P. Jastrzębski, Szymon Kosiorek, Z. Adamiak, J. Snarska
{"title":"Tranexamic acid in polish pre-hospital emergency medicine and the competencies of medical rescue teams","authors":"P. Jastrzębski, Szymon Kosiorek, Z. Adamiak, J. Snarska","doi":"10.5603/demj.a2022.0040","DOIUrl":"https://doi.org/10.5603/demj.a2022.0040","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47267550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sayedeh-Somayyeh Mousavipour, H. Sheikhbardsiri, Mohamad Golitaleb, Iman Farahi-Ashtiani, Kosar Yousefi, Ali Sahebi
{"title":"Job stress among Iranian firefighters: a systematic review","authors":"Sayedeh-Somayyeh Mousavipour, H. Sheikhbardsiri, Mohamad Golitaleb, Iman Farahi-Ashtiani, Kosar Yousefi, Ali Sahebi","doi":"10.5603/demj.a2022.0027","DOIUrl":"https://doi.org/10.5603/demj.a2022.0027","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42989684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiovascular physiology and erectile dysfunction","authors":"Leyla Ozturk Sonmez","doi":"10.5603/demj.a2022.0037","DOIUrl":"https://doi.org/10.5603/demj.a2022.0037","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46446484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social determinants of disasters occurrence and injuries: a scoping literature review","authors":"Javad Babaie, Mohsen Nori, Behrouz Samei","doi":"10.5603/demj.a2022.0029","DOIUrl":"https://doi.org/10.5603/demj.a2022.0029","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48542787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Gonczaryk, J. Chmielewski, A. Strzelecka, Jarosław Fiks, Tomasz Wójcik, M. Florek-Luszczki
{"title":"Spinal pain syndrome incidence among paramedics in emergency response teams","authors":"Agnieszka Gonczaryk, J. Chmielewski, A. Strzelecka, Jarosław Fiks, Tomasz Wójcik, M. Florek-Luszczki","doi":"10.5603/demj.a2022.0035","DOIUrl":"https://doi.org/10.5603/demj.a2022.0035","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49548482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between D-dimer and mortality in COVID-19 patients: a single center study from a Turkish hospital","authors":"Mazlum Kılıç, U. Dalkilinc Hokenek","doi":"10.5603/demj.a2022.0039","DOIUrl":"https://doi.org/10.5603/demj.a2022.0039","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48404114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kiarsi, M. Doustmohammadi, Mohammad Reza Mahmoodi, N. Nakhaee, A. Zareiyan, H. Aghababaeian, M. Amiresmaili
INTRODUCTION: Global warming, climate change, temperature fluctuations, and increasing concern about their possible impacts on health have drawn the attention of scholars and academia around the world. Previous studies suggested heat waves can increase mortality and diseases, the demand for ambulances, hospitalization rates, and severe consequences, especially in vulnerable groups. The most effective measures can be taken by effective planning and providing practical solutions in the mitigation and preparedness stage to prevent and mitigate the effects of disasters. Given the absence of a tool to determine the level of adaptation in the world, this study aimed to identify the strategies to adapt to heat waves and develop a tool to measure the level of adaptation to heat waves. MATERIAL AND METHODS: This exploratory sequential mixed methods (qualitative-quantitative) study was conducted in three phases. In the first phase, a qualitative study was carried out by conducting interviews with people affected by heat waves. The interview data were used to identify the themes related to adaptation to heat waves and the strategies to adapt to heat waves. In the second phase, a systematic review study was conducted to identify the strategies to adapt to heat waves in the world. Afterward, the data from the qualitative phase and systematic review were used to develop the items in the heatwave adaptation tool. Finally, in the third phase (the quantitative study), the psychometric properties of the developed tool were assessed using face validity, content validity, construct validity, and reliability indexes. CONCLUSIONS: The developed tool can measure the level of adaptation behaviors of people against heat waves in different communities. Thus, an awareness of less adaptable and more vulnerable communities can contribute to conducting some mitigation and preparedness interventions in these communities.
