Disaster Medicine and Public Health Preparedness最新文献

Retraumatization Associated with Quantitative Epidemiological Research Methods in Conflict Settings: Issues and Mitigation Strategies. 冲突环境中与定量流行病学研究方法相关的再创伤：问题和缓解策略。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-10-07 DOI: 10.1017/dmp.2025.10211

Ola Bazzi, Alex Munyambabazi, Emily E Anderson, Hannah B H Wild

引用次数: 0

Evaluating the Utility of Complete Blood Count-Derived Inflammatory Indices for Predicting Clinical Outcomes in Earthquake-Related Crush Injuries: The 2023 Turkey-Syria Earthquake. 评估全血细胞计数衍生炎症指标在预测地震相关挤压损伤临床结果中的效用：2023年土耳其-叙利亚地震

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-10-06 DOI: 10.1017/dmp.2025.10199

Fatma Zehra Agan, Cigdem Cindolu, Derya Abuska, Abdelrahman Abouelsoud

{"title":"Evaluating the Utility of Complete Blood Count-Derived Inflammatory Indices for Predicting Clinical Outcomes in Earthquake-Related Crush Injuries: The 2023 Turkey-Syria Earthquake.","authors":"Fatma Zehra Agan, Cigdem Cindolu, Derya Abuska, Abdelrahman Abouelsoud","doi":"10.1017/dmp.2025.10199","DOIUrl":"https://doi.org/10.1017/dmp.2025.10199","url":null,"abstract":"Objective: Earthquakes cause significant mortality and morbidity, particularly through crush injuries and their complications. This study aimed to evaluate whether systemic immune inflammation index (SII) and Pan-immune inflammatory values (PIV) obtained from complete blood count parameters can predict intensive care needs, dialysis requirements, and mortality in patients with crush injuries following earthquake.Methods: We retrospectively analyzed data from 76 patients with crush injuries admitted to a university hospital following the earthquake. Blood samples were collected upon admission. SII and PIV were calculated and compared with conventional laboratory markers for their ability to predict clinical outcomes.Results: Intensive care unit (ICU) admission was required in 40.8% of patients, and 21.1% required dialysis. In ROC analysis, an SII value above 1372 predicted ICU admission with 67.7% sensitivity and 66.7% specificity (P < .001), while an SII value above 1735 predicted dialysis requirement with 75.0% sensitivity and 73.3% specificity (P < .001). Similarly, a PIV value above 1345 predicted ICU admission with 74.2% sensitivity and 73.3% specificity (P < .001), and a value above 1906 predicted dialysis requirement with 81.3% sensitivity and 78.3% specificity (P < .001).Conclusions: Complete blood count-derived inflammatory markers may serve as accessible, early indicators to complement clinical assessment for resource allocation following earthquake-related crush injuries, particularly in resource-limited disaster settings. These tools may aid in patient triage and care planning when comprehensive laboratory testing is limited.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e289"},"PeriodicalIF":1.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234213","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

Effect of Disaster Awareness Education on General Disaster Preparedness Beliefs: A Quasi-Experimental Study. 灾害意识教育对一般备灾信念影响的准实验研究

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-10-06 DOI: 10.1017/dmp.2025.10219

Ömer Demirbilek, Ramazan Aslan

{"title":"Effect of Disaster Awareness Education on General Disaster Preparedness Beliefs: A Quasi-Experimental Study.","authors":"Ömer Demirbilek, Ramazan Aslan","doi":"10.1017/dmp.2025.10219","DOIUrl":"https://doi.org/10.1017/dmp.2025.10219","url":null,"abstract":"Objective: This study examines the impact of a disaster awareness education program on general disaster preparedness beliefs in Türkiye, utilizing the Health Belief Model as a theoretical framework.Methods: A quasi-experimental, single-group design with pre-test, post-test, and follow-up measurements was employed. Participants were enrolled in a Disaster Awareness Education course at a Public Education Center. Data were gathered using a demographic questionnaire and the General Disaster Preparedness Belief (GDPB) Scale. Repeated measures ANOVA was conducted to assess changes over time.Results: Significant improvements were observed in perceived susceptibility, perceived severity, perceived barriers, cues to action, and self-efficacy following the intervention. While male participants showed no significant changes, female and middle-income participants experienced substantial improvements. Perceived susceptibility initially increased but reverted to baseline at follow-up. Perceived severity decreased and remained low, whereas perceived barriers declined post-education but were not sustained. Cues to action showed a steady increase, suggesting ongoing motivation. Self-efficacy improved significantly and was maintained over time.Conclusions: Disaster education has a positive impact on general disaster preparedness beliefs. Tailored interventions may be especially beneficial for specific demographic groups such as males and lower-income individuals. It is recommended that future studies investigate the mechanisms underlying demographic disparities in educational impact, particularly among male and low-income participants.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e288"},"PeriodicalIF":1.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234148","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

