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  1. Article: The "judicialization" of emergency management in Belgium: From a safety regime toward a security one.

    Glesner, Colin / Fallon, Catherine

    Journal of emergency management (Weston, Mass.)

    2024  Volume 21, Issue 6, Page(s) 539–555

    Abstract: This paper analyzes changes in emergency management in Belgium that have accompanied growing security concerns in Western countries since the 9/11 terrorist attacks in the United States. Using an instrumentation approach, we show how the adoption of a ... ...

    Abstract This paper analyzes changes in emergency management in Belgium that have accompanied growing security concerns in Western countries since the 9/11 terrorist attacks in the United States. Using an instrumentation approach, we show how the adoption of a particular regulatory instrument helped put police and judicial actors center stage and gave a more prominent place to the inquiry. We show how the instrument is hampering cooperation, communication, and trust in rescue services and may undermine the collective intelligence at the core of emergency responses. We argue that these changes are indicators of the rise of a new "emergency management security regime" that contradicts the original safety regime applied since the 1960s.
    MeSH term(s) Humans ; Belgium ; Communication ; Police ; Terrorism
    Language English
    Publishing date 2024-01-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2799989-0
    ISSN 1543-5865
    ISSN 1543-5865
    DOI 10.5055/jem.0738
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  2. Article ; Online: Response to: Impact of prehospital care and door-to-computed tomography scan time on stroke outcomes.

    Harbison, J / Collins, R / McCormack, J / Brych, O / Fallon, C / Cassidy, T

    QJM : monthly journal of the Association of Physicians

    2024  Volume 117, Issue 4, Page(s) 309–310

    MeSH term(s) Humans ; Stroke/therapy ; Stroke/drug therapy ; Emergency Medical Services ; Tomography, X-Ray Computed ; Thrombolytic Therapy ; Time-to-Treatment
    Language English
    Publishing date 2024-01-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1199985-8
    ISSN 1460-2393 ; 0033-5622 ; 1460-2725
    ISSN (online) 1460-2393
    ISSN 0033-5622 ; 1460-2725
    DOI 10.1093/qjmed/hcae003
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    Ua VI Zs.131: Show issues Location:
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  3. Article ; Online: Sexual assault of the older person: Attendances to the Republic of Ireland's sexual assault treatment unit network.

    Kane, D / Gill, N / Walshe, J / Fallon, C / Flood, K / Eogan, M

    Journal of forensic and legal medicine

    2024  Volume 103, Page(s) 102683

    Abstract: Background: Sexual assault (SA) poses a threat to all areas of contemporary society. Although older individuals represent a vulnerable demographic, a considerable gap exists in the literature regarding the context in which older individuals experience ... ...

    Abstract Background: Sexual assault (SA) poses a threat to all areas of contemporary society. Although older individuals represent a vulnerable demographic, a considerable gap exists in the literature regarding the context in which older individuals experience SA. This study aims to provide a comprehensive description of older individuals' attendances at the Sexual Assault Treatment Unit (SATU) network in the Republic of Ireland.
    Methods: A 7-year national cross-sectional study was performed to analyse the attendances of older people (≥65 years old) to the SATU network, and to compare them with younger attendances (<65 years old), with a more in-depth subset analysis of Dublin SATU attendances.
    Results: During the study period, there were 6478 attendances to the SATU network, of which 0.93 % (n = 60) were older people. These included 59 females and 1 male, with the average age of 76.05 years ± 8.16. Forensic examinations were performed in 81.7 %, with the majority seeking assistance within 7 days (80 %). Comparison of older (≥65 years) and younger (<65 years) attendees revealed older individuals were more uncertain whether a sexual assault had occurred (35.5 % vs. 14.4 %, p < 0.001) but more likely to report the incident to the police (78.3 % vs. 64.3 %, p = 0.02). Assault by a person in authority was significantly more common in older age groups (11.7 % vs. 1.8 %, p < 0.001). Older individuals were significantly more likely to be assaulted in their own home (33.3 % vs. 21.5 p < 0.03) or in 'other-indoors' settings (e.g. nursing home/hospital) (43.3 % vs. 23.4 % p < 0.001). They were less likely to be assaulted in the assailant's home (5.0 % vs. 22.9 %, p < 0.001) or outdoors (5.0 % vs. 19.7 %, p = 0.004). In our subset analysis of 19 cases, 73.7 % occurred in healthcare facilities, 63.2 % had dementia, and 42.1 % were care dependent. Genital injuries were present in 44.4 % of patients and extra-genital injuries in 22.2 %.
    Conclusion: Unique patterns are evident in sexual assault experienced by older people, underscoring the necessity for tailored interventions and effective support systems for reporting and addressing this vulnerable demographic. This is especially crucial in healthcare environments, where a notable proportion of cases occur, frequently involving individuals with dementia and requiring care assistance.
    Language English
    Publishing date 2024-04-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268721-X
    ISSN 1878-7487 ; 1752-928X
    ISSN (online) 1878-7487
    ISSN 1752-928X
    DOI 10.1016/j.jflm.2024.102683
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  4. Article ; Online: Response to: Relationship between hospital size, remoteness and stroke outcome.