{"title":"Development and validation of heat wave hazard adaptation tool: a study protocol","authors":"M. Kiarsi, M. Doustmohammadi, Mohammad Reza Mahmoodi, N. Nakhaee, A. Zareiyan, H. Aghababaeian, M. Amiresmaili","doi":"10.5603/demj.a2022.0038","DOIUrl":"https://doi.org/10.5603/demj.a2022.0038","url":null,"abstract":"INTRODUCTION: Global warming, climate change, temperature fluctuations, and increasing concern about their possible impacts on health have drawn the attention of scholars and academia around the world. Previous studies suggested heat waves can increase mortality and diseases, the demand for ambulances, hospitalization rates, and severe consequences, especially in vulnerable groups. The most effective measures can be taken by effective planning and providing practical solutions in the mitigation and preparedness stage to prevent and mitigate the effects of disasters. Given the absence of a tool to determine the level of adaptation in the world, this study aimed to identify the strategies to adapt to heat waves and develop a tool to measure the level of adaptation to heat waves. MATERIAL AND METHODS: This exploratory sequential mixed methods (qualitative-quantitative) study was conducted in three phases. In the first phase, a qualitative study was carried out by conducting interviews with people affected by heat waves. The interview data were used to identify the themes related to adaptation to heat waves and the strategies to adapt to heat waves. In the second phase, a systematic review study was conducted to identify the strategies to adapt to heat waves in the world. Afterward, the data from the qualitative phase and systematic review were used to develop the items in the heatwave adaptation tool. Finally, in the third phase (the quantitative study), the psychometric properties of the developed tool were assessed using face validity, content validity, construct validity, and reliability indexes. CONCLUSIONS: The developed tool can measure the level of adaptation behaviors of people against heat waves in different communities. Thus, an awareness of less adaptable and more vulnerable communities can contribute to conducting some mitigation and preparedness interventions in these communities.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42389988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jarosław Pecold, Mahdi Al-Jeabory, M. Matuszewski, M. Pruc, A. Maslyukov, Maciej Krupowies, Ewa Mańka, J. Smereka, L. Szarpak
InTrodUcTIon: The purpose of this review and meta-analysis is to compare tranexamic acid (TXA) administration via the intravenous route (IV-TXA) and topical route (T-TXA), in reducing blood loss in knee arthroplasty. MATerIAL And MeTHods: A systematic literature search was performed using Medline, EMBASE, Scopus and CENTRAL databases till December 20, 2021. Outcomes of interest included blood loss, hematocrit and hemoglobin drop, and adverse events. resULTs: A total of 3,363 patients (n = 1,307 in IV-TXA group; n = 2,056 in T-TXA group) from 23 studies were included. There was no statistically significantly difference between IV-TXA and T-TXA among to: total blood loss (874.8 ± 349.7 mL vs 844.9 ± 366.6 mL, respectively; SMD = 0.13; 95% CI: −9.37 to 85.32; p = 0.15), as well as transfusion needed (10.9% vs 15.4% respectively (RR = 0.79; 95% CI: 0.60 to 1.04; p = 0.09). Blood loss from the drain in IV-TXA and T-TXA varied and occurred 377.9 ± 191.9 vs 302.9 ± 182.6 mL for IV-TXA and T-TXA, respectively: (SMD = 0.52; 95% CI: 0.02 to 1.02; p = 0.04). concLUsIons: Our clinical findings support that TXA can effectively, safely, and decrease the number of transfusions without severe side effects in patients undergoing TKA. However, given the reports from individual single clinical trials of the superiority of T-TXA, further clinical trials and meta-analyses based on these findings are needed to standardize the approach to TXA use in patients undergoing knee arthroplasty.
简介:本综述和荟萃分析的目的是比较氨甲环酸(TXA)通过静脉途径(IV-TXA)和外用途径(T-TXA)在减少膝关节置换术中失血量方面的效果。材料和方法:使用Medline、EMBASE、Scopus和CENTRAL数据库进行系统文献检索，检索截止日期为2021年12月20日。研究结果包括失血、红细胞压积和血红蛋白下降以及不良事件。结果:IV-TXA组共3363例患者(n = 1307);n = 2056 (T-TXA组)，共纳入23项研究。IV-TXA与T-TXA在总失血量(874.8±349.7 mL vs 844.9±366.6 mL)之间无统计学差异;SMD = 0.13;95% CI:−9.37 ~ 85.32;p = 0.15)，以及输血需求(10.9% vs 15.4%) (RR = 0.79;95% CI: 0.60 ~ 1.04;P = 0.09)。IV-TXA和T-TXA的引流失血量各不相同，分别为377.9±191.9 mL和302.9±182.6 mL (SMD = 0.52;95% CI: 0.02 ~ 1.02;P = 0.04)。结论:我们的临床研究结果支持TXA可以有效、安全地减少TKA患者的输血次数，并且没有严重的副作用。然而，鉴于单个临床试验对T-TXA优越性的报道，需要基于这些发现的进一步临床试验和荟萃分析来规范膝关节置换术患者使用TXA的方法。
