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https://www.readbyqxmd.com/read/28934097/respiratory-dermal-and-eye-irritation-symptoms-associated-with-corexit%C3%A2-ec9527a-ec9500a-following-the-deepwater-horizon-oil-spill-findings-from-the-gulf-study
#1
Craig J McGowan, Richard K Kwok, Lawrence S Engel, Mark R Stenzel, Patricia A Stewart, Dale P Sandler
BACKGROUND: The large quantities of chemical oil dispersants used in the oil spill response and cleanup (OSRC) work following the Deepwater Horizon disaster provide an opportunity to study associations between dispersant exposure (Corexit™ EC9500A or EC9527A) and human health. OBJECTIVES: Our objectives were to examine associations between potential exposure to the dispersants and adverse respiratory, dermal, and eye irritation symptoms. METHODS: Using data from detailed Gulf Long-term Follow-up ( GuLF) Study enrollment interviews, we determined potential exposure to either dispersant from participant-reported tasks during the OSRC work...
September 15, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28932872/self-efficacy-and-barriers-to-disaster-evacuation-in-hong-kong
#2
Elizabeth A Newnham, Satchit Balsari, Rex Pui Kin Lam, Shraddha Kashyap, Phuong Pham, Emily Y Y Chan, Kaylie Patrick, Jennifer Leaning
OBJECTIVES: To investigate specific challenges to Hong Kong's capacity for effective disaster response, we assessed perceived barriers to evacuation and citizens' self-efficacy. METHODS: Global positioning system software was used to determine random sampling locations across Hong Kong, weighted by population density. The resulting sample of 1023 participants (46.5% female, mean age 40.74 years) were invited to complete questionnaires on emergency preparedness, barriers to evacuation and self-efficacy...
September 20, 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28929984/developing-a-hospital-disaster-preparedness-plan-for-mass-casualty-incidents-lessons-learned-from-the-downtown-beirut-bombing
#3
Mazen El Sayed, Ali F Chami, Eveline Hitti
Mass casualty incidents (MCIs) are becoming more frequent worldwide, especially in the Middle East where violence in Syria has spilled over to many neighboring countries. Lebanon lacks a coordinated prehospital response system to deal with MCIs; therefore, hospital preparedness plans are essential to deal with the surge of casualties. This report describes our experience in dealing with an MCI involving a car bomb in an urban area of downtown Beirut, Lebanon. It uses general response principles to propose a simplified response model for hospitals to use during MCIs...
September 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28929480/nursing-a-disaster
#4
Stephanie B Turner
OBJECTIVE: The purpose of this study was to explore the needs of nurses predisaster and postdisaster. DESIGN/METHODS: This study involved an exploratory mixed methods approach, with semistructured in-depth interviews followed by a 10-item survey of resilience. SETTING: The study took place in the PI's office in Tuscaloosa, AL. SUBJECTS: Ten English speaking nurses from an area hospital who were on duty during the April 2011 tornado...
July 2017: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/28925344/prehospital-response-time-delays-for-emergency-patients-in-events-of-concurrent-mass-casualty-incidents
#5
Jungeun Kim, Chu Hyun Kim, Sang Do Shin, Ju Ok Park
OBJECTIVE: We investigated the extent of delays in the response time of emergency medical services (EMS) as an impact of mass casualty incidences (MCIs) in the same area. METHODS: We defined an MCI case as an event that resulted in 6 or more patients being transported by EMS, and prehospital response time as the time from the call to arrival at the scene. We matched patients before and after MCIs by dividing them into categories of 3 hours before, 0-1 hour after, 1-2 hours after, and 2-3 hours after the MCIs...
September 19, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28923667/large-scale-forensic-investigations-into-the-missing-challenges-and-considerations
#6
Mercedes Salado Puerto, Hugh Tuller
Large-scale forensic investigations may follow episodes of mass violence and disasters where hundreds or thousands of people have died or are missing. A number of unique challenges for forensic science, different from domestic investigations, arise in these contexts. The setting and situation of these investigations regularly force forensic scientists into practices not regularly encountered while working in a standard criminal justice system. These practices can entail activities not specific to a practitioner's particular field or necessarily be scientific in nature, but are still needed in order for the investigation to move forward...
