How to Draw Rice Cooker, Rainbow Finger Family Song | Coloring Pages for Kids with Owl King TV
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Installing RefWorks Write-N-Cite for Microsoft Word - Duration: 1:51.Hello, everyone. In this video, we'll discuss downloading
and installing the RefWorks Write and Cite tool into Microsoft Word.
Please note that, at the moment. this tool can only be used with Microsoft Word.
If you're a Mac user you might need to download Open Office.
As with all RefWorks tools, you start from here. As is shown on the screen, you log into RefWorks,
click on your name to get the drop down menu, and then select Tools.
On the tools page, look for Cite in Microsoft Word,
and then click the Download and Install button for the appropriate version of Office.
You'll get the usual interim downloading page,
then you'll need to give the program permission to run on your computer.
Once that's done, you can follow the setup wizard as you would with installing most programs.
After it's installed, open up Microsoft word and find the RefWorks tab.
Once you've clicked on that, you'll find a link to log in and sync
your Write and Cite tool with your RefWorks account.
If you have any questions, please let us know.
We welcome visits in person, or you can call us at
(315) 792-3044 for the information desk,
(315) 792-3041 for the circulation desk.
You can also email us at refere@utica.edu.
Thank you for your time and attention.
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Using RefWorks Write-N-Cite for Microsoft Word - Duration: 3:28.Hello, everyone. In this video, we'll discuss using the Write and Cite tool for RefWorks.
This is the tool that is installed in Microsoft Word and is one of several ways that you can
insert citations and create works cited lists using RefWorks.
So you start by opening up Microsoft Word and going to the RefWorks tab.
Once there, you will need to log in.
You use your RefWorks account, click Login,
and then you get a screen that looks something like this.
One thing that you can do with this tool is change the citation style.
Here we started out with AMA, but this video will show you how to change the style to APA format
Click on the arrow to do the menu, click Select Other Style,
and then find the style that you would like to use. Click save and there it's been changed.
Before you start your writing you also want to sync your databases.
This means that all of the information that the Write and Cite tool has will be current with what you have in RefWorks
Just click the Sync My Database link that's right by the login or logout option in your toolbar.
Now you're ready to Write and Cite. This little video will show you how to do in-text citations.
You start having written, click Insert Citation, Insert New,
go to the correct folder, click on the article you want to cite,
and then click ok. And that inserts the in-text citation.
Now that we've done a few of those, this short video will show you how to create a works cited list.
Go up to Bibliography, Options, and Insert Bibliography,
and there's your works cited list all prepared.
Once you've finished with your writing, you'll need to remove the field codes.
Field codes are small markers that the program places in the document whenever you create an in-text citation,
so that it knows what to use when it creates a work cited list.
The process is fairly easy. You find the the Remove Field Codes option in your toolbar, click that,
click ok when asked if you want to--if you really want to remove all the field codes,
and then you'll get a confirmation that it's been done.
If you have any questions, we're happy to help.
We welcome in-person visits, but you can also contact us via phone at
(315) 792-3044 for the information desk,
or (315) 792-3041 for the circulation desk.
You can also email us at refere@utica.edu.
Thank you for your time and attention
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Window to the Law: Succession Planning for Brokerages - Duration: 4:07.Imagine you have two deals heading towards closing, and another offer pending.
Suddenly, your firm's managing broker becomes incapacitated or dies.
Can you close the pending transactions?
Will you receive your commissions?
In this month's Window to the Law, we will discuss how a brokerage can create a plan
to prevent such a disruption in its business.
In addition, we will touch on the best practices for a planned transition by a firm to a new
managing broker.
Emergency succession plans are something that every firm should adopt to not only avoid
disruption of its business but also to protect its assets and clients.
If the licensed entity is a corporation, the process for making a transition to a new managing
broker could be addressed in the corporation's bylaws, and may be as simple as appointing
a new managing broker and filing the necessary paperwork with the real estate commission.
However, in states where a corporation does not hold the real estate license or if the
firm is a sole proprietorship or single member entity, a more elaborate plan is needed.
A well-designed emergency succession plan will contain the following elements:
The name of a successor to the broker or a hierarchy of individuals to succeed the broker.
Providing the appointed successor with a power of attorney will give the individual the ability
to administer the winding up of the firm's business activities and may allow the individual
to close transactions, depending on the state law.
- Instructions about the location of current client files, escrow accounts, and the brokerage's
licensees;
- Information about former client files, bank accounts, contracts, insurance policies, and
association/MLS membership information;
- Information about current liabilities;
- Information on how to access computer accounts, voicemail, and other important passwords.
The way in which pending transactions can be closed when the managing broker of a single
member entity or a sole proprietorship dies or becomes incapacitated will vary by state.
Many states have laws that allow for the appointment of an individual on a temporary basis to close
transactions that are under contract or have offers pending and to terminate all other
listings or buyer representation agreements.
Brokers should review their state's law and address the requirements of state law
in their emergency succession plan, as some states allow the broker to pick the successor
or list potential successors.
In states without a statute, closing pending transactions may be more difficult.
In some states, giving power of attorney to an appropriately licensed individual may be
sufficient to allow the substitute broker to complete the transactions.
However, not all state real estate commissions will recognize another licensee taking over
the clients of the former managing broker.
In those instances, the new broker may need to have the clients transfer their listings
to complete
the transactions.
Brokers should discuss their options with their attorney when creating their emergency
succession plan.
Of course, most brokerages will not need to utilize an emergency succession plan when
transferring its leadership from one broker to another.
If the firm is having one broker succeed another at the firm instead of selling the business,
here are some best practices in succession planning.
First, the firm should identify the individual or individuals who have the skills to lead
the firm forward and confront the future challenges that the firm will face.
The individual or individuals may currently work for the firm but external candidates
should also be considered.
Once the possible successors are identified, the candidates should be exposed to all aspects
of the brokerage's operations so the individual has a good understanding of the firm's business.
Finally, the successor should be introduced and become familiar to all important individuals
who are involved with the firm, whether it be the firm's directors or other business
partners.
Succession planning is an important issue for all real estate brokerage firms to consider.
A list of resources to help in succession planning are listed on the screen.
Thank you for watching this edition of Window to the Law.
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Setting up RefWorks for GDocs - Duration: 2:12.Hello, everyone. In this video. We'll go over how to install the Cite in Google docs add-on for your browser.
This is useful if you prefer to write in Google Docs rather than with Microsoft Word.
Because it will allow you to create in-text
citations and works cited lists as you write.
As with all RefWorks tools you get to this one by logging into RefWorks,
clicking on your name, and then
from the drop-down menu select tools.
Once you're on the tools page look for the Cite in Google Docs section and click the button that says get the add-on.
This will take you to an intermediary page, and you'll need to click "Free"
and then continue to get started in your installation.
You'll need to give the tool several permissions for Google docs.
Once you've confirmed those you can click allow, and that concludes the installation.
You can get to the add-on by clicking on "add-ons" in any Google Doc document and then selecting the tool.
It will open up this smaller window on the side of your browser,
and you'll need to login with your RefWorks information
Accessing the tool should look a little something like what's shown in this video
Go up to the Add-ons menu, find Proquest RefWorks, click "Manage Citations," and there you are.
If you have any questions, we're happy to help. You can visit us in person,
or you can call us at (315) 792-3044 for the information desk,
or (315) 792-3041 for the circulation desk.
You can also email us at refere@utica.edu, and we thank you for your time and attention.
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Midday at the Oasis: Pacific Disaster's DisasterAWARE for Health Monitoring - Duration: 55:48.>> WE ARE GOING TO GET STARTED,
SO MARCO, YOU WANT TO TURN ON
THE RECORDING?
>> OKAY, I STARTED IT.
>> GREAT, THANKS. SO WELCOME TO
MIDDAY AT THE OASIS JUNE 21,
2017. I'M KAY DEENEY OF THE
NATIONAL NETWORK OF LIBRARIES OF
MEDICINE. YOU MAY HAVE HAD TO
LOAD A PLUG-IN, IF YOU HAVEN'T
ALREADY VIEWED ONE OF OUR WEBEX
WEBINARS BEFORE AND WE ARE
ASKING YOU TO REGISTER FOR
MIDDAY ALL THE TIME, BECAUSE THE
ENTRY CODE WILL CHANGE EACH TIME
YOU LOG IN, AND YOU ARE ALL
CURRENTLY MUTED AND WE WILL
UNMUTE YOU TOWARD THE END OF THE
WEBINAR IF YOU RAISE YOUR HAND.
AND YOU SHOULD SEE THE HAND AT
THE BOTTOM OF THE LIST OF
PANELISTS. THE OTHER THING IS,
YOU CAN GO TO FULL SCREEN AT ANY
TIME. YOU ARE ALLOWED TO DO
THAT. I WANT TO PUT IN A FEW
REMINDERS. IN JULY, WE WILL BE
HOSTING THE NN/LM RESOURCE
PICKS, AND THAT WILL BE ON
PUBMED HEALTH, WITH HILDA
BASTIAN, JULY 26 AT 3:00P.M.
EASTERN TIME, NOON PACIFIC TIME.
ABOUT ONE HOUR EARLIER THAN OUR
USUAL MIDDAY WEBINARS. I
BELIEVE THAT IS ALSO A
WEDNESDAY. WE ARE ALSO BE
PLANNING ANOTHER MIDDAY IN
AUGUST ON THE 16TH OF AUGUST,
AND STAY TUNED FOR THE TOPIC ON
THAT PARTICULAR ONE. WE HAVE AN
EXCITING PRESENTATION TODAY WITH
JOSEPH GREEN, THE EPIDEMIOLOGIST
AND HEALTH RISK SPECIALIST AT
PDC, PACIFIC DISASTER CENTER,
ALONG WITH MICHAEL CHATMAN,
DISASTER MANAGEMENT SPECIALIST
AND RESPONSE LEAD. THEY WILL BE
COVERING THE PACIFIC DISASTER
CENTER'S BACKGROUND AND
DEVELOPMENT OF PDC'S SITUATION
AWARENESS TOOL, DISASTER AWARE
AND HOW PDC LEVERAGED THIS TOOL
TO MONITOR GLOBAL HEALTH EVENTS.
EVEN THOUGH THEY HAVE PACIFIC IN
THEIR TITLE, THEY WERE MUCH MORE
GLOBAL THAN THAT. SO I AM GOING
TO TURN IT OVER TO THEM. MARCO,
YOU WANT TO MAKE SURE THEY ARE
UNMUTED? GOOD.
>> THANK YOU FOR THE
INTRODUCTION. THIS IS JOSEPH
GREEN, THE EPIDEMIOLOGIST AND
HEALTH RISK SPECIALIST HERE,
JOINED BY MICHAEL CHATMAN.
MICHAEL WILL GIVE THE BACKGROUND
ABOUT PACIFIC DISASTER CENTER,
WHO WE ARE, WHAT WE DO HERE AT
PDC AND WALK YOU THROUGH THE
DEVELOPMENT OF OUR DISASTER
AWARE APPLICATION, THEN I WILL
TAKE OVER AND GO THROUGH SOME OF
THE BACKGROUND ABOUT OUR HEALTH
MONITORING ACTIVITIES AND GUIDE
YOU THROUGH SOME OF THAT. THEN
WE WILL OPEN IT UP FOR
QUESTIONS, SO I WILL HAVE
MICHAEL GO AHEAD AND INTRODUCE
HIMSELF AND TAKE IT AWAY.
>> THANK YOU. HI, EVERYONE ON
THE CALL. LOOK FORWARD TO THIS
PRESENTATION. EXACTLY, AS KAY
SAID, WE ARE NOT JUST A PACIFIC
ORGANIZATION, BUT WE ARE GLOBAL
ORGANIZATION, WE HAVE A GLOBAL
MISSION, WHETHER IT'S A RESPONSE
OR DISASTER REDUCTION, PROVIDING
WARNINGS, ESPECIALLY ON THE
MEDICAL SIDE, BUT YEAH, SO THANK
YOU FOR POINTING THAT OUT. THIS
FIRST, TO GIVE YOU BACKGROUND
ABOUT PDC, I WILL TAKE A STEP
BACK. WE WERE ACCOMPLISHED IN
THE AFTERMATH OF HURRICANE--
BEGAN IN '96. NIKI WAS IN '92.
