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Hereditary modifiers involving baby hemoglobin impact the length of sickle cell condition inside people helped by hydroxyurea.
Recent natural disasters have challenged current models of crisis management and intervention, demanding speedy, flexible and emergent social actors to respond at multiple levels. To provide a comprehensive response, top-down models have incorporated the critical role played by citizen-volunteers in assisting communities in distress. However, few post-crisis response models have identified new social actors who can contribute with creative, coordinated, and sustainable solutions. In this article, we present the case study of the 2017 Mexican earthquakes and the post-disaster activities developed by an emergent group of social actors - reading mediators. We argue for the critical role of mediators and their use of children's literature and arts-based practices as essential instruments for community reconstruction. Drawing upon a case study methodology, we share the mediators' post-disaster activities and experiences in four stages immediate recovery, stabilisation, development and consolidation. We argue that such cultural interventions are essential in assisting communities recover and build resilience and, more importantly, new social actors such as reading mediators need further formal and institutional support. In this sense, el Protocolo, the cultural protocol developed in response to the mediators' work, stands as an exemplary model that complements the emergent and distributed actions of reading mediators. As a whole, the Mexican cultural response provides a unique comprehensive approach that could be modeled in other contexts to address the needs of all citizens in vulnerable post-disaster circumstances.Flood risk communication strategies have been ineffective for older adults as they have failed to accommodate diversity, viewing retired populations as homogenous. There have been calls from academics and NGOs to develop more detailed understandings of older adults' risk experiences to inform disaster risk reduction (DRR) and communication approaches. We conducted in-depth interviews with twelve members of the retired population, of which the majority happened to be members of a local church, in a flood risk area of north Wales, UK, in 2018 to ascertain risk perceptions, coping capacities, and risk communication preferences to inform more age-centred approaches. Results present retired population are a diverse group with varying perceptions and capacities. While personal risk perceptions were low overall, coping capacities varied and were primarily social in nature, which can be sustained despite mobility or other limitations typical of older age. Participants expressed preference for traditional/interpersonal risk communication methods, such as telephone calls or home visits. A key recommendation from this study is that risk communication and DRR practices should adopt people-centric approaches that are co-produced and respect the differentiated vulnerabilities, capacities and needs of at-risk populations. This study and its findings are important is providing a more nuanced picture of the vulnerabilities and capacities of the particularly at-risk population of older adults. We must ensure that future DRR research, policies and practices focus on all experiences of at-risk populations, not only the dominant narratives or extremes of groups, to capture differences within groups' abilities to support more effective community DRR.The study views the preventive measures undertaken by government to combat COVID 19 as stressor for individuals, and examines how individuals' personal traits including emotional intelligence and personality factors influence their coping strategies. The concept of trait EI is used in this study to understand its relationship with personality factors and their respective effects on the opted outcomes. Coping strategies in this study are categorised into task, emotion and avoidance-oriented coping. The results show that emotional intelligence is significantly related to all coping strategies whereas only certain personality factors make unique variances. When both emotional intelligence and personality are in the same equation, with the latter being controlled, the former shows incremental variance and the influence of personality factors is reduced. Detailed discussion of these findings and implications for policy makers and researchers are highlighted and conclude the paper.Strong communication systems for knowledge exchange are required to prevent, respond to and mitigate the effects of emerging public health incidents (EPHIs). The objective of this paper is to examine how "tacit knowledge" - implicit knowledge used to guide everyday practice - is employed in professional relationships and communication processes between public health and acute care settings. A qualitative study design was used to explore the experiences of key informants from public health and acute care settings in Ontario, Canada, to examine how specific dimensions of tacit knowledge are employed in communications about EPHIs. Twenty-six in-depth interviews were conducted from 2014 to 2015. The results describe the way in which participants employ discretion and knowledge of local context, and rely on relationships built on trust and credibility, to facilitate decision-making and communication during EPHIs. Given the uncertainty characterizing most EPHIs, communicators rely a great deal on their informal knowledge and networks which allow them to remain flexible and respond quickly to changing situations. The results reveal that communication about public health guidance during emergencies is a complex and active process that draws from past experiences of the individuals involved, and is shaped by the requirements of local circumstances. The broader implications of these findings for building resilient and responsive health systems are considered. In particular, for rethinking the authority of standardized forms of evidence in public health decision-making, and the importance of knowledge which is grounded in the uniqueness of specific local contexts.Considering the unexpected emergence of natural and man-made disasters over the world and Turkey, the importance of preparedness of hospitals, which are the first reference points for people to get healthcare services, becomes clear. Determining the level of disaster preparedness of hospitals is an important and necessary issue. SQ22536 This is because identifying hospitals with low level of preparedness is crucial for disaster preparedness planning. In this study, a hybrid fuzzy decision making model was proposed to evaluate the disaster preparedness of hospitals. This model was developed using fuzzy analytic hierarchy process (FAHP)-fuzzy decision making trial and evaluation laboratory (FDEMATEL)-technique for order preference by similarity to ideal solutions (TOPSIS) techniques and aimed to determine a ranking for hospital disaster preparedness. FAHP is used to determine weights of six main criteria (including hospital buildings, equipment, communication, transportation, personnel, flexibility) and a total of thirty-six sub-criteria regarding disaster preparedness.
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