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Disaster Medicine and Public Health Preparedness

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https://www.readbyqxmd.com/read/28179044/translating-battlefield-practices-to-disaster-health
#1
Kandra Strauss-Riggs, Kevin Yeskey, Aubrey Miller, Stacey Arnesen, Craig Goolsby
We review aspects of the recently released National Academies of Sciences, Engineering, and Medicine report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury most relevant to disaster health, particularly the concepts of focused empiricism and building a learning health system. The article references battlefield success utilizing these concepts and the emerging Disaster Research Response Program. We call upon disaster health researchers to apply the report's recommendations to their work...
February 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28162118/public-perception-of-extreme-cold-weather-related-health-risk-in-a-cold-area-of-northeast-china
#2
Jie Ban, Li Lan, Chao Yang, Jian Wang, Chen Chen, Ganlin Huang, Tiantian Li
OBJECTIVE: A need exists for public health strategies regarding extreme weather disasters, which in recent years have become more frequent. This study aimed to understand the public's perception of extreme cold and its related health risks, which may provide detailed information for public health preparedness during an extreme cold weather event. METHODS: To evaluate public perceptions of cold-related health risk and to identify vulnerable groups, we collected responses from 891 participants in a face-to-face survey in Harbin, China...
February 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28162117/setting-foundations-for-developing-disaster-response-metrics
#3
Mahshid Abir, Sue Anne Bell, Neha Puppala, Osama Awad, Melinda Moore
There are few reported efforts to define universal disaster response performance measures. Careful examination of responses to past disasters can inform the development of such measures. As a first step toward this goal, we conducted a literature review to identify key factors in responses to 3 recent events with significant loss of human life and economic impact: the 2003 Bam, Iran, earthquake; the 2004 Indian Ocean tsunami; and the 2010 Haiti earthquake. Using the PubMed (National Library of Medicine, Bethesda, MD) database, we identified 710 articles and retained 124 after applying inclusion and exclusion criteria...
February 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28153060/how-to-choose-using-the-delphi-method-to-develop-consensus-triggers-and-indicators-for-disaster-response
#4
Rebecca Lis, Vicki Sakata, Onora Lien
OBJECTIVE: To identify key decisions along the continuum of care (conventional, contingency, and crisis) and the critical triggers and data elements used to inform those decisions concerning public health and health care response during an emergency. METHODS: A classic Delphi method, a consensus-building survey technique, was used with clinicians around Washington State to identify regional triggers and indicators. Additionally, using a modified Delphi method, we combined a workshop and single-round survey with panelists from public health (state and local) and health care coalitions to identify consensus state-level triggers and indicators...
February 3, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28148338/psychological-correlates-of-civilian-preparedness-for-conflicts
#5
Moran Bodas, Maya Siman-Tov, Shulamith Kreitler, Kobi Peleg
OBJECTIVES: Preparedness for emergencies and disasters is imperative for public resilience. Previous studies have revealed low levels of civilian preparedness for conflicts. Classic behavioral models prove inapt in describing preparedness patterns in victimized populations chronically exposed to this threat. In an effort to expand this perspective, we hypothesized that other psychological constructs are correlated with preparedness. METHODS: A cross-sectional, Internet-based study was performed in Israel in early 2016...
February 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28148311/special-considerations-for-mass-violence-events-in-senior-living-facilities-a-case-report-on-the-pinelake-health-and-rehab-center-shooting
#6
Cody Martin, David Powell
The 2009 Pinelake Health and Rehab Center shooting in Carthage, North Carolina, presents a unique case study for examining the specific considerations for mass violence events in senior living facilities. A variety of factors, including reduced sensory perception, reduced mobility, and cognitive decline, may increase the vulnerability of the populations of senior living facilities during mass violence events. Management of response aspects such as evacuation, relocation, and reunification also require special consideration in the context of mass violence at senior living facilities...
February 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28132655/defining-roles-for-pharmacy-personnel-in-disaster-response-and-emergency-preparedness
#7
Mohammad Alkhalili, Janice Ma, Sylvain Grenier
Ongoing provision of pharmaceuticals and medical supplies is of key importance during and following a disaster or other emergency event. An effectively coordinated response involving locally available pharmacy personnel-drawing upon the efforts of licensed pharmacists and unlicensed support staff-can help to mitigate harms and alleviate hardship in a community after emergency events. However, pharmacists and their counterparts generally receive limited training in disaster medicine and emergency preparedness as part of their initial qualifications, even in countries with well-developed professional education programs...
