If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to assess the present level of knowledge about disaster preparedness and mitigation among undergraduate medical students. Rarely a week goes by when a major disaster is not reported in the media -a disaster that results in death and destruction. There is a general reluctance among the people to accept that tragedy can appear any time in the form of a disaster. Unfortunately, disasters are seen more in context of emergency responses than pre-planning or preparedness measures. Continuous preparedness saves lives, lessens personal suffering and loss and reduces the destruction of property and economic losses. Emergency medical assistance is the most important and immediate post-disaster need, second only to search and rescue operations. Hence, knowledge about disaster preparedness and mitigation is essential for medical students. Design/methodology/approach -A total of 375 undergraduate medical students who volunteered for participation were included in the study. A pre-tested and pre-designed, structured questionnaire was administered for assessing the current level of knowledge, attitude and practice about disaster preparedness and mitigation. The percentage marks were analyzed and compared for statistically significant difference. Findings -The mean score was 8.77 percent, which was slightly higher in females and was maximum in age group 26-30 years. There was little variation according to the year (professional) of the MBBS course. Originality/value -The paper shows that undergraduate medical students have little knowledge about disasters and disaster preparedness.
contain the increasing trend of Long-term Care Insurance (LTCI) expenditure for the care of aged people with disability. Although the proportion of the budget expenditure for HSDP varies among municipalities, it has been unclear whether these differences are related to the containment of LTCI expenditure. The objective of this study was to examine whether there is some relationship between the proportions of budget expenditure for HSDP and LTCI in all of the municipalities in Japan. Methods 1640 municipalities were categorised into five groups according to the mean budget expenditure for HSDP per resident aged $65 years in 2006e2008 (<£5, £5e<£7, £7e<£9, £9e<£11, $£11). The rate of increase (%) in LTCI expenditure from 2006 to 2008 was calculated in each category. One-way analysis of variance was used. Results The rate of increase in LTCI expenditure differed significantly between expenditure categories for HSDP (120.7 %, 120.4 %, 119.0 %, 118.5 %, 117.0 % from the lowest group [<£5] to the highest group [$£11] respectively; p<0.001). These differences were mainly attributable to significant inverse correlation between budget expenditure for HSDP and the rate of increase in fraction of those who use formal care under LTCI. Conclusion Municipalities with higher budget expenditure for HSDP have a lower rate of increase in LTCI expenditure, suggesting that HSDP would be a cost-effective service.
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