    Harbison, J / Collins, R / McCormack, J / Brych, O / Fallon, C / Cassidy, T

    QJM : monthly journal of the Association of Physicians

    2023  Volume 116, Issue 9, Page(s) 820–821

    Language English
    Publishing date 2023-07-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1199985-8
    ISSN 1460-2393 ; 0033-5622 ; 1460-2725
    ISSN (online) 1460-2393
    ISSN 0033-5622 ; 1460-2725
    DOI 10.1093/qjmed/hcad182
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  5. Article ; Online: How Did the COVID-19 Pandemic Increase Salience of Intimate Partner Violence on the Policy Agenda?

    Lebrun, Luce / Thiry, Aline / Fallon, Catherine

    International journal of environmental research and public health

    2023  Volume 20, Issue 5

    Abstract: Belgian authorities, like most authorities in European countries, resorted to unprecedented measures in response to the spread of the COVID-19 pandemic between March 2020 and May 2022. This exceptional context highlighted the issue of intimate partner ... ...

    Abstract Belgian authorities, like most authorities in European countries, resorted to unprecedented measures in response to the spread of the COVID-19 pandemic between March 2020 and May 2022. This exceptional context highlighted the issue of intimate partner violence (IPV) in an unprecedented way. At a time when many other issues are being put on hold, IPV is being brought to the fore. This article investigated the processes that have led to increasing political attention to domestic violence in Belgium. To this end, a media analysis and a series of semi-structured interviews were conducted. The materials, collected and analyzed by mobilizing the framework of Kingdon's streams theory, allowed us to present the agenda-setting process in its complexity and the COVID-19 as a policy window. The main policy entrepreneurs were NGOs and French-speaking feminist women politicians. Together, they rapidly mobilized sufficient resources to implement public intervention that had already been proposed in the preceding years, but which had been waiting for funding. By doing so, they responded during the peak of the pandemic to requests and needs that had already been expressed in a "non-crisis" context.
    MeSH term(s) Humans ; Female ; COVID-19 ; Pandemics ; Intimate Partner Violence ; Domestic Violence ; Health Policy
    Language English
    Publishing date 2023-03-02
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20054461
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  6. Article: Resilience Dividends and Resilience Windfalls: Narratives That Tie Disaster Resilience Co-Benefits to Long-Term Sustainability.

    Helgeson, Jennifer / O'Fallon, Cheyney

    Sustainability

    2021  Volume 13, Issue 8

    Abstract: The need for increased disaster resilience planning, especially at the community level, as well as the need to address sustainability are clear; these dual objectives have been deemed national priorities in a number of recent US Executive Orders. Major ... ...

