Thứ Sáu, 30 tháng 6, 2017

Waching daily Jun 30 2017

How to Draw Rice Cooker, Rainbow Finger Family Song | Coloring Pages for Kids with Owl King TV

For more infomation >> How to Draw Rice Cooker, Rainbow Finger Family Song | Coloring Pages for Kids with Owl King TV - Duration: 1:58.

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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.

For more infomation >> Installing RefWorks Write-N-Cite for Microsoft Word - Duration: 1:51.

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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

For more infomation >> Using RefWorks Write-N-Cite for Microsoft Word - Duration: 3:28.

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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.

For more infomation >> Window to the Law: Succession Planning for Brokerages - Duration: 4:07.

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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.

For more infomation >> Setting up RefWorks for GDocs - Duration: 2:12.

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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

For more infomation >> Midday at the Oasis: Pacific Disaster's DisasterAWARE for Health Monitoring - Duration: 55:48.

-------------------------------------------

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For more infomation >> How to Use YouTube for More Leads in Sales Funnel | Funnelbox Video Marketing - Duration: 0:45.

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Best Camera Lenses for Fuji Mirrorless Camera Fujifilm Lens - Duration: 3:50.

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For more infomation >> Best Camera Lenses for Fuji Mirrorless Camera Fujifilm Lens - Duration: 3:50.

-------------------------------------------

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.

For more infomation >> Adobe Connect Modes for Attendees - Duration: 2:21.

-------------------------------------------

"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.

For more infomation >> "Anesthetic Considerations in Pulmonary Hypertension" by Stephanie Grant for OPENPediatrics - Duration: 17:27.

-------------------------------------------

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 .....

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seccond floor

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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

For more infomation >> Hitman Absolution Walkthrough Part 4 - Run For Your Life - Mission 4 Gameplay + Commentary - Duration: 23:31.

-------------------------------------------

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

For more infomation >> Adobe Connect Modes for Hosts and Presenters - Duration: 2:59.

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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.

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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]

For more infomation >> Mexicali Resident Travels to Scripps for Heart Care - Duration: 1:59.

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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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