Disaster Medicine and Public Health Preparedness最新文献

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Public Health Emergency Preparedness and Response Workforce Competencies: Developing and Supporting the Next Generation of Practitioners. 公共卫生应急准备和响应劳动力能力:发展和支持下一代从业者。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-30 DOI: 10.1017/dmp.2025.10068
Ashley Moore, Nicole Ann Errett, Resham Patel
{"title":"Public Health Emergency Preparedness and Response Workforce Competencies: Developing and Supporting the Next Generation of Practitioners.","authors":"Ashley Moore, Nicole Ann Errett, Resham Patel","doi":"10.1017/dmp.2025.10068","DOIUrl":"https://doi.org/10.1017/dmp.2025.10068","url":null,"abstract":"<p><strong>Objectives: </strong>The roles and responsibilities of the public health emergency preparedness (PHEP) and response workforce have changed since the last iteration of competencies developed in 2010. This project aims to identify current competencies (i.e., knowledge, skills, and abilities) for the PHEP workforce, as well as all public health staff who may contribute to a response.</p><p><strong>Methods: </strong>Five focus groups with members of the PHEP workforce across the US focused on their experiences with workforce needs in preparedness and response activities. Focus group transcripts were thematically analyzed using qualitative methods to identify key competencies needed in the workforce.</p><p><strong>Results: </strong>The focus groups revealed 7 domains: attitudes and motivations; collaboration; communications; data collection and analysis; preparedness and response; leadership and management; and public health foundations. Equity and social justice was identified as a cross-cutting theme across all domains.</p><p><strong>Conclusions: </strong>Broad validation of competencies through ongoing engagement with the PHEP practice and academic communities is necessary. Competencies can be used to inform the design of PHEP educational programs and PHEP program development. Implementation of an up-to-date, validated competency model can help the workforce better prepare for and respond to disasters and emergencies.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e131"},"PeriodicalIF":1.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rehabilitation Model for Post-Disaster Post-Traumatic Stress Syndrome: Relaxation-Based Supervised Exercise. 灾后创伤后应激综合征的康复模型:基于放松的监督运动。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-30 DOI: 10.1017/dmp.2025.118
Sabiha Sancaktar, Gizem Ergezen Sahin
{"title":"Rehabilitation Model for Post-Disaster Post-Traumatic Stress Syndrome: Relaxation-Based Supervised Exercise.","authors":"Sabiha Sancaktar, Gizem Ergezen Sahin","doi":"10.1017/dmp.2025.118","DOIUrl":"https://doi.org/10.1017/dmp.2025.118","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effects of relaxation-based exercises on individuals experiencing post-earthquake stress-related symptoms in an earthquake-prone region.</p><p><strong>Methods: </strong>This randomized, waitlist-controlled, parallel group study included 46 participants with moderate post-traumatic stress levels (Posttraumatic Stress Diagnostic Scale, PDS) and anxiety for over 1 month (Beck Anxiety Inventory, BAI score > 8). Participants were randomly assigned to a relaxation-based exercise group (REG, <i>n</i> = 24) or a waitlist control group (CG, <i>n</i> = 25). The REG received relaxation-based structured, supervised exercises for 4 weeks, while the CG awaited treatment. Assessments included the PDS, BAI, Beck Depression Inventory, Perceived Stress Scale-10, Pittsburgh Sleep Quality Index, and SF-12 Quality of Life Scale at baseline and 4 weeks post-intervention.</p><p><strong>Results: </strong>Within-group analysis showed significant improvements in anxiety (<i>P</i> = 0.001), depression (<i>P</i> = 0.001), perceived stress (<i>P</i> = 0.001), and sleep quality (<i>P</i> = 0.001) for the REG. The CG showed decreased depression symptoms (<i>P</i> = 0.011) and improved sleep quality (<i>P</i> = 0.012). There were no significant group differences in quality-of-life outcomes (<i>P</i> > 0.05), though REG showed greater improvement in depression and perceived stress scores (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Relaxation-based exercises can improve sleep quality in individuals experiencing post-earthquake stress, and reduce depression, anxiety, and perceived stress. This approach can be used as a novel rehabilitation model in preventive mental health for the community.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e132"},"PeriodicalIF":1.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Did Individuals' Fear of COVID-19 Affect Their Participation in Cancer Screenings? An Example from Eastern Turkey. 个人对COVID-19的恐惧是否影响了他们参与癌症筛查?一个来自土耳其东部的例子。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-28 DOI: 10.1017/dmp.2025.130
Sevgi Bal, Hasret Yalçınöz Baysal
