{"title":"Psychometric properties of Tamil version of Impact of Event Scale for adolescents","authors":"S. Russell, B. Subramanian, P. Russell","doi":"10.1080/15031430500266572","DOIUrl":"https://doi.org/10.1080/15031430500266572","url":null,"abstract":"Objective: This study validates the Tamil version of Impact of Event Scale among adolescents. Method: IES was translated into Tamil and 100 adolescents attending an adolescent clinic who had been exposed to diverse traumatic events completed the Impact of Event Scale along with the Child Behaviour Checklist. Appropriate analyses both at the item and scale levels were conducted. Results: In addition to adequate face and content validity, the scale has satisfactory internal consistency (α from 0.77 to 0.90), moderate convergent validity with CBCL‐PTSD scale (r from 0.22 to 0.29), and high discriminant validity with PTSD‐thought problem subscale (r = 0.01–0.10). Factor analysis replicated the two‐factor structure, avoidance factor (five items) and intrusion factor (three items), explaining 68.4% of variance. A threshold IES score of 17 was associated with 93% sensitivity and 85% specificity. Conclusions: The Tamil IES for adolescents has satisfactory psychometric properties and should be useful in internatio...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124888967","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":"Performance Indicators for Major Incident Medical Management – A Possible Tool for Quality Control?","authors":"A. Rüter, P. Örtenwall, T. Wikström","doi":"10.1080/15031430410023355","DOIUrl":"https://doi.org/10.1080/15031430410023355","url":null,"abstract":"Objective: The objective was to determine the outcome when applying a set of proposed performance indicators on previously published reports from major incidents. Methods: A set of 20 different performance indicators were proposed. These indicators were applied to 13 reports from major incidents issued by the KAMEDO organization. Results: The most frequently reported problems were command and control at the scene (11/13) followed by communication and command and control at the strategic level. In 25% of the published reports there was enough information available to apply the performance indicators, and in these the goal and/or objective was met in 67%. Conclusion: Performance indicators for the medical management of major incidents and disaster can to a limited extent be applicable to retrospective studies. Performance indicators might be a tool for evaluating the medical response if reports are made with a different template. Further studies are needed in order to validate which indicators to use.","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130137185","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":"Major Incident Medical Training: A Systematic International Approach","authors":"T. Hodgetts","doi":"10.1080/15031430310013429","DOIUrl":"https://doi.org/10.1080/15031430310013429","url":null,"abstract":"Objective To describe the development and evaluation of the Major Incident Medical Management and Support course (MIMMS) as a training programme for civilian and military communities. Methods MIMMS is predominantly interactive and practical, focusing on improving functional effectiveness at the scene. It incorporates a series of lectures, table-top exercises, critical message practice using radio, equipment workshops, and then learning on two simple and reproducible physiological triage techniques. There is a summative assessment of knowledge and skills on the second day. On the final day there is an opportunity to practise judgement as a commander in two exercises without casualties at local high-risk venues. Results The programme was established in the UK 1994. During the 9 years since its introduction, 3052 candidates have successfully completed the 3-day programme in 32 centres in a total of 17 countries. External evaluation of the effectiveness of the training performed in two successive courses in 1...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"43 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133007546","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}
D. Mankuta, Y. Levy, P. Benedek, A. Goldberg, A. Rachstein, E. Onn, G. Martonovits, Y. Bar-dayan
{"title":"Anxiety and Fears of Pregnant Women: Evaluation of Incidence during the Earthquake in Turkey, 1999","authors":"D. Mankuta, Y. Levy, P. Benedek, A. Goldberg, A. Rachstein, E. Onn, G. Martonovits, Y. Bar-dayan","doi":"10.1080/15031430410026569","DOIUrl":"https://doi.org/10.1080/15031430410026569","url":null,"abstract":"Introduction: Pregnancy is the time in our life representing more than any other period the continuation of life and expectations for a brighter future. Any threat to the well‐being of the individual, loss of life in the family or significant property damage may affect the physical and emotional well‐being. An earthquake disaster is a rare and unique life‐threatening state of major emotional stress; however, the emotional and behavioural effects of this unique scenario have not yet been described in the medical literature. Objective: To study some of the effects of an earthquake disaster experience on pregnant women's behaviour and emotions during and after the earthquake. Patients and Methods: We conducted a survey, using a questionnaire prepared by Israeli and Turkish physicians during the IDF field hospital stay in Adapazari in August 1999. The questionnaire focused on some behavioural and emotional aspects that were experienced by these women during and after the earthquake. The questionnaire was fill...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128833056","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":"The Emergotrain System for Training and Testing Disaster Preparedness: 15 years of Experience","authors":"S. Lennquist","doi":"10.1080/15031430310009398","DOIUrl":"https://doi.org/10.1080/15031430310009398","url":null,"abstract":"Objectives To create, develop, test and evaluate an interactive system for education and training in disaster medicine, adjustable to any organization and giving an objective assessment of training and testing. Methods A system that is simple to use and does not require sophisticated equipment was developed, based on magnetic symbols representing patients, staff and resources, movable markers indicating priority and treatment, and a large patient-bank with a protocol giving results of treatment based on trauma score. The methodology was tested in two models: classroom mode and advanced interactive mode, at all levels, regionally, nationally and internationally. Results During 1987-2001, a total of 8777 students were trained with the system with the classroom mode in 94 regional, 37 national and 8 international courses. The advanced interactive mode was used for 2518 students in 14 regional, 22 national and 18 international courses. The students' evaluation of the quality of the methodology based on a scor...