January 30, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28115033/development-of-an-evacuation-tool-to-facilitate-disaster-preparedness-use-in-a-planned-evacuation-to-support-a-hospital-move
#8
Ranna A Rozenfeld, Sally L Reynolds, Sherri Ewing, Mary Margaret Crulcich, Michelle Stephenson
OBJECTIVES: Our institution relocated to a new facility 3.5 miles from our original location in Chicago on June 9, 2012. We describe the tools we developed to prepare, execute, and manage our evacuation and relocation. METHODS: Tools developed for the planned evacuation included the following: level of acuity and team composition classification, patient departure checklist, evacuation handoff tool, and a patient tracking system within the electronic health record...
January 24, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28112073/creating-community-resilience-through-elder-led-physical-and-social-infrastructure
#9
Daniel P Aldrich, Emi Kyota
OBJECTIVE: Natural disasters and rapidly aging populations are chronic problems for societies worldwide. We investigated the effects of an intervention in Japan known as Ibasho, which embeds elderly residents in vulnerable areas within larger social networks and encourages them to participate in leadership activities. This project sought to deepen the connections of these elderly residents to society and to build elderly leadership and community capacity for future crises. METHODS: We carried out surveys of participants and nonparticipant residents across the city of Ofunato in Tohoku, Japan, 1 year after the intervention began...
January 23, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28095933/understanding-older-adults-resilience-during-the-brisbane-floods-social-capital-life-experience-and-optimism
#10
Lauren Brockie, Evonne Miller
OBJECTIVE: The purpose of this study was to explore how social capital or the impact of life and previous disaster experience facilitated resilience in older adults who experienced the 2011 and 2013 floods in Brisbane, Australia. METHODS: Data were drawn from in-depth interviews of 10 older adults from Brisbane who were evacuated in both the 2011 and 2013 floods. A combined qualitative approach drawing from the methods of constructivist grounded theory and narrative inquiry was applied and the data were analyzed by using (inductive) line-by-line and axial coding...
January 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28093095/pregnant-women-s-awareness-of-social-capital-in-the-great-east-japan-earthquake-affected-areas-of-miyagi-prefecture-the-japan-environment-and-children-s-study
#11
Hidekazu Nishigori, Toshie Nishigori, Kasumi Sakurai, Satoshi Mizuno, Taku Obara, Hirohito Metoki, Zen Watanabe, Noriyuki Iwama, Mami Ishikuro, Nozomi Tatsuta, Ichiko Nishijima, Junichi Sugawara, Shinichi Kuriyama, Ikuma Fujiwara, Takahiro Arima, Kunihiko Nakai, Fumiaki Takahashi, Nobuo Yaegashi
OBJECTIVE: We aimed to clarify the correlation between the 2011 Great East Japan Earthquake and pregnant women's awareness of social capital 3 to 9 months after the tsunami disaster. METHODS: We analyzed data on responses to a questionnaire by 7451 pregnant women in their second to third trimesters. The proportions of social capital-related items were calculated in the north and south coastal areas of Miyagi Prefecture and were compared with national samples. The factors associated with social capital were estimated by use of multivariate logistic regression analyses...
January 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28093094/impact-of-hurricane-exposure-on-reproductive-health-outcomes-florida-2004
#12
Shannon C Grabich, Whitney R Robinson, Charles E Konrad, Jennifer A Horney
OBJECTIVE: Prenatal hurricane exposure may be an increasingly important contributor to poor reproductive health outcomes. In the current literature, mixed associations have been suggested between hurricane exposure and reproductive health outcomes. This may be due, in part, to residual confounding. We assessed the association between hurricane exposure and reproductive health outcomes by using a difference-in-difference analysis technique to control for confounding in a cohort of Florida pregnancies...
January 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28093093/innovations-for-tomorrow-summary-of-the-2016-disaster-health-education-symposium
#13
Kelly Gulley, Kandra Strauss-Riggs, Thomas D Kirsch, Craig Goolsby
In an effort to enhance education, training, and learning in the disaster health community, the National Center for Disaster Medicine and Public Health (NCDMPH) gathered experts from around the nation in Bethesda, Maryland, on September 8, 2016, for the 2016 Disaster Health Education Symposium: Innovations for Tomorrow. This article summarizes key themes presented during the disaster health symposium including innovations in the following areas: training and education that saves lives, practice, teaching, sharing knowledge, and our communities...