September 1, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28923140/working-memory-capacity-and-surgical-performance-while-exposed-to-mild-hypoxic-hypoxemia
#7
Paul J Parker, Andrew J Manley, Ross Shand, John P O'Hara, Adrian Mellor
INTRODUCTION: Medical Emergency Response Team (MERT) helicopters fly at altitudes of 3000 m in Afghanistan (9843 ft). Civilian hospitals and disaster-relief surgical teams may have to operate at such altitudes or even higher. Mild hypoxia has been seen to affect the performance of novel tasks at flight levels as low as 5000 ft. Aeromedical teams frequently work in unpressurized environments; it is important to understand the implications of this mild hypoxia and investigate whether supplementary oxygen systems are required for some or all of the team members...
October 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28918648/anticipatory-traumatic-reaction-outcomes-arising-from-secondary-exposure-to-disasters-and-large-scale-threats
#8
Tanya L Hopwood, Nicola S Schutte, Natasha M Loi
Two studies, with a total of 707 participants, developed and examined the reliability and validity of a measure for anticipatory traumatic reaction (ATR), a novel construct describing a form of distress that may occur in response to threat-related media reports and discussions. Exploratory and confirmatory factor analysis resulted in a scale comprising three subscales: feelings related to future threat; preparatory thoughts and actions; and disruption to daily activities. Internal consistency was .93 for the overall ATR scale...
September 1, 2017: Assessment
https://www.readbyqxmd.com/read/28917620/disappearing-everyday-materials-the-displacement-of-medical-resources-following-disaster-in-fukushima-japan
#9
Sudeepa Abeysinghe, Claire Leppold, Akihiko Ozaki, Mariko Morita, Masaharu Tsubokura
This study draws upon interviews of medical staff working in the city of Minamisoma, Japan, following the 2011 Triple Disaster. It investigates staff responses to the disruption of material resources as a consequence of the disaster and its management. The disruption of spaces, and the loss of oxygen supplies, food, and medications impacted upon staff experience and the ability of institutions to care for patients. This resulted in a restructuring of spaces and materials as workers made efforts to reconfigure and reestablish healthcare functions...
September 8, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28917131/the-development-and-psychometric-testing-of-a-disaster-response-self-efficacy-scale-among-undergraduate-nursing-students
#10
Hong-Yan Li, Rui-Xue Bi, Qing-Ling Zhong
BACKGROUND: Disaster nurse education has received increasing importance in China. Knowing the abilities of disaster response in undergraduate nursing students is beneficial to promote teaching and learning. However, there are few valid and reliable tools that measure the abilities of disaster response in undergraduate nursing students. OBJECTIVES: To develop a self-report scale of self-efficacy in disaster response for Chinese undergraduate nursing students and test its psychometric properties...
July 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28916323/responding-to-crisis-surgeons-as-leaders-in-disaster-response
#11
Susan Miller Briggs
No abstract text is available yet for this article.
September 12, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28906480/disaster-governance-for-community-resilience-in-coastal-towns-chilean-case-studies
#12
Paula Villagra, Carolina Quintana
This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance-redundancy, diversity, and overlap-were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32) and uses given to specific sites (e...
September 14, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28906234/an-integrated-needs-based-approach-to-health-service-and-health-workforce-planning-applications-for-pandemic-influenza
#13
Gail Tomblin Murphy, Stephen Birch, Adrian Mackenzie, Janet Rigby, Joanne Langley
Healthcare systems must be responsive to the healthcare needs of the populations they serve. However, typically neither health services nor health workforce planning account for populations' needs for care, resulting in substantial and unnecessary unmet needs. These are further exacerbated during unexpected surges in need, such as pandemics or natural disasters. To illustrate the potential of improved methods to help planning for these types of events, we applied an integrated, needs-based approach to health service and workforce planning in the context of a potential influenza pandemic at the provincial level in Canada...
August 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28899438/facilitators-and-barriers-to-preparedness-partnerships-a-veterans-affairs-medical-center-perspective
#14
Susan Schmitz, Tamar Wyte-Lake, Aram Dobalian
OBJECTIVE: This study sought to understand facilitators and barriers faced by local US Department of Veterans Affairs Medical Center (VAMC) emergency managers (EMs) when collaborating with non-VA entities. METHODS: Twelve EMs participated in semi-structured interviews lasting 60 to 90 minutes discussing their collaboration with non-VAMC organizations. Sections of the interview transcripts concerning facilitators and barriers to collaboration were coded and analyzed...