IT REALLY DEVASTATED HAWAII. AT
THAT POINT, THEY RECOGNIZED A
GAP, THAT THERE'S ALL THIS
INFORMATION AVAILABLE, WHETHER
IT'S FROM THE GOVERNMENT
SECONDER OR ACADEMIA, THESE
SILOS OF INFORMATION, AND THE
INFORMATION WAS NOT GETTING INTO
THE HANDS OF THE
DECISION-MAKERS. IF IT WAS, IN
A WAY THAT WAS EASILY
DIGESTIBLE, THEY COULD MAKE
QUICK DECISIONS. SO PDC WAS PUT
IN PLACE TO BRIDGE THAT GAP, TO
ENSURE THE INFORMATION GETS IN
THE HANDS OF THOSE WHO NEED TO
MAKE THE DECISIONS. YOU WILL
SEE THAT THROUGH OUR PRODUCTS
THAT WE WILL BE REVIEWING TODAY.
OUR GOAL ESSENTIALLY IS BOILED
DOWN ON THE RIGHT GRAPHIC THERE.
THE WORK WE DO, THE FIRST GOAL,
TO AVOID HAZARDS FROM BECOMING
DISASTERS. IF YOU DO HAVE
DISASTERS, AVOID THEM BECOMING
CRISIS. THAT IS OUR MAIN GOAL.
WE PROVIDE THAT DECISION SUPPORT
TOOL, EARLY WARNING AND SO ON.
IT IS OUR VISION, IS THROUGH
THIS, TO PROVIDE SAFER, A MORE
SECURE WORLD, WHICH I'M SURE ON
THE HEALTH SIDE, IS THE ULTIMATE
GOAL OF EVERYONE ON THE CALL
HERE. OUR GOAL, THE WAY WE
ACHIEVE THAT IS THROUGH DISASTER
RESILIENCY, FOSTERING
COMMUNITIES THROUGH THAT
INFORMATION, THE SCIENCE AND
TECHNOLOGY AND EXCHANGES PDC
PROVIDES. THAT'S KIND OF A
QUICK SUMMARY. HERE'S A BETTER
GRAPHIC WITH WHAT I EXPLAINED
EARLIER, SHOWING THAT BRIDGE
THAT PDC-- ACADEMIA AND
DECISION-MAKERS. ON THE
SCIENTIFIC COMMUNITY SIDE, AS
YOU ARE ALL FAMILIAR WITH,
THERE'S PEER REVIEW
REQUIREMENTS. VERY COMPLEX
VOCABULARY, AND TECHNICAL
GROUPS. ON THE DECISION-MAKER
SIDE, YOU HAVE-- THEIR AUDIENCE
IS THE PUBLIC, AND MORE SIMPLER
VOCABULARY, BECAUSE YOU NEED TO
GET THE INFORMATION OUT QUICKLY
AND ACCURATELY AS POSSIBLE. AND
TO THE PUBLIC. AND ASSOCIATIONS
IS VERY PUBLIC. SO A DIFFERENT
AUDIENCE. SO LOOKING TO BRIDGE
THAT, TO MAKE SURE THE
INFORMATION COMING OUT FROM
SCIENTIFIC AND ACADEMIA, AND THE
GOVERNMENT IS IN A WAY THAT
MEETS THE DECISION-MAKERS'
NEEDS. WE DO THIS THROUGH AN
INTEGRATED APPROACH. WE
MENTIONED APPLIED SCIENCE AND
TECHNOLOGY. YOU WILL SEE
DISASTER AWARE IN A SECOND HERE.
WE ALSO HAVE CAPACITY BUILDING
AND EVIDENCE-BASED INFORMATION
PRODUCTS. SO SUPPORT ON THE
POLICY SIDE, SUPPORTING
DECISION-MAKERS. DISASTER
MANAGER, AND HUMANITARIAN
SYSTEMS ALL AROUND THE WORLD.
THAT INCLUDES-- ALL AROUND THE
WORLD. SO THERE ARE FOUR MAIN
AREAS THAT ARE OFTEN ISOLATED,
THAT PDC BRINGS TOGETHER WITH
DATA COLLECTION. GIS AND
VISUALIZATION, THEN YOU HAVE
YOUR ADVANCED APPLICATIONS,
MODELS, RISK AND VULNERABILITY
ASSESSMENTS, A LOT OF WORK THAT
DR.GREEN DOES ON THE HEALTH
SIDE AS WELL. THEN WE HAVE OUR
COMMUNICATIONS SYSTEMS AND
NETWORKS. VERY SPECIALIZED
AREAS. WHAT PDC DOES, WE BRING
IT ALL TOGETHER INTO ONE
TECHNOLOGY HERE, AND INTO OUR
INTEGRATED INFORMATION, SCIENCE
AND TECHNOLOGY, OUR DISASTER
AWARE. NOT ONLY THIS, YOU CAN
SEE IN THIS GRAPHIC, IF YOU CAN
SEE MY SHARE POWERPOINT HERE,
THE MOST IMPORTANT PIECE HERE
ARE THE HUMANS, THE PEOPLE, NOT
ONLY PROVIDING THE TECHNOLOGY,
BUT ENSURING IT IS ACCESSIBLE TO
EVERYONE WHO NEEDS IT, AND
AROUND THE WORLD, ALL THE TIMING
AND MAKE SURE IT HAS THE
INFORMATION REQUIREMENTS SO THEY
CAN MAKE DECISIONS EFFECTIVELY.
DISASTER AWARE, THIS IS OUR
FLAGSHIP PRODUCT HERE. IT
INCLUDES-- IT IS A MULTI-HAZARD
MONITORING SYSTEM, SO IT'S
TAKING GLOBAL AND REGIONAL
SOURCES FROM ALL OVER THE WORLD
AND PROVIDING THE INFORMATION AT
ONE LOCATION. THAT IS FOR
NATIONAL DISASTERS AND
HEALTH-RELATED INCIDENTS,
OUTBREAKS AND SUCH, AND WE HAVE
ANOTHER BRIEFING AFTER THIS.
YOU CAN SEE THAT, AND BRINGS ALL
THIS INFORMATION TO ONE PLACE.
PDC HANDLES ALL THE AGREEMENTS
WITH OUR PARTNERS. THERE'S
SPECIALIZED IN EARTHQUAKES,
TROPICAL CYCLONES, TSUNAMIS AND
SO ON. WE MANAGE ALL THOSE DATA
SHARING AGREEMENTS,
RELATIONSHIPS, TO ENSURE THOSE
WHO REQUIRE THIS DECISION
SUPPORT CAPABILITY, ALL THEY
HAVE TO DO IS MANAGE THEIR
ACCOUNT, LOG IN, SO THEY CAN
TAKE ADVANTAGE OF THE
INFORMATION, THE NETWORK ON
BEHALF OF THEM, THAT THEY COULD
HAVE ACCESS TO THIS INFORMATION.
IT IS A MULTI-HAZARD TOOL. IT
PROVIDES DISASTER EARLY WARNING.
THAT FIRST GRAPHIC YOU SEE A LOT
OF DIFFERENT ICONS ALL AROUND.
IT'S REALLY THOSE-- THIS NEXT
GRAPHIC HERE. IT IS KIND OF
HARD TO SEE FOR SOME SCREENS,
BUT THESE ARE WHAT WE CALL PDC'S
ACTIVE HAZARDS. AS WE ARE
MONITORING FOR ALL THE DIFFERENT
HAZARD TYPES, WHEN IT MEETS A
CERTAIN THRESHOLD THAT COULD BE
DETRIMENTAL TO PUBLIC HEALTH OR
INFRASTRUCTURE OR THE
ENVIRONMENT, WHATEVER THAT
THRESHOLD MAY BE FOR ANY KIND OF
HAZARD TYPE, WE WILL ISSUE
ALERTS, SO YOU CAN RECEIVE TEXT
ALERTS, EMAIL ALERTS, AS WELL AS
ALERTS THROUGH THE SYSTEMS THAT
YOU ARE ALERTED TO THOSE HAZARDS
THAT NEED YOUR ATTENTION THE
MOST, THOSE YOU WILL LIKELY NEED
TO GET INVOLVED IN, BUT ALSO
PROVIDING ADDITION INFORMATION
OF OTHER EVENTS GOING ON. SO WE
PROVIDE MULTIPLE LEVELS OF THIS.
THE EARLY WARNING PIECE, MAKING
SURE YOU RECEIVE EARLY
NOTIFICATION FOR THOSE HAZARDS
THAT MATTER THE MOST IS
CRITICAL, VERY IMPORTANT TO US.
THEN NOT ONLY KNOWING WHERE A
HAZARD IS, WHERE IT OCCURRED,
BUT I LIKE TO CALL THE
SILHOUETTE. YOU HAVE AN
EARTHQUAKE, BUT WHAT IS THE
POTENTIAL SHAKING, THE POTENTIAL
IMPACTS? WE ALSO DO THAT FOR
OTHER EVENTS AS WELL, TSUNAMIS,
OTHER EVENTS. MAKING SURE THAT
YOU KNOW NOT ONLY THE LOCATION,
BUT WHAT ARE THE POTENTIAL
IMPACTS AND WHAT IS THE
SITUATION ON THE GROUND. SO
INTEGRATED MODELS. THEN IT IS
IMPORTANT TO REMEMBER THE PAST,
WHAT HAS HAPPENED HISTORICALLY,
ALSO WHAT COULD HAPPEN WITH
WHAT'S POSSIBLE. SO BRINGING IN
THAT INFORMATION REQUIRED FOR
PLANNING, SO YOU CAN HELP BUILD
THOSE RESILIENT COMMUNITIES AND
YOU KNOW YOUR RISKS, THAT YOU
CAN APPLY THOSE POLICIES AND
TRAININGS, EXERCISES, SO YOU CAN
PREPARE AND GIVE A RESPONSE MORE
EFFECTIVELY, BUT EVEN AVOID
THOSE SITUATIONS, WHERE
POSSIBLE. THEN WE HAVE THE KEY
COMPONENT OF DISASTER AWARE THAT
WE'LL SHOW YOU TODAY IS THE
INTERAGENCY INFORMATION-SHARING.
THIS COMPONENT ALLOWS
INFORMATION FROM ALL THE KEY
STAKEHOLDERS, THE PLAYERS IN A
RESPONSE, OR FOR A PARTICULAR
HAZARD TYPE TO SHARE
INFORMATION, SHARE LATEST
REPORTS, ADVISORIES, MAPS, AND
SO ON, AT A SINGLE LOCATION, SO
YOU COULD HAVE THAT PICTURE.
THIS ARE IS A GOOD WAY WE HAVE
BEEN ABLE TO FACILITATE MAJOR
EVENTS, COMMUNICATIONS FROM THE
CIVILIAN SIDE, THE CIVILIAN
DISASTER MANAGERS TO THE
MILITARY DISASTER MANAGERS AS
WELL. SOME EXAMPLES OF SOME OF
THE USER-ADDED REPORTS WE HAVE
SEEN IN THE PAST. THIS GRAPHIC
HERE PARTICULARLY, IT LOOKS LIKE
A CIRCUMSTANTIAL-- LOOKS LIKE
A-- YOU HAD A LOT OF RESCUE
TEAMS COMING IN, AND SO THIS
PROVIDED THEM MORE VISIBILITY TO
WHERE THE PLANNED ASSESSMENTS
WERE, COMPLETED ASSESSMENTS WERE
AND WHO WAS RESPONSIBLE FOR WHAT
AREA, BECAUSE BEFORE THEN,
THERE'S A RISK OF PEOPLE
CONDUCTING MULTIPLE ASSESSMENTS
IN THE SAME HOUSE. I THINK WE
SAW THAT DURING HURRICANE SANDY
AS WELL. SO PROVIDING THIS TO
KEY STAKEHOLDERS WAS KEY. THEN
WE HAVE REMOTE ACCESS CALLED
DISASTER ALERT. THERE IS A WEB
ACCESSIBLE VERSION CALLED
DISASTER ALERT, NOT REQUIRE A
LOG-IN. THIS IS A GOOD TOOL, IF
YOU ARE INVOLVED IN
COMMUNICATING OUT TO THE PUBLIC.
YOU CAN USE THIS TO INTERFACE
WITH THEM. IT IS A DOWNLOADABLE
APP, BUT MY FAVORITE IS GO TO
DISASTER ALERT DOT PDC.ORG, AND
THAT IS OUR WEB-ACCESSIBLE ONE.
