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(disaster OR disasters) AND ("public health" OR "health care" OR "emergency care" OR trauma OR "medical care" OR "health planning" OR "health education" OR "health information" OR "health literacy")

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181. Regional Anesthesia for Painful Injuries after Disasters (RAPID): study protocol for a randomized controlled trial. (Full text)

Regional Anesthesia for Painful Injuries after Disasters (RAPID): study protocol for a randomized controlled trial. Lower extremity trauma during earthquakes accounts for the largest burden of disaster-related injuries. Insufficient pain management is common in resource-limited disaster settings, and regional anesthesia (RA) may reduce pain in injured patients beyond current standards of care. To date, no controlled trials have been conducted to evaluate the use of RA for pain management (...) in a disaster setting.The Regional Anesthesia for Painful Injuries after Disasters (RAPID) study aims to evaluate whether regional anesthesia (RA), either with or without ultrasound (US) guidance, can reduce pain from earthquake-related lower limb injuries in a disaster setting. The proposed study is a blinded, randomized controlled equivalence trial among earthquake victims with serious lower extremity injuries in a resource-limited setting. After obtaining informed consent, study participants

2016 Trials PubMed

182. Focused Training for Humanitarian Responders in Regional Anesthesia Techniques for a Planned Randomized Controlled Trial in a Disaster Setting. (Full text)

Focused Training for Humanitarian Responders in Regional Anesthesia Techniques for a Planned Randomized Controlled Trial in a Disaster Setting. Lower extremity trauma during earthquakes accounts for the largest burden of geophysical disaster-related injuries. Insufficient pain management is common in disaster settings, and regional anesthesia (RA) has the potential to reduce pain in injured patients beyond current standards. To date, no prospective research has evaluated the use of RA (...) in a disaster setting. This cross-sectional study assesses knowledge translation and skill acquisition outcomes for lower extremity RA performed with and without ultrasound guidance among a cohort of Médecins Sans Frontières (MSF) volunteers who will function as proceduralists in a planned randomized controlled trial evaluating the efficacy of RA for pain management in an earthquake setting.Generalist humanitarian healthcare responders, including both physicians and nurses, were trained in ultrasound guided

2016 PLoS currents PubMed

183. A Systematic Review of Health Outcomes Among Disaster and Humanitarian Responders. (PubMed)

of the health care needs of responders.In March 2014, an EMBASE search was conducted using pre-defined search criteria. Two reviewers screened the resultant 2,849 abstracts and the 66 full-length manuscripts which are included in the review.The majority of research on health outcomes of responders focused on mental health (57 of 66 articles). Posttraumatic stress disorder (PTSD) and depression were the most studied diagnoses with prevalence of PTSD ranging from 0%-34% and depression from 21%-53%. Physical (...) A Systematic Review of Health Outcomes Among Disaster and Humanitarian Responders. Introduction Disaster and humanitarian responders are at-risk of experiencing a wide range of physical and psychological health conditions, from minor injuries to chronic mental health problems and fatalities. This article reviews the current literature on the major health outcomes of responders to various disasters and conflicts in order to better inform individuals of the risks and to inform deploying agencies

2016 Prehospital and disaster medicine

184. Low Compliance of Urgent Care Centers in the United States With Recommendations for Office-Based Disaster Preparedness. (PubMed)

detection of any biologic/chemical/nuclear agents. Twenty-two percent of centers take part in local community and hospital disaster planning, exercises, and drills through emergency medical services and public health systems. Five percent of centers aid schools, child care centers, camps, and other child congregate facilities in disaster planning. Twenty-eight percent of centers have an assembled emergency/disaster kit, containing such items as water, first aid supplies, radios, flashlights, batteries (...) Low Compliance of Urgent Care Centers in the United States With Recommendations for Office-Based Disaster Preparedness. The aim of the study was to determine the compliance of urgent care centers in the United States with published recommendations for office-based disaster preparedness.An electronic questionnaire was distributed to urgent care center administrators as identified by the American Academy of Urgent Care Medicine directory.One hundred twenty-two questionnaires of the 872

2016 Pediatric Emergency Care

185. Disaster preparedness and response improvement: comparison of the 2010 Haiti earthquake-related diagnoses with baseline medical data. (Full text)

Disaster preparedness and response improvement: comparison of the 2010 Haiti earthquake-related diagnoses with baseline medical data. Disaster medicine research generally lacks control groups. This study aims to describe categories of diagnoses encountered by the Belgian First Aid and Support Team after the 2010 Haiti earthquake and extract earthquake-related changes from comparison with comparable baseline data. The hypothesis is that besides earthquake-related trauma, medical problems emerge (...) diseases.This is the first comparison of postearthquake diagnoses with baseline data. Within 2 weeks after the acute phase of an earthquake, respiratory, digestive and ophthalmological problems will emerge to the prejudice of trauma. This fact should be anticipated when composing Foreign Medical Teams and Interagency Emergency Health Kits to be sent to the disaster site.

