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61. Barriers and facilitators to provide continuity of care to dischargeable patients in disasters: A qualitative study. (Abstract)

'. The suggested solutions for post-discharge continuity of care were: creation of registry and follow-up system; removing pre-hospital challenges; including disaster management courses in medical school curriculum; promoting hospital preparedness by All-Hazard Approach; and effective use of available resources.Understanding the barriers to continuity of care for discharged patients for adopting policies based on experiences of health care providers can help planners to design and implement effective programs (...) Barriers and facilitators to provide continuity of care to dischargeable patients in disasters: A qualitative study. Early discharge of some in-patients is the effective measure to create hospital surge capacity in disasters. However, some of these patients may need to post-discharge continuity of care. The aim of the current study then is to explore the barriers of continuity of care, and to provide suitable solutions for potentially dischargeable patients during disasters.This qualitative

2019 Injury

62. Long-term Associations Between Disaster Experiences and Cardiometabolic Risk: A Natural Experiment From the 2011 Great East Japan Earthquake and Tsunami. (Abstract)

Long-term Associations Between Disaster Experiences and Cardiometabolic Risk: A Natural Experiment From the 2011 Great East Japan Earthquake and Tsunami. This study investigated the association between disaster experience and cardiometabolic risks of survivors 2.5 years after the disaster onset, adjusting for health information pre-dating disaster using natural experiment data stemming from the 2011 Great East Japan Earthquake and Tsunami. We used data from a cohort of adults aged 65 years (...) to maintain their cardiometabolic health.© The Author(s) 2019. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

2019 American Journal of Epidemiology

63. Understanding Liability Risks and Protections for Pediatric Providers During Disasters. Full Text available with Trip Pro

Understanding Liability Risks and Protections for Pediatric Providers During Disasters. Although most health care providers will go through their careers without experiencing a major disaster in their local communities, if one does occur, it can be life and career altering. The American Academy of Pediatrics has been in the forefront of providing education and advocacy on the critical importance of disaster preparedness. From experiences over the past decade, new evidence and analysis have (...) broadened our understanding that the concept of preparedness is also applicable to addressing the unique professional liability risks that can occur when caring for patients and families during a disaster. Concepts explored in this technical report will help to inform pediatric health care providers, advocates, and policy makers about the complexities of how providers are currently protected, with a focus on areas of unappreciated liability. The timeliness of this technical report is emphasized

2019 Pediatrics

64. Understanding Liability Risks and Protections for Pediatric Providers During Disasters. Full Text available with Trip Pro

Understanding Liability Risks and Protections for Pediatric Providers During Disasters. Although most health care providers will go through their careers without experiencing a major disaster in their local communities, if one does occur, it can be life and career altering. The American Academy of Pediatrics has been at the forefront of providing education and advocacy on the critical importance of disaster preparedness. From experiences over the past decade, new evidence and analysis have (...) broadened our understanding that the concept of preparedness is also applicable to addressing the unique professional liability risks that can occur when caring for patients and families during a disaster. In our recommendations in this policy statement, we target pediatric health care providers, advocates, and policy makers and address how individuals, institutions, and government can work together to strengthen the system of liability protections during disasters so that appropriate and timely care

2019 Pediatrics

65. Potential Impact of 2020 US Decennial Census Data Collection on Disaster Preparedness and Population Mental Health. (Abstract)

collection. Despite the utility of the information provided by the Census and American Community Survey (ACS), the 2020 US Census and subsequent ACS data face threats to validity. As a result, public health funding could be misallocated, and disaster preparedness and response efforts misinformed; this can also contribute to the worsening of mental health inequities, particularly in the context of disaster. Undercutting the Census and the ACS, rich data sources that allow representation of all people (...) Potential Impact of 2020 US Decennial Census Data Collection on Disaster Preparedness and Population Mental Health. Increasing in frequency and impact in the United States and worldwide, disasters can lead to serious mental health consequences. Although US census data are essential for disaster preparedness and the identification of community-level risk factors for adverse postdisaster mental health outcomes, the US Census Bureau faces many challenges as we approach 2020 Decennial Census data

2019 American Journal of Public Health

66. Surgical Procedures Performed by Emergency Medical Teams in Sudden-Onset Disasters: A Systematic Review. (Abstract)

Surgical Procedures Performed by Emergency Medical Teams in Sudden-Onset Disasters: A Systematic Review. Emergency medical teams (EMTs) frequently provide surgical care after sudden-onset disasters (SODs) in low- and middle-income countries. The purpose of this review is to describe the types of surgical procedures performed by EMTs with general surgical capability in order to aid the recruitment and training of surgeons for these teams.A search of electronic databases (PubMed, MEDLINE (...) (46.8%) and fractures (28.3%), although a number of abdominal and genitourinary/obstetric procedures were also reported.Based upon this review, deployment of surgeons or teams with experience in the management of soft tissue wounds, orthopaedic trauma, abdominal surgery, and obstetrics is recommended.