January 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28077197/personal-disaster-and-emergency-support-networks-of-older-adults-in-a-rural-community-changes-after-participation-in-a-preparedness-program
#14
Sato Ashida, Erin L Robinson, Jane Gay, Lauren E Slagel, Marizen R Ramirez
OBJECTIVE: Personal disaster and emergency support networks of rural older adults are described before and after participation in a disaster preparedness intervention, PrepWise. METHODS: At baseline, a total of 194 disaster support network members were identified by 27 older adults in a rural Midwest community. After the intervention, these participants identified 232 support network members. Multilevel logistic regression models were constructed to identify characteristics of the network members and social interactions associated with support providers at baseline as well as newly added support sources after the PrepWise intervention...
January 12, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28077193/caring-for-cancer-patients-after-the-italian-earthquakes-a-proposal-from-the-field
#15
Lucilla Verna, Giampiero Porzio, Luca Napoleoni, Giovanna Micolucci, Rosa Rita Silva, Raffaele Giusti
No abstract text is available yet for this article.
January 12, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28069091/proposing-a-framework-for-mobile-applications-in-disaster-health-learning
#16
Alexander G Liu, Brian A Altman, Kenneth Schor, Kandra Strauss-Riggs, Tracy N Thomas, Catherine Sager, Michelle Leander-Griffith, Victoria Harp
Mobile applications, or apps, have gained widespread use with the advent of modern smartphone technologies. Previous research has been conducted in the use of mobile devices for learning. However, there is decidedly less research into the use of mobile apps for health learning (eg, patient self-monitoring, medical student learning). This deficiency in research on using apps in a learning context is especially severe in the disaster health field. The objectives of this article were to provide an overview of the current state of disaster health apps being used for learning, to situate the use of apps in a health learning context, and to adapt a learning framework for the use of mobile apps in the disaster health field...
January 10, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28065200/testing-the-start-triage-protocol-can-it-improve-the-ability-of-nonmedical-personnel-to-better-triage-patients-during-disasters-and-mass-casualties-incidents
#17
Stefano Badiali, Aimone Giugni, Lucia Marcis
OBJECTIVE: START (Simple Triage and Rapid Treatment) triage is a tool that is available even to nonmedical rescue personnel in case of a disaster or mass casualty incident (MCI). In Italy, no data are available on whether application of the START protocol could improve patient outcomes during a disaster or MCI. We aimed to address whether "last-minute" START training of nonmedical personnel during a disaster or MCI would result in more effective triage of patients. METHODS: In this case-control study, 400 nonmedical ambulance crew members were randomly assigned to a non-START or a START group (200 per group)...
January 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28065175/emergency-preparedness-of-persons-over-50-years-old-further-results-from-the-health-and-retirement-study
#18
Timothy S Killian, Zola K Moon, Charleen McNeill, Betsy Garrison, Shari Moxley
OBJECTIVE: This article conceptualized emergency preparedness as a complex, multidimensional construct and empirically examined an array of sociodemographic, motivation, and barrier variables as predictors of levels of emergency preparedness. METHODS: The authors used the 2010 wave of the Health and Retirement Study's emergency preparedness module to focus on persons 50 years old and older in the United States by use of logistic regression models and reconsidered a previous analysis...
January 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28065174/challenges-of-hospital-response-to-the-twin-earthquakes-of-august-21-2012-in-east-azerbaijan-iran
#19
Mahboub Pouraghaei, Ali Jannati, Peyman Moharamzadeh, Amir Ghaffarzad, Moharram Heshmati Far, Javad Babaie
OBJECTIVE: As the cornerstone of any health system, hospitals have a crucial role in response to disasters. Because hospital experiences in disaster response can be instructive, this study examined the challenges of hospital response to the twin earthquakes of 2012 in East Azerbaijan, Iran. METHODS: In this qualitative study, the challenges of hospital response in the East Azerbaijan earthquakes were examined through focus group discussions. Participants were selected purposefully, and focus group discussions continued until data saturation...
January 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28031077/deployment-of-medical-relief-teams-of-the-indian-army-in-the-aftermath-of-the-nepal-earthquake-lessons-learned
#20
Ashutosh Chauhan, Bhushan Kumar Chopra
In April 2015 a 7.8-magnitude earthquake hit Nepal. As part of relief operations named Operation Maitri, the Indian Armed Forces deployed 3 field hospitals in the disaster zone. Rapid deployment of mobile surgical teams to far-flung, inaccessible areas was done by helicopters. In an operational deployment spanning 1 month, a total of 7532 patients were treated and 105 surgeries were carried out on 83 patients. One-fifth of the patients were less than 18 years of age. One-third of the patients had traumatic injuries directly attributable to the earthquake, whereas the remaining patients were treated for diseases of poor sanitation and hygiene as well as chronic illness that had been neglected owing to the collapse of the local health infrastructure...
December 29, 2016: Disaster Medicine and Public Health Preparedness
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