September 13, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28899435/optimizing-visits-to-the-site-of-death-for-bereaved-families-after-disasters-and-terrorist-events
#15
Pål Kristensen, Atle Dyregrov, Lars Weisæth, Marianne Straume, Kari Dyregrov, Trond Heir, Renate Grønvold Bugge
In recent years it has been common after disasters and terrorist events to offer bereaved families the opportunity to visit the place where their loved ones died. Many report that such visits are beneficial in processing their loss. Various factors, both cognitive (eg, counteracting disbelief) and existential or emotional (eg, achieving a sense of closeness to the deceased), are associated with the experienced benefit. Nonetheless, exacerbations of trauma and grief reactions (eg, re-enactment fantasies) are common, with some of the bereaved also reporting adverse reactions after the visit...
September 13, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28892452/science-in-emergency-response-at-cdc-structure-and-functions
#16
John Iskander, Dale A Rose, Neelam D Ghiya
Recent high-profile activations of the US Centers for Disease Control and Prevention (CDC) Emergency Operations Center (EOC) include responses to the West African Ebola and Zika virus epidemics. Within the EOC, emergency responses are organized according to the Incident Management System, which provides a standardized structure and chain of command, regardless of whether the EOC activation occurs in response to an outbreak, natural disaster, or other type of public health emergency. By embedding key scientific roles, such as the associate director for science, and functions within a Scientific Response Section, the current CDC emergency response structure ensures that both urgent and important science issues receive needed attention...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892451/public-health-preparedness-funding-key-programs-and-trends-from-2001-to-2017
#17
Crystal R Watson, Matthew Watson, Tara Kirk Sell
OBJECTIVES: To evaluate trends in funding over the past 16 years for key federal public health preparedness and response programs at the US Department of Health and Human Services, to improve understanding of federal funding history in this area, and to provide context for future resource allocation decisions for public health preparedness. METHODS: In this 2017 analysis, we examined the funding history of key federal programs critical to public health preparedness by reviewing program budget data collected for our annual examination of federal funding for biodefense and health security programs since fiscal year (FY) 2001...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892448/primary-care-emergency-preparedness-network-new-york-city-2015-comparison-of-member-and-nonmember-sites
#18
COMPARATIVE STUDY
Marsha D Williams, Marc C Jean, Bei Chen, Noelle-Angelique M Molinari, Tanya T LeBlanc
OBJECTIVES: To assess whether Primary Care Emergency Preparedness Network member sites reported indicators of preparedness for public health emergencies compared with nonmember sites. The network-a collaboration between government and New York City primary care associations-offers technical assistance to primary care sites to improve disaster preparedness and response. METHODS: In 2015, we administered an online questionnaire to sites regarding facility characteristics and preparedness indicators...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892446/funding-public-health-emergency-preparedness-in-the-united-states
#19
Rebecca Katz, Aurelia Attal-Juncqua, Julie E Fischer
The historical precedents that support state and local leadership in preparedness for and response to disasters are in many ways at odds with the technical demands of preparedness and response for incidents affecting public health. New and revised laws and regulations, executive orders, policies, strategies, and plans developed in response to biological threats since 2001 address the role of the federal government in the response to public health emergencies. However, financial mechanisms for disaster response-especially those that wait for gubernatorial request before federal assistance can be provided-do not align with the need to prevent the spread of infectious agents or efficiently reduce the impact on public health...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892439/a-child-s-health-is-the-public-s-health-progress-and-gaps-in-addressing-pediatric-needs-in-public-health-emergencies
#20
Eric J Dziuban, Georgina Peacock, Michael Frogel
Children are the most prevalent vulnerable population in US society and have unique needs during the response to and recovery from public health emergencies. The physiological, behavioral, developmental, social, and mental health differences of children require specific attention in preparedness efforts. Despite often being more severely affected in disasters, children's needs are historically underrepresented in preparedness. Since 2001, much progress has been made in addressing this disparity through better pediatric incorporation in preparedness planning from national to local levels...
September 2017: American Journal of Public Health
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