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Digital Response to Physical Crises: The Role of an E-Health Platform in the 2023 Southern Turkey Earthquakes 对物质危机的数字化响应:电子健康平台在 2023 年土耳其南部地震中的作用
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-09 DOI: 10.1017/dmp.2024.63
Izzet Turkalp Akbasli, Oguzhan Serin
The catastrophic earthquakes that struck Southern Turkey in 2023 highlighted the pressing need for effective disaster management strategies. The unprecedented scale of the crisis tested the robustness of traditional healthcare responses and highlighted the potential of e-health solutions. Despite the deployment of Emergency Medical Teams, initial responders - primarily survivors of the earthquakes - faced an enormous challenge due to their lack of training in mass-casualty situations. An e-health platform was introduced to support these first responders, offering tools for drug calculations, case management guidelines, and a deep learning model for pediatric X-ray analysis. This commentary presents an analysis of the platform’s use and contributes to the growing discourse on integrating digital health technologies in disaster response and management.
2023 年土耳其南部发生的灾难性地震凸显了对有效灾害管理战略的迫切需要。这场规模空前的危机考验了传统医疗保健应对措施的稳健性,并凸显了电子医疗解决方案的潜力。尽管部署了紧急医疗队,但最初的响应者--主要是地震幸存者--由于缺乏大规模伤亡情况下的培训,面临着巨大的挑战。为支持这些急救人员,我们推出了一个电子健康平台,提供药物计算工具、病例管理指南和用于儿科 X 光分析的深度学习模型。这篇评论对该平台的使用情况进行了分析,为将数字医疗技术融入灾难响应和管理的讨论做出了贡献。
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引用次数: 0
Relationship between Health Anxiety and Psychological Resilience among Nursing Students and Predictors of Psychological Resilience in the Last Period of the COVID-19 Pandemic 护理专业学生的健康焦虑与心理复原力之间的关系以及 COVID-19 大流行最后时期心理复原力的预测因素
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-08 DOI: 10.1017/dmp.2024.71
Burcu Uslu, Tülay Sağkal Midilli, Aslı KALKIM
The study aimed to determine health anxiety and psychological resilience and to investigate the relationship between health anxiety and psychological resilience among nursing students in the last period of the COVID-19 pandemic. This cross-sectional and descriptive study was conducted with 507 students. The questionnaires used in the study were a student nurse information form, the Health Anxiety Inventory and the Resilience Scale for Adults. The mean age of the students was 20.70±1.77 years. The health anxiety mean score was 36.19±6.55, resilience scale mean score was 117.13±16.00. There was a weak negative correlation between the students’ psychological resilience and their health anxiety (r=-0.207, p<0.001). Having an extended family and having good relationships with family and friends were the predictors of psychological resilience. Social support and psychological care services under a biopsychosocial model by the management of university or faculty should be implemented for university students in order to preserve their resilience and wellbeing, to cope with the pandemic.
本研究旨在确定 COVID-19 大流行最后时期护理专业学生的健康焦虑和心理复原力,并调查健康焦虑和心理复原力之间的关系。这项横断面描述性研究有 507 名学生参加。研究中使用的问卷包括学生护士信息表、健康焦虑量表和成人复原力量表。学生的平均年龄为(20.70±1.77)岁。健康焦虑平均得分为(36.19±6.55)分,复原力平均得分为(117.13±16.00)分。学生的心理复原力与健康焦虑之间存在微弱的负相关(r=-0.207,p<0.001)。拥有一个大家庭以及与家人和朋友保持良好关系是预测心理复原力的因素。大学或院系管理层应为大学生提供生物心理社会模式下的社会支持和心理护理服务,以维护他们的抗逆力和健康,应对大流行病。
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引用次数: 0
Immediate Injury Deaths Related to the Remnants From Hurricane Ida in New York City, September 1-2, 2021 与 2021 年 9 月 1-2 日纽约市伊达飓风余波有关的直接伤害死亡人数
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1017/dmp.2024.49
Ariel Yuan, Ariel Spira-Cohen, Carolyn Olson, Kathryn Lane
The remnants from Hurricane Ida in September 2021 caused unprecedented rainfall and inland flooding in New York City (NYC) and resulted in many immediate deaths. We reviewed death records (electronic death certificates and medical examiner reports) to systematically document the circumstances of death and demographics of decedents to inform injury prevention and climate adaptation actions for future extreme precipitation events. There were 14 Ida-related injury deaths in NYC, of which 13 (93%) were directly caused by Ida, and 1 (7%) was indirectly related. Most decedents were Asian (71%) and foreign-born (71%). The most common circumstance of death was drowning in unregulated basement apartments (71%). Themes that emerged from the death records review included the suddenness of flooding, inadequate exits, nighttime risks, and multiple household members were sometimes affected. These deaths reflect interacting housing and climate crises, and their disproportionate impact on disadvantaged populations needing safe and affordable housing. Climate adaptation actions, such as improving stormwater management infrastructure, informing residents about flood risk, implementing Federal Emergency Management Agency recommendations to make basements safer, and expanding emergency notification measures can mitigate risk. As climate change increases extreme precipitation events, multi-layered efforts are needed to keep residents safe.
2021 年 9 月,飓风 "艾达 "的余波在纽约市(NYC)造成了前所未有的降雨和内陆洪灾,并导致许多人当场死亡。我们审查了死亡记录(电子死亡证明和法医报告),系统地记录了死者的死亡情况和人口统计学特征,以便为未来极端降水事件的伤害预防和气候适应行动提供信息。纽约市共有 14 起与艾达相关的伤害死亡事件,其中 13 起(93%)由艾达直接造成,1 起(7%)与艾达间接相关。大多数死者为亚裔(71%)和外国出生者(71%)。最常见的死亡情况是在不受管制的地下室公寓中溺水身亡(71%)。死亡记录审查中出现的主题包括洪水来得突然、出口不足、夜间风险以及有时多名家庭成员受到影响。这些死亡事件反映了住房危机和气候危机之间的相互作用,以及它们对需要安全和负担得起的住房的弱势群体造成的不成比例的影响。气候适应行动,如改善雨水管理基础设施、告知居民洪水风险、实施联邦紧急事务管理局关于提高地下室安全性的建议,以及扩大紧急通知措施,可以减轻风险。随着气候变化加剧极端降水事件,需要多层次的努力来保障居民的安全。
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引用次数: 0
February 6, 2023, Asbestos (Amyant-Whıte Soıl) Awareness and Knowledge Level of the People of the Region After the Earthquakes Centered in Kahramanmaras. 2023 年 2 月 6 日,以卡赫拉曼马拉什为中心的地震后该地区居民对石棉(Amyant-Whıte Soıl)的认识和了解程度。
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1017/dmp.2024.53
Suzan Onur Tertemiz, Songul Tastan Celik, Seyma Yasar, Burcu Kayhan Tetik, Beril Alıcı
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引用次数: 0
The Philippines' Improving Response to Natural Disasters. 菲律宾改进自然灾害应对措施。
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-02 DOI: 10.1017/dmp.2024.58
Dalmacito A Cordero
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引用次数: 0
After an Earthquake: The Comparison of Psychological Status of Resident and Earthquake Survivor Cancer Patients. 地震之后:居民与地震幸存者癌症患者心理状态的比较。
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-02 DOI: 10.1017/dmp.2024.62
Ismail Beypinar