2019 World Journal of Surgery

67. Mental health workers perceptions of disaster response in China. Full Text available with Trip Pro

interviews. These recruited participants who had been involved in different types of disaster rescue across 7 provinces/cities where disasters have recently occurred. We used thematic analysis to analyze the data and relevant findings were extracted for policy recommendation.Mental health workers' perspectives were examined in detailed according to four core themes: forms of organization, intervention pathway, intervention strategy and technique, and public health information. Post-disaster MHCI should (...) Mental health workers perceptions of disaster response in China. The post-disaster mental health crisis intervention (MHCI) system in China remains immature and unsystematic. We aim to report the perceptions of a large sample of MHCI workers and government administrators and provide recommendations for developing a national mental health disaster response management plan in China.An in-depth qualitative study was conducted, collecting data from 20 focus-group discussions and 25 key stakeholder

2019 BMC Public Health

68. Medical Countermeasures for Children in Public Health Emergencies, Disasters, or Terrorism. Full Text available with Trip Pro

Medical Countermeasures for Children in Public Health Emergencies, Disasters, or Terrorism. Significant strides have been made over the past 10 to 15 years to develop medical countermeasures (MCMs) to address potential disaster hazards, including chemical, biological, radiologic, and nuclear threats. Significant and effective collaboration between the pediatric health community, including the American Academy of Pediatrics, and federal partners, such as the Office of the Assistant Secretary (...) in children during public health emergencies or disasters. The progress made by federal agencies to date to address the needs of children and the shared commitment of collaboration that characterizes the current relationship between the pediatric health community and the federal agencies responsible for MCMs should encourage all child advocates to invest the necessary energy and resources now to complete the process of remedying the remaining significant gaps in preparedness. Copyright © 2016

2016 Pediatrics

69. Public health after a nuclear disaster: beyond radiation risks Full Text available with Trip Pro

Public health after a nuclear disaster: beyond radiation risks 27821890 2018 11 13 1564-0604 94 11 2016 Nov 01 Bulletin of the World Health Organization Bull. World Health Organ. Public health after a nuclear disaster: beyond radiation risks. 859-860 Leppold Claire C Department of Research, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, 975-0033, Japan . Tanimoto Tetsuya T Department of Internal Medicine, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan . Tsubokura (...) Masaharu M Department of Radiation Protection, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan . eng Journal Article 2016 08 30 Switzerland Bull World Health Organ 7507052 0042-9686 2015 12 14 2016 03 04 2016 06 23 2016 11 9 6 0 2016 11 9 6 0 2016 11 9 6 0 ppublish 27821890 10.2471/BLT.15.168187 BLT.15.168187 PMC5096345 BMJ Open. 2016 Feb 04;6(2):e010080 26846896 Disaster Med Public Health Prep. 2014 Feb;8(1):30-6 24524378 Bull World Health Organ. 2012 Aug 1;90(8):629-30 22893747

2016 Bulletin of the World Health Organization

70. Public health policy in a time of change and disaster in South Africa: 1910–1920 Full Text available with Trip Pro

Public health policy in a time of change and disaster in South Africa: 1910–1920 With the establishment of the Union of South Africa in 1910, the central focus of the newly appointed government was to alter and consolidate the policies of the pre-Union colonies that differed materially in many respects and to substitute them with uniform policies that had to be implemented as a consolidated whole for the Union. This central focus was applied to a number of policies, notably those (...) of the influenza epidemic in 1918 was the incidental and piecemeal fashion in which expressions on public health appeared in the published party political manifestos, which in turn influenced the proceedings of Parliament. This political negligence was, however, quickly overturned by Parliament immediately after the epidemic, showing the influence of this demographic disaster on political thinking and action.