{"title":"Systematic review and meta-analysis of intravenous and topical tranexamic acid in reducing blood loss in knee arthroplasty","authors":"Jarosław Pecold, Mahdi Al-Jeabory, M. Matuszewski, M. Pruc, A. Maslyukov, Maciej Krupowies, Ewa Mańka, J. Smereka, L. Szarpak","doi":"10.5603/demj.a2022.0025","DOIUrl":"https://doi.org/10.5603/demj.a2022.0025","url":null,"abstract":"InTrodUcTIon: The purpose of this review and meta-analysis is to compare tranexamic acid (TXA) administration via the intravenous route (IV-TXA) and topical route (T-TXA), in reducing blood loss in knee arthroplasty. MATerIAL And MeTHods: A systematic literature search was performed using Medline, EMBASE, Scopus and CENTRAL databases till December 20, 2021. Outcomes of interest included blood loss, hematocrit and hemoglobin drop, and adverse events. resULTs: A total of 3,363 patients (n = 1,307 in IV-TXA group; n = 2,056 in T-TXA group) from 23 studies were included. There was no statistically significantly difference between IV-TXA and T-TXA among to: total blood loss (874.8 ± 349.7 mL vs 844.9 ± 366.6 mL, respectively; SMD = 0.13; 95% CI: −9.37 to 85.32; p = 0.15), as well as transfusion needed (10.9% vs 15.4% respectively (RR = 0.79; 95% CI: 0.60 to 1.04; p = 0.09). Blood loss from the drain in IV-TXA and T-TXA varied and occurred 377.9 ± 191.9 vs 302.9 ± 182.6 mL for IV-TXA and T-TXA, respectively: (SMD = 0.52; 95% CI: 0.02 to 1.02; p = 0.04). concLUsIons: Our clinical findings support that TXA can effectively, safely, and decrease the number of transfusions without severe side effects in patients undergoing TKA. However, given the reports from individual single clinical trials of the superiority of T-TXA, further clinical trials and meta-analyses based on these findings are needed to standardize the approach to TXA use in patients undergoing knee arthroplasty.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48395018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Szarpak, M. Pruc, Alla Navolokina, K. Batra, Francesco Chirico, C. de Roquetaillade
{"title":"Omicron variants of the SARS-COV-2: A potentially significant threat in a new wave of infections","authors":"L. Szarpak, M. Pruc, Alla Navolokina, K. Batra, Francesco Chirico, C. de Roquetaillade","doi":"10.5603/demj.a2022.0033","DOIUrl":"https://doi.org/10.5603/demj.a2022.0033","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41815236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
InTrodUcTIon: Core competencies required for a nurse to be ready for disaster response. The gaps in education make it difficult to recruit nurses prepared to respond to a disaster. The aim of this study was to design a disaster preparedness training program and examine its impact on the level of competence of nursing students. MATerIAL And MeTHods: A quasi-experimental design was used for 50 nursing students in semester 8 ran domly assigned to the experimental and the control groups. A disaster educational program for nursing students was developed based on Harden’s model. First need assessment was done and then the goals of the program were determined in the next stage, the educational content was organized based on the priorities of the students and teacher recommendations. In the next stage, the program was implemented and finally, the evaluation was carried out. resULTs: The mean age of the participant was 21.4 ± 2.14 and 57.1% of them were women. Compared with the control group, the experimental group showed a significant increase in disaster nursing competency after intervention (t = 12.37, p < 0.001). concLUsIons: This study provides evidence of the need and potential positive impact of disaster education opportunities for nurses.
{"title":"Designing a disaster training program and examining its impact on the level of competence of nursing students","authors":"F. Aliakbari, Mohammad Heidari, M. Moezzi","doi":"10.5603/demj.a2022.0023","DOIUrl":"https://doi.org/10.5603/demj.a2022.0023","url":null,"abstract":"InTrodUcTIon: Core competencies required for a nurse to be ready for disaster response. The gaps in education make it difficult to recruit nurses prepared to respond to a disaster. The aim of this study was to design a disaster preparedness training program and examine its impact on the level of competence of nursing students. MATerIAL And MeTHods: A quasi-experimental design was used for 50 nursing students in semester 8 ran domly assigned to the experimental and the control groups. A disaster educational program for nursing students was developed based on Harden’s model. First need assessment was done and then the goals of the program were determined in the next stage, the educational content was organized based on the priorities of the students and teacher recommendations. In the next stage, the program was implemented and finally, the evaluation was carried out. resULTs: The mean age of the participant was 21.4 ± 2.14 and 57.1% of them were women. Compared with the control group, the experimental group showed a significant increase in disaster nursing competency after intervention (t = 12.37, p < 0.001). concLUsIons: This study provides evidence of the need and potential positive impact of disaster education opportunities for nurses.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47255915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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