2016 European Journal of Emergency Medicine PubMed

186. Who Participates in Building Disaster Resilient Communities: A Cluster-Analytic Approach. (PubMed)

. Cluster distribution significantly differed across several sociodemographic and social cognitive factors. Participants who were African American, Hispanic, had higher education, income, self-efficacy, trust in the public health department, civic engagement, and social capital were significantly associated with being in the cluster most active in resilience-building activities.The results confirm that there are distinct community resilience behavior patterns. These patterns vary according to population (...) Who Participates in Building Disaster Resilient Communities: A Cluster-Analytic Approach. The Los Angeles County Community Disaster Resilience project is a community-based program to improve disaster resilience. We collected baseline measures of resilience-related attitudes and practices among targeted communities prior to the implementation of the intervention.This study identified community disaster resilience behavior patterns and assessed their associations with sociodemographic and social

2016 Journal of Public Health Management and Practice

187. Tools and Checklists Used for the Evaluation of Hospital Disaster Preparedness: A Systematic Review. (PubMed)

of relevance and considered at least 1 of the 14 predetermined themes. None of the evaluated checklists and tools included all dimensions required for an appropriate hospital preparedness evaluation. The results of the current systematic review could be used as a basis for designing an evaluation tool for hospital disaster preparedness. (Disaster Med Public Health Preparedness. 2016;page 1 of 8). (...) Tools and Checklists Used for the Evaluation of Hospital Disaster Preparedness: A Systematic Review. Hospitals need to be fully operative during disasters. It is therefore essential to be able to evaluate hospital preparedness. However, there is no consensus of a standardized, comprehensive and reliable tool with which to measure hospital preparedness. The aim of the current study was to perform a systematic review of evaluation tools for hospital disaster preparedness. A systematic review

2016 Disaster medicine and public health preparedness

188. Emergency and Disaster Preparedness of School Transportation Staff and School Buses in the United States: Compliance With Recommendations for School Transportation Safety. (PubMed)

Emergency and Disaster Preparedness of School Transportation Staff and School Buses in the United States: Compliance With Recommendations for School Transportation Safety. The aim of the study was to determine the compliance of school transportation staff and school buses with recommendations for the safe transportation of children to and from school and school-related activities.An electronic questionnaire was distributed to school transportation staff represented by the International (...) extinguishers (89%), automated external defibrillators (1%), and epinephrine autoinjectors (2%). Thirty percent of responders have had no previous training in the management of emergencies such as trouble breathing, severe allergic reaction, seizures, cardiac arrest or unresponsiveness, and head, neck, or extremity trauma. Thirteen percent of responders are unfamiliar with or have had no previous training on protocols regarding emergency shelters and community evacuation plans in the event

2016 Pediatric Emergency Care

189. Abandoned areas in post-disaster Fukushima, Japan (Full text)

-2393 IM 2016 3 17 6 0 2016 3 17 6 0 2016 3 17 6 0 ppublish 26980788 hcw035 10.1093/qjmed/hcw035 PMC4888339 Disaster Med Public Health Prep. 2014 Dec;8(6):467-8 25376586 Prev Med. 2013 Oct;57(4):363-5 23792006 Oxf Med Case Reports. 2016 Feb 10;2016(2):22-3 26949538 Tohoku J Exp Med. 2011;223(4):305-7 21478655 Nature. 2013 Jan 17;493(7432):290-3 23325191 Environ Int. 2015 Dec;85:213-28 26425805 (...) Abandoned areas in post-disaster Fukushima, Japan 26980788 2018 11 13 1460-2393 109 5 2016 May QJM : monthly journal of the Association of Physicians QJM Abandoned areas in post-disaster Fukushima, Japan. 353-4 10.1093/qjmed/hcw035 Ozaki A A Department of Surgery, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, 975-0033, Japan. Sawano T T Department of Surgery, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, 975-0033, Japan. Tsukada M M Department of Surgery