2016 Jàmbá : Journal of Disaster Risk Studies

71. Synergising Public Health Concepts with the Sendai Framework for Disaster Risk Reduction: A Conceptual Glossary Full Text available with Trip Pro

Synergising Public Health Concepts with the Sendai Framework for Disaster Risk Reduction: A Conceptual Glossary The Sendai Framework for Disaster Risk Reduction (2015) is a global strategy for addressing disaster risk and resilience that has been ratified by member countries of the United Nations. Its guiding principles emphasise building resilience through inter-sectoral collaboration, as well as partnerships that facilitate community empowerment and address underlying risk factors. Both (...) of health; inequality and inequity; the inverse care law; community-based and community development approaches; hard to reach communities and services; the prevention paradox; and the inverse prevention law. These ideas from public health provide a useful conceptual base for the "new" agenda in disaster risk management that underpins the 2015 Sendai Framework. The relevance of these ideas to disaster risk management and research is illustrated through drawing on the Sendai Framework, disaster literature

2016 International journal of environmental research and public health

72. Lightning Injury is a disaster in Bangladesh? - Exploring its magnitude and public health needs Full Text available with Trip Pro

Lightning Injury is a disaster in Bangladesh? - Exploring its magnitude and public health needs Background: Lightning injury is a global public health issue. Low and middle-income countries in the tropical and subtropical regions of the world are most affected by lightning. Bangladesh is one of the countries at particular risk, with a high number of devastating lightning injuries in the past years, causing high mortality and morbidity. The exact magnitude of the problem is still unknown (...) , than urban populations (RR 8.73, 95% CI 5.13-14.86). About 43% of injuries occurred between 12 noon and 6 pm. The newspapers reported 81 deaths during 2 days of electric storms in 2016. Lightning has been declared a natural disaster in Bangladesh. Conclusions: The current study indicates that lightning injuries are a public health problem in Bangladesh. The study recommends further investigations to develop interventions to reduce lightning injuries, mortality and related burden in Bangladesh.

2016 F1000Research

73. Health and Wellness in Healthcare Providers Post-disaster

Providers Post-disaster The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03722368 Recruitment Status : Recruiting First Posted : October 26, 2018 Last Update Posted : October 26, 2018 See Sponsor: University of Illinois (...) Description: Health care and social service providers from disaster-affected communities are at heightened risk for emotional distress symptoms immediately after the event and over the longer-term recovery period. They provide care to others both physically and emotionally, while at the same time are often in the process of recovery and rebuilding their own lives. Health care providers, particularly those who work in safety net health centers, often serve high-need communities where incomes are lower

2018 Clinical Trials

74. Assessing the Mental Health Impact of the 2011 Great Japan Earthquake, Tsunami, and Radiation Disaster on Elementary and Middle School Children in the Fukushima Prefecture of Japan. Full Text available with Trip Pro

those children who were native to Koriyama (p < .05) as well as a control group that lived outside of the Fukushima prefecture (p < .01). Using a multivariate regression, we also found that younger age and parental trauma were significantly correlated with higher SDQ scores (p < .001), while gender, displacement from one's home, and exposure to violence were not.These results suggest that, among children affected by natural disasters, younger children and those with parents suffering from trauma (...) Assessing the Mental Health Impact of the 2011 Great Japan Earthquake, Tsunami, and Radiation Disaster on Elementary and Middle School Children in the Fukushima Prefecture of Japan. On March 11, 2011, a magnitude 9.0 earthquake occurred off of Japan's Pacific coast, which was followed by huge tsunamis that destroyed many coastal cities in the area. Due to the earthquake and subsequent tsunami, malfunctions occurred at the Fukushima Daiichi (Fukushima I) nuclear power plant, resulting

2017 PLoS ONE

75. An Operational Exercise for Disaster Assessment and Emergency Preparedness in South of Iran. (Abstract)

that organizations must perform the performance preparedness exercises on different levels and areas twice a year to be properly prepared for responding to emergencies and disasters. This study can be considered a suitable standard guide for health care organizations to execute exercises for the maintenance and promotion of their preparedness for properly responding to emergencies and disasters at L-4. (...) An Operational Exercise for Disaster Assessment and Emergency Preparedness in South of Iran. Exercise is an important step in preparation and implementation of disaster risk programs. The aim of this research was the development and assessment of an operational exercise for disaster preparedness in southeast Iran.A descriptive cross-sectional study was used to evaluate a 2-day exercise for a level 4 (L-4) scale mock disaster conducted in southeastern Iran in 2017. Seven medical sciences