YOU CAN ACCESS ITS ON YOUR PHONE
AS WELL. IT HAS A LOT OF
INFORMATION, THOSE BIOMEDICAL
HEALTH-RELATED HAZARDS AND OTHER
HAZARDS, ALL THAT INFORMATION
AVAILABLE TO THE PUBLIC, SO KEEP
THAT IN MIND. DISASTER AWARE,
THERE'S A SLIDE THAT WILL PAINT
THIS BETTER-- IT IS LOG-IN
RESTRICTED FOR DISASTER MANAGERS
AND PRACTITIONERS. THE OTHER
SLIDE WILL HOPEFULLY MAKE THAT
CLEAR. I WANTED TO SHOW YOU AN
EXAMPLE HERE. THIS IS CELL
PHONE WITH TEXT MESSAGES, THE
ALERT SERVICE. SO YOU CAN SIGN
UP FOR THIS TO RECEIVE TEXT
NOTIFICATIONS AND EMAIL AND
CUSTOMIZE WHAT HAZARDS AND WHAT
AREAS AND AT WHAT THRESHOLDS,
WATCHES, WARNINGS, YOU WANT TO
RECEIVE ALERTS FOR. THAT IS ALL
ACCESSIBLE THROUGH YOUR USER
PREFERENCES. HERE'S THAT SLIDE.
I BUILD IT REAL QUICK. YOU HAVE
YOUR DISASTER ALERT AT THE TOP,
YOUR PUBLIC APPLICATION THERE.
AND YOU HAVE DISASTER AWARE, ALL
LEVELS OF EMERGENCY MANAGEMENT,
AND AROUND THE WORLD. WE
SUPPORT COUNTRIES AROUND THE
WORLD IN DISASTER MANAGEMENT, SO
THEY CAN USE THIS. IT IS
REQUIRED THAT YOU ARE A DISASTER
MANAGER OR INVOLVED IN
HUMANITARIAN ASSISTANCE. IF YOU
LOG IN TO EMOPS, THERE IS A
REQUEST AN ACCOUNT SECTION. LET
US KNOW IF YOU HAVE QUESTIONS ON
THAT. AND CUSTOM. WE OFFER A
FEE-BASE CUSTOM APPLICATIONS.
THESE ARE DEPLOYED DIFFERENT
LOCATIONS AROUND THE WORLD. I
KNOW WE HAVE THEM FOR VIETNAM,
FOR INDONESIA, A DISASTER
MANAGEMENT ORGANIZATION THAT'S
REGIONAL FOR TEN COUNTRIES IN
SOUTHEAST ASIA. AND THERE'S
OTHER EXAMPLES AS WELL. NEPAL
AND OTHERS AS WELL. SO WE OFFER
THAT. FOR THOSE, YOU CAN HAVE
CUSTOMIZED CONTENT. THEY MAY
HAVE THEIR OWN SOURCE FOR
EARTHQUAKES OR FOR CERTAIN
REPORTS. WE CAN CUSTOMIZE IT
FOR THEIR NEEDS. HERE'S THE
DISASTER ALERT, THE DOWNLOADABLE
APP. HERE'S THE WEB PAGE. THEN
WE HAVE DISASTER AWARE. SO YOU
COULD SEE A LOT OF IT LOOKS
SIMILAR. IT IS JUST WHEN YOU
GET TO DISASTER AWARE, YOU HAVE
THE LOG IN AND THERE'S ADDITION
FEATURES, THAT SHARING COMPONENT
IS AVAILABLE THROUGH DISASTER
AWARE, AND NOT DISASTER ALERT.
SO DIFFERENT LEVELS OF THAT
INFORMATION, SO MAKE SURE THE
PUBLIC HAS WHAT THEY NEED AS
WELL. THEN YOU HAVE CUSTOM.
THE EXPERIENCE LOOKS SIMILAR.
IF WE ARE WORKING IN VIETNAM
USING THEIR SYSTEM, THEN I JUMP
TO MY COMPUTER, IT IS A SIMILAR
EXPERIENCE, SIMILAR INFORMATION.
HERE'S SOME EXAMPLES OF
CYCLONES. WE GET THE ADVISORY.
IF YOU ARE FAMILIAR WITH THE
ADVISORIES, THEY HAVE A LOT OF
TEXT AND THEY COULD BE VERY
COMPLICATED AS FAR AS ALL THE
INFORMATION. SO WE TAKE THAT,
AND AS SOON AS IT IS AVAILABLE,
AND WE PUT A HAZARD INTO THE
SYSTEM AND SEND THOSE ALERTS
OUT, SO EVERYONE IS NOTIFIED
THAT AN UPDATE OR NEW CYCLONE
HAS OCCURRED. WE TAKE THAT
INFORMATION. IN THE BACKGROUND,
WE GRAPH THE TRACKS. WE CAN SEE
THE POTENTIAL STRENGTH AND
LOCATION, WHERE IT IS GOING TO
TRAVEL. THEN WE BRING IN THAT
ADVANCED MODELING THAT SHOWS
WELL, IT IS GOOD TO KNOW, BUT
WHAT DOES THAT MEAN TO ME? SO
THIS SHOWS YOU WHERE THE AREAS
ARE GOING TO BE. SO IF YOU HAVE
HEALTH FACILITIES OR OTHER
ASSETS ON THE GROUND OR CERTAIN
POPULATIONS YOU ARE MONITORING
THAT LOCATION, YOU COULD SEE
QUICKLY WHERE THEY MIGHT BE,
WHAT THEY MIGHT BE EXPOSED TO,
WHAT LEVEL OF POTENTIAL IMPACTS,
STORM SURGE AND RAINFALL. HERE
IS RAINFALL. AND THEN STORM
SURGE. I ZOOMED IN A LITTLE
CLOSER THERE. THEN YOU HAVE
THIS HAZARDS AND PRODUCTS. FOR
EACH HAZARD TYPE, YOU HAVE
ACCESS TO ALL THOSE PRODUCTS,
FROM DIFFERENT AGENCIES INVOLVED
IN THIS EVENT HERE. THIS
PARTICULAR-- THIS IS AN
AUTOMATED ONE. IT TAKES THE
SEVERITY INFORMATION AND LOOKS
AT WHAT POPULATION IS EXPOSED.
ADDS IT UP IN A FORM, AND HOW
MANY RESIDENTIAL UNITS ARE
EXPOSED. THAT IS GOOD, BECAUSE
WE ARE LOOKING AFTER THE FACT
WHAT THE POTENTIAL IMPACTS ARE
TO HOUSEHOLDS, YOU CAN DETERMINE
IN ADDITION, FOR THE MORE SEVERE
EVENTS, IT TRIGGERS THIS OTHER
NEEDS BASED ON INTERNATIONAL
GUIDELINES, THIS NEEDS
ASSESSMENT THAT SHOWS WHAT IS
THE POTENTIAL OF REFUSE
DISPOSAL, SPACE REQUIREMENTS,
SHELTER NEED AND SO ON. YOU CAN
SAY IF WE HAVE DISPLACED
POPULATIONS, WHAT ARE THOSE
REQUIREMENTS THAT WE MAY NEED TO
PROVIDE TO HELP THAT AFFECTED
POPULATION AFTER THE EVENT.
EARTHQUAKE IS SIMILAR. YOU GET
THE ADVISORY FROM USGS. IT CAN
BE TECHNICAL. THEN WE BRING IN
SHAKING INTENSITY HERE, SO WE
CAN SEE WHAT AREAS WERE EXPOSED
TO THE GREATEST SHAKING, THAT
MIGHT HAVE THE MOST DAMAGE. AND
REALLY LEVERAGING THE WEALTH OF
INFRASTRUCTURE AND OTHER DATA IN
DISASTER AWARE. THIS IS
FOLLOWING THE MAJOR EARTHQUAKE
WE HAD A FEW YEARS BACK. SO
WHERE ARE THE HOSPITAL AND
SCHOOLS AND OTHER CRITICAL
INFRASTRUCTURE LOCATED,
POPULATION. SHARING THOSE
PRODUCTS. MAKING SURE THE
LATEST INFORMATION FROM PARTNERS
GETS IT OUT TO THE POPULATION.
THEN THIS IS AN EXAMPLE FOR
TSUNAMI, THE JAPAN EVENT OF
2011. SO WE GOT THE ADVISORY.
AS SOON AS WE PUT IT IN THE
SYSTEM, YOU CAN SEE THE
TRAVEL-- HOW LONG IS THAT FIRST
WAVE, FROM THE SOURCE LOCATION
TO WHATEVER, WHATEVER COASTAL
LOCATION YOU MIGHT BE. SO
HAWAII, 7.5 HOURS. AND THEN WE
BRING IN THESE CAMERAS, LIVE
CAMERAS, SO WE CAN OBSERVE THE
CONDITION ON THE COASTLINES, SO
NO LONGER DO WE HAVE TO SEND
SOMEONE OUT TO THE BEACH SO SEE
WHAT THE IMPACTS WOULD BE. THAT
IS NOT SAFE. WE CAN USE CAMERAS
IN DIFFERENT SITUATIONS, NOT
JUST TSUNAMIS, TO SEE THE
OFFICIAL IMPACT ON THE GROUND.
MAY BE MORE TRICKY WITH A HEALTH
EVENT, BUT CONTRA FLOW,
EVACUATIONS, FISCAL IMPACTS ON
THE GROUND, FLOODING OR WHAT IS
THE SITUATION. THIS IS VERY
HELPFUL AND MANY HAZARDS. THEN
WE ALSO BRING IN CNN, JUST ONE
OF THE SOURCES WE BRING IN, SO
WHEN YOU HAVE ONE OF THESE MAJOR
EVENTS, OFTEN THE MEDIA COVERS
A-- COVERAGE IS SIGNIFICANT.
THIS IS AN EXAMPLE OF THE JAPAN
TSUNAMI, SAME TIME. SO THAT'S
DISASTER AWARE. I WILL TURN IT
OVER FOR MORE OF THE HEALTH
MONITORING ASPECTS. WE DO
INCLUDE BIO HEALTH-RELATED
HAZARDS AS WELL, SO I WILL TURN
IT OVER TO MY COLLEAGUE NOW.
>> THANK YOU, MICHAEL. I WOULD
LIKE TO WALK YOU THROUGH THE
DISASTER AWARE FOR HEALTH
MONITORING APPLICATION, BUT
BEFORE I DO THAT, I WOULD LIKE
TO GIVE YOU BACKGROUND AS THE
WHY AN EPIDEMIOLOGIST IS SITTING
HERE AT THE PACIFIC DISASTER
CENTER. AS SOME OF YOU MAY BE
AWARE, A DISASTER IS JUST ANY
DISRUPTION TO NORMAL FUNCTION OF
SOCIETY, AND THAT CAN INCLUDE
ECONOMIC, HUMAN OR ENVIRONMENTAL
IMPACTS. WITHIN HUMAN IMPACTS,
WE CAN LOOK AT SOCIAL OR
ECONOMIC DISRUPTIONS, BUT
PARTICULARLY, DISASTERS, AS WELL
AS OTHER HEALTH EVENTS CAN CAUSE
AN INCREASE IN MORBIDITY OR
MORTALITY, MENTAL ISSUES,
PHYSICAL INJURY, AND INCREASE IN
ACUTE DISEASE. I GUESS PROBABLY
ABOUT THREE OR FOUR YEARS AGO,
PACIFIC DISASTER CENTER EMBARKED
ON AN ENTERPRISE TO DO FOR
HEALTH MONITORING WHAT WE DO FOR
THE MONITORING OF NATURAL
HAZARDS. THAT INITIALLY
INCLUDED USING OUR DISASTER
AWARE PLATFORM FOR HEALTH
MONITORING ACTIVITIES. SO WHAT
WE THOUGHT TO DO WERE TO LOOK AT
GLOBAL EVENTS THAT WOULD
POSSIBLY IMPACT TRAVEL,
INTERNATIONAL TRADE, WOULD ALSO
DECREASE A COUNTRY'S ABILITY TO
RESPOND TO DEAL WITH OR RECOVER
FROM A NATURAL HAZARD. SO WHAT
WE ARE DOING IS LOOKING AT
DISASTERS ONE, AS A PUBLIC
HEALTH EXPOSURE. BUT ALSO
LOOKING AT SOME OF THOSE HEALTH
OUTCOMES AS POTENTIAL
VULNERABILITIES TO INCREASING
THAT DISRUPTION I SPOKE ABOUT TO
NORMAL FUNCTION OF A SOCIETY.