2016 QJM: An International Journal of Medicine PubMed

190. Disaster Preparedness Among Active Duty Navy, Retirees, Veterans, and Dependents (Full text)

income and levels of education were associated with lack of preparedness, whereas training in disaster preparedness or having been affected by disasters increased the likelihood of being adequately prepared. Unlike results seen in the general public, those with chronic health care needs in the surveyed population were more, rather than less, likely to be prepared and those with minor children were less likely, rather than more likely, to be prepared. Duty status was assessed and only veterans were (...) Disaster Preparedness Among Active Duty Navy, Retirees, Veterans, and Dependents With the increase in natural and manmade disasters, preparedness remains a vital area of concern. Despite attempts by government and non-government agencies to stress the importance of preparedness, national levels of preparedness remain unacceptably low. A goal of commands and installations is to ensure that US Navy beneficiaries are well prepared for disasters. This especially is critical in active service

2016 Prehospital and disaster medicine PubMed

191. Vulnerability of Coastal Communities from Storm Surge and Flood Disasters (Full text)

Vulnerability of Coastal Communities from Storm Surge and Flood Disasters Disasters in the form of coastal storms and hurricanes can be very destructive. Preparing for anticipated effects of such disasters can help reduce the public health and economic burden. Identifying vulnerable population groups can help prioritize resources for the most needed communities. This paper presents a quantitative framework for vulnerability measurement that incorporates both socioeconomic and flood inundation (...) vulnerability. The approach is demonstrated for three coastal communities in Mississippi with census tracts being the study unit. The vulnerability results are illustrated as thematic maps for easy usage by planners and emergency responders to assist in prioritizing their actions to vulnerable populations during storm surge and flood disasters.

2016 International journal of environmental research and public health PubMed

192. General self-efficacy and posttraumatic stress after a natural disaster: a longitudinal study (Full text)

posttraumatic stress reactions from a longitudinal perspective.A total of 617 Norwegians exposed to the 2004 Southeast Asian tsunami completed self-report questionnaires measuring their level of disaster exposure and general self-efficacy at 6 months and posttraumatic stress reactions 6 months and 2 years post-disaster. Predictors of changes in posttraumatic stress reactions were analyzed with multivariate mixed effects models.Self-efficacy at 6 months post-disaster was unrelated to trauma exposure (...) General self-efficacy and posttraumatic stress after a natural disaster: a longitudinal study Self-efficacy may be an important factor in individuals' recovery from posttraumatic stress reactions after a natural disaster. However, few longitudinal studies have investigated whether self-efficacy predicts the course of posttraumatic recovery beyond lower initial levels of distress. The purpose of the present study was to investigate whether general self-efficacy is related to recovery from

2016 BMC psychology PubMed

193. Recasting Disaster Recovery Strategy at Dental Workplace in Combating Crisis – A Questionnaire Study (Full text)

among 487 dentists. A questionnaire (15 items) measuring knowledge, attitude and practice was distributed manually to the participating dentists and data was analysed using SPSS software, version 19.0 and student t-test was performed to assess the differences.There was statistically significant relation between knowledge and attitude in relation to qualification degree, career prospective and years of experience (p <0.05).Dentists form an important part of the health care community and thus (...) Recasting Disaster Recovery Strategy at Dental Workplace in Combating Crisis – A Questionnaire Study The number of reported natural and human-made disasters continues to rise worldwide. Disasters occur every day somewhere in the world with dramatic impact on individuals, families and communities.This study was designed to measure the knowledge, attitude and practices regarding disaster management among academicians and practitioners in Ghaziabad city.A cross-sectional study was conducted

2016 Journal of clinical and diagnostic research : JCDR PubMed

194. Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis. (Full text)

Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis. Japan's 2011 Fukushima Daiichi Nuclear Power Plant incident required the evacuation of over a million people, creating a large displaced population with potentially increased vulnerability in terms of chronic health conditions. We assessed the long-term impact of evacuation on diabetes, hyperlipidaemia and hypertension.We considered participants in annual public health check-ups (...) ).The singularity of this study is that evacuation following the Fukushima disaster was found to be associated with a small increase in long-term hyperlipidaemia risk in adults. Our findings help identify discussion points on disaster planning, including preparedness, response and recovery measures, applicable to future disasters requiring mass evacuation.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company

2016 BMJ open PubMed

195. Destruction of the World Trade Towers: Lessons Learned from an Environmental Health Disaster. (Full text)

. The World Trade Center story demonstrates that communities lacking advocacy and preexisting health infrastructures are uniquely vulnerable to health disasters. Medical and public health personnel need to compensate for these vulnerabilities to mitigate long-term illness and suffering. (...) Destruction of the World Trade Towers: Lessons Learned from an Environmental Health Disaster. The assault and subsequent collapse of the World Trade Center towers in New York City on September 11, 2001 (9/11), released more than a million tons of debris and dust into the surrounding area, engulfing rescue workers as they rushed to aid those who worked in the towers, and the thousands of nearby civilians and children who were forced to flee. In December 2015, almost 15 years after the attack