Comparing Tabletop and High-Fidelity Simulation for Disaster Medicine Training in Emergency Medicine Residents. 桌面模拟与高保真模拟在急诊科住院医师灾害医学培训中的比较

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-10-06 DOI: 10.1017/dmp.2025.10206

Amir Lotfy Rashed, Anjali Cherukuri, Rie Seu, Cara Taubman, Jamila Jamal, Debayan Guha, Oark Ahmed, Jennifer Melgar, Thomas Kardashian-Sieger, Natcha Rummaneethorn, Andrew Restivo, Andrew Yoon, Ariella Gartenberg, Maninder Singh

{"title":"Comparing Tabletop and High-Fidelity Simulation for Disaster Medicine Training in Emergency Medicine Residents.","authors":"Amir Lotfy Rashed, Anjali Cherukuri, Rie Seu, Cara Taubman, Jamila Jamal, Debayan Guha, Oark Ahmed, Jennifer Melgar, Thomas Kardashian-Sieger, Natcha Rummaneethorn, Andrew Restivo, Andrew Yoon, Ariella Gartenberg, Maninder Singh","doi":"10.1017/dmp.2025.10206","DOIUrl":"https://doi.org/10.1017/dmp.2025.10206","url":null,"abstract":"Objectives: To compare the effectiveness of tabletop exercises (TTX) and high-fidelity in-person simulations (IPS) in improving knowledge, confidence, and perceived preparedness in disaster medicine among emergency medicine residents.Methods: A prospective, randomized educational intervention was conducted across 2 urban emergency medicine residency programs. Sixty-three residents were randomized to TTX or IPS groups. Each group completed a preintervention knowledge and confidence assessment, participated in their assigned exercise based on a simulated mass casualty incident (MCI), and underwent a structured debrief. Postintervention surveys assessed change in knowledge and self-reported comfort levels. A paired 2-tailed Student's t-test was utilized to compare results. Statistical significance was defined as P < 0.01.Results: Both groups demonstrated increased self-reported confidence and knowledge regarding management of MCIs. TTX participants showed higher median post-test scores (77.4%, N = 38) compared to IPS participants (67.4%, N = 25). Results were not statistically significant (P = 0.079).Conclusions: TTX is an effective modality for disaster medicine education, with outcomes comparable to IPS. While TTX may better align with knowledge-based assessments, IPS remains essential for practicing real-time decision-making under stress. Combining these 2 modalities may provide both the knowledge base and psychological duress required for robust disaster scenario training.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e276"},"PeriodicalIF":1.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234153","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

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-10-03 DOI: 10.1017/dmp.2025.10210

Asif Rehman, Farhad Ali Khattak, Khalid Rehman, Urooj Ashfaq, Ihtesham Ul Haq, Zohaib Khan, Muhammad Irfan, Jalil Khan, Zeeshan Kibria

{"title":"Emergency Related Mental Health Challenges Among Frontline Health Workers in Khyber Pakhtunkhwa, Pakistan: A Cross-Sectional Study.","authors":"Asif Rehman, Farhad Ali Khattak, Khalid Rehman, Urooj Ashfaq, Ihtesham Ul Haq, Zohaib Khan, Muhammad Irfan, Jalil Khan, Zeeshan Kibria","doi":"10.1017/dmp.2025.10210","DOIUrl":"https://doi.org/10.1017/dmp.2025.10210","url":null,"abstract":"Objective: To determine the prevalence and severity of anxiety and depression among health care professionals in Khyber Pakhtunkhwa and the impact of gender and professional roles on mental health outcomes.Methodology: A cross-sectional study was conducted between March and November 2023 using stratified random sampling among health care professionals, including doctors, nurses, paramedics, and emergency staff, across multiple hospitals. The Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were used to assess anxiety and depression. Data were analyzed using R/RStudio, employing descriptive statistics, chi-square tests, independent t-tests, Mann-Whitney U tests, and Pearson's correlation coefficient.Results: Among 651 participants, 65% were male. Anxiety prevalence was significant, with 42% experiencing minimal anxiety, 35% mild, 16% moderate, and 7.7% severe. Depression prevalence included 10% with no depression with 7.8% moderately severe and 5.9% severe depression. Nurses (40%) and doctors (34%) had the highest depression rates. Females exhibited significantly higher anxiety and depression scores. Anxiety prevalence varied across hospitals (P = 0.024). A strong positive correlation was observed between GAD-7 and PHQ-9 scores.Conclusion: Mental health challenges among frontline health care workers in Khyber Pakhtunkhwa are substantial, with anxiety and depression particularly prevalent among nurses and doctors. Female workers experience greater psychological distress. We recommend implementation of hospital-based mental health support systems, prioritizing interventions for female staff and high-burden departments. Policies ensuring regular psychological screening and peer support mechanisms are urgently needed.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e286"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214382","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