THE FIRST THING WE DID WAS
REACHED OUT TO MANY STAKEHOLDERS
FROM ACROSS MANY DIFFERENT
AGENCIES, MANY DIFFERENT
ORGANIZATIONS AND ASKED THEM
WHAT TYPE OF INFORMATION WOULD
YOU LIKE TO SEE AND WHAT WE GOT
BACK WAS THAT THERE IS A LOT OF
INFORMATION OUT THERE, MUCH LIKE
WE HEARD FROM MICHAEL THAT'S
KIND OF IN SILOS AND I HAVE TO
TWO TO MULTIPLE SITES, SO WE ARE
WORKING WITH THOSE EXPERTS TO
BRING THE HEALTH MONITORING
ASPECT OF THIS UP TO WHERE THE
NATURAL HAZARD MONITORING IS.
THE FIST THING WE HAVE DONE IS
LOOKED AT BIOMEDICAL EVENTS THAT
ARE OCCURRING. THE ONE WE HAVE
HERE ON THE SCREEN IS THE ZIKA
VIRUS. THERE WAS A LOT OF
INTEREST AND REMAINS A LOT OF
INTEREST IN THE VIRUS, SO WHAT
WE WERE ABLE TO DO WAS CREATE AN
SHOW PEOPLE WHERE ZIKA IS
OCCURRING, BUT WE ALSO WORK WITH
OTHER AGENCIES, BOTH NATIONALLY
AND INTERNATIONALLY TO PUT
PRODUCTS IN THERE TO GIVE A
BROADER AND DEEPER SITUATION.
AWARENESS PICTURE OF WHAT WAS
POTENTIALLY GOING ON WITH THE
VIRUS. SO WE ARE LOOKING AT
SOME PRODUCTS, WE HAVE ZIKA IN
FLORIDA, CUMULATIVE, LOCALLY
ACQUIRED CASES IN LATIN AMERICA
AND THE CARIBBEAN, WE HAVE BELOW
THAT P PDC PRODUCT SHOWING ZIKA
DISTRIBUTION IN PUERTO RICO.
THE OTHER THING WE THOUGHT TO DO
WAS TO BRING IN SOURCES OF OTHER
INFORMATION, AUTHORITATIVE
SOURCES, NOT TRYING TO REPLICATE
OR REPLACE THOSE, BUT PUT THEM
ALL IN ONE PLACE, SO SOMEONE
WORKING EITHER IN DISASTER
MANAGEMENT WITH AN EYE TOWARDS
HEALTH OR SOMEONE WORKING
GLOBALLY IN HEALTH, COULD GO TO
ONE PLACE AND GET THAT
INFORMATION. SO WE HAVE THE
DISEASE OUTBREAK NEWS. MANY OF
YOU ARE PROBABLY FAMILIAR WITH
THAT. YOU COULD GO TO THEIR WEB
SITE, GET A LIST, FOLLOW LINKS
AND GET INFORMATION ABOUT
OUTBREAKS, BUT WE WORK WITH THE
WHO, SO YOU CAN SEE WHERE THOSE
OUTBREAK NEWS ARE PHYSICAL
OCCURRING ON THE GLOBE, THEN YOU
CAN FOLLOW THE LINKS FOR MORE
INFORMATION AND IT WILL LINK YOU
BACK TO THE DISEASE OUTBREAK
NEWS SITE, SO YOU CAN HAVE THAT
SOURCE INFORMATION AS WELL.
WHAT THIS DOES IS IF YOU WERE
MONITORING A SITUATION, YOU ARE
MONITORING A REGION, YOU HAVE A
MORE COMPLETE PICTURE, WHERE YOU
DON'T HAVE TO JUMP OUT OF THE
SYSTEM, JUMP OUT OF YOUR
SITUATIONAL AWARENESS AND GO
SOMEWHERE ELSE AND BRING THAT
INFORMATION IN. IT PUTS IT ALL
IN ONE PLACE. WITHIN DISASTER
AWARE, WE HAVE LAYERS FOR ANIMAL
HEALTH, THE CENTERS FOR DISEASE
CONTROL INFORMATION AS WELL, AND
LOOK INFORMATION. WHAT WE ALSO
THOUGHT TO DO IS PROVIDE
BACKGROUND INFORMATION. THIS IS
IMPORTANT BOTH FOR ASSESSING
HEALTH HAZARDS AS THEY STAND
ALONE ENTITY, BUT ALSO FOR
DISASTER RISK REDUCTION AND ALSO
SITUATIONAL AWARENESS. IF WE
GET A REPORT OF A DISEASE IN A
PARTICULAR REGION OR COUNTRY, WE
CAN GO TO THE DISEASE BACKGROUND
INFORMATION AND PULL UP
INFORMATION EITHER ON VECTORS OR
THE DISEASE THEMSELVES TO SEE IF
IT IS UNUSUAL THAT DISEASE IS
OCCURRING THERE. THEN WE CAN
GET INFORMATION ON THE
OCCURRENCE AND IS THIS THING
WE'D NORMALLY EXPECT. IF NOT,
IS IT ABOVE A CERTAIN THRESHOLD,
AND FOR US AT PDC, WE ALSO TAKE
IT A STEP FURTHER, IS IT GOING
TO INCREASE VULNERABILITY TO A
NATURAL HAZARD. OFTEN WE WILL
SEE THINGS THAT OCCUR IN A
REGION WHERE WE'D EXPECT THEM TO
OCCUR, BUT THEY OCCUR AT A LEVEL
ABOVE WHERE WE'D SEE AN EPIDEMIC
THRESHOLD. SO THIS IS JUST TO
PAINT A LARGER SITUATIONAL
AWARENESS PICTURE. WE ALSO
PROVIDE FOR THOSE PRACTICE NURSE
IN HEALTH AND NATURAL HAZARD,
COUNTRY AND REGIONAL BACKGROUND
INFORMATION, GIVING YOU
STATISTICS ON HEALTH CARE, WASTE
WEATHER STREET, JUST TO GIVE A
BROADER PICTURE OF WE HAVE
ACCOMPLISHED THERE IS A NATURAL
HAZARD OR HEALTH HAZARD IN A
PARTICULAR COUNTRY OR REGION.
WHAT ARE THE EXISTING
VULNERABILITIES OF THE HEALTH
CARE SYSTEM? WHAT CAN WE EXPECT
AS FAR AS HEALTH CARE CAPACITY
IN THAT PARTICULAR REGION. SO
ALL THIS INFORMATION IS
AVAILABLE AT THE CLICK OF A
LAYER. YOU CAN GET A VERY CLEAR
PICTURE AT THE COUNTRY LEVEL AS
SO WHAT IS GOING ON. WE HAVE
ALSO LEVERAGED OTHER PROJECTS WE
HAVE REGIONALLY TO LOOK AT
SUBNATIONAL DATA. THE EXAMPLE I
HAVE HERE IS FROM OUR RISK AND
VULNERABILITY ASSESSMENT IN EL
SALVADOR. THIS SHOWS WATER
ACCESS BY DEPARTMENT, WITHIN EL
SALVADOR. THIS IS A KEY THING
IN GETTING BIT MORE INFORMATION
FROM JUST THAN COUNTRY LEVEL. I
COULD STEP BACK AND SHOW YOU
WASTEWATER TREATMENT, COLLECTION
FOR EL SALVADOR, BUT THAT IS AT
A COUNTRY LEVEL. LEVERAGING
DATA THAT WE'VE WORKED WITH
INCLUDING THE MINISTRY OF
HEALTH, WE GET MORE DETAILED
INFORMATION. THIS IS AT THE
DEPARTMENT LEVEL. SO IF WE HAVE
DISRUPTION TO PIPE WATER ACCESS,
WE CAN SEE WHERE THAT MAY HAVE
THE GREATEST IMPACT. WE CAN
ALSO SEE IF WE NEED TO REDUCE
EXISTING VULNERABILITY, WHETHER
IT COULD BE A HEALTH OUTCOME OR
THREW A NATURAL DISASTER, WE CAN
SEE WHERE DIRECTED HUMANITARIAN
ASSISTANCE FUNDING WOULD BEST BE
SERVED TO ESTABLISH BETTER CLEAN
WATER, PIPE WATER ACCESS, ET
CETERA. ADDITIONALLY, WE CAN
LOOK AT THE EXISTING
INFRASTRUCTURE AT A SUBNATIONAL
LEVEL. THIS IS FROM JAMAICA.
WE HAVE EMERGENCY SHELTERS, FIRE
STATIONS, HEALTH CENTERS AND
HOSPITALS. IT GIVES YOU AN IDEA
OF THE EXISTING HEALTH CARE
CAPACITY. THIS IS IMPORTANT
FROM A NATURAL DISASTER
STANDPOINT AND EPIDEMIC
STANDPOINT, SO YOU KNOW YOU HAVE
THE BASELINE LEVEL OF
INFRASTRUCTURE THAT A PARTICULAR
COUNTRY OR REGION HAS. YOU KNOW
I CAN EXPECT A DISRUPTION TO
THAT, I CAN EXPECT THIS BASELINE
TO BE ALTERED, SO YOU HAVE THAT
MOVING FORWARD TO KNOW WHAT WILL
BE REQUIRED FROM A RESPONSE.
ALSO, WE LEVERAGE OUR RISK AND
VULNERABILITY ASSESSMENT AS WELL
AS A LOT OF THE OTHER
INFORMATION IN THE SYSTEM. SO
WHAT YOU MAY FIND, IF YOU DECIDE
TO LOG INTO THE SYSTEM AND I
WOULD ENCOURAGE YOU TO DO SO,
THERE IS LOT OF VERY INTERESTING
INFORMATION THERE. IT IS JUST
THAT THERE IS A LOT OF
INFORMATION THERE. OFTEN IT IS
DIFFICULT, WHEN YOU ARE FIRST
GETTING STARTED, TO MOVE THROUGH
THAT AND PAINT A USEFUL
SITUATIONAL AWARENESS PICTURE.
WE OFFER THIS SOLUTION CALLED
AREA BRIEF. THIS ILLUSTRATES
WHERE IT IS LOCATED ON THE
APPLICATION. YOU ARE CLICK ON
THAT AND IT WILL GENERATE A
PDF-ENABLED PAGE, WHERE YOU CAN
DOWNLOAD IT AS A PDF, SUMMARY
INFORMATION ABOUT THE
POPULATION, ITS RISKS,
VULNERABILITIES AND SOME
BACKGROUND HEALTH INFORMATION
ABOUT THAT PARTICULAR AREA.
THAT IS A QUICK SUMMARY, KIND OF
LIKE YOUR STARTER PACK FOR
SITUATION AWARENESS. YOU CAN
DOWNLOAD THAN AND TAKE THAT
OFF-LINE, SO YOU HAVE THAT
BASELINE INFORMATION ABOUT A
COUNTRY OR REGION YOU CAN USE.
THAT CONCLUDES MY SECTION. WHAT
I WOULD LIKE TO DO NOW IS OPEN
IT UP TO ANY COMMENTS OR
QUESTIONS THAT THE AUDIENCE MAY
HAVE. MIKE, DID YOU HAVE
ANYTHING ELSE THAT YOU WOULD
LIKE TO ADD?
>> NO, I THINK IF THEY HAVE ANY
QUESTIONS?
>> SO THANK YOU.
>> THANK YOU, JOSEPH AND
MICHAEL. THAT WAS REALLY
INTERESTING. IT'S NEAT THE WAY
YOU HAVE THE LAYERS FOR THE
WORLD HEALTH ORGANIZATION
INFORMATION AVAILABLE THERE AS
WELL.
>> YEAH. ONE OF THE GREAT
THINGS WHEN I STARTED HERE WAS
WE TRY TO BE VERY RESPONSIVE TO
FEEDBACK TO PRACTITIONERS IN THE
FIELD, AND I WOULD WELCOME
ANYONE IN THE AUDIENCE TO GO,
DOWNLOAD THE APP AND PLAY AROUND
WITH IT AND SEND US YOUR
FEEDBACK. WE REALLY WANT TO
MAKE THIS USEFUL. WE ARE NOT
TRYING TO PUSH A PRODUCT ON
PEOPLE, WE ARE NOT TRYING TO SAY
USE THIS, BUT WE WANT TO MAKE
SOMETHING THAT PEOPLE CAN GO TO
AND HAVE AS MUCH INFORMATION AS
THEY CAN GET IN ONE LOCATION
THAT'S USEFUL TO THEM. THAT
LAYER CAME FROM SEVERAL
PRACTITIONERS IN THE FIELD
SAYING IT'S GREAT, BUT I HAVE TO
GO IN EVERY DAY AND I HAVE TO GO
TO THE WEB SITE AND CHECK IT OR
I GET MY EMAIL, SO THIS ALLOWS
THE USER TO JUMP IN AND HAVE IT
ALL IN ONE PLACE.
