Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Disasters”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,009 records · Page 56Linked to original sources

ADAP funding and Ryan White Act renewal is delayed by hurricane. HIV patients from disaster area spread across U.S.

AIDS advocates were pessimistic about obtaining enough funding to keep HIV patients off waiting lists for the AIDS Drug Assistance Programs (ADAPs) by the end of August, and then Hurricane Katrina hit several of the states with the worst ADAP funding situation, and changed everything again. Hurricane disaster victims have traveled to dozens of states, and those who are HIV infected have to start all over with obtaining access to some antiretrovirals. However, despite the gloomy outlook, some AIDS advocates say they hope to obtain more funding for ADAP and the Ryan White Care Act through an emergency disaster bill.

Disasters↗

Stormy weather. Preparing for and recovering from disasters.

Preparing for and recovering from disasters Planning is the most important thing a medical practice can do to prepare for a disaster. Learn from the experiences of a medical group in Florida that weathered four hurricanes in 2004. Its trials provide insights for other groups that might suffer calamities such as blizzards, floods, tornadoes, earthquakes, blackouts and even acts of terrorism.

Disaster Planning↗

A web-services architecture designed for intermittent connectivity to support medical response to disasters.

To support mobile computing systems for first responders at mass casualty sites, as part of the WIISARD (Wireless Internet Information System for Medical Response in Disasters) project, we have developed a data architecture to gracefully handle an environment with frequent network failure and, multiple writers that also supports rapid dissemination of updates that could be critical to the safety of responders. This is accomplished by allowing for a subset of the overall information available in a disaster scene to be cached locally on a responder's device and locally modified with or without network access. When the network is available, the local subset of the model is automatically synchronized with a server that contains the full model, and conflicts are resolved. When changes from a device are committed, the changes are instantly sent to any connected devices where the local subset would be modified by the changes.

Computer Systems↗

An 802.11 wireless blood pulse-oximetry system for medical response to disasters.

In a mass casualty situation, medical personnel at the disaster site and other field treatment settings may need to monitor the vital signs of hundreds of seriously injured patients with minimal staffing. The conditions may be primitive and personnel may have to improvise infrastructure. As part of our research to enhance medical response to disasters with Internet-enabled systems, we have developed a prototype Wireless Blood Pulse Oximeter system for mass casualty events designed to operate in WiFi hotspots. Pulse ox units were designed using low-cost embedded system technologies to operate in integrated or stand alone environments. Units can report data to a command post on the scene or any remote location with Internet access. The entire system is potentially capable of tracking and monitoring several hundred patients.

Disasters↗

Proposed educational objectives for hospital-based dentists during catastrophic events and disaster response.

The purpose of this project was to define education and training requirements for hospital-based dentists to efficiently and meaningfully participate in a hospital disaster response. Eight dental faculty with hospital-based training and/or military command and CBRNE (chemical, biological, radiological, nuclear, and explosive) expertise were recruited as an expert panel. A consensus set of recommended educational objectives for hospital-based dentists was established using the following process: 1) identify assumptions supported by all expert panelists, 2) determine current advanced dental educational training requirements, and 3) conduct additional training and literature review by various panelists and discussions with other content and systems experts. Using this three-step process, educational objectives that the development group believed necessary for hospital-based dentists to be effective in treatment or management roles in times of a catastrophic event were established. These educational objectives are categorized into five thematic areas: 1) disaster systems, 2) triage/medical assessment, 3) blast and burn injuries, 4) chemical agents, and 5) biological agents. Creation of training programs to help dentists acquire these educational objectives would benefit hospital-based dental training programs and strengthen hospital surge manpower needs. The proposed educational objectives are designed to stimulate discussion and debate among dental, medical, and public health professionals about the roles of dentists in meeting hospital surge manpower needs.

Bioterrorism↗

Applying Roberts' Triple ABCD Model in the aftermath of crisis-inducing and trauma-inducing community disasters.

Natural and man-made community disasters, such as hurricanes, earthquakes, school shootings, and mass terrorist attacks, heavily impact the safety, mental health, and well-being of large numbers of individuals, families and groups. Millions of individuals who experience acute crisis episodes or psychological trauma are not consistently provided with the early psychological interventions they urgently need. There is a critical need for tools and a framework to quickly and effectively promote interventions. This article presents one such effort, the Roberts' Triple ABCD Model. This model is an up-to-date and integrated conceptual framework that helps to provide the foundation for developing a unified standard of care for crisis and disaster mental health interventions. This model can be useful in determining which early intervention methods and techniques are most likely to reduce traumatic stress, treat acute crisis and psychosocial symptoms, and promote recovery.

Clinical Competence↗

An opportunity: improving client services during disaster relief.

Access to current, accurate, and relevant information is mandatory for effective disaster response. In-field observations, reviews of after-action reports, and basic research indicate that this most basic of requirements is not being met. Participating disaster recovery parties, in particular environmental health agencies, lack clarity about their exact roles and lack the most basic of technological solutions that could support any given role definition. There is a need, from both cost and training perspectives, for a single, integrated solution covering risk-based routine inspections, abnormalities, and major incidents.

Consumer Advocacy↗

Distribution of care information packages for the support of patients with cancer and their families during disaster situations and their evaluation via the internet.

With the aim of preparing for disasters, care information packages for the support of patients with cancer and their families during disaster situations were developed in our previous study, and were provided via the internet with a questionnaire asking the face validity and the usefulness of such information. Thirty replies were received. Most subjects thought the care packages were appropriate and useful in the actual settings, however 43.3% of them thought the amount of information was excessive. Many comments and suggestions on the care information packages also could be obtained via the internet.