Natural Disaster in Developing Country: How National Disaster Response Fund Support. 发展中国家的自然灾害：国家灾害应对基金如何支持。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-10-03 DOI: 10.1017/dmp.2025.10072

Nikunja Kumar Das, Pankaj Das, Sahjid Mukhida, Sriram Kannuri, Deepali Desai

引用次数: 0

Lessons Learned in the Response to Multiple Cases of Exertional Hyperthermia at an Urban Half Marathon. 在城市半程马拉松比赛中对多例劳累性热疗的反应的经验教训。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-30 DOI: 10.1017/dmp.2025.10213

Lindsay V Walsh, Gideon Loevinsohn, Nellie Darling, Paul D Biddinger, Scott A Goldberg

{"title":"Lessons Learned in the Response to Multiple Cases of Exertional Hyperthermia at an Urban Half Marathon.","authors":"Lindsay V Walsh, Gideon Loevinsohn, Nellie Darling, Paul D Biddinger, Scott A Goldberg","doi":"10.1017/dmp.2025.10213","DOIUrl":"https://doi.org/10.1017/dmp.2025.10213","url":null,"abstract":"Objective: Exertional heat stroke (EHS) occurs when core body temperature exceeds 40°C (104°F) with central nervous system dysfunction and has been identified as a leading cause of morbidity and mortality among endurance athletes. With rapid identification and treatment, survival approaches 100%. This study describes the clinical presentation and course of seven patients transported by emergency medical services from a half marathon with EHS.Methods: The 2022 Cambridge Half Marathon occurred during unusually warm weather, with a did not finish rate of 2%. Retrospective review was performed of seven patients transported during the race to an urban, level I trauma center with EHS.Results: Seven patients transported to the study site were included for analysis. All patients treated with cold water immersion at scene were discharged from the emergency department. Three patients without treatment on scene required admission to the intensive care unit. Descriptions of all patients are provided.Conclusions: Lessons learned from this event include the importance of rapid cooling, the role of event-day communications, the varied impacts on emergency department operations, and the increasing need to anticipate such events outside of traditional warm weather seasons.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e285"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193567","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

Creating a Community Resource for Neuropsychological Assessments After a Lead Exposure: Process and Findings. 创建铅暴露后神经心理评估的社区资源：过程和发现。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-30 DOI: 10.1017/dmp.2025.10193

Diana K Haggerty, Shuting Zheng, Lauren M Tompkins, Eric D Finegood, Jasmine Hall, Nicole Jones, Mona Hanna

{"title":"Creating a Community Resource for Neuropsychological Assessments After a Lead Exposure: Process and Findings.","authors":"Diana K Haggerty, Shuting Zheng, Lauren M Tompkins, Eric D Finegood, Jasmine Hall, Nicole Jones, Mona Hanna","doi":"10.1017/dmp.2025.10193","DOIUrl":"https://doi.org/10.1017/dmp.2025.10193","url":null,"abstract":"The Flint water crisis was a lead-in-water disaster that occurred in Flint, Michigan. The Center for Children's Integrated Services Assessment Center (CISAC) was established to provide neuropsychological assessments and recommendations for exposed children. Our objective was to describe the implementation of the CISAC and report the clinical diagnoses of the first cohort of children who received comprehensive assessments. The CISAC's eligibility criteria were broad and allowed referrals from physicians, schools, community organizations, and parents. A cross-sectional, descriptive analysis was conducted for 376 children who received initial neurodevelopmental assessments. About 60% of assessed children (ages 3-18) were diagnosed with ADHD, and 70% were diagnosed with ≥2 conditions. Most (96.8%) children received recommendations for new or continued educational, medical, and mental health services. Recognizing the implications of lead exposure and community-wide trauma on neuropsychological trajectories, the CISAC provides longitudinal assessments, secondary prevention efforts to mitigate potential sequelae, and trauma-informed treatment.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e283"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193481","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