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126814653","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":"A New System for Transmission of On-Line Information from Scene of Accident and Ambulances to Hospitals","authors":"A. Rüter, P. Örtenwall, T. Wikström","doi":"10.1080/15031430310031366","DOIUrl":"https://doi.org/10.1080/15031430310031366","url":null,"abstract":"Objective. The ‘Swede information system’ was introduced in a county with approximately 450,000 inhabitants in April 2000. The implementation of this information system, intended to be operative in major incidents and disasters, has included the introduction of new technologies as well as new standard operating procedures for both ambulance crews and hospital staff. The objective of this study was to see how this information system with digitally mediated transmission was used as a daily routine during a 2‐month period, 1 year after its introduction. Methods. The Swede information system sends on‐line information from ambulances to emergency wards in the county. The technique used is a LAN (local area net) for communication within the site of the accident, Mobitex® from the ambulances to a data server and from this by Internet to the hospitals. During March and April 2001 all events when an ambulance was dispatched were recorded. All cases when the system was used to notify the receiving hospital were rec...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134638355","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":"Changing patterns of hepatitis A virus seroprevalence after earthquakes in Duzce, northwest of Turkey","authors":"A. Kaya, E. Kaya","doi":"10.1080/15031430701680308","DOIUrl":"https://doi.org/10.1080/15031430701680308","url":null,"abstract":"Objectives: Hepatitis A is an enterically transmitted disease that still remains endemic in many developing countries. In 1999, two earthquake disasters ruined the northwest region of Turkey, and particularly affected Duzce. The aim of this study was to determine seroprevalences of hepatitis A virus (HAV) infection before and after the earthquakes. Materials and methods: The study was conducted in two centres and data including 18 months before and after the earthquakes were examined. A total of 2796 patients were in the study group. Data were evaluted by seperating the groups into two age groups: group 1 (0–17.9 years; n = 1114), group 2 (>18 years; n = 1682). Serum samples were tested for anti‐HAV IgG antibodies by enzyme immunoassay (EIA). The χ2 test was used in all cases for statistical analysis. Results: The overall prevalences of HAV infection before and after the earthquakes were 71.3% and 89.4%, respectively. A significant increase in seropositivity was detected after the earthquakes (p<0.001). S...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129220724","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":"Introduction to the present issue","authors":"S. Lennquist","doi":"10.1080/15031430600865844","DOIUrl":"https://doi.org/10.1080/15031430600865844","url":null,"abstract":"","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128657121","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":"International Society of Disaster Medicine (ISDM)","authors":"T. Wikström","doi":"10.1080/15031430310007930","DOIUrl":"https://doi.org/10.1080/15031430310007930","url":null,"abstract":"At the Seventh World Conference of the International Civil Defence Organisation held in February 1974 in Venezuela, delegations from 61 countries participated. One of the main topics was 'Mass casualty care in disaster situations'. Three professors attending the meeting - Prof. J. A. Baumann (University of Geneva, Switzerland), Prof. R. Frey (University of Mainz, Germany) and Prof. E. Musso (Geneva Civil Defence Office, Switzerland) - decided to found an international society in the field of disaster medicine. The founding meeting of the International Society of Disaster Medicine (ISDM) was held in Geneva on 22 October 1975, with the participation of the three founding members and Dr Milan Bodi, Secretary General of the International Civil Defence Organisation. It was decided that the headquarters of the society would be located in Geneva.","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131890641","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":"Emergency Care following the Terrorist Attack in Beslan, North Ossetia, Russian Federation, 2004","authors":"J. Schreeb, A. Kalmykov, L. Riddez, H. Rosling","doi":"10.1080/15031430410026578","DOIUrl":"https://doi.org/10.1080/15031430410026578","url":null,"abstract":"Introduction: On 1 September 2004 more than 1300 people were taken hostage in a school in the town of Beslan in the Republic of North Ossetia-Alania, Russian Federation. The crisis ended 52 hours later in extreme violence with gunshots, grenade explosions and fire that directly killed 329 persons, including 164 children, and injuring many hundreds. As external assessors we rapidly reviewed the medical care provided to the injured. Results: We found that more than 500 doctors, 1000 regular hospital beds and 100 intensive care beds were well prepared to care for the victims at their arrival to the 4 hospitals situated within 20 km of the school in Beslan. In the rapidly unfolding emergency with many hundreds of injured only limited on‐site triage was carried out. Civilians took the majority of injured directly to the hospitals in private cars in spite of 57 ambulances being available at the site. Following a few chaotic hours adequate emergency care was available to all the injured. Of the 661 hospitalised ...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121064397","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}