Study of an Urban Social Resilience Evaluation Index System under the Context of Public Health Emergencies

Development and initial validation of the career resilience instrument for CDC emergency responders in China within the context of public health emergencies: based on a survey conducted in Shanghai.

China faces various public health emergencies, and emergency responders at the Centers for Disease Control and Prevention (CDC emergency responders) are a mainstay in responding to public health emergencies. Career resilience can help CDC emergency responders to effectively respond to and recover from public health emergencies, but there is no specific measurement instrument available. In this study, we aimed to develop and conduct an initial validation of the career resilience instrument for CDC emergency responders in China within the context of public health emergencies from a process perspective. Based on a survey conducted in Shanghai, interpretive phenomenological analysis (IPA), which is a qualitative research approach to describing and analyzing individual experiences, was used to analyze the interview texts to develop the initial career resilience instrument for CDC emergency responders. The initial career resilience instrument was revised through two rounds of expert consultation. Cronbach's α coefficient and exploratory factor analysis were used to test the reliability and validity of the revised career resilience instrument. The initial career resilience instrument for CDC emergency responders contained three first-level measurement dimensions, 9 second-level measurement dimensions, and 52 measurement items. After expert consultation, the first-level and second-level measurement dimensions were not revised, 13 measurement items were deleted or revised, and six measurement items were added, resulting in 48 measurement items. The revised career resilience instrument was tested for good reliability and validity. Career resilience for CDC emergency responders can be regarded as a set of protective factors and dynamic processes that can be cultivated and intervened in cognitive, affective, and behavioral dimensions to improve their ability to respond to and recover from public health emergencies.

Developing a machine learning algorithm to predict probability of retear and functional outcomes in patients undergoing rotator cuff repair surgery: protocol for a retrospective, multicentre study

IntroductionThe effectiveness of rotator cuff tear repair surgery is influenced by multiple patient-related, pathology-centred and technical factors, which is thought to contribute to the reported retear rates between 17% and...

Development and training of a machine learning algorithm to identify patients at risk for recurrence following an arthroscopic Bankart repair (CLEARER): protocol for a retrospective, multicentre, cohort study

IntroductionShoulder instability is a common injury, with a reported incidence of 23.9 per 100 000 person-years. There is still an ongoing debate on the most effective treatment strategy. Non-operative treatment...

An Old Puzzle and Unprecedented Challenges: Coordination in Response to the COVID-19 Pandemic in the US

Major emergencies and crises require action from all levels of government and the involvement of numerous organizations from the private and nonprofit sectors. Thus, interorganizational coordination is a crucial element of emergency and crisis management. This study first addresses how interagency coordination is structured in American policies and frameworks within the context of public health emergencies. Then, the significant coordination-related challenges that exist at the federal level are discussed, as well as how such challenges manifested in a severe shortage of critical medical resources at the outset of the pandemic. A series of government reports are then reviewed to further explore these coordination failures. Finally, recommendations are offered regarding ways to integrate network governance into the hierarchical governance structure for better crisis coordination. This research contributes to a broader understanding of interagency coordination in response to large-scale public health emergencies.