>> I THINK YOU MENTIONED AT ONE
POINT YOU WOULD EXPLORE PUTTING
IN LINKS TO MEDLINEPLUS PAGES AS
WELL? >> YES, WE STARTED DOING THAT
WITH NEW HEALTH HAZARDS. WE DO
PUT IN LINKS-- IT IS IN OUR
STANDARD OPERATING PROCEDURE NOW
TO PUT IN A LINK TO THE
BACKGROUND INFORMATION ABOUT
THAT PARTICULAR HAZARD, SO THAT
WILL COME DIRECTLY FROM
MEDLINEPLUS, AND-- WHEN THE
USER CLICKS ON THE ACTUAL HAZARD
AND OPENS-- SEE IF I CAN PULL
THIS BACK UP HERE, SHOW THE USER
WHERE THEY CAN FIND THAT. HERE
WE GO. APOLOGIZE FOR THE
SCROLLING. WHEN A USER PUTS
THEIR CURSOR OVER A HAZARD, THEY
HAVE THIS PRODUCT AVAILABLE, AND
WHEN YOU CLICK ON THAT PRODUCT,
THERE WILL BE AT LEAST TWO
SUB-FOLDERS UNDER THAT PRODUCT.
ONE WILL HAVE BACKGROUND
INFORMATION AND ONE WILL HAVE A
FOLDER FOR SITUATIONAL
AWARENESS. THE MEDLINEPLUS WILL
BE IN THE BACKGROUND INFORMATION
FOLDER FOR ALL OUR HEALTH
HAZARDS.
>> I'M SORRY. I JUST MISSED
THAT. THERE WAS A QUESTION FROM
A PARTICIPANT. DID YOU SEE
THAT?
>> CHAT, I BELIEVE.
>> THERE'S ONE, HOW ARE YOU
TRAINING REACHING PUBLIC HEALTH
OFFICIAL, GOVERNMENT OFFICIALS
AND AGENCIES IN THE USE AND
AVAILABILITY OF THIS IMPORTANT
RESOURCE?
>> OKAY. MICHAEL, YOU WANT TO
TAKE THAT, SINCE YOU SET UP OUR
TRAINING?
>> YEAH, WE DO IT THROUGH
VARIETY OF WAYS. WE DO HAVE A
TRAINING PROGRAM, WHERE IT'S--
WE HAVE SOME HERE IN HAWAII, OR
CERTAIN REASONS WE WILL GO AND
HAVE INSTRUCTORS GO AND TRAIN.
WE HAVE A TRAINING MANUAL THAT
COULD BE PROVIDED. IT IS ALL
ACCESSIBLE THROUGH THE-- THERE
IS A HELP SECTION, A LITTLE
QUESTION MARK YOU CAN CLICK ON,
AND DOWNLOAD THE MANUAL, SO YOU
CAN DO THAT OR REQUEST TRAINING.
WE HAVE RESOURCES AVAILABLE FOR
THAT. WE ARE ALSO MOVING
TOWARDS MORE ONLINE-STYLE
TRAINING, THROUGH VIDEOS, AND SO
WE ARE IN THE MIDDLE OF
DEVELOPING THAT RIGHT NOW, SO
I'M REALLY LOOKING FORWARD TO
THAT, BECAUSE THAT WILL BE MORE
OF A SELF-PACED. AND ALSO WITH
THIS LATEST VERSION, WE
RELEASED-- WE CALL IT QUANTUM
VERSION 6.0. IT'S A NEW
VERSION, THE GOAL WAS WORKING
WITH THE DIFFERENT DEVELOPERS TO
MAKE IT MORE INTUITIVE. IT IS A
PRETTY INTUITIVE SYSTEM, KEEPING
OUR END USERS IN MIND, OF HOW TO
QUICKLY ACCESS INFORMATION,
SEARCH INFORMATION AND SO ON.
SO IT IS A VERY-- MORE
INTUITIVE TOO MANY, THIS LATEST
VERSION, SO THAT IS ALSO A PLUS
HERE. YEAH THERE'S DIFFERENT
TRAINING. I SEE ANOTHER
QUESTION FROM KATHLEEN THAT SAYS
WHAT IS THE APP AGAIN, DOWNLOAD
FROM THE DISASTER AWARE WEB
SITE? THE ADDRESS, THE APP, THE
PUBLIC APP IS
DISASTERALERT.PDC.ORG. THAT IS
THE PUBLIC VERSION. THE VERSION
THAT FOR THOSE WHO ARE INVOLVED
IN HUMANITARIAN ASSISTANCE AND
PROVIDING THAT DISASTER RELIEF
IS EMOPS.ORG AND JOE WILL TYPE
THAT OUT AND SEND IT THROUGH
CHAT IN A SECOND. HE SEND THAT
IN A SECOND, BUT WE CALL IT
DISASTER AWARE BECAUSE THAT IS
THE TECHNOLOGY, BUT WE MENTIONED
THE VARIOUS DEPLOYMENTS, SO
VERSION YOU WOULD BE REQUESTING
IS EMOPS.PDC.ORG. WE WILL SEND
THAT OUT IN THE CHAT. THERE'S A
REQUEST ACCOUNT SECTION, REQUEST
ACCESS ON THE LOG-IN PAGE. THAT
WILL GO TO MY TEAM. JUST MAKE
SURE YOU USE YOUR PROFESSIONAL
EMAIL ADDRESS AND YOU CAN
MENTION THAT YOU ARE INVOLVED IN
THIS WEBINAR WITH JOE AND I, AND
WE'LL GET YOU SQUARED AWAY ON
THAT.
>> I WOULD LIKE TO JUMP IN
REALLY QUICK AND JUST AIR DRESS
THE REACHING PUBLIC HEALTH
OFFICIALS AND GOVERNMENT
OFFICIALS. WE DON'T DO A LOT OF
ADVERTISING AND GOING OUT TO TRY
TO DRUM UP BUSINESS. WHAT
NORMALLY OCCURS IS WE GET
REQUESTS FROM SOMEONE WHO HAS
SEEN THE SYSTEM, BUT MORE
RECENTLY, WE HAVE MEMBERS OF PDC
THAT SIT IN THE WASHINGTON, D.C.
AREA, FOR EXAMPLE, WE HAVE
OTHERS THAT ARE ALL AIR CROSS
THE GLOBE, AND WHAT HE HAVE DONE
IS GONE TO AGENCIES AND
DEMONSTRATED THE PRODUCT AND
DEMONSTRATED ITS UTILITY OR HAVE
JUST TAKEN PRODUCTS DIRECTLY
FROM THE SYSTEM AND GIVEN THEM
TO PEOPLE AT VARIOUS GOVERNMENT
OR PUBLIC HEALTH AGENCIES, THEN
THEY COME BACK TO US, THROUGH
MICHAEL AND REQUEST TRAIN. WE
HAD DONE A TRAINING LAST YEAR
SPECIFICALLY FOR PUBLIC HEALTH
PRACTITIONERS IN THE WASHINGTON,
D.C. AREA, AND THAT TYPE OF--
THOSE TYPE OF REQUESTS CAN BE
SENT THROUGH OUR COLLEGE HERE,
MICHAEL, AND WE ARE MORE THAN
HAPPY-- WE HAVE PEOPLE ALL OVER
THE GLOBE THAT CAN DEMONSTRATE
THE SYSTEM, AND SET UP TRAINING.
THERE YOU GO.
>> I SAW ONE OTHER COMMENT THAT
THE APP WAS FOUND THROUGH GOOGLE
PLAY. SO YES, THERE IS A
DOWNLOADABLE APP, IT IS MORE A
LIMITED VERSION, IT IS FOR THE
PUBLIC, JUST MORE THE
SITUATIONAL AWARENESS OF WHAT
CURRENT HAZARDS ARE CURRENTLY
EXISTING, SIMPLE ONE CLICK, YOU
WILL GET THE LATEST INFORMATION.
IT IS NOT AS ROBUST AS THE
DISASTER ALERT.PDC.ORG VERSION,
WHICH THAT WILL REPLACE THIS
DOWNLOADABLE APP EVENTUALLY.
DISASTER ALERT IS AVAILABLE TO
THE PUBLIC. THE EMOPS, THAT
DISASTER AWARE, BUT THAT
LOG-IN-- WILL REQUIRE LOG-IN.
THAT IS EVEN MORE ROBUST WITH
THOSE CAPABILITIES WE OUTLINED
WITH OUR PRODUCTS SHARING,
MORE-- OUR ADDITION INFORMATION
AND RESOURCES THROUGH THAT. I
ENCOURAGE YOU TO USE DISASTER
AWARE. THE EMOPS.PDC.ORG
VERSION. FEEL FREE TO DOWNLOAD
THE APP AS WELL. IT IS GOOD FOR
GENERAL SITUATIONAL AWARENESS.
TROPICAL STORM CINDY. IF I WAS
ABLE TO SHARE MY SCREEN HERE,
LET ME JUST LOG IN TO EMOPS. I
AM HAVING A TECHNICAL DIFFICULTY
HERE. SO THIS IS DISASTER
AWARE. THE QUESTION IS CAN YOU
SHOW US HOW YOU WOULD USE THIS
RESOURCE TO PREPARE FOR AND
MONITOR TROPICAL TOMORROW CINDY.
SO WE ARE ACTIVELY TRACKING THAT
EVENT. HERE IS THE HAZARD HERE.
WHEN YOU LOG IN, YOU WILL SEE
IT, CLICK ON IT, THERE'S AN EASY
BUTTON CALLED LAYERS. I WILL
CLICK ON THE PRODUCTS. IT IS A
QUICK ACCESS TO ALL THE
INFORMATION CURRENTLY BEING
POSTED TO THAT. YOU CAN SEE ONE
OF THE PRODUCTS THAT MY TEAM
CREATED. IF WE CREATE STATIC
PRODUCTS, SHOWING WHAT POTENTIAL
IMPACTS ARE. THAT INFORMATION
IS ALSO AVAILABLE AS LAYERS. IF
I GO TO LAYERS, YOU WILL SEE FOR
THIS HAZARD TYPE, WHAT ARE THE
ESSENTIAL LAYERS THAT ARE
RELATED TO THAT, THAT YOU WILL
NEED ACCESS TO. SO LET ME CLICK
ON WIND IMPACTS. AND LET'S
CLICK ON THE POSITION SEGMENTS,
BECAUSE WE WANT TO SEE THE
LATEST TRACK FROM THE NATIONAL
WEATHER SERVICE. WE ARE RIGHT
IN THE MIDDLE OF AN UPDATE. THE
11:00 ADVISORY IS COMING OUT A
LITTLE EARLY. THAT'S WHY YOU
CAN SEE IT HASN'T UPDATED YET.
WE WILL GO BACK TO PRODUCTS, YOU
WILL SEE THE UPDATE 11 MINUTES
AGO. YOU WILL SEE THE TRACK
HERE, YOU CAN SEE WHERE IT IS
EXPECTED TO GO, AND THEN
HOPEFULLY, LET ME SEE-- I CAN
GO INTO MY MODEL, ESTIMATED WIND
IMPACT, MAYBE DECREASE THE
TRANSPARENCY, SO YOU CAN SEE
BETTER AND TURN ON MY LEGEND.
FROM HERE, YOU CAN SEE WHAT EACH
OF THESE MEAN. THE OUTER LAYER
IS-- WHEN YOU GET CLOSER TO THE
ACTUAL SEGMENT HERE, THE TRACK
CLOSER TO THE EYE, THEY ARE
EXPECTING TREES DOWN, SOME POWER
LOSS. SO NOT A VERY-- NOT TOO
SEVERE AS FAR AS WIND EFFECTS.