{"title":"Did Individuals' Fear of COVID-19 Affect Their Participation in Cancer Screenings? An Example from Eastern Turkey.","authors":"Sevgi Bal, Hasret Yalçınöz Baysal","doi":"10.1017/dmp.2025.130","DOIUrl":"https://doi.org/10.1017/dmp.2025.130","url":null,"abstract":"<p><p>This letter presents key findings from a study conducted in Eastern Turkey, which explored the impact of individuals' fear of COVID-19 on their participation in cancer screenings. Data from 393 participants aged 50-70 years revealed that higher levels of COVID-19 fear significantly decreased the likelihood of engaging in screening behaviors during the pandemic. The study highlights that fear of infection led to health care avoidance, posing a barrier to early cancer detection. These findings underscore the importance of addressing psychological factors such as fear during public health emergencies to ensure continued access to preventive care.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e127"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutritional Management of Individuals with Celiac Disease in Disasters. 灾害中乳糜泻患者的营养管理
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-28 DOI: 10.1017/dmp.2025.10064
Fatma Gunduz, Ezgi Atalay
{"title":"Nutritional Management of Individuals with Celiac Disease in Disasters.","authors":"Fatma Gunduz, Ezgi Atalay","doi":"10.1017/dmp.2025.10064","DOIUrl":"https://doi.org/10.1017/dmp.2025.10064","url":null,"abstract":"","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e130"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review of the NHS in England's Records of Incident Response Levels. 英国国家医疗服务体系事件响应水平记录的回顾。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-28 DOI: 10.1017/dmp.2025.10067
William Wetherell
{"title":"Review of the NHS in England's Records of Incident Response Levels.","authors":"William Wetherell","doi":"10.1017/dmp.2025.10067","DOIUrl":"https://doi.org/10.1017/dmp.2025.10067","url":null,"abstract":"<p><strong>Objective: </strong>For the National Health Service (NHS) in England, incidents are defined as events that disrupt, or might disrupt, an organisation's normal service provision below acceptable levels and require special arrangements to be put in place. NHS England is responsible for coordinating regional responses to incidents. Integrated Care Boards (ICBs) are responsible for coordinating local responses to incidents. This review assessed the records of regional and local incident responses held by NHS England and ICBs respectively.</p><p><strong>Methods: </strong>The outcome of interest was the quantity of information regarding days at an incident response level held by organisations responsible for coordinating that level of incident response.</p><p><strong>Results: </strong>NHS England had a record of the number of days at regional incident response level for 3 of its 7 regions. 24 of the 42 ICBs had records of the number of days at local incident response level.</p><p><strong>Conclusion: </strong>NHS England and ICB records of incident responses for which they are responsible were incomplete. They might benefit from reviewing how they measure and record this information. This review may also be of interest to other bodies at local, regional and state level which coordinate hospitals in response to incidents.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e126"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Complex Interplay Between Factors Affecting Collaborative Outcomes During Major Infectious Disease Outbreaks. 重大传染病爆发期间影响协作结果的因素之间的复杂相互作用。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-28 DOI: 10.1017/dmp.2025.127
Meina Li, Pei Liu, Mingliang Jin, Lei Yuan, Lulu Zhang, Wenya Yu
{"title":"The Complex Interplay Between Factors Affecting Collaborative Outcomes During Major Infectious Disease Outbreaks.","authors":"Meina Li, Pei Liu, Mingliang Jin, Lei Yuan, Lulu Zhang, Wenya Yu","doi":"10.1017/dmp.2025.127","DOIUrl":"https://doi.org/10.1017/dmp.2025.127","url":null,"abstract":"<p><strong>Objectives: </strong>Few empirical studies have examined the collective impact of and interplay between individual factors on collaborative outcomes during major infectious disease outbreaks and the direct and interactive effects of these factors and their underlying mechanisms. Therefore, this study investigates the effects and underlying mechanisms of emergency preparedness, support and assurance, task difficulty, organizational command, medical treatment, and epidemic prevention and protection on collaborative outcomes during major infectious disease outbreaks.</p><p><strong>Methods: </strong>A structured questionnaire was distributed to medical personnel with experience in responding to major infectious disease outbreaks. SPSS software was used to perform the statistical analysis. Structural equation modeling was conducted using AMOS 24.0 to analyze the complex relationships among the study variables.