Long-Term Mental Health Findings and Concerns After Potential Exposure to Petroleum in Drinking Water on Joint Base Pearl Harbor-Hickam, November 20, 2021-February 24, 2023. 2021年11月20日至2023年2月24日，珍珠港-希卡姆联合基地饮用水中潜在石油暴露后的长期心理健康调查结果和担忧。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-29 DOI: 10.1017/dmp.2025.10207

Katharine E Saunders, Lilanthi Balasuriya, David Carranza, Nicholas V Titelbaum, Daniel D Nguyen, Cristin E McArdle, Amy Fothergill, Izraelle I McKinnon, Jack Pfeiffer, T Christy Hallett, Asha S Choudhury, Maureen F Orr, Stacey L Konkle

{"title":"Long-Term Mental Health Findings and Concerns After Potential Exposure to Petroleum in Drinking Water on Joint Base Pearl Harbor-Hickam, November 20, 2021-February 24, 2023.","authors":"Katharine E Saunders, Lilanthi Balasuriya, David Carranza, Nicholas V Titelbaum, Daniel D Nguyen, Cristin E McArdle, Amy Fothergill, Izraelle I McKinnon, Jack Pfeiffer, T Christy Hallett, Asha S Choudhury, Maureen F Orr, Stacey L Konkle","doi":"10.1017/dmp.2025.10207","DOIUrl":"https://doi.org/10.1017/dmp.2025.10207","url":null,"abstract":"Objective: An estimated 93,000 persons were potentially exposed to drinking water contaminated with petroleum jet propellant (JP)-5 fuel after a November 20, 2021, leak at the Red Hill Bulk Fuel Storage Facility on Oahu, Hawaii. Previous investigations identified the need to evaluate long-term mental health effects associated with JP-5 exposure.Methods: We identified adults potentially exposed to jet fuel-contaminated water during November 20, 2021-March 18, 2022, who sought care within the military health system through February 24, 2023. We abstracted a sample of electronic medical records and categorized documented mental health conditions and symptoms as \"worsening preexisting\" or \"persistent new.\" We also assessed mental health-related medication use before and after November 20, 2021.Results: We abstracted medical charts for 411 adults potentially exposed to jet fuel-contaminated water. Of this cohort, 123 (29.9%) had documented worsening preexisting mental health conditions or symptoms, 86 (20.9%) had persistent new mental health conditions or symptoms, and 109 (26.5%) had at least one mental health-related medication prescribed after the exposure event.Conclusions: These results highlight mental health needs during and after water contamination events. Continued access to mental health care services and monitoring for long-term mental health effects is recommended.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e281"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187576","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

Emergency Health Care Workers' Preparedness and Willingness to Respond to a Dirty Bomb-related Disaster in Pakistan. 巴基斯坦紧急卫生保健工作者应对脏弹相关灾难的准备和意愿。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-29 DOI: 10.1017/dmp.2025.10208

Badar Afzal, Ume-E-Aimen Chhipa, Nargis Asad, Bee-Ah Kang, Daniel Barnett, Amber Mehmood, Simran Motwani, Jawed Dars, Junaid Razzak

{"title":"Emergency Health Care Workers' Preparedness and Willingness to Respond to a Dirty Bomb-related Disaster in Pakistan.","authors":"Badar Afzal, Ume-E-Aimen Chhipa, Nargis Asad, Bee-Ah Kang, Daniel Barnett, Amber Mehmood, Simran Motwani, Jawed Dars, Junaid Razzak","doi":"10.1017/dmp.2025.10208","DOIUrl":"https://doi.org/10.1017/dmp.2025.10208","url":null,"abstract":"Objective: Our study examined the association between willingness-to-respond (WTR) and behavioral factors, demographics, and work-related characteristics among emergency department healthcare workers (HCWs) toward a radiological dispersal device (RDD) (\"dirty bomb\") blast scenario in Pakistan.Methods: A cross-sectional survey was conducted in August to September 2022 among emergency department HCWs from 2 hospitals in Karachi, Pakistan. Nonprobability purposive sampling was used to recruit participants. Multivariate logistic regression analyses were performed to examine the association between WTR and key attitudes/beliefs, including perceived norms, preparedness, and safety, as well as the EPPM variables.Results: Among behavioral factors, perceived likelihood that colleagues will report to work duty, perceived importance of one's role, and psychological preparedness showed particularly significant associations with WTR; 53.6% of participants indicated low perceived threat, while 46.43% showed high perceived threat, toward an RDD disaster scenario.Conclusion: Our findings point to the need to improve WTR toward an RDD event by shifting behavioral factors among HCWs through efficacy-focused training; enhancing WTR through such training strategies is imperative beyond mere delivery of information. Changing norms around response, along with institutional support, may further boost WTR during RDD emergencies.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e282"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187583","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