THEN IF YOU GO TO ESTIMATED RAIN
FALL AND ZOOM OUT, YOU CAN SEE
BASED ON THIS MODEL, GO BACK TO
MY LEGEND, LOOKS LIKE THEY ARE
EXPECTING AREAS OF 3 TO 6
INCHES. IF YOU ZOOM A LITTLE
FURTHER, YOU COULD PROBABLY SEE
SOME ISOLATED-- MAYBE MORE
RAINFALL WOULD BE EXPECT. THIS
MODEL IS BROUGHT IN-- BASE ON
THE LATEST NATIONAL HURRICANE
CENTER ADVISORY, SO IT STAYS ON
THE LATEST OFFICIAL FORECAST.
SO THAT'S WHERE YOU CAN SEE NOW.
THERE'S OTHER INFORMATION, LET
ME JUST POINT OUT, GO TO OUR
LAYERS HERE. I USE THE QUICK
APPROACH, HOW I GET TO THOSE
LAYERS, BUT YOU COULD GO TO
RECENT HAZARD AND EVENTS, AND
YOU CAN SEE BY HAZARD TYPE
QUICKLY OKAY, IF I'M INTERESTED
IN TROPICAL CYCLONES, LET'S
CLICK ON THAT, THEN I COULD GET
INFORMATION ON THE LATEST.
THERE'S THIS OUTLOOK FORMATION,
TWO-DAY AND FIVE-DAY, PULLED
FROM THE NATIONAL HURRICANE
CENTER AS WELL FOR THE ATLANTIC,
CARIBBEAN AND EASTERN PACIFIC.
YOU COULD SEE, WHAT ARE THE
POTENTIAL FORMATIONS I NEED TO
KEEP AN EYE ON. WE HAVE A LOT
OF HISTORICAL AND RISK-RELATED
INFORMATION. SO IF I GO TO
HISTORICAL HAZARDS, I CAN GO TO
HISTORICAL TROPICAL CYCLONES.
FOR THE LAST 16 YEARS, YOU CAN
SEE WHERE VARIOUS TROPICAL
CYCLONES HAVE IMPACTED THE
CARIBBEAN. I JUST TURNED A FEW
YEARS ON. THERE'S ALSO
INFORMATION IN HERE THAT RELATED
TO YOUR POTENTIAL RISK, LOOKING
AT MORE-- FURTHER BACK, WHAT
ARE THE AREAS THAT EXPERIENCE
HIGHER FREQUENCY OF THESE
RELATED TROPICAL SIGNED
COLOGNES, AND OTHER HAZARDS AS
WELL. SO AM I IN AN AREA THAT
WILL BE FREQUENTLY EXPOSED TO
THIS HAZARD TYPE, SO I CAN PLAN
FOR THAT? OR WHAT IS MY RISK
THERE. KIND OF AN EASY QUICK
BUTTON THAT JOE MENTIONED. IT
IS ALSO AVAILABLE. FOR THIS,
HEADED TOWARDS THE GULF, IT
GENERATES POTENTIAL TORNADO
ACTIVITY, RIGHT. SO YOU COULD
SEE THOSE AS WELL. FOR ANY
HAZARD, I CAN CLICK ON IT AND
GET WHAT'S CALLED THAT AREA
BRIEF. SO LET ME GENERATE ONE
REAL QUICKLY. IT IS PULLING
FROM HUNDREDS OF DATA SETS. YOU
DON'T WANT TO GO THROUGH ALL
THAT. YOU WANT TO SEE MORE
OF-- THIS IS WHAT IT IS DOING,
LOOKING AT THOSE. SO I CAN
QUICKLY SEE IN THAT AREA, WHAT
HAZARDS ARE WITHIN THAT. IT IS
IN AN AREA THAT'S VERY RESILIENT
OR NOT VERY RESILIENT. THIS IS
MORE OF THE GLOBAL LEVEL. SINCE
WE ARE GLOBAL, WE COMPARE THE
RESILIENCE OF MANY COUNTRIES
BEING IMPACTED. THEN WE GET
INTO THE REGION OVERVIEWS HERE.
WHAT ARE MY CRITICAL
INFRASTRUCTURE? WHEN YOU LOOK
AT PLANNING FOR A REAL EVENT,
YOU CAN SEE WHERE ARE THOSE
AIRPORTS FOR LOGISTICS AND FOR
PLANNING OR EVEN JUST FACILITY
PROTECTION. SEA PORTS, CRITICAL
INFRASTRUCTURE. YOU COULD GO
FURTHER DOWN, THE CURRENT MEET
LOGICAL OBSERVATIONS OR JUST IF
YOU ARE LOOKING AT IT FOR
PLANNING, YOU CAN GET THE MORE
SEASONAL INFORMATION. IT IS
GOOD FOR FIELD DEPLOYMENT, FIELD
TEAMS. RISKS AND VULNERABILITY,
THIS IS MORE OF A GLOBAL SCALE.
WE ARE LOOKING AT WHERE THE
UNITED STATES RANKS IN RELATION
TO OTHER COUNTRIES AROUND THE
WORLD AS FAR AS RISKS, AS FAR AS
RESILIENCE, WHICH WE LOOK AT
MORE LACK OF RESILIENCE. SO WE
TRY TO MAKE THAT EASY TO DIGEST.
HERE'S THE BIO HEALTH TAB.
>> FOR THIS AREA, CDD ISSUED
SOME ALERTS HERE. THEN YOU CAN
ALSO SEE WHAT THE HEALTH STATUS.
IS IT A GOOD HEALTHY BASELINE
FOR EVERYBODY LIVING IN THAT
COUNTRY? AND WHAT IS THEIR
CAPACITY? THEY MAY BE HEALTHY
OR NOT HEALTHY COUNTRY. DO THEY
HAVE THE CAPACITY TO HELP
MAINTAIN AND ADDRESS THOSE
HEALTH RISKS AND MAINTAIN THE
HEALTHINESS OF THEIR COUNTRY.
THEN WE HAVE HISTORICAL HAZARDS
AS WELL, WITH'S HAPPENED IN THE
PAST AND WHAT ARE MAY MAJOR
THREATS. THERE IS LOT OF
RESOURCES HERE, READILY--
THROUGH THESE REPORTS. IF THIS
WAS A VERY SEVERE EVENT, IF YOU
HAD POTENTIAL WINDS OF LOOKING
AT WIDESPREAD TO CATASTROPHIC
DAN, LIKE KATRINA AND SOME OTHER
EVENTS OVER THE YEARS, YOU WOULD
SEE MORE OF THAT EXPOSURE,
POPULATION, RESIDENTIAL UNITS
AND POTENTIAL NEEDS AS WELL,
HELPING YOU TO PLAN IN THAT TIME
FRAME OF THE FORECAST. THEN I
KNOW WE ARE LIMITED ON TIME, BUT
LET ME GO TO LAYERS. THERE IS A
LOT OF INFORMATION AVAILABLE
UNDER, AS YOU GO DOWN THERE'S
LIKE A RED-ORANGE FOLDER CALLED
REGIONAL DATA. YOU GO TO USA.
THERE IS A LOT OF INFORMATION
SPECIFIC FOR CERTAIN STATES, BUT
A LOT OF IT IS AVAILABLE ACROSS
THE NATION FOR INFRASTRUCTURE,
WHAT ARE YOUR HAZARDS. WE HAVE
HAZARD ZONES. SO WHEN LOOKING
AT STORM SURGE ESTIMATIONS, SO
THIS CASE, YOU WOULD LOOK AT
THAT AREA POTENTIALLY IMPACTED
AND YOU CAN SEE WHAT IS THE
POTENTIAL-- WHAT IS ESTIMATED
FOR ANY EVENT, LIKE ON AVERAGE.
AND THEN YOU LOOK AT OUR MODELS
THAT I SHOWED YOU FOR THE MORE
EVENT-SPECIFIC THIS IS WHAT WE
ARE LOOKING AT, THE STORM SURGE
HEIGHTS. SO A LOT OF
INFORMATION AVAILABLE THROUGH
HERE.
>> REALLY QUICK, WHILE WE HAVE A
COUPLE MINUTES LEFT, WHAT I
WOULD LIKE TO DO, KAY MENTIONED
US LINKING BACK TO MEDLINE PLUS.
SINCE MICHAEL HAS THE SYSTEM UP
AND RUNNING, I WILL POINT YOU TO
WHERE YOU CAN FIND THAT
INFORMATION. I WILL SCROLL OVER
HERE, THROUGH OUR LATEST HEALTH
HAZARD WE HAVE, WHICH IS THE
EBOLA OUTBROKE. WE HAVE
PRODUCTS AVAILABLE FOR ALL THE
HEALTH HAZARDS, AND WHEN YOU
CLICK ON THAT PRODUCT BUTTON,
YOU WILL SEE WE HAVE SITUATION
AWARENESS, BACKGROUND
INFORMATION, SITUATIONAL REPORTS
AVAILABLE. IN THAT BACKGROUND
INFORMATION, WE HAVE A DIRECT
LINK TO MEDLINEPLUS. SO THE
BACKGROUND INFORMATION FOR THAT
HEALTH HAZARD IS GOING TO ALWAYS
BE LINKING BACK TO MEDLINEPLUS,
SO IT GIVES YOU AN AUTHORITATIVE
SOURCE TO GET THE BACKGROUND
INFORMATION, IF YOU ARE A
PRACTITIONER AND YOU WANT MORE
INFORMATION, OR IF YOU ARE NOT
SURE EXACTLY WHAT HEALTH HAZARD
YOU ARE LOOKING AT, WOULD LIKE
MORE INFORMATION, SO NOW WE HAVE
WONDERFUL AUTHORITATIVE SOURCE
TO GIVE YOU THAT INFORMATION AND
REALLY QUICKLY, I WILL GO BACK
TO THE PRODUCT. WHAT WE HAVE
BEEN DOING FOR THE EBOLA IS
PULLING IN THE WORLD HEALTH
ORGANIZATION SITUATION REPORT,
TO PUT ALL THIS INFORMATION IN
ONE EASILY ACCESSIBLE LOCATION.
OKAY? SO ARE THERE ANY OTHER
QUESTIONS OR ANYTHING ELSE WE
CAN DO?
>> I THINK THAT'S GREAT.
>> ALL RIGHT, THANK YOU.
>> YEAH, AND I'M GLAD YOU WERE
ABLE TO DO KIND OF A LIVE DEMO.
I KNOW, MIKE, YOU WERE TERRIBLY
FAST, BUT THAT'S STILL FINE.
>> MY APOLOGIES.
>> WE DO HAVE A GOOD-- I
MENTIONED THE ONLINE TRAINING
VIDEOS. WE HAVE PROMOTIONAL
VIDEO, ESPECIALLY USING A
HURRICANE AS AN EXAMPLE. WE CAN
MAKE THAT AVAILABLE AS WELL, AS
A RESOURCE. SORRY FOR GOING TOO
FAST. >> I THINK I LOOKED AT YOUR SITE
A COUPLE MONTHS AGO AND SAW EVEN
THAT WILDFIRES WERE LISTED AS
ONE OF THE HAZARDS, AND
DISASTERS, SO THAT HAPPENS A LOT
IN CALIFORNIA AT CERTAIN TIMES
OF THE YEAR.
>> CORRECT. AGAIN, ESPECIALLY
WHEN LOOKING AT THE U.S. AND
LOOKING AT RECENT HAZARDS, THE
TROPICAL CYCLONES, THERE IS A
SPECIFIC FOLDER FOR USA AND
THERE'S A ROBUST MONITORING FOR
WILDFIRE HAZARDS, IN ADDITION TO
KIND OF THE GLOBAL HAZARDS THAT
WE GENERATE AS WELL FOR THE
BIGGEST, THE WORST FIRES AROUND
THE WORLD, BUT YEAH, YOU ARE
RIGHT. SO THANK YOU.