2018 Journal of Public Health Management and Practice

76. Maria in Puerto Rico: Natural Disaster in a Colonial Archipelago Full Text available with Trip Pro

Maria in Puerto Rico: Natural Disaster in a Colonial Archipelago 29211541 2018 12 07 1541-0048 108 1 2018 Jan American journal of public health Am J Public Health Maria in Puerto Rico: Natural Disaster in a Colonial Archipelago. 30-32 10.2105/AJPH.2017.304198 Rodríguez-Díaz Carlos E CE Carlos E. Rodríguez-Díaz is with the Doctoral Program in Public Health with specialty in Social Determinants of Health and the Center for Evaluation and Sociomedical Research, Graduate School of Public Health (...) , University of Puerto Rico-Medical Sciences Campus, San Juan. eng R25 MH083617 MH NIMH NIH HHS United States U54 MD007600 MD NIMHD NIH HHS United States Journal Article United States Am J Public Health 1254074 0090-0036 Am J Public Health. 2018 Jan;108(1):9-10 29211520 2017 12 7 6 0 2017 12 7 6 0 2017 12 7 6 0 ppublish 29211541 10.2105/AJPH.2017.304198 PMC5719712 Int J Infect Dis. 2017 Dec;65:144-147 29153921

2018 American Journal of Public Health

77. In their own words: disaster and emotion, suffering, and mental health Full Text available with Trip Pro

In their own words: disaster and emotion, suffering, and mental health In this article, I explore emotions, trauma, and mental health issues residents experienced after tornadoes in Tuscaloosa, Alabama and Joplin, Missouri in 2011.The research is based on 162 interviews and fieldwork from 2013-2015. I draw from literature on social suffering and trauma to ask how experiencing mental health and trauma changes how people make sense of their social worlds.I discuss four common themes: 1. Emotions

2018 International journal of qualitative studies on health and well-being

78. Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study. Full Text available with Trip Pro

Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study. Tanzania has witnessed several disasters in the past decade, which resulted in substantial mortality, long-term morbidity, and significant socio-economic losses. Health care facilities and personnel are critical to disaster response. We assessed the current state of disaster preparedness and response capacity among Tanzanian regional hospitals.This descriptive cross-sectional (...) matrons and 4 heads of casualty. All the hospitals were found to have inadequate numbers of all cadres of health care providers to support effective disaster response. 92% of hospitals reported experiencing a disaster in the past 5 years; with the top three being large motor vehicle accidents 22 (87%), floods 7 (26%) and infectious disease outbreaks 6 (22%). Fifteen hospitals (60%) had a disaster committee, but only five (20%) had a disaster plan. No hospital had all components of surge capacity

2018 BMC Health Services Research

79. Enhancement of PTSD treatment through social support in Idobata-Nagaya community housing after Fukushima’s triple disaster Full Text available with Trip Pro

Enhancement of PTSD treatment through social support in Idobata-Nagaya community housing after Fukushima’s triple disaster Cognitive-behavioural therapy is a first-line treatment for post-traumatic stress disorder (PTSD), but it is difficult to implement in disaster settings. We report the case of an 80-year-old Japanese woman, who was diagnosed with PTSD after the 2011 triple disaster (earthquake, tsunami and nuclear plant accident) in Fukushima. Her recovery was greatly enhanced (...) by the social support she received while living in Idobata-Nagaya community housing, established by Soma city in Fukushima, where residents could naturally discuss their traumatic experiences. Habituation to traumatic memories and processing of cognitive aspects of the psychological trauma, which are therapeutic mechanisms of trauma-focused psychotherapies, spontaneously occurred in this setting. The details of this case support the effectiveness of Idobata Nagaya as a provider of psychological first aid

2018 BMJ case reports

80. The Inverse Response Law: Theory and Relevance to the Aftermath of Disasters Full Text available with Trip Pro

The Inverse Response Law: Theory and Relevance to the Aftermath of Disasters The Inverse Care Law is principally concerned with the effect of market forces on health care which create inequities in access to health services through privileging individuals who possess the forms of social capital that are valued within health care settings. The fields of disaster risk reduction need to consider the ways in which inequities, driven by economic and social policy as well as institutional decision (...) -making, create vulnerabilities prior to a disaster, which are then magnified post disaster through entrenched structural differences in access to resources. Drawing on key principles within the Inverse Care Law, the Inverse Response Law refers to the idea that people in lower socio-economic groups are more likely to be impacted and to experience disparities in service provision during the disaster response and recovery phase. In a market model of recovery, vulnerable groups struggle to compete

2018 International journal of environmental research and public health

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