The premise of this article is that risk to a system, as well as its vulnerability and resilience, can be understood, defined, and quantified most effectively through a systems-based philosophical and methodological approach, and by recognizing the central role of the system states in this process. A universally agreed-upon definition of risk has been difficult to develop; one reason is that the concept is multidimensional and nuanced. It requires an understanding that risk to a system is inherently and fundamentally a function of the initiating event, the states of the system and of its environment, and the time frame. In defining risk, this article posits that: (a) the performance capabilities of a system are a function of its state vector; (b) a system's vulnerability and resilience vectors are each a function of the input (e.g., initiating event), its time of occurrence, and the states of the system; (c) the consequences are a function of the specificity and time of the event, the vector of the states, the vulnerability, and the resilience of the system; (d) the states of a system are time-dependent and commonly fraught with variability uncertainties and knowledge uncertainties; and (e) risk is a measure of the probability and severity of consequences. The above implies that modeling must evaluate consequences for each risk scenario as functions of the threat (initiating event), the vulnerability and resilience of the system, and the time of the event. This fundamentally complex modeling and analysis process cannot be performed correctly and effectively without relying on the states of the system being studied.
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http://dx.doi.org/10.1111/j.1539-6924.2009.01310.x | DOI Listing |
BMC Public Health
January 2025
Research Department of Primary Care & Population Health, University College London, UCL Medical School (Royal Free Campus), Upper Third Floor, Rowland Hill Street, London, NW3 2PF, UK.
Background: Advances in digital healthcare and health information provide benefits to the public. However, lack of digital skills together with access, confidence, trust and motivation issues present seemingly insurmountable barriers for many. Such digital health exclusion exacerbates existing health inequalities experienced by older people, people with less income, less education or who don't have English as a first language.
View Article and Find Full Text PDFJ Neuroophthalmol
January 2025
Faculty of Medicine (DR), Tel Aviv University, Tel Aviv, Israel; Departments of Ophthalmology and Visual Sciences (LBD), University of Michigan, Ann Arbor, Michigan; and Department of Ophthalmology and Vision Science (EM), University of Toronto, Toronto, Canada.
Background: In the aftermath of an adverse event, the first priority is to provide care for the patient, known as the first victim. However, the experiences of healthcare professionals (HCPs) involved in these events, known as "second victims", have been largely overlooked. This review aims to consolidate existing knowledge on second victim syndrome (SVS), explore its unique implications for neuro-ophthalmologists, and suggest support strategies to increase awareness and meet the needs of affected colleagues.
View Article and Find Full Text PDFChild Care Health Dev
January 2025
Department of Pediatric Dentistry, Izmir Katip Celebi University, Turkiye.
Background: The objective of this study encompasses two distinct facets. First, it aims to provide a comprehensive analysis of the comparative assessment of psychosocial wellbeing and oral health status among Syrian and Turkish children in Türkiye. Secondly, it aims to elucidate the factors that play a role in shaping the sociocultural adaptation of Syrian children.
View Article and Find Full Text PDFBMJ Paediatr Open
January 2025
Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA
Greenhouse gas (GHG) emissions are creating unprecedented climate-driven extreme weather, with levels of heat and humidity surpassing human physiological tolerance for heat stress. These conditions create a risk of mass casualties, with some populations particularly vulnerable due to physiological, behavioural and socioeconomic conditions (eg, lack of adequate shelter, limited healthcare infrastructure, sparse air conditioning access and electrical grid vulnerabilities). Children, especially young children, are uniquely vulnerable to extreme heat-related morbidity and mortality due to factors including low body mass, high metabolism, suboptimal thermoregulatory mechanisms and behavioural vulnerabilities.
View Article and Find Full Text PDFBurns
January 2025
Department of Nursing, School of Nursing and Midwifery, Islamic Azad University, Kazerun, Iran.
The psychological impact of pediatric burn injuries is profound, often resulting in elevated levels of anxiety for both children and their mothers. This quasi-experimental study was conducted to explore the effectiveness of a resilience training program aimed at reducing anxiety among mothers and their hospitalized children with burn injuries at a burn hospital in Shiraz, Iran. Fifty-six eligible mothers were initially selected through purposive sampling and assigned to either the experimental or control group in a 1:1 ratio through random assignment.
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