>> YOU'RE VERY WELCOME. SO I
DON'T SEE ANY MORE MESSAGES IN
THE CHAT BOX. MARCO, COULD YOU
PUT THE EVALUATION INTO THE CHAT
FOR PEOPLE, JUST TO LET THEM
KNOW THAT YOU ARE ELIGIBLE FOR
ONE HOUR OF MLA CONTINUING
CREDITS IF YOU FILL OUT THE
EVALUATION, AND THIS IS THE
FIRST TIME WE ARE DOING ITS THIS
WAY, BUT YOU WILL FILL OUT THE
SURVEY AND THEN IT WILL TAKE YOU
OVER TO AN MLA SITE TO REGISTER
YOUR-- AND YOU HAVE TO SIGN
INTO YOUR ACCOUNT AT MLA OR
CREATE AN ACCOUNT IN ORDER TO
GET YOUR CONTINUING EDUCATION
CREDITS. AND JUST A REMINDER
THAT NEXT MONTH WE ARE GOING TO
BE DOING PUBMED HEALTH, THE
NN/LM RESOURCE PICKS ON JULY 26
AT 3:00 EASTERN TIME, 12:00
PACIFIC TIME, AND ALSO IN AUGUST
WE'LL PROBABLY BE DOING ANOTHER
MIDDAY ON THE 16TH OF AUGUST,
AND WE ARE LET YOU KNOW ALL
ABOUT THAT. I WANT TO THANK
JOSEPH AND MICHAEL FOR
PRESENTING FROM THE PACIFIC
DISASTER CENTER. I THOUGHT IT
WAS A REALLY INTERESTING
PROGRAM, AND WE WILL BE
RECORDING THIS AND MAKING THE
RECORDING AVAILABLE FOR OTHERS
TO COME IN AND SEE IT AS WELL.
SO I THINK WITH THAT, AND I'M
JUST WAITING TO SEE IF-- WE
WILL ALSO SEND YOU THE URL BY
EMAIL TOO, TO ALL THOSE WHO HAVE
REGISTERED. SO I THINK WE ARE
DONE. SO THANKS TO ALL WHO HAVE
-------------------------------------------
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Best Camera Lenses for Fuji Mirrorless Camera Fujifilm Lens - Duration: 3:50.Best Camera Lenses for Fuji Mirrorless Camera Fujifilm Lens
-------------------------------------------
Adobe Connect Modes for Attendees - Duration: 2:21.Hello, everyone. In this video,
we'll go over the different possible meeting modes in Adobe Connect from an attendee's point of view.
Let's start with sharing mode.
This is the one where hosts or presenters can share their screen with the others,
so as you can see the possibility of sharing a screen is given prominence of place.
But there's also the video feed from the webcam, if that's been enabled and the presenter is using theirs.
There's the list of attendees, so that someone who is in the room
can choose to maybe start a private chat with someone else.
There's also the group chat--and feel free to have fun with playing with the text size, or color, or alert sounds.
Next there's discussion mode
In this one, the video feed from the webcam has the biggest section of the screen,
and, as in sharing mode, you've also got the list of attendees and the chat with the same capabilities.
You also have the discussion notes function, where different notes can be typed up as you talk,
and the hosts or presenters can set up polls which you can answer.
Collaboration mode is pretty good for group projects.
As you can see here, there's a whiteboard that's given prominence of place,
but the video feed from a webcam, attendees list, and chats are also present.
You can share files--anybody can upload or download, you don't have to be a host or presenter.
The whiteboard, as said, has--takes up the biggest portion of the screen,
and you can set it to full screen or print it out for your records.
If you have any questions, please feel free to let us know. We welcome visits in person,
but you can also call us at (315) 792-3044 for the information desk,
or (315) 792-3041 for the circulation desk.
You can also email us at refere@utica.edu. Thank you for your time and attention.
-------------------------------------------
"Anesthetic Considerations in Pulmonary Hypertension" by Stephanie Grant for OPENPediatrics - Duration: 17:27.Anesthetic Considerations in Pulmonary Hypertension,
by Dr. Stephanie Grant.
Hello.
My name is Stephanie Grant and today I'm
going to be talking to you about pulmonary hypertension.
The goals of today's talk are to talk
about perioperative management of pulmonary hypertension,
including during the pre-operative, intra-operative,
and post-operative time.
We will also talk about pulmonary hypertensive crisis.
Background.
Pulmonary hypertension is a rare disease in neonates, infants,
and children.
Patients with pulmonary hypertension
present for cardiac and non-cardiac surgery,
and for general anesthesia and sedation.
Pulmonary hypertension is associated
with significant morbidity and mortality,
and poses an increased perioperative risk.
Patients with pulmonary hypertension
have increased risk of arrhythmias, cardiac arrest,
and death during the perioperative time.
This graph depicts three different studies.
The small green bar, which is on the left of each grouping,
shows the Pediatric Perioperative Cardiac Arrest
Registry.
This depicted a study which involved all patients
regardless of diagnosis and regardless of surgery
that they were having.
The incidence of cardiac arrest in these patients
was very small at .014%, and of those patients,
the risk of death was .0036%.
The study depicted in the red bar
indicates a study of patients with pulmonary arterial
hypertension who had general anesthesia for procedures
in the cardiac cath lab and also for non-cardiac surgery.
The incidence of cardiac arrest in these patients was 1.17%,
and the incidence of death in these patients was .78%.
These studies indicate that the incidence of cardiac arrest
and death is significantly higher in patients
with pulmonary hypertension.
This study indicates that the perioperative complications
are directly related to the severity
of pulmonary arterial hypertension.
Patients with supra-systemic right ventricular pressures
have greater complications during surgery
than patients with less severe forms
of pulmonary hypertension.
The baseline supra-systemic pulmonary arterial hypertension
is a significant predictor of major complications
during anesthesia.
This table is a nonvalidated tool
that looks at patients who may have low risk or high risk
complications during general anesthesia.
The patients are grouped into low risk or high risk
based on patient factors, surgery factors,
as well as the anesthetic factors involved.
Case Example - Part 1.
Let's look at a case as an example of a patient
with pulmonary hypertension.
The patient is a 15-year-old male
who is evaluated prior to an open reduction
internal fixation of his tibia.
The patient sustained this fracture
after falling while skateboarding.
The patient was diagnosed with pulmonary hypertension
one year ago after a syncopal event.
He reports occasional dyspnea on exertion,
but is otherwise doing OK.
His past medical history includes
idiopathic pulmonary hypertension.
He has never had surgery, and his medications
include Sildenafil, and he uses nasal cannula oxygen just
at night.
What is your anesthetic plan for this patient?
Pre-operative Anesthetic Management.
The pre-operative management for this patient and any patient
with pulmonary hypertension should include a visit
to the pre-op clinic if possible.
A thorough history and physical should
be performed for the patient, and review of any echo and cath
lab reports that the patient may have.
For a patient with an echo report,
it is important to look at the most recent echo report,
specifically looking at the patient's anatomy,
and if the patient has any pop-off.
A pop-off is a left to right shunt
which may convert to a right to left shunt
if the patient has an acute event,
and the right ventricular pressures
begin to increase in the heart and are greater
than the left pressures.
This is important because it serves
to decompress the right side of the heart
and to increase cardiac output.
On the echo report, it is also important to look
at the patient's function, look at the patient's
pulmonary arterial pressure as well as the right ventricular
pressure.
In our case example, looking at the echo report
we see that this patient has a flattened septal position
in systole, which is consistent with right ventricular
pressures greater than one half systemic levels.
This indicates that the patient does
have an increased risk for complications during surgery
due to the greater than one half systemic levels.
This patient also has qualitatively good
biventricular systolic function, which is a good sign.
On catheterization reports, it is
important to look at the pulmonary arterial pressure,
looking at the systolic, diastolic and mean levels.
Also, look at the right ventricular
pressure, the pulmonary vascular resistance,
the structure of the heart, the function of the heart,
to look at measured wedge pressures, as well
as the results of vasoactive testing.
For our sample patient, his cardiac catheterization report
indicated that at baseline, his right ventricle systolic
pressure was 72 millimeters mercury,
and systemic pressure was 100 millimeters mercury.
This indicates that his right ventricle pressure
is greater than one half systemic,
meaning that this places him at greater risk for complications
during general anesthesia.
During vasoreactive testing at baseline of 21% oxygen,
the patient had a mean pulmonary arterial pressure of 50,
and a pulmonary vascular resistance of 10.6.
During vasoreactive testing with 100% oxygen and exposure
to inhaled nitric oxide, both his mean pulmonary artery
pressure and pulmonary vascular resistance did decrease.
This was a mild decrease, but does
indicate that he does have vasoreactivity
within his pulmonary vasculature and would respond well
to inhaled nitric oxide or 100% oxygen
if he does have an acute event during surgery.
It is important to discuss the post-op plan
with the patient's cardiologist or an ICU physician.
It is important in these patients to minimize NPO times,
avoiding dehydration and decreased preload
during the pre-op time.
It is also very important to prepare emergency drugs
before the patient even enters the operating room.
These include having things such as inotropes,
including epinephrine, ready.
Inhaled nitric oxide available and in the operating room,
and to also consider ECMO on standby,
depending on the severity of the patient.
Intra-operative Anesthetic Management.
For anesthetic management of this patient,
it is important to give an adequate premedication,
including a benzodiazepine, or even ketamine.
It's important to have a calm patient
because a crying, screaming, and agitated patient
will lead to increased pulmonary vascular resistance,
will lead to changes that will cause
an acute event for pulmonary hypertension.
If the patient is on a pulmonary vasodilator
such as a targeted therapy, it is
important to continue this medication
during the perioperative time.
The main goals of an anesthetic management
for patients with pulmonary hypertension
is to avoid increases in pulmonary vascular resistance
and avoid decreases in systemic vascular resistance.
Decreases in systemic vascular resistance
will lead to changes that cause decreased coronary perfusion
pressure and decreased oxygen delivery to the myocardium,
leading to ischemia, which may precipitate
a pulmonary hypertensive crisis.
For these patients, it is important to place standard ASA
monitors on the patient before induction.
And depending on the case and the patient,
to determine if an arterial line is needed.
Induction of these patients, it's
important to use a balanced anesthetic technique.
It's important to maintain a dedicated
IV if the patient comes to the operating room
already on a pulmonary vasodialator infusion.
Stopping this infusion, even for a brief second for induction,
can lead and precipitate to an acute pulmonary hypertensive
crisis.
An IV induction is preferred for these patients.
However, it is possible to do an inhalational induction
on these patients, if the patient has
adequate ventricular function.
The potential problem with an inhalational induction
is that if you lose the patient's airway,
the patient will begin to hypoventilate,
become hypercarbic.
This will lead to acidosis and eventually hypoxia,
which is going to cause the patient
to have an acute pulmonary hypertensive crisis.
The ideal anesthetic for pulmonary hypertension
includes one in which it causes pulmonary vasodilation,
maintains cardiac contractility, maintains systemic vascular
resistance, and also maintains cardiac output.
However, an ideal anesthetic for pulmonary hypertension
does not exist.
We have our drugs that we are very familiar with,
our volitile anesthetics and our IV anesthetic agents.
However, each is not a perfect anesthetic
for pulmonary hypertension.
Most have good qualities, but also
have an element that causes hemodynamic instability,
potentially for a patient with pulmonary hypertension.
The use of ketamine in patients with pulmonary hypertension
has been controversial in the past.
However a study by Dr. Paul Hickey at Boston Children's
Hospital indicated that ketamine does not
change the pulmonary vascular resistance,
unless the patient also is hypoventilating and becomes
hypercarbic.
A balanced anesthetic technique is the best technique
for patients with pulmonary hypertension.
This technique includes sub-anesthetic doses
of multiple anesthetics in order to achieve an anesthetic state.
The anesthetic management for airway of these patients
is selected based on the procedure.
If the patient is to be intubated,
there needs to be an adequate depth of anesthesia
before intubation is achieved.
An LMA can be used, however it is
important to avoid hypoventilation in order
to avoid hypercarbia, which can lead
to increases in pulmonary vascular resistance.
For maintenance of these patients,
it is important to continue the depth of anesthetic that
is adequate for the stimulus.
A volatile inhalational anesthetic
or a total intravenous anesthetic
can be used for maintenance of these patients.
For ventilation of these patients,
it is very important to avoid hypercarbia and respiratory
acidosis, which both can lead to increases
in the pulmonary vascular resistance
as well as avoiding excessively low or high tidal volumes,
which both can increase the pulmonary vascular resistance.
And it is also important to avoid
excessive low or high peak inspiratory pressures, which
will lead to an increased pulmonary vascular resistance.
As well as avoiding increases in PEEP,
which will increase pulmonary vascular resistance.
The emergence of these patients.
It is very important to minimize noxious stimuli.
Suctioning the endotracheal tube or the patient's oropharynx
should be done while the patient is
under a deep plane of anesthesia.
Tracheal suction and oropharyngeal suction
have been known to precipitate an acute pulmonary hypertensive
crisis.
It is very important to have a smooth and calm extubation
of these patients.
Post-operative Anesthetic Management.
It is important to have adequate post-op monitoring for patients
with pulmonary hypertension.
