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Health workers The communication plan should include contingencies for communicating with local general practitioners generic super viagra 160mg with visa impotence 30s, hospitals and other health services buy super viagra with paypal erectile dysfunction instrumental. Communicate with health workers either selectively cheap super viagra online amex erectile dysfunction uptodate, through predetermined contact points (i buy cialis extra dosage line. Industry groups Communication with industry groups will depend on the nature of the outbreak and the stage of confirmation about the outbreak source purchase discount caverta on line. In general order genuine vytorin online, make contact with industry groups only when there is a reasonable degree of certainty about the outbreak source, but try to make contact and provide a briefing before the general media become involved. As discussed in Chapter 9 on environmental investigation, state your suspicions and concerns precisely, without embellishment, and describe the plan for further investigation. If the industry group has national responsibility, it may be appropriate to involve the Ministry of Health, either to be party to discussions or to lead communications. Local authorities If local authorities (territorial authority or regional council) have jurisdiction over the type of setting for the outbreak, make sure that a representative has been contacted at an early stage. It may be appropriate to have a local authority representative as a member of the outbreak team. Debrief following outbreak investigation and response The completion of the outbreak investigation and response should be followed by a meeting to review the process. The focus of the meeting should be on critically examining aspects of the investigation that did and did not go well, with the aim of developing some constructive recommendations to improve future outbreak investigations. This debriefing meeting should involve all of the core outbreak team, and sometimes members of the outer team, for example, representatives from laboratories. The issues addressed and recommendations emerging from the debriefing meeting should be documented in an outbreak report, as described in Chapter 13. These matters could either be communicated directly, included in an outbreak report, or be published in a locally or internationally peer-reviewed journal. The aim of organisational debriefing is for staff to communicate their work related experience of an outbreak to their own team and to any others who may subsequently be involved in outbreak investigation (and control). This is necessary so that the strengths and weaknesses of the response can be captured and incorporated into planning and training in the pursuance of best practice, to enhance the organisation’s ability to respond optimally to future outbreaks. Three types of debrief are relevant, the ‘hot’ debrief, internal organisational ‘cold’ debrief, and multi-agency ‘cold’ debrief. Hot Debriefs The overall responsibility for ensuring the debrief takes place belongs to the Incident Controller for the outbreak. The key features include: Holding immediately after the outbreak response or shift (if a large outbreak) is completed Allows a rapid ‘off-load’ of issues and concerns Should address key health and safety issues Provides an opportunity to thank staff and provide positive feedback May be facilitated by a number of people in the organisation A number of hot debriefs may be held within the organisation simultaneously in each work area to identify key issues by area 12. Cold Debriefs The cold debrief should be organised within two to four weeks of the end of the outbreak by the Incident Controller for the outbreak.

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Recommendations for the Conduct order 160mg super viagra with visa erectile dysfunction doctors long island, Reporting trusted 160 mg super viagra erectile dysfunction herbal treatment options, Editing generic 160mg super viagra visa erectile dysfunction age 50, and Publication of Scholarly Work in Medical Journals and conclusions order malegra dxt plus without prescription. If the error is judged to be unintentional order tadacip on line amex, this is not done cheap zudena express, editors may choose to publish an an- the underlying science appears valid, and the changed ver- nouncement expressing concern that the validity of previ- sion of the paper survives further review and editorial scru- ously published work is uncertain. Scientific Misconduct, Expressions of Concern, and Journals should make clear the type of copyright under Retraction which work will be published, and if the journal retains Scientific misconduct includes but is not necessarily copyright, should detail the journal’s position on the trans- limited to data fabrication; data falsification, including de- fer of copyright for all types of content, including audio, ceptive manipulation of images; and plagiarism. Medical journals may ask ple consider failure to publish the results of clinical trials authors to transfer copyright to the journal. Some journals do While each of these practices is problematic, they are not not require transfer of copyright and rely on such vehicles equivalent. When scientific misconduct is al- ticles in a given journal can vary: Some content cannot be leged, or concerns are otherwise raised about the conduct or copyrighted (e. Editors may the editor should initiate appropriate procedures detailed waive copyright on other content, and some content may by such committees as the Committee on Publication Eth- be protected under other agreements. Duplicate Submission volve an investigation at the authors’ institution, the editor Authors should not submit the same manuscript, in should seek to discover the outcome of that investigation; the same or different languages, simultaneously to more notify readers of the outcome if appropriate; and if the than one journal. The rationale for this standard is the investigation proves scientific misconduct, publish a retrac- potential for disagreement when two (or more) journals tion of the article. There may be circumstances in which claim the right to publish a manuscript that has been sub- no misconduct is proven, but an exchange of letters to the mitted simultaneously to more than one journal, and the editor could be published to highlight matters of debate to possibility that two or more journals will unknowingly and readers. Rather, they should be prom- inently labelled, appear on an electronic or numbered print 2. Duplicate and Prior Publication page that is included in an electronic or a print Table of Duplicate publication is publication of a paper that Contents to ensure proper indexing, and include in their overlaps substantially with one already published, without heading the title of the original article. Prior tion and original article should be linked in both directions publication may include release of information in the pub- and the retracted article should be clearly labelled as re- lic domain. Ideally, the Readers of medical journals deserve to be able to trust authors of the retraction should be the same as those of the that what they are reading is original unless there is a clear article, but if they are unwilling or unable the editor may statement that the author and editor are intentionally re- under certain circumstances accept retractions by other re- publishing an article (which might be considered for his- sponsible persons, or the editor may be the sole author of toric or landmark papers, for example). The text of the position are international copyright laws, ethical conduct, retraction should explain why the article is being retracted and cost-effective use of resources. Duplicate publication of and include a complete citation reference to that article. Editors may ask the au- When authors submit a manuscript reporting work thor’s institution to assure them of the validity of other that has already been reported in large part in a published work published in their journals, or they may retract it. Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals that has been submitted or accepted for publication else- the violations and the article has already been published, where, the letter of submission should clearly say so and then the article might warrant retraction with or without the authors should provide copies of the related material to the author’s explanation or approval. This recommendation does not prevent a journal from considering a complete report that follows publication of a 3. Acceptable Secondary Publication preliminary report, such as a letter to the editor, a preprint, Secondary publication of material published in other or an abstract or poster displayed at a scientific meeting. It journals or online may be justifiable and beneficial, espe- also does not prevent journals from considering a paper cially when intended to disseminate important information that has been presented at a scientific meeting but was not to the widest possible audience (e. Secondary publication scheduled meetings are not usually regarded as breaches of for various other reasons may also be justifiable provided this rule, but they may be if additional data tables or fig- the following conditions are met: ures enrich such reports.