</p><p><strong>Results: </strong>Organizational command, medical treatment, and epidemic prevention and protection had significant and positive impacts on collaborative outcomes. Emergency preparedness and supportive measures positively impacted collaborative outcomes during health crises and were mediated through organizational command, medical treatment, and epidemic prevention and protection.</p><p><strong>Conclusions: </strong>The results underscore the critical roles of organizational command, medical treatment, and epidemic prevention and protection in achieving positive collaborative outcomes during health crises, with emergency preparedness and supportive measures enhancing these outcomes through the same key factors.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e128"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determination of Emotions, Thoughts, Behaviors, and Quality of Life of Individuals in a COVID-19 Vaccine Clinic. COVID-19疫苗诊所个体情绪、思想、行为和生活质量的测定
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-28 DOI: 10.1017/dmp.2025.10056
Ceren Can Emre, Dilay Açıl
{"title":"Determination of Emotions, Thoughts, Behaviors, and Quality of Life of Individuals in a COVID-19 Vaccine Clinic.","authors":"Ceren Can Emre, Dilay Açıl","doi":"10.1017/dmp.2025.10056","DOIUrl":"https://doi.org/10.1017/dmp.2025.10056","url":null,"abstract":"<p><strong>Objectives: </strong>COVID-19 caused individual and social measures to be taken at the global level, and changed the social life, especially due to effects on interpersonal relations, the environment, and psychological and physical conditions. It was aimed to determine the feelings, thoughts, and behaviors related to the disease and the quality of life of people who applied to the COVID-19 vaccine unit of a state hospital.</p><p><strong>Methods: </strong>Descriptive and cross-sectional research was carried out with 360 individuals. Data collection tools were the Individual Information Form, Multidimensional COVID-19 Scale, and Impact of COVID-19 on Quality of Life Scale. Statistical analysis of the data was made using SPSS 20.0.</p><p><strong>Results: </strong>Multidimensional COVID-19 and Quality of Life Scale mean scores were found to be 80.50±18.14 and 3.16±1.00, respectively. A positive correlation was determined between the emotions, behavior, and thoughts related to COVID-19 and Quality of Life Scale.</p><p><strong>Conclusions: </strong>Considering society's perceptions of COVID-19 and the impact of the pandemic process on quality of life, it was thought that the trainings carried out by nurses and other health professionals may affect the adaptaion of protective processes related to COVID-19.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e129"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role and Response in Disaster Relief of Faith-based Organizations in Houma, Louisiana after Hurricane Ida. 飓风“艾达”过后,路易斯安那州霍马市宗教组织在救灾中的作用与反应。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-23 DOI: 10.1017/dmp.2025.108
Jacob Noel, Attila J Hertelendy, Fadi Issa, Christina Woodward, Abeer Santarisi, Eric D Miller, Dana Mathew, Timothy J Curtis, Ryan Boasi, Van Kenyon, Eman AlShaikh, Amalia Voskanyan, Gregory R Ciottone
{"title":"The Role and Response in Disaster Relief of Faith-based Organizations in Houma, Louisiana after Hurricane Ida.","authors":"Jacob Noel, Attila J Hertelendy, Fadi Issa, Christina Woodward, Abeer Santarisi, Eric D Miller, Dana Mathew, Timothy J Curtis, Ryan Boasi, Van Kenyon, Eman AlShaikh, Amalia Voskanyan, Gregory R Ciottone","doi":"10.1017/dmp.2025.108","DOIUrl":"https://doi.org/10.1017/dmp.2025.108","url":null,"abstract":"<p><strong>Objectives: </strong>After Hurricane Ida, faith-based organizations were vital to disaster response. However, this community resource remains understudied. This exploratory study examines local faith-based organizational involvement in storm recovery by evaluating response activities, prevalence and desire for formal disaster education, coordination with other organizations, effect of storm damage on response, and observations for future response.</p><p><strong>Methods: </strong>An exploratory survey was administered to community leaders throughout the Bayou Region of Louisiana consisting of questions regarding demographics, response efforts, coordination with other organizations, formal disaster training, the impact of storm damage on ability to respond, and insights into future response.</p><p><strong>Results: </strong>Faith-based organizations are active during storm response. There is a need and desire for formal disaster education. Many organizations experienced storm damage but continued serving their community. Other emerging themes included: importance of clear communications, building stronger relationships with other organizations prior to a disaster, and coordination of resources.