    Abstract The need for increased disaster resilience planning, especially at the community level, as well as the need to address sustainability are clear; these dual objectives have been deemed national priorities in a number of recent US Executive Orders. Major global climate agreements, (i.e., the Sendai Framework for Disaster Risk Reduction, Paris Climate Agreement, and the Sustainable Development Goals) all emphasize the need to integrate disaster resilience and climate risks with continued sustainable development concerns. Current ways of assessing synergies and trade-offs across planning for disaster resilience and sustainability in investment projects that impact communities are limited. The driving research question in this paper is how researchers and practitioners may better express relative categories of co-benefits to meet this need. We draw upon the categorization of some co-benefits as contributing to the resilience dividend, which has helped communication across fields and created bridges from research to practical on-the-ground planning in recent years. Furthermore, we leverage the growing focus on the need to recognize the role of narratives in driving decisions about how and where to invest, which elucidates the inherent value of archetypes that resonate across stakeholders and disciplines to describe investments that may meet multiple objectives. We introduce the concept of a resilience windfall as an unexpected or sudden gain or advantage of resilience planning to be conceptualized alongside resilience dividends. We then assess the practicality of decerning resilience windfalls across various projects that have aspects of both resilience and sustainability. We recount five narrative vignettes that demonstrate disaster resilience interventions and associated resilience dividends and windfalls. This effort highlights the importance of considering resilience dividends and resilience windfalls during the planning, execution, and evaluation phases of disaster resilience projects. These typologies provide an important contribution to the integration agenda between disaster resilience, climate risks, and sustainable development. There are policy implications of framing incentives for interventions that address both disaster resilience and long-term sustainability objectives as well as encouraging robust tracking of both resilience dividends and windfalls.
    Language English
    Publishing date 2021-11-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518383-7
    ISSN 2071-1050
    ISSN 2071-1050
    DOI 10.3390/su13084554
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  7. Article ; Online: Hospital size, remoteness and stroke outcome.

    Harbison, J / Collins, R / McCormack, Joan / Brych, O / Fallon, C / Cassidy, T

    QJM : monthly journal of the Association of Physicians

    2022  Volume 116, Issue 4, Page(s) 288–291

    Abstract: Introduction: Previous studies have shown an association between number of stroke admissions and outcomes. Small hospitals often support more remote areas and we studied national data to determine if an association exists between hospital remoteness and ...

    Abstract Introduction: Previous studies have shown an association between number of stroke admissions and outcomes. Small hospitals often support more remote areas and we studied national data to determine if an association exists between hospital remoteness and stroke care.
    Methods: Data from the Irish National Audit of Stroke (INAS) on average stroke admissions, adjusted mortality for ischaemic stroke, thrombolysis rate and proportion with door to needle (DTN) ≤45 min were analysed. Hospital remoteness was quantified by distance to the next hospital, nearest neurointerventional centre and location within 10 km of the national motorway network.
    Results: Data for 23 of 24 stroke services were evaluated. Median number of strokes admitted per year was 186 (range 84-497). Nine hospitals (39%) admitted ≥200 stroke patients per year (mean 332). Average adjusted mortality (7.0 vs. 7.3, P = 0.67 t-test), mean thrombolysis rate (12.1% vs. 9.2%, P = 0.09) and mean proportion of patients treated ≤45 min (40.4% vs. 31.3%, P = 0.2) did not differ significantly between higher and lower volume hospitals.Hospitals close to the motorway network (n = 15) had a higher mean thrombolysis rate (11.9% vs. 7.5%, P = 0.01 t-test) and proportion DTN ≤45 min (43.7-18.4%, P < 0.001).Number of stroke admissions did not correlate with mortality (r = 0.06, P = 0.78), DTN (r = 0.12, P = 0.95) or thrombolysis rate (r = 0.35, P = 0.20). Distance to next hospital correlated strongly negatively with DTN (r = -0.47, P = 0.02) and thrombolysis rate (-0.43, P = 0.04).
    Conclusion: Remoteness of hospitals is associated with worse measures of stroke outcome and management.
    MeSH term(s) Humans ; Stroke/drug therapy ; Fibrinolytic Agents/therapeutic use ; Brain Ischemia/complications ; Thrombolytic Therapy ; Health Facility Size ; Time-to-Treatment ; Treatment Outcome
    Chemical Substances Fibrinolytic Agents
    Language English
    Publishing date 2022-12-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1199985-8
    ISSN 1460-2393 ; 0033-5622 ; 1460-2725
    ISSN (online) 1460-2393
    ISSN 0033-5622 ; 1460-2725
    DOI 10.1093/qjmed/hcac276
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  8. Article ; Online: Covid-19: A crisis that puts our model of crisis management to the test.