Objective: Natural disasters such as earthquakes can have a significant impact on cancer treatment and care. The objective of the study was to evaluate the psychological effect of the earthquake on survivor cancer patients compared to regular cancer patients.

Methods: Cancer patients who were evacuated from earthquake sites and referred for the continuation of their treatment, as well as regular resident patients were included in the study. The resident cancer patients were compared with the study population as a control group. DASS-21 forms were filled based on patients' declarations.

Results: Forty-six patients were earthquake survivors and 55 were resident cancer patients. Stress scores were significantly higher in earthquake survivors (P = 0.021). In contrast, there was no difference in stratified groups due to DASS-21 categorization in stress scores while depression and anxiety subgroups had significant differences (P = 0.012; P < 0.001). Also, women significantly had a worse outcome in the depression and anxiety categories (P = 0.028; P = 0.021) while no difference was observed in men.

Conclusion: Recent earthquakes in Turkey had psychological negative effects on oncology patients. The increased stress, depression, and anxiety levels were observed in earthquake survivors who were evacuated from the disaster zone and compared to the control group.

目的:地震等自然灾害会对癌症治疗和护理产生重大影响。本研究旨在评估与普通癌症患者相比,地震对幸存者癌症患者的心理影响:研究对象包括从地震灾区撤离并转诊继续接受治疗的癌症患者,以及普通住院患者。常住癌症患者作为对照组与研究对象进行比较。根据患者的申报填写 DASS-21 表格:结果:46 名患者是地震幸存者,55 名是癌症住院患者。地震幸存者的压力得分明显更高(P = 0.021)。相比之下,按 DASS-21 分类的分层组在压力评分方面没有差异,而抑郁和焦虑亚组则有显著差异(P = 0.012;P < 0.001)。此外,在抑郁和焦虑类别中,女性的结果明显较差(P = 0.028; P = 0.021),而男性则无差异:结论:土耳其近期发生的地震对肿瘤患者的心理产生了负面影响。结论:土耳其近期发生的地震对肿瘤患者造成了心理负面影响。与对照组相比,从灾区撤离的地震幸存者的压力、抑郁和焦虑水平均有所上升。
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引用次数: 0
Evaluation of Incoming Messages to WhatsApp Communication Network Created by Volunteers in Major Disasters: The Case of Turkey Earthquake. 对重大灾害中志愿者创建的 WhatsApp 通信网络接收信息的评估:土耳其地震案例。
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-04-02 DOI: 10.1017/dmp.2024.65
İsmet Çelebi, Arzu Tuna, Cüneyt Çalişkan