Disasters↗

Disaster relief, inc.

When disaster strikes, many corporations respond generously. After the 2004 tsunami, for instance, U.S. firms alone contributed more than half a billion dollars in cash and in-kind donations. But a host of reactive efforts don't produce the best results-and may even get in the way. To make the most of their humanitarian efforts, companies need to address two fundamental questions: What kind of aid do we want to contribute--philanthropic (money and in-kind donations) or integrative (backroom, operational assistance)? And how do we want to contribute it--by working one-on-one with a single agency or by joining a consortium? The permutations of those two decisions lead to four different approaches, each with its own strengths and challenges. Single-company philanthropic partnerships work well when there's a good match between what a company wants to contribute and what an agency needs, as with Coca-Cola's donations of water to the Red Cross. More diffuse, but also potentially more effective, are the benefits of joining a multicompany philanthropic partnership, which enables the resources of many firms to be matched to the missions of many agencies. More difficult to establish but more fundamental in its impact is a single-company integrative partnership, in which a corporation works to improve the way an aid agency operates, as the logistics giant TNT has done to help the distribution efforts of the World Food Programme. And most difficult to implement--but potentially most effective-is a multicompany integrative partnership, which brings to bear the collective best practices of many companies to improve the response capabilities of multiple agencies. It's easy to see why the image of a relief worker carrying a sack of grain delivers an emotional wallop, but the behind-the-scenes work of process enhancement is just as crucial to humanitarian efforts. The sooner executives realize this, the better positioned the world will be to respond to global disasters.

Commerce↗

Airshow disaster plans.

Airshows require careful medical planning. Disaster drills and coordination between all rescue agencies are necessary. Rescue personnel and command post must be highly visible. Good communication includes dedicated radio frequencies at the site, dedicated phone lines to hospitals, and multiple back-ups. Security personnel should use yellow police tape for crowd control, and volunteers must be supervised. Key medical elements include efficient triage and stabilization at the site, adequate medical personnel, equipment dispersed within the crowd, rapid transportation including helicopters, and crisis intervention. Separate areas are needed for persons with minor injuries, relatives and friends, the press, and a morgue. Disaster plans for airshows have unique aspects. A predetermined time benefits planning. Airports often have pre-existing medical facilities, and participating military agencies may have additional resources. Burns and inhalation injuries predominate at airshow accidents. Enlarging spectator safety zones and modifying aerobatic maneuvers can prevent injury.

Aerospace Medicine↗

Infections and sepsis in disasters.

It seems reasonable to expect that infections will occur after certain types of disasters. There are some data to support this conjecture in studies of tornadoes, hurricanes, and mass trauma situations. We have tried to extrapolate from these data what we believe will be the infectious effects of different types of disasters, taking into account the potential for alteration in the host secondary to injury, the modification of living conditions, and the possibility of the disruption of medical care.

Anti-Bacterial Agents↗

Young people's perception of the space shuttle disaster: case study.

To explore how young people were affected by the space shuttle disaster, the responses of 79 females in 5th, 8th, and 12th grades and 18 males in 5th grade who had witnessed the event on video at school were examined. Six days after the Challenger accident, they were asked to list and rank the three things that had affected them most over the last seven days and to explain the reason behind their first choice. Only 8.9% of the females ranked the space shuttle first, and only 30.4% ranked it in the top three. Competing issues were school-related activities, grades, and family relations. Of the 5th-grade males, 88.9% mentioned the space shuttle and 38.9% saw it as their top concern. For both males and females, this choice was based on sadness and empathy. The youths did not relate the disaster to the fragility of modern technology or the threat of nuclear war. The relatively low response rate of the females who had witnessed this event was interpreted as being indicative of repression-denial. It was concluded that future research should address the extent to which post-crisis denial could be masking more significant psychological trauma in youth.

Adolescent↗

Renal failure in disasters.

This article focuses on the steps that both search and rescue teams and advanced medical teams may use to reduce the potential for acute renal failure from crush injury in disasters and provides guidelines for the deployment of dialytic resources in the disaster setting.

Acute Kidney Injury↗

Psychological intervention for victims and helpers after disasters.

Disasters can have long term and damaging effects on survivors. In addition, those who are involved in disaster work, such as rescue and medical personnel, may become hidden victims. Different kinds of psychological assistance can be provided but this must be systematic and well organized. Professional help should supplement and facilitate community, personal and social resources rather than supplant them. This paper provides guidelines for providing such help.

Counseling↗

The role of women and NNAs in disaster management.

To date female participation in disaster management planning committees in the Caribbean has been limited; yet women are a valuable resource for organized action at all levels of the managerial process. Below, some guidelines on how women, nurses and national nurses' associations can take a more active part in managing disasters.

Community Participation↗

[From war psychiatry to disaster and crisis psychiatry].

Psychiatry has derived much benefit from the combat experience of military medicine. The Allies' military psychiatry during the Second World War established cardinal modes of treatment, such as group therapy, the therapeutic community, and crisis intervention. The principles of field psychiatry consist in that the treatment be administered near the scene of the injury, in an early phase, be of short duration, be focused here and now, and be characterised by prognostic optimism; moreover the victim must retain his group identity. Many of these intervention techniques are now successfully used at disaster and crises in peacetime, e.g. at the recent ferry disaster on the Scandinavian Star.

Community Psychiatry↗

Emergency nurses in community disaster planning.

Nurses in hospital and nonhospital settings have long played a role in disaster management. The history of nursing is partially a response to needs created by wars. It is appropriate that nursing, particularly emergency nursing, recognize that active involvement in community disaster planning is both an opportunity and an obligation.

Community Health Services↗