2016 Annals of the American Thoracic Society PubMed

196. Exposure to conflict and disaster: A national survey on the prevalence of psychotic experiences in Sri Lanka. (PubMed)

Exposure to conflict and disaster: A national survey on the prevalence of psychotic experiences in Sri Lanka. Recent research conducted in high-income countries suggests psychotic experiences are common in the general population, but evidence from low- and middle-income countries (LMIC) remains limited. Sri Lanka is a LMIC affected by three decades of civil conflict and, in 2004, a devastating tsunami. This study aimed to investigate the prevalence of psychotic experiences in a general (...) population sample in Sri Lanka and associations with conflict- and tsunami-related trauma. This is a first National Mental Health Survey conducted in Sri Lanka. A cross-sectional, multi-stage, cluster sampling design was used to estimate the prevalence of psychotic symptoms. Data on socio-demographic characteristics, conflict- and tsunami-related trauma, and psychotic experiences were collected using culturally validated measures in a sample of 5927 participants. The weighted prevalence of psychotic

2016 Schizophrenia Research

197. Care of children with allergic diseases following major disasters. (PubMed)

, Tokyo, Japan. Imai Takanori T Department of Pediatrics, School of Medicine, Showa University, Tokyo, Japan. Kondo Naomi N Heisei College of Medical Sciences, Gifu, Japan. Working Group for the Disaster, Japanese Society of Pediatric Allergy and Clinical Immunology eng Letter 2016 02 26 England Pediatr Allergy Immunol 9106718 0905-6157 IM Child Cooperative Behavior Delivery of Health Care organization & administration Disaster Planning organization & administration Disasters Earthquakes Emergency (...) Care of children with allergic diseases following major disasters. 26762774 2017 03 24 2017 03 24 1399-3038 27 4 2016 06 Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology Pediatr Allergy Immunol Care of children with allergic diseases following major disasters. 425 10.1111/pai.12537 Katsunuma Toshio T Department of Pediatrics, Jikei Daisan Hospital, Komae, Tokyo, Japan. tkatsunuma@jikei.ac.jp. Adachi Yuichi Y Department

2016 Pediatric Allergy and Immunology

198. Risk of depressive disorder following disasters and military deployment: systematic review with meta-analysis. (Full text)

Risk of depressive disorder following disasters and military deployment: systematic review with meta-analysis. Numerous studies describe the occurrence of post-traumatic stress disorder following disasters, but less is known about the risk of major depression.To review the risk of depressive disorder in people surviving disasters and in soldiers returning from military deployment.A systematic literature search combined with reference screening identified 23 controlled epidemiological studies (...) . We used random effects models to compute pooled odds ratios (ORs).The average OR was significantly elevated following all types of exposures: natural disaster OR = 2.28 (95% CI 1.30-3.98), technological disaster OR = 1.44 (95% CI 1.21-1.70), terrorist acts OR = 1.80 (95% CI 1.38-2.34) and military combat OR = 1.60 (95% CI 1.09-2.35). In a subset of ten high-quality studies OR was 1.41 (95% CI 1.06-1.87).Disasters and combat experience substantially increase the risk of depression. Whether

2016 The British journal of psychiatry : the journal of mental science PubMed

199. Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys. (Full text)

adversities, prior traumatic experiences, and prior mental disorders).Disaster-related PTSD prevalence was 0.0-3.8% among adult (ages 18+) WMH respondents and was significantly related to high education, serious injury or death of someone close, forced displacement from home, and pre-existing vulnerabilities (prior childhood family adversities, other traumas, and mental disorders). Of PTSD cases 44.5% were among the 5% of respondents classified by the model as having highest PTSD risk.Disaster-related (...) Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys. Research on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20-40% range in disaster-focused studies but considerably lower (3-5%) in the few general population epidemiological surveys that evaluated disaster-related PTSD as part

2016 Psychological Medicine PubMed

200. The opioid disaster: Stop criminalizing doctors

could go for as long or as often as you and your health care provider thought it was necessary. Interdisciplinary pain clinics, more than a thousand of them, were springing up all over the country, many of them connected with the most prestigious medical institutions. In these clinics, physicians, physical therapists, psychologists and biofeedback practitioners would all evaluate each patient and together come up with a plan to address each patient’s pain. Research showed this interdisciplinary (...) approach was the most effective treatment for chronic pain. Then along came managed care, starting in the late 1970s. Within a couple of decades, it became the predominant insurance model. While managed care’s stated purpose was to control rising health care costs while optimizing care, its real purpose was to wring as much profit for insurers out of premiums paid as possible. Health care providers were forced to join insurance networks if they wanted their services to patients to be reimbursed. Fees

2016 KevinMD blog

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