If the patient is to be monitored
in the PACU versus the ICU depends
on patient factors, surgical factors,
and anesthetic factors.
It is very important in the post-operative course
to provide adequate analgesia and antiemesis,
and also to avoid hypoxia, hypotension, and hypovolemia.
It is very important to be prepared
when you have a patient with pulmonary hypertension,
and to always stay two steps ahead of potential changes
that can occur in these patients.
Case Example - Part 2.
Let's go back to our sample case--
a 15-year-old male with past medical history
of pulmonary hypertension for an ORIF of his tibia.
The patient received a pre-med consisting of midazolam,
and on induction a balanced anesthetic technique
was used with fentanyl, ketamine, propofol,
and rocuronium.
The patient remained stable on induction.
He had an easy intubation, and was also hemodynamically
stable on-- during intubation.
However, 30 minutes after incision, the patient suddenly
had a decrease in oxygen saturation, blood pressure
and end-tidal carbon dioxide.
What is your differential diagnosis,
and what are you going to do to treat this patient?
Pulmonary Hypertensive Crisis.
Patients with pulmonary hypertension,
you should always think if the patient decompensates,
the first thing that should be on your differential diagnosis
is a pulmonary hypertensive crisis.
The definition of pulmonary hypertensive crisis
is an acute on chronic increase in pulmonary vascular
resistance, resulting from an acute increase
in vascular tone of the reactive portion
of the pulmonary vasculature.
During these changes, a rapid increase in pulmonary vascular
resistance will lead to an increased right ventricular
afterload, causing right ventricular pressure
to increase, which will in turn lead
to decreases in the left ventricular preload, decreases
in coronary perfusion pressure, and eventually causing
ischemia, which will lead to changes such as hypoxia
and acidosis, which will further increase this cycle.
During an acute event, it is possible to have cardiac arrest
with low cardiac outputs.
If the patient does develop cardiac arrest,
it may be difficult to resuscitate these patients.
CPR may be ineffective due to an enlarged right ventricular
size that compresses the left ventricle, causing
ineffective cardiac output.
Pulmonary hypertensive crisis can happen at any time
during the perioperative period, and this can occur even hours
after the intra-operate time.
Intra-operative findings of pulmonary hypertensive crisis
include sudden desaturation, systemic hypotension,
decreases in end-tidal CO2, sinus tachycardia,
elevated central venous pressure, and a new onset
EKG change of RV strain or ischemia,
as well as bradycardia, which is an ominous sign
of impending cardiac arrest.
If you have access to a transesophageal
echocardiograph, you will see that the right ventricle is
dilated and poorly contracting, as well as an under filled
left ventricle.
And you will see pulmonary regurgitation
and tricuspid regurgitation, as well as
elevated right ventricular pressures.
For treatment of a pulmonary hypertensive crisis,
it is important to get rid of the stimulating event
and to stabilize the patient.
It is important to administer 100% oxygen to the patient.
Oxygen is a vasodilator and will vasodilate
the pulmonary vasculature.
It is also important to hyperventilate the patient.
Hyperventilation will lead to decreases in carbon dioxide
levels, and therefore vasodialate
the pulmonary vasculature.
It's also important to exclude other causes that
may mimic a pulmonary hypertensive crisis,
such as a pneumothorax.
It's important to decrease mean arterial pressures if possible,
and to correct metabolic acidosis.
Acidosis will lead to increases in pulmonary vascular
resistance and further increase the acute event.
It is also important to support the heart of the patient,
providing an inotrope such as epinepherine.
If the patient is in the middle of surgery,
it's important to administer proper analgesia
to get rid of any noxious stimuli which
may be precipitating an event.
It is also important to initiate ECMO early in these patients
in order to stabilize the patient
and provide adequate cardiac output to the patient.
If the patient does develop cardiac arrest,
it is very important to start PALS algorithm.
However, keep in mind that CPR may
be ineffective due to the enlarged right
ventricle compressing the left ventricle
and leading to decreased cardiac output.
Today's pulmonary hypertension talk,
the teaching points are: pulmonary hypertension
is associated with significant morbidity and mortality
in the perioperative time, careful planning
is very important pre-operatively,
and pulmonary hypertensive crisis
can occur both intra-op and post-op.
Thank you very much.
Please help us improve the content by providing us
with some feedback.
-------------------------------------------
Search for talented artisans to help preserve traditional Hawaiian culture - Duration: 3:05. For more infomation >> Search for talented artisans to help preserve traditional Hawaiian culture - Duration: 3:05.-------------------------------------------
Hitman Absolution Walkthrough Part 4 - Run For Your Life - Mission 4 Gameplay + Commentary - Duration: 23:31.what's up as people of YouTube welcome to the another video of mission failed 404
and as usual i'm Rafi again and today it's going to be the part 4 of mission .....
I'm sorry hitman absolution and I don't know how long is gonna take because these
level called run for your life is bigger bigger so let's go let's see what we got there
oh,fu**ing a***ole,man
i hate you,f*** you
go f*** you
shit on your face you bloody man
oh,my god,he's gonna burn me?com'n
see you next time
run for your life
now,let's ruuuuuuuuuuuuun
oh
run for my life,,,,, running for my life
okay this is fun to kill you,,this was fun to kill you
the sound effect look like the movie started just now
sorry
oh,man
oh,shit,ooohh shit!,shit shit
now I'm gonna kill you too
okay another one
sorry buddy
I need my scissor I'm sorry I can't I
i can't lead you to bring that to your home sorry for that
yeah
what do you say to me?
seccond floor
police,
I like to kill someone like that
okay
another one is coming
come on come on,i would like to kill you
no one's here
anyone there?
okay let's go
Oh
I like that sound effect
now let's run
fucking helicopter
okay I got a secret entrance
anyone there?no one
oh,am i?no,man
don't......okay
that's f**king helicopter is shitting on my face
i don't like it
yeah
how many door i have to break?
hmmmm,are those police?-yeah
i got a door
ohh,like dreAM PLACE
awesome place, I would like to mention
sounds like some kind of angel in there
but no angel i'm seeing
you bloody policeman.why are you standing right there?go
so many them
oh,no no come on.got it,got it,got yeah
hell yea....
why they're running .they're running so fast but they can't catch me because I'm
too fast than them....oh so fu**
yeah okay at last, are they scared of me?
I don't think they have to
no, so many police
oh one of them is coming
hey you need to stop
goodbye
okay,more of you?goo
oh,that place,a station?
okay
okay there's police
Oh No
Hey oh-ho okay I'd like to hit you but I
can't oh shit shit shit shit fu*k,
oh,ihave to activate checkpoint
why did i do this?nooo,shit
okay,he's coming for me
no,he's not
okay he's not here
goodbye
i'm fine
no no
no,i don't know you,I'm sorry
right please
hello hi
Oh these men is kind of like JACKSEPTICEYE
hey JACKSEPTICEYE, how are you?
no no no you don't know me and I don't know you you f**king bitch
there you go
okay now ,now what?
okay I think I have to wait for a train
what
shit oh no I think I have
oh,no.come on
shit me shit on me come on
okay oh no this is that place
i just skip it
i'm a bullshit
now I'm cleared the train will arrive in 45 seconds
I think I have to hurry no let's hurry, i can't run
I have to run for my life more thirty secconds no no no body found
but I'm clear okay come on oh no no no no come on come on come on
come on 15 seconds 14 13 12 11 ,,,,,,,,,,,3 2 1
yeah
no the sound was like the war has just started,but war just ended
so,here was the whole video ,if you have liked it just click the like button
and if you haven't just punch off my nose stop it ya stopped
and if you have any suggestion for us,comment below stay with us if you want to get all the video fast
for just do subscribe stay with us stay cool feell the game
bye bye
-------------------------------------------
Adobe Connect Modes for Hosts and Presenters - Duration: 2:59.Hello everyone. In this video We'll discuss what you can do
with the different meeting modes in adobe connect if you are a host or possibly a presenter.
Let's start with sharing mode.
This is the mode that's probably the most convenient if you're doing a presentation or demonstration
because of the capability of sharing your screen with the other attendees.
You can see the participants list over on the right,
and you have options to start a chat with them, enable their microphone or video,
Request to screen share, or change their status to that of a host/presenter.
You can of course share your screen. This is probably the most important capability of this mode,
So that others can see what you're working on or see what you're doing on your computer.
There's a text-based chat which is open to everybody in the room,
and you can also share your webcam so that others can see if--who's talking to them.
Discussion mode.
In this mode
the Webcam is featured most prominently so that others can see you
or possibly switch between people talking and sharing their video on their webcam.
As in di--as in sharing mode, you do have the list of attendees with the same capabilities of chat,
but you also have a discussion notes capability, where you can enter in
notes on what you're talking about and save it as an RTF file to send to others,
and you can set up polls. Only hosts or presenters can set up polls, but anybody in the room can answer them.
Collaboration mode is good for group work.
As you can see here, there's no screen sharing capability, but, as in other modes,
you do have the possibility of sharing your webcam and, of course, monitoring
the attendees list and let everyone talk in the chat.
A main feature is the whiteboard on which can draw or type as you talk and share ideas.
You can also share files--anybody can upload or download them.
If you have any questions, please let us know. We're happy to help.
We welcome visits in person, but you can also contact us over the phone at
(315) 792-3044 for the information desk,
or (315) 792-3041 for the circulation desk.
You can also email us at refere@utica.edu. Thank you for your time and attention
-------------------------------------------
VIPRE Advanced Security for Home 2017 for 4 PCs - Duration: 3:47. For more infomation >> VIPRE Advanced Security for Home 2017 for 4 PCs - Duration: 3:47.-------------------------------------------
Mexicali Resident Travels to Scripps for Heart Care - Duration: 1:59.[begin music]
>>Rodolfo Nelson: My father started coming to Scripps
way, way back when they were at the old Scripps,
before they were here, and that was on Prospect.
I started going with my father to see Scripps,
and I decided Scripps was a good choice for me.
I do have my doctors also, in Mexicali to take care of me – American and Mexican doctor,
but yes, Scripps was the best choice for me.
>>Jorge Gonzalez, MD: Rodolfo came to us in 1998 with complaints of chest pain.
He underwent a stress test that found out he had triple vessel,
or blockage on the three main arteries of his heart,
and therefore subsequently he went in for bypass surgery back in 1998.
>>Rodolfo Nelson: The doctors that worked with me here at Scripps, the cardiologist, and
internist, and everybody else did a wonderful job.
I'm happy.
I have a very happy life right now.
>>Jorge Gonzalez, MD: Rodolfo today came for a regular check up and since he has coronary
artery disease pretty much what we ask are all the questions
regarding symptoms from the cardiovascular
standpoint – chest pains, shortness of breath.
We also talk about his preventing down the road futher problems with heart attack,
so we check blood work like lipid panel.
>>Rodolfo Nelson: I think it's very important because we talk, first of all,
in our language, in Spanish, number one.
Number two is – we have the same culture, which is very important.
So, yes, I feel very comfortable with a Latin cardiologist.
I have done more things in 20-years than I did in my previous life before the operation because
– what happened is – I appreciate life more, I had a second chance, I had good doctors
that made a very good operation, heart operation.
I have my wife which I just celebrated my 50th wedding anniversary.
I kept on working.
It changed my life for the better.
[end music]
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Citing with RefWorks for GDocs - Duration: 2:02.Hello, everyone. In this video, we'll discuss using RefWorks for GDocs
to create citations and works cited lists. This is useful if you like working with Google docs to write,
and it's one of several tools that RefWorks offers to help you create citations and bibliographies.
So, if you're in Google Docs, you start by locating the Add-Ons menu close to the top of the screen.
Look for Proquest RefWorks, and then Manage Citations.
That will open up your RefWorks references in the sidebar.
Once you've done some typing and need to cite, you mouse over one of the citations and click Cite This.
That creates the in-text citation and the entry in your references list.
Here's what it looks like when you've created a few more.
If you need to change your citation style for any reason,
you go to the settings menu, which you get to by clicking
the little icon that looks like a gear in the top right of your RefWorks sidebar.
You can check your current citation style and search for the one that you want to change it to.
In this case I've changed it to MLA style.
And then you click update,
and as you can see the citation style has changed.
If you have any questions, please feel free to contact us.
You can reach us in person , or via phone at:
(315) 792-3044 for the information desk,
(315) 792-3041 for the circulation desk.
You can also email us at refere@utica.edu.
Thank you for your time and attention.
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