</p><p><strong>Conclusions: </strong>Faith-based organizations serve an important role in disaster response. Though few have formal training, they are ready and present in the area of impact, specifically in hurricane response. In the midst of organizational and personal damage, these organizations respond quickly and effectively to provide a necessary part of the disaster management team.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e124"},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using an Electronic Self-Administered Survey Among First Responders to Evaluate the Potential Human Health Effects of Hazardous Substances Released as a Result of a Train Derailment Incident-East Palestine, Ohio, USA, February-March 2023. 在第一反应者中使用电子自我管理调查来评估火车脱轨事件释放的有害物质对人类健康的潜在影响-美国俄亥俄州东巴勒斯坦,2023年2月至3月。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-22 DOI: 10.1017/dmp.2024.291
Carolyn A Crisp, Vidisha D Parasram, Dallas S Shi, Amel Omari, Valerie Madera-Garcia, Emily A G Faherty, Melissa Dulcey, Kathryn Burr, Beatrice Gichuhi, Lisa A Goldsworthy, Chad H Dowell, Sophia K Chiu, Kristen Dickerson, Courtney M Dewart, Sharon M Watkins, Laurel Harduar-Morano, Remy Babich, Jill Shugart, Maureen F Orr
{"title":"Using an Electronic Self-Administered Survey Among First Responders to Evaluate the Potential Human Health Effects of Hazardous Substances Released as a Result of a Train Derailment Incident-East Palestine, Ohio, USA, February-March 2023.","authors":"Carolyn A Crisp, Vidisha D Parasram, Dallas S Shi, Amel Omari, Valerie Madera-Garcia, Emily A G Faherty, Melissa Dulcey, Kathryn Burr, Beatrice Gichuhi, Lisa A Goldsworthy, Chad H Dowell, Sophia K Chiu, Kristen Dickerson, Courtney M Dewart, Sharon M Watkins, Laurel Harduar-Morano, Remy Babich, Jill Shugart, Maureen F Orr","doi":"10.1017/dmp.2024.291","DOIUrl":"https://doi.org/10.1017/dmp.2024.291","url":null,"abstract":"<p><p>To understand the potential human health effects of exposure to hazardous substances among first responders from the East Palestine train derailment, an electronic self-administered Assessment of Chemical Exposures (ACE) survey was created and available to first responders between February-March 2023. Among the 339 completed responder surveys analyzed, most reported working at least 1 day during the incident between February 3-8, 2023. Most (79%) reported inhaling, touching, or swallowing potentially harmful substances and did not report using a face mask or respirator while working (75%). Nearly half reported at least 1 new or worsening physical symptom after incident response. These findings support several recommendations to mitigate exposure to hazardous substances among first responders during future incidents, including using a hierarchy of controls framework to reduce exposure to hazards, timely communication of possible hazardous substances involved in the event, and using the Emergency Responder Health Monitoring Surveillance (ERHMS) framework.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e121"},"PeriodicalIF":1.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Location-Allocation-Vehicle Routing Model for Humanitarian Blood Supply Chain in Aftermath of Earthquake under IER Uncertainty Considering Quality Concepts. 考虑质量概念的IER不确定性下震后人道主义血液供应链选址-分配-车辆路径模型。
IF 1.9 4区 医学
Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-21 DOI: 10.1017/dmp.2025.19
Shiva Moslemi, Abolfazl Mirzazadeh, Mohammad Mohammadi
{"title":"A Location-Allocation-Vehicle Routing Model for Humanitarian Blood Supply Chain in Aftermath of Earthquake under IER Uncertainty Considering Quality Concepts.","authors":"Shiva Moslemi, Abolfazl Mirzazadeh, Mohammad Mohammadi","doi":"10.1017/dmp.2025.19","DOIUrl":"10.1017/dmp.2025.19","url":null,"abstract":"<p><p>This paper presents a Location-Allocation-Vehicle Routing Problem to design a humanitarian blood supply chain in response to earthquakes, incorporating quality concepts, reliability, and horizontal communication. The aim of the model is to minimize the total cost, minimize maximum shortage of demand points with high priority and low route value, and maximize the satisfaction of customers, including donors, hospitals, and blood transfusion centers. In order to deal with considerations of real world, the structure of the blood supply chain and all the intricacies incorporated in the model are defined based on the network and challenges of Blood Transfusion Center of Tehran. In addition, the blood demand and reliability of routes and facilities are considered uncertain, and the Interval Evidential Reasoning (IER) approach is used to handle the uncertainty. Since the problem is NP-hard, NSGAII and MOPSO algorithms have been applied to solve it. To demonstrate the efficiency of the model and compare the algorithms, several numerical examples in different sizes are designed. Finally, the most favorable algorithm is chosen for each size using the TOPSIS method.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e122"},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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