Objective: This research was conducted in order to assess the 1-week aid needs determined by the health professional who voluntarily served in the WhatsApp communication network during the earthquakes in Kahramanmaraş, Turkey.

Methods: This descriptive retrospective epidemiological study focuses on the 1-week messaging activities of the WhatsApp group created by volunteers after the earthquake in Turkey. During the 7-day period included in the research, a total of 5813 messages were sent. 3472 of these messages were not included in the research for various reasons, and a total of 2341 messages were used for the research.

Results: In all 7 days, it was seen that most of the messages were sent via text message and that voice messages were very few. When the distribution of the needs demanded by the earthquake victims for 7 days was examined, it was seen that there was a significant increase in the needs on the fourth day after the earthquake, and that the highest increase was the need for tents.

Conclusion: While the demands for rescue services increased in the first 2 days, it was determined that the demands for water especially, dry food, and tents increased from the third day onwards. It is suggested that a professional online infrastructure system should be created to enable the transfer of instant scene and need information that can be activated in such disasters.

研究目的本研究旨在评估土耳其卡赫拉曼马拉什(Kahramanmaraş)地震期间自愿加入 WhatsApp 通信网络的卫生专业人员确定的一周援助需求:这项描述性流行病学回顾研究的重点是土耳其地震后由志愿者创建的 WhatsApp 群组的一周信息活动。在为期 7 天的研究中,共发送了 5813 条信息。其中 3472 条信息因各种原因未被纳入研究范围,共有 2341 条信息被用于研究:在所有 7 天中,大部分信息都是通过短信发送的,语音信息很少。在对地震灾民 7 天的需求分布进行研究时,发现地震后第四天的需求明显增加,其中增加最多的是对帐篷的需求:结论:虽然对救援服务的需求在前两天有所增加,但从第三天开始,对水、干粮和帐篷的需求尤其增加。建议建立一个专业的在线基础设施系统,以便在发生此类灾害时能够即时传递现场和需求信息。
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引用次数: 0
Addressing the Urgent Concerns of Disaster-Related Hypertension After the 2023 Turkey Earthquake: Letter to Editor. 解决 2023 年土耳其地震后与灾害相关的高血压问题:致编辑的信。
IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1017/dmp.2024.51
Duygu Ayhan Başer, Raziye Şule Gümüştakim
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引用次数: 0
Measles Outbreak in Lebanon: July 2023. 黎巴嫩爆发麻疹疫情:2023 年 7 月。
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-03-25 DOI: 10.1017/dmp.2024.42
Mariana Helou, Yara Mouawad, Fadi El Ters, Rola Husni

After the beginning of the Syrian crisis, increased rates of infectious diseases were reported. Lebanon, a neighboring country with a major socioeconomic crisis, witnessed a measles outbreak since July 2023, with 519 reported suspected cases. Half of the cases were under 5 y of age, most of them were unvaccinated. The mass displacement of refugees from conflict areas in Syria to Lebanon and the low vaccination coverage have made the situation more challenging. Further efforts are required in Lebanon to address identified gaps to prevent or at least better control future outbreaks.

叙利亚危机爆发后,据报道传染病的发病率有所上升。黎巴嫩是一个面临严重社会经济危机的邻国,自 2023 年 7 月以来爆发了麻疹疫情,报告的疑似病例达 519 例。半数病例年龄在 5 岁以下,其中大多数未接种疫苗。大批难民从叙利亚冲突地区流落到黎巴嫩,疫苗接种覆盖率低,使得疫情更加严峻。黎巴嫩需要进一步努力弥补已发现的不足,以预防或至少更好地控制未来的疫情爆发。
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引用次数: 0
Enhancing the Nutritional Well-Being of Children With Food Allergies During Disaster. 加强灾难期间食物过敏儿童的营养健康。
IF 2.7 4区 医学 Q1 Medicine Pub Date : 2024-03-19 DOI: 10.1017/dmp.2024.37
Akindele Abimibayo Adeoya
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引用次数: 0
期刊
Disaster Medicine and Public Health Preparedness
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