    Thiry, Aline / Hendrickx, Kim / Ozer, Pierre / Brunet, Sébastien / Fallon, Catherine

    Social sciences & humanities open

    2022  Volume 6, Issue 1, Page(s) 100372

    Language English
    Publishing date 2022-11-17
    Publishing country England
    Document type Journal Article
    ISSN 2590-2911
    ISSN (online) 2590-2911
    DOI 10.1016/j.ssaho.2022.100372
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  9. Article ; Online: The impact of socio-economic deprivation on access to diabetes technology in adults with type 1 diabetes.

    Fallon, Ciara / Jones, Emma / Oliver, Nick / Reddy, Monika / Avari, Parizad

    Diabetic medicine : a journal of the British Diabetic Association

    2022  Volume 39, Issue 10, Page(s) e14906

    Abstract: Background: With advances in technology, there is an emerging concern that inequalities exist in provision and diabetes outcomes in areas of greater deprivation. We assess the relationship between socio-economic status and deprivation with access to ... ...

    Abstract Background: With advances in technology, there is an emerging concern that inequalities exist in provision and diabetes outcomes in areas of greater deprivation. We assess the relationship between socio-economic status and deprivation with access to diabetes technology and their outcomes in adults with type 1 diabetes.
    Methods: Retrospective, observational analysis of adults attending a tertiary centre, comprising three urban hospitals in the UK. Socio-economic deprivation was assessed by the English Indices of Deprivation 2019. Data analysis was performed using one-way ANOVAs and chi-squared tests.
    Results: In total, 1631 adults aged 44 ± 15 years and 758 (47%) women were included, with 391 (24%) using continuous subcutaneous insulin infusion, 312 (19%) using real-time continuous glucose monitoring and 558 (34%) using intermittently scanned continuous glucose monitoring. The highest use of diabetes technology was in the least deprived quintile compared to the most deprived quintile (67% vs. 45%, respectively; p < 0.001). HbA
    Conclusions: Adults living in the most deprived quintile had less technology use. Irrespective of socio-economic status or ethnicity, glycaemia was positively affected in all groups. It is imperative that health disparities are further addressed.
    MeSH term(s) Adult ; Blood Glucose ; Blood Glucose Self-Monitoring ; Diabetes Mellitus, Type 1/epidemiology ; Diabetes Mellitus, Type 1/therapy ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Social Class ; Socioeconomic Factors ; Technology
    Chemical Substances Blood Glucose
    Language English
    Publishing date 2022-06-30
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 605769-x
    ISSN 1464-5491 ; 0742-3071 ; 1466-5468
    ISSN (online) 1464-5491
    ISSN 0742-3071 ; 1466-5468
    DOI 10.1111/dme.14906
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  10. Article: Lockdown under lockdown? Pandemic, the carceral and COVID-19 in British prisons.

    Schliehe, Anna / Philo, Chris / Carlin, Bethany / Fallon, Caitlín / Penna, Giovanni

    Transactions (Institute of British Geographers : 1965)

    2022  

    Abstract: The relationship between pandemic, or chronic infectious diseases, and the carceral, meaning set-apart spaces of enforced confinement for "wrong-doers," has a long, tangled history. It features in Foucault's inquiries into disciplinary power and its ... ...

    Abstract The relationship between pandemic, or chronic infectious diseases, and the carceral, meaning set-apart spaces of enforced confinement for "wrong-doers," has a long, tangled history. It features in Foucault's inquiries into disciplinary power and its associated spatial formations, not least in the shape of the modern prison. Drawing lightly from Foucault's claims about disciplinary and biopolitical power, as well as on his anti-prison activism, this paper explores three possibilities for penal transformation arising during the early months of COVID-19 in UK prisons (circa March to August 2020). Consulting primary source material, these possibilities are respectively identified as "retrenching," "reworking" or "reducing" the carceral. A chief finding is that under the press of pandemic "emergency," the tilt of emphasis has been towards a retrenched or reworked "carceral state," disappointing any promise of abolition, let alone more humble reduction in carceral conditions. The "biological sub-citizens" of prisons are hence being left especially vulnerable to the press of pandemic, in part precisely
    Language English
    Publishing date 2022-07-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2031328-7
    ISSN 1475-5661 ; 0020-2754 ; 1478-4009 ; 1478-4017
    ISSN (online) 1475-5661
    ISSN 0020-2754 ; 1478-4009 ; 1478-4017
    DOI 10.1111/tran.12557
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